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Home > Product Categories > Pro-Audio > Mic Stands & Mic Mounts > Microphone Stands > 23110-500-01
Item #: KM-231/1 MFG #: 23110-500-01
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6 entries.
All I want to say that this is a great website. I learn a lot about Tarot especially about cards meaning
Thank you so much for this site. So many wonderful pages to learn from. I am new to Tarot but am so intrigued by the spreads I do for myself to learn, and will be studying for a long time to come. I have bookmarked your site as one of my home pages. I LOVE your site. Thank you♥
Hi Not a reader as of yet. But very interested in what you are saying.
not at this time
Hey everyone 🙂
I love this new site. Please keep this fabulous site going. I am a professional reader and I just love this sight for refreshing myself.

subset: commoncrawl


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Do you have waiting room videos yet?
Available for your use:
How to choose the right shock or strut
It's a fact; people are drawn to a TV screen.
And, when a motorist is sitting in a waiting area without much else to do but wait, it's the perfect time to educate them about maintaining their vehicle. But where can you get professional, short videos that convey the right messages? Well, if you haven't visited www.kyb.com lately, you're missing a great opportunity.
Thousands of consumers every month click on KYB's home page and watch three informative videos. And, all three are available for you (a KYB Certified Ride Control Center), to use at your service counter or in a waiting area! One explains why ride control, shock & struts are important, the next helps the motorist understand when it's a good idea to replace them and the last one helps them choose the best one for their vehicle. There's just no better time to educate the motorist than when they are right there in your shop.
You can either show the videos right from your computer monitor or access them on KYB's YouTube Channel. KYB's new website is designed to help you: "Help the Motorist Stay in Control". It's always a work in progress and we consistently use suggestions from proactive automotive service providers like you to help make it better. If after viewing the site you have a suggestion or recommendation that you and other service providers could benefit from, please let us know. CLICK HERE: From the YouTube channel you can share this video on any of your own social media sites or even use the included embedding language to post these videos to your own website. If you need help, be sure to let us know. Additionally, you could even create a loop of these videos and add them to your shop waiting room TV. Need a different format? No problem. Simply send an email to us at firstname.lastname@example.com and request the videos in any format you choose.
Remember, you can always reach us at firstname.lastname@example.com.


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While we want to be faithful as pastors and spiritually fruitful congregants to help those entrusted to our care–as well as members of the same body, we must ever guard against allowing ourselves to slide into a role that God hasn't given to us–a role that only He possesses.
When I was an intern preparing for ministry at Tenth Presbyterian Church in Philadelphia, I asked Dr. Paul Tripp, "If you could give any one piece of advice to young men preparing for ministry, what would it be?" Speaking from years of pastoral experience, Paul responded, "Don't become the fourth person of the Trinity for people." What he obviously meant was, "Don't try to stand in the place of God and do what only God the Father, Son and Holy Spirit can do in someone's life." You can't effect the change that you labor so diligently to help bring about in the lives of those entrusted to your care–only the Lord can produce real and lasting change (1 Cor. 3:6-8). There are real dangers that pastors face when they function as if they are the fourth person in the Trinity. Consider the following.
- Congregants may develop sinful dependency. Jack Miller, in his small but important work, Repentance: A Daring Call to Real Surrender, explained the danger of congregants developing an unhealthy dependance on their pastor when he tries to be too much for them. He wrote:
All too often religious leaders are flattered into accepting the role as priest by sympathetic parishioners who admire their gifts and graces. In accepting this role, they harm themselves and the ones for whom they attempt to mediate. It must be acknowledged that they are sinners and may love people's honor and praise more than they know.
But the problem is even broader and deeper than pastors and their relationship with the members of the congregation. Christians who witness with power and effectiveness will find that others will look to them to do the work of Christ for them. For instance, as the pastor must take care not to become priest to needy people in the congregation, so the youth worker must take care not to become priest to the young people. The evangelist must follow suit with new converts.
Because most of this is unconscious, it is all the more dangerous. We are not to make men and women our own disciples, but to make them disciples of the Lord. Therefore, repentance means that people must turn from trusting in empty cisterns like ourselves and thirst and drink from Christ alone.1
I have witnessed this very thing–both in my own life and in the lives of congregants with relationship to biblical counselors to whom the pastors have sent them. This is also prevalent with regard to college students and the campus minister. I would suggest that there is an even greater possibility with that arrangement, since the college minister's most prominent responsibility is to meet one-on-one with students on a very regular basis. When there is not an ecclesiastical accountability for many of the students with whom he works, the college pastor must be exceedingly cautious about becoming a priest to a student when coming alongside of one who has fallen into some particular sin.


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Anoka Tech astronomy program
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Find information about Anoka Tech astronomy program, and registering for elective seminars and lectures. Which college degrees give you the best chances of finding employment after graduation? To earn a higher salary, compare accredited engineering concentrations, and research technical certificate programs in your chosen field. Concentrating on Anoka Tech astronomy program, for example, you may gain an advantage in job recruiting on-campus. Check with the astrophysics department for course registration deadlines, and space science program requirements. Please use the form above to request admissions info for Anoka Tech.
Aerospace engineers may design aircraft, space vehicles, satellites, and missile systems. In addition, they test prototypes to make sure that they function according to design. Aerospace engineers are employed in building, analysis and design of commercial aircraft, missile systems for national defense, or spaceships. Aerospace engineers are employed primarily in manufacturing, research and development, and must have a bachelors degree in aerospace engineering or another related field. In addition, aerospace engineers that work on projects that are related to national defense will need a security clearance.
Aerospace operations technicians and mechanics need only an associates degree to begin working. They must maintain equipment used in developing and testing new aircraft and spacecraft. Increasingly, these workers must be able to use computer-based modeling (CAD) and simulation tools in their work. Certification is offered by the Federal Aviation Administration (FAA). Both companies and the FAA seek to ensure the highest standards for the safety of the aircraft. In fact, SpaceTEC, the National Science Foundation Center for Aerospace Technical Education, coordinates a nationwide program through community and technical colleges to help students prepare for certification. The median annual wage for aerospace engineers with a bachelors degree was $107,830, while aircraft technicians and mechanics holding an associate's degree earned $66,180, as of May 2017. Beyond major requirements within the astrophysics department, you may consider Cerro Coso Community College electric power engineering as an adjunct to your primary course of study.
Senior Electrical Design Engineer - Travelling
Sachs Electric
Thorough knowledge of all types of electrical installations and electrical systems. Working knowledge of National Electrical Code and other Building Codes.
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United Technical Support Services
*Summary: D294* Travels nationwide 80 to 100 percent, to perform installation and calibration services for hospital-grade medical equipment for major OEM partners.
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DNV GL Group
Educate customers, contractors, architects, engineers, trade organizations and equipment vendors about the energy efficiency program and savings potentials.
2 days ago Systems Engineer - Intern
NetScout Systems
Systems Engineer - Intern 5/4/16InternTX - Plano. Netscout is currently seeking a Systems Engineer for an Intern position.
2 days ago Engineer Associate
Capable of being licensed as a Professional Engineer. This position is responsible for the creation..
3 days ago Electrical Engineer - Power Systems
Patrick Engineering
The Professional Electrical Engineer is responsible and oversees technical work of one or more Staff Engineers.
2 days ago


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SCOTLAND manager Gordon Strachan has instilled an "intensive" regime of training and information-sharing in his bid to rejuvenate the national team.
Strachan's side face Macedonia in Skopje on Tuesday night needing a result to get off the bottom of their World Cup qualifying group.
The players' pride has evidently taken a blow from their position in Group A - which came as a result of Macedonia's win over Wales on Friday and Scotland's subsequent defeat by leaders Belgium.
They have just two games left to avoid inflicting further damage on Scotland's international status with second-placed Croatia due to visit Hampden next month.
But Strachan is focusing his attention on learning about his players and teaching them what he expects instead of being obsessed with the table.
When asked how important it was to get off the bottom, Strachan said: "It's important to go and win every game you play or perform, and if you do that you will feel good about yourself.
"If you don't perform or don't win, then you don't feel good and that's when you take a step backwards.
"But the bigger picture, we have to try people out and try things. We might as well do it now. There is no point doing things in a year's time that is confusing to the players.
"We get it sorted now and find a system that suits this group of players, plus maybe another four of five we can call on or who might force themselves in.
"We must get a squad that suits these players here. I feel more and more like when I say something the boys automatically know what I mean, what kind of shape we go into, the terminology we use. "
Despite having one eye on the qualifying campaign for the 2016 European Championship, Strachan insists he is not neglecting the immediate aim of moving up the table - Scotland still in with a slim chance of finishing third.
"I can work with both," he said. "I can work with winning and trying to win and I can work with trying to progress as well. You don't do one or another, you can do both."
Scotland's victory in Croatia in June gave Strachan's project a huge boost and there was encouragement from their 3-2 friendly defeat by England.
And he does not feel they have regressed as a result of their 2-0 defeat by Belgium at Hampden.
"At times we looked like we could win but at times we looked like we were playing a good, top side," Strachan said. "But we took a lot of positives from the game and if I can tweak it here and tweak it there and add a few players to our squad we will be fine.
"We have not gone back the way. It has levelled out on that one. I actually think we had five, six, seven performances and there was one or two away from decent performances, a slip here and a slip there.
"But this whole thing is all about getting to understand players better, which I am doing. They understand me better. I want to get to a state like a club side.
"And to do that you need to know the players well. I'm getting to know the players who you can definitely rely on, no matter the circumstances.
"So I'm getting all that now, which is good. Better to get that now so I know in year's time we will be ready.
"We are making progress as a group, getting to know each other, and understanding what the training means. It's quite intensive.
"I keep hearing about rest, we have no time to rest. We have got to train and get ourselves together. I think at this time of year you can work a bit harder and quite intensive. They have only had one day off in eight days."
Captain Scott Brown already knew Strachan well having been signed by the 56-year-old for Celtic. And he has seen his manager impart his wisdom throughout his time as national team coach.
"I see it every day in training," he said. "The gaffer goes around each lad individually and tells them how he wants them to play, when he wants us to press, when he wants us to defend, and how he wants everyone to get on the ball. We are also giving him a bit of input on how we play at our own club.
"It's been high tempo, we have had double sessions and it has been enjoyable. The gaffer has done his part and now it's our turn to do our part."
Record Sport's David McCarthy and Keith Jackson are in Skopje for the Scotland clash. Read the latest news from inside the camp in the Daily Record today and tomorrow and here at dailyrecord.co.uk
We are also covering the game against Macedonia in our latest live blog on Tuesday night. The match kicks off at 7.30pm and our coverage begins at 7pm.


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Following a busy weekend with a Wedding and a Triathlon, the busy season is fast approaching and many large functions are booked in the diary with Summer Balls, and parties.
This weekend will be a bumper weekend, with a large event hosted at Plas Heli on Friday and Saturday night. We look forward to welcoming 450 guests to Plas Heli for four course meals, and as a result the kitchen is a hive of activity, with preparations at full tilt. Please be aware, that due to this function, there will be limited service in the Bar and Dining area as a result. Our Thursday night dinner service will regrettably not be running, but food will be available during lunch and a limited menu will be available on the Bar on Friday and Saturday night. Please be aware that it will be a limited menu due to the large scale of the function which will be held in the Main Hsll and First Floor area over the weekend.
Also we regret to inform that the Sunday Carvery will not be running this coming Sunday, but normal service will be resumed on Sunday the 16th of July, and we welcome bookings for tables by calling us on:01758 614 442.
The Bar and Cafe will be open to the public as usual during the whole weekend, and we look forward to seeing you. We apologise for any inconvenience caused. For more information on what's available this weekend, please call us on 01758 614 442 or 01758 613 343.
Thank you for your understanding.


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Raj wrote:
I think you did not select the Dev tools (or similar) option while installing. What you can do now is to mount the CD and install the rest of the rpms using the command
rpm -ivh <rpm name>
I do not know in which CD these RPMs are but I think they are in 1st. RPMs are located in RedHat/RPMS directory in the CD
Yes I began doing that but it's a difficult task since there are dependencies for the dependencies and I have to leave for work now. Whichcd shows the gcc files on Disk#1.
I will deal with it as I find the time.
Thanks for your help.
-- Powered by RedHat Linux http://www.redhat.com
Description: S/MIME Cryptographic Signature


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The NBA isn't just a basketball league, it is a constellation of stars. We have seen countless great cagers come and go over the years but there have been only a handful who have forever imprinted their careers along with the league's rich past and tradition. Here are seven NBA stars that made their mark in history:
Yao Ming
At 7-6, Yao Ming was truly China's Great Wall in the West. Drafted as the number one overall pick in the 2002, Yao was then seen as the future of the NBA. But he became more than that. As the first player from Asia to play and star in the NBA, Yao bridged the distance between America and Asia. He was the player who truly made the NBA global and became one of the greatest international Ambassador of the sport. Although he didn't win an NBA title, Yao Ming made 8 NBA All-Star teams, 2 All-NBA 2nd Team and 3 All-NBA 3rd team selections in a career cut short by injury. He could have been greater on the court without his injuries, but he definitely left his mark on the league by becoming the biggest international star the NBA has ever seen.
Kobe Bryant
Love him or hate him, Kobe Bryant is one of the players who will forever be remembered. The 13th pick in the 1996 NBA draft is the most successful player to come straight from high school to the NBA. The owner of five NBA title rings, Bryant is known as one of the greatest individual scorers in the game. The Black Mamba tallied 81 points against the Toronto Raptors in 2006, which is the second highest total in history. Bryant recently surpassed Michael Jordan as the third leading scorer in NBA history. He is a trailblazer in the NBA because before him, there were only four kids who made the leap from high school to the NBA. After Kobe paved the way, 34 high school stars made the successful jump.
Magic vs Bird
Magic and Bird were two words that summed up the 1980's NBA National Basketball Association. The rivalry between Earvin "Magic" Johnson and Larry Bird defined a decade and became the greatest rivalry the sport of basketball has ever seen. Magic played for the Los Angeles Lakers while Larry Bird starred for the Boston Celtics. Together they combined for eight of the ten championships from 1980-1989. They also won three MVP's each and a total of 7 NBA Finals MVP during their dominant decade. While both men's careers were cut short-Magic due to HIV and Bird because of back problems, the Magic versus Bird rivalry ushered the beginning of the NBA's rise as a billion dollar business. This is a list of players, but no one can mention one's name without the other.
Kareem Abdul Jabbar
Kareem Abdul Jabbar is the NBA's All-time scoring leader with 38,387 points after playing 20 remarkable seasons in the NBA. Jabbar revolutionized basketball by inventing the game's "unblockable" shot- the skyhook. Kareem, known as Lew Alcindor before turning to Islam, started his career with the Milwaukee Bucks and led the team to its only title in 1971. Captain Skyhook would later be traded to the Lakers where he was part of the Showtime team which won 5 NBA titles in the 80's. Aside from being a six time NBA champion, Jabbar was a 6-time NBA MVP and 2-time Finals MVP. When you talk about longevity and greatness in the NBA, it should start with Kareem Abdul Jabbar.
Jerry West
It's sometimes odd to think that the man the called Mr. Clutch for making countless big baskets in his career won only one NBA title and one Finals MVP during his storied career. But take note that he didn't win both awards in the same year. West is the only player in NBA history to win the Finals MVP while playing for the losing team. Aside from being the player known for having ice water running through his veins, West is also known as the "Logo" because the NBA logo is taken from a silhouette of his image dribbling the basketball. West would later become GM of the Lakers and is credited for drafting Kobe and bringing Shaq to Tinseltown. With these unique achievements, West deserves a spot in our list.
Michael Jordan
What NBA list would be complete without Michael Jordan? Widely regarded as the G.O.A.T or the greatest player of All-time, Michael Jordan transcended the sport of basketball and became the biggest star the sport has ever known. From the high-flying and slam-dunking Air Jordan, he would transform into a legend in the hardcourt by winning six NBA titles via two three peats during the 1990's. Jordan is the game's most lethal scorer, an unstoppable force who had the knack of hitting buzzer beaters and the most important shots. His fame was unsurpassed that Nike created a separate shoe line called Jordan. The reason why the NBA is the multi-billion business that is right now is M.J., the most transcendent player of this era.
Bill Russell
Do the math: eleven NBA title rings and only ten fingers. Those include an unmatched eight straight NBA titles during the 60's and two while being a playing coach. Russell once said that there is no greater statistic in basketball than a win. He took that by heart and there is no other description of Bill Russell other than he is a winner. Russell came to the league at a time when the African-American people weren't expected to dominate the game and became the first African-American player to reach superstar status. He also became the first African-American coach in the NBA and the first to win an NBA title. Considered as the pillar of NBA basketball, Bill Russell made the biggest mark in NBA history.


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Adventure Time Jake Adjustable Cap
Official Merch
(approx. $23.93 or €20.15)
- Out of Stock - Product Discontinued
- Official Merchandise
Product Info
Don't delay in showing your love for Jake as you get your hands on this cool Adventure Time cap! Featuring the magical yellow dog's iconic face on the front and his name on the back, this awesome adjustable cap is not to be missed for loyal followers of the animated series. Officially licensed.
- 100% Cotton
- Product Type: Cap
- Product Code: 86318


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Don't just sit there, do something to help Japan! You can:
Copy, paste, and tweet:
RT @gritandglamour www.FORJAPANWITHLOVE.com | Bloggers Day of Silence | http://ow.ly/4gkvh #forjapanwithlove #japan
Use the share buttons at the end of this post to let others know about this event and how to help.
- Join the Bloggers' Day of Silence.
Donate. Your money will go to ShelterBox, an amazing organization that is already helping in Japan.
- Share your Japan resources—add your link to the list below.
For Japan With Love + Bloggers Day of Silence was started by Utterly Engaged and Ever Ours.
Are you participating?
Link your blog here so others may discover resources you provide to raise awareness and aid Japan.


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Choosing a Surrogate
Choosing a surrogate might seem like a difficult decision. There are multiple elements to take into consideration, however with Extraordinary Conceptions we strive to simplify the process. We make sure that the only major decision you have is which surrogate mother you relate with most.
Extraordinary Conceptions provides the surrogacy services that allow you to relax and enjoy the process. Our surrogate mothers must adhere to ASRM guidelines, IVF clinics recommendations as well as our agency's surrogacy requirements to be admitted into our surrogacy program.
- We require thorough medical and obstetric & gynecological histories for all of our surrogates.
- Our surrogate database provides information about the surrogate's lifestyle, personality traits & characteristics so that you can find a surrogate mother whose lifestyle and habits are suitable for your needs.
- We ensure that the surrogate mother is mentally and physically prepared to handle gestational surrogacy through medical examinations and psychological testing.
- We pair you with a Surrogacy Match Coordinator who is familiar with surrogacy laws nationwide and is able to provide guidance in matching you with a surrogate who resides in a state with favorable laws to suit your specific needs. Your coordinator is available to help answer all of your questions and concerns or just provide additional support.
Choosing a surrogate is an important step in creating a family. With Extraordinary Conceptions, we take the anxiety away from the decision. You know that all of the Extraordinary Conceptions surrogates have been thoroughly screened and are here to serve the needs of your future family.
To learn more about Extraordinary Conceptions and surrogacy, please contact us. If you would like one of our Coordinators to contact you, please submit the Future Parent application HERE. Let us help you start the process of creating a family today! If you're interested in becoming a surrogate mother, please submit the Surrogate application HERE.


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Re: [Ayreton] Traditional Italian Mask Making Workshop
Expand Messages
- On 25 Sep 2012, at 4:17 PM, Verena Entenwirt wrote:
> In preparation for the event, I will be doing a traditional ItalianThis sounds just wonderful! Alas, I won't be here for any of it, given holidays and moving to California. Is there any chance someone on this list might be going, who would consent to videotape the classes and post them on Youtube, so that people living at the edge of the continent could learn from Baroness Verena?
> leather mask making workshop from October 3rd – November 21st.
D'vorah bint Da'ud
For now: Middle Kingdom, Midlands, Ayreton, Tree-Girt-Sea (Chicago, IL)
Soon: Caid, Gyldenholt (Orange, CA)
Twitter: @DvorahSCA
Facebook: D'vorah bint Da'ud
Your message has been successfully submitted and would be delivered to recipients shortly.


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Ubiquitous Mobile Coverage is now regarded as being essential to business.
Modern built environments create a challenge for mobile coverage.
At RedstoneConnect we understand that mobility is critical to the efficiency of businesses in the digital economy. Our specialist in-house team has more than 35 years of experience working in cellular coverage solutions.
Access to excellent cellular mobile voice and data services is an essential work tool.
Getting it right results in a building that is more desirable to tenants, staff and occupiers and can even influence premium rental and market price.
RedstoneConnect are uniquely positioned to provide a range of services, all focused on simplifying the complex task of providing coverage in buildings where there is none.
Not only do our RedstoneConnect IBC solutions give employees the freedom to communicate anywhere in the office environment, there are also key operational savings to be made through multi-operator network access agreements.
RedstoneConnect have those relationships, built over many years while delivering the most challenging coverage solutions in high profile locations ranging from Heathrow Airport to the Bank of England.
Here in the UK, misuse of the Mobile Phone Networks carries a large fine and the possibility of custodial sentence.
A detailed appreciation of the legislation is essential to protect the individual and the significant investment in these solutions.
Based on a simple, all inclusive monthly or quarterly payment and working within the regulatory environment with the stakeholders, RedstoneConnect will provide a high quality and robust 'coverage as a service' solution.
Perfect voice and data services drive efficiency and ease the introduction of new working practices such as BYOD and COPE.
RedstoneConnect was the first to provide a full Digital, multi-Operator DAS in the UK in June 2016, which serves 6,500 mobile users working in UBS's prestigious 5 Broadgate development in the City of London.
A typical analogue IBC head end occupies space equivalent to £90,000 in annual rent.
With no need for the installation of cumbersome dedicated feeder cables the time taken to install an IBC solution has reduced significantly, particularly as a retrofit.
IBC is now Plug and Use and with the added benefit of PoE front end powered devices is more scalable than ever before. Use of digital technology at the backend brings the advantage of distributing the radio equipment; traditionally a problem of space usage, particularly in high value properties, to less costly locations, in some cases up to 70 kilometres away
Todays enterprise has moved more than ever toward mobility; it is an agile world and will become more so. . If they have the budget, the Operators no longer have the ability to assist more than the most high profile of developments. This situation is intolerable.
In today's world mobile Not-Spots do not have to be tolerated.
No matter the age of a large building; whether it be 2 years or 200 years old, it will suffer from coverage problems without a targeted solution. The latest environmental initiatives, such as BREAAM only compound the problem by introducing thermal efficient glazing, which by its nature is efficient at screening the high frequency radio signals used by mobile phones.
RedstoneConnect have the ability to serve Enterprise in this area. Our market knowledge, technology reach, 24-hour support structure and financing capabilities make RedstoneConnect the number one choice to provide the most effective multi-operator, multi-service IBC solutions.
Research indicates employees benefiting from excellent mobile access, through a device of their choice, are generally happier and more productive than those who are not.
90% of companies' operating costs are spent on people, so even a small gain in productivity and engagement makes financial sense.
Introduction of initiatives that support the above such as Bring-your-own-Device is hindered considerably by lack of constant access to the network. A RedstoneConnect IBC solution will deliver a benefit that all Networks can enjoy, the same high level of service. In some cases, the efficiencies this brings have been used toward the funding of the IBC solution.
Staff, guests, contractors and other visitors will all benefit from the presence of their home networks IBC coverage and without the need to run special apps or log-in to any third-party services.
Its proven that developments enjoying IBC coverage are more highly prized than those without. IBC creates truly flexible workspace.


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Marvin P. Bush
Daily Forecast for January 18th 2018
Marvin P. Bush is a male celebrity.
He was born on Monday October 22nd 1956, in Unknown.
Money matters improve on January 18th 2018 for Marvin P. Bush, and it is a good day for business in general.
Marvin is a visionary today, with fresh ideas regarding both business and domestic matters. Yet, faulty outcome might be produced where Bush is lacking generosity and honesty in his communication.
Romance is a shaky venue for Marvin P. Bush today.
While studying the color and flavor of the day, it is a good practice to keep in mind the greater meaning of January and the master plan of 2018 in Marvin's life.
You and Marvin
About Marvin's Numerological Forecast & Personal Day Cycle
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Association of Exercise-Induced, Silent ST-Segment Depression With the Risk of Stroke and Cardiovascular Diseases in Men
Background and Purpose— There are few if any data on the prognostic importance of silent myocardial ischemia during exercise with regard to the risk of stroke and cardiovascular diseases (CVDs) among asymptomatic men. In this prospective study, we investigated the relation of silent myocardial ischemia and the risk of stroke and CVD death in men with and without conventional risk factors.
Methods— The study sample included 1726 middle-aged men with no history of stroke, coronary heart disease, or atrial fibrillation at baseline. Silent myocardial ischemia was defined as a horizontal or downsloping ST-segment depression (⪖1 mm) during exercise electrocardiography. A total of 86 CVD-related deaths and 78 strokes occurred during an average follow-up of 10 years.
Results— Men with silent ischemia during exercise had a 3.5-fold increased risk of CVD death and a 2.2-fold increased risk of stroke compared with men without silent ischemia, after adjusting for conventional risk factors. Silent ischemia during exercise was associated with a 3.8-fold (95% confidence interval [CI], 1.5 to 9.5) increased risk for CVD in smokers, a 3.9-fold (95% CI, 2.1 to 7.3) increased risk in hypercholesterolemic subjects, a 3.6-fold (95% CI, 1.9 to 6.8) increased risk in the hypertensives, and 3.8-fold (95% CI, 2.0 to 7.1) increased risk in overweight men. The respective relative risks for stroke were 3.8 (95% CI, 1.1 to 12.5), 3.5 (95% CI, 1.7 to 7.4), 3.4 (95% CI, 1.6 to 7.1), and 2.9 (95% CI, 1.4 to 6.1).
Conclusions— Exercise-induced silent myocardial ischemia is an important indicator of increased risk of stroke and CVD in men with other risk factors, such as smoking, hypercholesterolemia, hypertension, and being overweight.
Previous studies have shown that exercise-induced myocardial ischemia increases the risk of future coronary events in both patients with coronary heart disease (CHD)1–6 and asymptomatic individuals with no prior CHD.7 There are, however, few if any data demonstrating that silent ischemia during or after exercise has a long-term prognostic significance with regard to stroke and cardiovascular disease (CVD) death.7,8 The likelihood of detecting myocardial ischemia is known to be higher among those with an increased pretest probability of CHD, such as asymptomatic, high-risk individuals.9,10 Little is known about the prognostic value of exercise-induced silent myocardial ischemia in high- and low-risk individuals, however.
Some evidence shows that electrocardiographic (ECG) findings may predict the risk of stroke.11,12 The exercise test is commonly used to screen both men >45 and women >55 years of age with suspected CHD. Ischemic ST-segment changes during exercise are considered a marker of myocardial ischemia due to underlying coronary atherosclerosis. It is also possible that myocardial ischemic ST-segment changes may indicate an increased risk of other CVDs because of generalized atherosclerosis. Furthermore, ischemic ST-segment changes in the presence of common risk factors such as hypertension, smoking, hypercholesterolemia, and overweight may increase the probability of CHD, as well as other atherosclerotic CVDs. However, there are no previous population-based studies exploring whether silent, exercise-induced, ST-segment depression predicts the risk of CVDs and cerebrovascular diseases in high-risk individuals.
The aim of the present study was to investigate the prognostic significance of silent myocardial ischemia during an exercise test with regard to the risk of any CVD death and stroke in a population-based sample of asymptomatic men. Additionally, we investigated whether hypertension, overweight, serum LDL cholesterol level, and smoking modify these associations in men with no prior stroke or CHD.
Subjects were participants in the Kuopio Ischemic Heart Disease Risk Factor Study, an ongoing, population-based study designed to investigate risk factors for CVD, atherosclerosis, and related outcomes in men from eastern Finland, an area of high coronary morbidity and mortality.13 Each subject gave written, informed consent. The Research Ethics Committee of the University of Kuopio approved the Kuopio Ischemic Heart Disease Risk Factor Study. The baseline examinations were conducted between March 1984 and December 1989. The subjects were a random sample of men aged 42, 48, 54, or 60 years at the baseline examination. Of 3235 eligible men, 2682 (82.9%) participated in the study.
Men who had prevalent, clinically diagnosed CHD (n=888), stroke (n=69), or atrial fibrillation (AF; n=26) and for whom an exercise stress test was not performed because of severe CVD or some other disease (n=25) at baseline were excluded from the study. Some of these men may have had 2 or more of these diseases (CHD, stroke, or AF). There were 37 men with CHD and stroke, 9 had CHD and AF, and 11 had stroke and AF at the same time. Prevalent CHD was defined as either a history of myocardial infarction or typical angina pectoris,14 the use of nitroglycerin for chest pain once a week or more frequently, or chest pain as a cause for stopping the exercise test. Thus, the present study is based on 1726 men who had complete data on ECG recordings during exercise.
Exercise Tolerance Test
A maximal, symptom-limited, exercise stress test was performed with an electrically braked bicycle ergometer between 8 am and 12 noon. The testing protocol comprised a 3-minute warm-up at 50 W followed by a step-by-step increase in the workload by 20 W/min (Tunturi EL 400 bicycle ergometer) for 407 (23%) men. The remaining 1362 men (77%) were tested with a linear increase in the workload of 20 W/min (Medical Fitness Equipment 400 L bicycle ergometer). Maximal oxygen uptake was measured directly with a respiratory gas analyzer, as explained previously.15 Also, heart rate and blood pressure were registered during the exercise test. Blunted heart rate response was defined as inability to achieve 85% of the age-predicted, maximal heart rate during exercise.
The most common reasons for stopping the exercise test early were exhaustion (1235 men), breathlessness (229 men), and pain in the leg, joints, or back (n=69). The test was discontinued because of cardiorespiratory symptoms or abnormalities for 120 men. These included arrhythmias (n=51), a marked change in systolic (SBP) or diastolic blood pressure (n=35), dizziness (n=8), or ischemic ECG changes (n=6). Exercise-induced, ventricular conduction disorders were observed in 4 men, 1 of whom also had silent myocardial ischemia during exercise.
Assessment of Exercise-Induced Myocardial Ischemia
The ECG was recorded continuously with a Kone 620 ECG. The Mason-Likar lead system, including Vl, V5, and aVF lead connections, was used.16 The ECG was printed out at 30-second intervals during exercise and for at least 5 minutes of recovery while the subject was sitting on the bicycle. Exercise ECGs were coded manually by 1 cardiologist (J.E.).
Silent myocardial ischemia during exercise and afterward was defined as ischemia in the ECG without typical chest pain indicating CHD. The criteria for ischemia on the ECG during exercise were horizontal or downsloping ST-segment depressions ⪖1.0 mm at 80 ms after the J-point or any ST-segment depression >1.0 mm at 80 ms after the J-point.
Ascertainment of Strokes and CVD Death
Incident strokes between 1984 and 1992 were ascertained through the FINMONICA stroke register.17 Information on stroke incidence between 1993 and December 31, 1998 was obtained by computerized linkage to the Finnish national hospital discharge registry and death certificate registry. Diagnostic information was collected from hospitals and classified by 1 neurologist (J.S.) using diagnostic criteria identical to the FINMONICA criteria. The sources of information on stroke were from hospital documents, death certificates, autopsy reports, and medicolegal reports. The diagnosis of stroke was based on the sudden onset of clinical signs or focal or global disturbance of cerebral function lasting >24 hours (except in the case of sudden death or when interrupted by surgical intervention) with no apparent cause other than a vascular origin. Each suspected stroke (ICD-9 codes 430 to 439 and ICD-10 codes I60-I68 and G45-G46) was classified as (1) definite stroke, (2) no stroke, or (3) an unclassifiable event. The data from the FINMONICA stroke register were annually rechecked with the data obtained from the computerized national hospital discharge and death registers. Definite strokes and unclassifiable events were included in the group of any stroke. Each definite stroke was classified as (1) an ischemic stroke (ICD-9 codes 433 to 434 or ICD-10 code I63) or (2) a hemorrhagic stroke (ICD-9 codes 430 to 431 or ICD-10 codes I60-I61). If the subject had multiple nonfatal strokes during follow-up, the first stroke was considered the end point. The average follow-up time was 10.4 years (range, 0.3 to 13.4 years). A total of 78 first strokes occurred, of which 59 were ischemic strokes. In the present sample, there were 86 CVD deaths (ICD-9 and ICD-10 codes 390 to 459 and I00-I99, respectively), 60 of which were due to CHD and 19 due to stroke.
Assessment of Other Risk Factors
The examination protocol and the assessment of medical history, use of medications, smoking habit, alcohol consumption, blood pressure, and body mass index (BMI) have been described in detail previously.15,18,19 Hypertension was defined as SBP >140 mm Hg, diastolic blood pressure >90 mm Hg, or the use of antihypertensive medication. BMI was computed as the ratio of weight in kilograms divided by the square of height in meters. The collection of blood specimens and the measurement of serum lipids have been presented previously elsewhere.18,19
Statistical Methods
Differences in baseline characteristics between men with and without silent myocardial ischemia during exercise were analyzed by Student's t test. The associations of silent myocardial ischemia during exercise with the risk of stroke and CVD death were analyzed by risk factor–adjusted, forced Cox proportional-hazards models. Wherever possible, confounding factors were entered uncategorized into the Cox models. Relative hazards, adjusted for age, examination years (1985,1986, 1987, 1988, and 1989) and the well-known risk factors (smoking habit, alcohol consumption, SBP, BMI, diabetes, and serum LDL cholesterol) for CVDs and stroke were estimated as antilogarithms of coefficients for independent variables.
The modification of risk factors was analyzed by comparing the prognostic value of silent myocardial ischemia among (1) smokers and nonsmokers, (2) men with higher (⪖3.5 mmol/L) and lower (<3.5 mmol/L) serum LDL cholesterol levels, (3) hypertensive and normotensive men, and (4) overweight to obese (⪖25 kg/m2) men and normal-weight (<25 kg/m2) men. Statistical tests for significance were 2-sided, and analyses were performed with SPSS, version 10.0, for Windows.
Baseline Characteristics
Baseline characteristics in men with and without myocardial ischemia during exercise are shown in Table 1. Serum LDL cholesterol, resting SBP, maximal heart rate, and rate-pressure product were higher in men with silent myocardial ischemia during exercise. The number of cigarettes smoked was lower in men with silent ischemia. There were no significant differences in other baseline characteristics between men with and without silent ischemia during exercise.
Prevalence of Silent Myocardial Ischemia at Baseline
In this study sample, there were 123 (7.1%) men with silent ischemia during exercise. Silent ischemia during exercise was observed in 5.4% (n=28) of smokers, in 8.3% (n=89) of hypercholesterolemic men, in 7.7% (n=68) of hypertensive men, and in 6.0% (n=69) of overweight men. The number of men with reasons other than silent ischemia for having an abnormal exercise test were 78 (including severe arrhythmias, no increase in SBP, and painful ischemia).
Number of Strokes and CVD Deaths During Follow-Up
Seventeen (13.8%, P<0.05) of 123 men with silent ischemia during exercise and 69 (4.3%, P<0.05) of 1603 men without silent ischemia died of CVD during follow-up. The respective numbers (percentages) for stroke were 10 (8.1%) and 68 (4.2%). A total of 9 men had both an acute coronary event and a stroke, of whom 2 had the acute coronary event before stroke during the follow-up.
Strongest CVD Risk Factors
The strongest risk factors for stroke were elevated SBP (P<0.001) and silent ischemic ST-segment depression during exercise (P=0.02). The strongest risk factors for CVD death were smoking (P<0.001), elevated SBP (P<0.001), silent ischemic ST-segment depression during exercise (P<0.001), and alcohol consumption (P=0.02). In these multivariate models, blunted heart rate response and maximal oxygen uptake were not related to the risk of stroke, whereas the later was inversely related to the risk of CVD death (P=0.03).
Relative Risk of Stroke and CVD Death in Men With Silent Myocardial Ischemia
Men with silent ischemia during exercise had a 2.2-fold increased risk of stroke and a 3.5-fold increased risk of CVD death compared with men without silent ischemia, after adjusting for conventional risk factors (Table 2). Silent ischemia after exercise was associated with a 5.2-fold increased risk of CVD death but was not associated with the risk of stroke. The cumulative hazard curves for CVD death and stroke continued to diverge during the follow-up period (Figures 1 and 2⇓). Also, milder silent ischemia (defined as a horizontal or downsloping ST-segment depression of 0.5 to 0.9 mm) during exercise was related to an increased risk of CVD death (relative risk [RR]=3.0; 95% confidence interval [CI], 1.5 to 6.0, P=0.001).
Interactions of Silent Ischemia With Conventional CVD Risk Factors
Silent ischemia during exercise had a stronger association with the risk of CVD death and stroke in smokers and in hypercholesterolemic, hypertensive, and overweight men than in men without such risk factors (Figure 3a and 3b). Silent ischemia during exercise had a strong association with the increased risk of CVD death in smokers (RR=3.8; 95% CI, 1.5 to 9.5), in hypercholesterolemic men (RR=3.9; 95% CI, 2.1 to 7.3), in hypertensives (RR=3.6; 95% CI, 1.9 to 6.8), and in overweight men (RR=3.8; 95% CI, 2.0 to 7.1). The respective risks of stroke were RR=3.8; 95% CI, 1.1 to 12.5 in smokers; RR=3.5; 95% CI, 1.7 to 7.4 in hypercholesterolemic men; and RR=3.4; 95% CI, 1.6 to 7.1 in hypertensive men with any risk factor. All of these associations were statistically nonsignificant in men without any conventional risk factors, except for nonsmokers with silent ischemia during exercise, who also had an increased risk of CVD death (RR=3.2, 95% CI, 1.6 to 6.4).
Silent ischemia during exercise had a strong association with the risk of stroke in men with both hypertension and hypercholesterolemia (RR=6.1, 95% CI; 2.4 to 15.4) and in smokers with hypercholesterolemia (RR=5.6; 95% CI, 1.8 to 18.2), as well as in smokers with hypertension (RR=10.2; 95% CI, 2.5 to 42.7). The respective RRs for CVD death were a 3.2-fold (95% CI, 1.7 to 6.0) increased risk for men with hypertension and hypercholesterolemia, a 4.1-fold (95% CI, 1.9 to 9.0) increased risk for smokers with hypercholesterolemia, and a 8.4-fold (95% CI, 4.3 to 16.4) increased risk for smokers with hypertension. In men with silent ischemia and the presence of 3 conventional risk factors (hypertension, hypercholesterolemia, and smoking), the RRs were a 4.9-fold (95% CI, 1.51 to 15.9) increased risk for stroke and 5.8-fold (95% CI, 2.3 to 14.7) increased risk for CVD death. However, decreased statistical power limits the interpretation of the results among the few asymptomatic subjects (n=18) with all 3 risk factors and silent ischemia during exercise.
Silent myocardial ischemia in overweight men when combined with hypertension (5.8-fold risk) and hypercholesterolemia (3.6-fold risk) was related to the increased risk of stroke, except for overweight smokers, who had no statistically significant increased risk for stroke. Silent myocardial ischemia was related to a 3.9-fold (95% CI, 1.9 to 7.9) increased risk for CVD death in overweight smokers, a 3.9-fold (95% CI, 1.7 to 6.0) increased risk in overweight and hypertensive men, and a 4.1-fold (95% CI, 1.7 to 10.3) increased risk in overweight and hypercholesterolemic men.
This prospective, population-based study demonstrates that silent myocardial ischemia during exercise, as indicated by painless ST-segment depression on the ECG, is associated with an increased risk of stroke and CVD death in asymptomatic, middle-aged men who have additional risk factors, such as smoking, hypercholesterolemia, hypertension, and being overweight.
The prognostic value of silent myocardial ischemia, as indicated by exercise ECG findings, varies considerably in previous studies,3,7,9,20,21 most likely because of different selection criteria for the subjects. Most studies have included only patients with CHD,1,5,6 whereas few studies have included persons without prior CHD.8,9,21 It has been argued that the prognostic value of exercise ECG is low in totally asymptomatic persons because of false-positive and false-negative responders. However, in healthy individuals with a high pretest probability of CHD, eg, in those with major CVD risk factors, the frequency of false-positive test responses for myocardial ischemia is lower than in those without coronary risk factors, which diminishes the bias associated with false-positive responders (the Bayes' rule).7,22 This is consistent with our results showing that the association between silent myocardial ischemia with stroke and CVD risk was stronger in high- than in low-risk groups. This finding is in accordance with the approach of Diamond and Forrester, which demonstrated the role of other risk factors in modifying the likelihood of future CVD among patients with or without atypical angina.23
It has been suggested that risk assessment for primary CHD is enhanced by detection of abnormal exercise ECG findings only in those who have 1 or more conventional risk factors.7 In the present study, men with silent myocardial ischemia had a substantially increased risk for stroke and CVD death if they had any of several other common risk factors. Painless myocardial ischemia during exercise in the presence of at least any 1 of these risk factors (smoking, hypercholesterolemia, hypertension, or overweight) helps to identify individuals who may benefit from intensive risk factor reduction. Our results are in line with the recommendations that asymptomatic, high-risk individuals with any of the major coronary risk factors should undergo ECG testing to better define their risk for CHD.24,25
It is plausible that silent myocardial ischemia on ECG testing is a reflection of advanced atherosclerosis, not only in the coronary arteries but also in large arteries of the cerebral circulation.12,13 Because atherosclerosis is the pathological basis of occlusive cerebrovascular disease, it may partly explain the association between exercise-induced myocardial ischemia and stroke. CHD and stroke share several risk factors, and an association between atherosclerotic cerebrovascular disease and CHD has been established in several studies.4,12,15 This may partially explain the association between exercise-related silent myocardial ischemia and stroke found in high-risk individuals in the present study.
The use of a small, ST-segment depression as a diagnostic criterion can decrease the test's specificity because conditions other than myocardial ischemia, such as hyperventilation, electrolyte abnormalities, anemia, ventricular hypertrophy, and increased sympathetic activity, are known to cause ST-segment depression.9,19 One limitation of the present study is that we studied only middle-aged men, and thus, our findings may be not generalized to elderly and female populations. Furthermore, exercise ECG testing is generally used as an initial screening test that is followed by more accurate methods, such as pharmacological echocardiography, myocardial perfusion imaging, positron emission tomography, and ambulatory ECG monitoring, and assessment of the arteries by ultrasonography or magnetic resonance imaging.22,26,27 Our data do not address how frequently the patients we identified with silent ischemic changes on exercise ECG would benefit from these other tests.
In conclusion, our results do not support generalized screening of low-risk populations with exercise ECG testing. However, the finding of silent myocardial ischemia on exercise testing in high-risk, asymptomatic men may help to identify a subgroup at particularly high risk of stroke and CVD death who may benefit from further evaluation and intensive risk factor modification. Whether this would translate into improved health outcomes requires further study.
The present study was funded by the US National Heart, Lung, and Blood Institute (Bethesda, Md; grant No. HL 44199), the Academy of Finland, the Finnish Ministry of Education, the Juho Vainio Foundation, the Finnish Foundation for Cardiovascular Research, the Finnish Cultural Society of Northern Savo, and the Aarne Koskela Foundation (Helsinki, Finland).
- Received June 18, 2002.
- Revision received March 4, 2003.
- Accepted March 5, 2003.
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- Association of Exercise-Induced, Silent ST-Segment Depression With the Risk of Stroke and Cardiovascular Diseases in MenS. Kurl, J.A. Laukkanen, T.-P. Tuomainen, R. Rauramaa, T.A. Lakka, R. Salonen, J. Eränen, J. Sivenius and J.T. SalonenStroke. 2003;34:1760-1765, originally published July 1, 2003https://doi.org/10.1161/01.STR.0000078564.46376.0A
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- Association of Exercise-Induced, Silent ST-Segment Depression With the Risk of Stroke and Cardiovascular Diseases in MenS. Kurl, J.A. Laukkanen, T.-P. Tuomainen, R. Rauramaa, T.A. Lakka, R. Salonen, J. Eränen, J. Sivenius and J.T. SalonenStroke. 2003;34:1760-1765, originally published July 1, 2003https://doi.org/10.1161/01.STR.0000078564.46376.0APermalink:


text: Print OverviewMyofascial pain syndrome is a chronic pain disorder. In myofascial pain syndrome, pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body. This is called referred pain. Myofascial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension. While nearly everyone has experienced muscle tension pain, the discomfort associated with myofascial pain syndrome persists or worsens. Treatment options for myofascial pain syndrome include physical therapy and trigger point injections. Pain medications and relaxation techniques also can help. SymptomsSigns and symptoms of myofascial pain syndrome may include: Deep, aching pain in a muscle Pain that persists or worsens A tender knot in a muscle Difficulty sleeping due to pain When to see a doctor Make an appointment with your doctor if you experience muscle pain that doesn't go away. Nearly everyone experiences muscle pain from time to time. But if your muscle pain persists despite rest, massage and similar self-care measures, make an appointment with your doctor. Request an Appointment at Mayo Clinic CausesSensitive areas of tight muscle fibers can form in your muscles after injuries or overuse. These sensitive areas are called trigger points. A trigger point in a muscle can cause strain and pain throughout the muscle. When this pain persists and worsens, doctors call it myofascial pain syndrome. Risk factorsMyofascial pain syndrome is caused by a stimulus, such as pressure, that sets off trigger points in your muscles. Factors that may increase your risk of muscle trigger points include: Muscle injury. An acute muscle injury or continual muscle stress may lead to the development of trigger points. For example, a spot within or near a strained muscle may become a trigger point. Repetitive motions and poor posture also may increase your risk. Stress and anxiety. People who frequently experience stress and anxiety may be more likely to develop trigger points in their muscles. One theory holds that these people may be more likely to clench their muscles, a form of repeated strain that leaves muscles susceptible to trigger points. ComplicationsComplications associated with myofascial pain syndrome may include: Sleep problems. Signs and symptoms of myofascial pain syndrome may make it difficult to sleep at night. You may have trouble finding a comfortable sleep position. And if you move at night, you might hit a trigger point and awaken. Fibromyalgia. Some research suggests that myofascial pain syndrome may develop into fibromyalgia in some people. Fibromyalgia is a chronic condition that features widespread pain. It's believed that the brains of people with fibromyalgia become more sensitive to pain signals over time. Some doctors believe myofascial pain syndrome may play a role in starting this process. By Mayo Clinic Staff Request an Appointment at Mayo Clinic Diagnosis & treatment Dec. 09, 2014 Print Share on: FacebookTwitter References Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.clinicalkey.com. Accessed Oct. 14, 2014. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed Oct. 14, 2014. McMahon SB, et al. Wall & Melzack's Textbook of Pain. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed Oct. 14, 2014. Kushner I. Overview of soft tissue rheumatic disorders. http://www.uptodate.com/home. Accessed Oct. 14, 2014. Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed Oct. 14, 2014. Gerwin RD. Diagnosis of myofascial pain syndrome. Physical Medicine & Rehabilitation Clinics of North America. 2014;25:341. Borg-Stein J, et al. Myofascial pain syndrome treatments. Physical Medicine & Rehabilitation Clinics of North America. 2014;25:357. AskMayoExpert. Myofascial pain. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. Myofascial pain syndromeSymptoms & causesDiagnosis & treatment Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. The Mayo Clinic Diet OnlineLearn the science behind a happy mindMayo Clinic's favorite home remediesImprove your hearing and balanceThe Mayo Clinic Diet book & journal combo offer CON-20375427 Patient Care & Health Information Diseases & Conditions Myofascial pain syndrome


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Native communicator with strong persuasive capacities, teamwork and leadership qualities. Dynamic and proactive, always seeking new challenges and ways to make an impact. Extremely creative with the ability to handle multiple projects simultaneously.
• Organizer of the 1st International Materials of Science symposium
• Lean Six Sigma , Qimonda University • Reliability Modeling & Statistical DOEs, Qimonda University • Weibull ++7 Training - Statistical analysis of Reliability Data, Qimonda University • Reliability Stress Introduction, Qimonda University • Continuous Improvement: SPC, FMEA y DOE, University of Porto, Portugal • Entrepreneurship, Instituto Pedro Nunes, Portugal • Total Quality Management, Instituto Pedro Nunes, Portugal • Invasive Medical Devices, Instituto Pedro Nunes, Portugal • Thermal Treatments and Surface Engineering, University of Coimbra, Portugal • Intelligent Materials, INETI , Portugal
Dynamic, proactive, extremely creative
Happiness and satisfaction, archived it taking all kind of challenges and at the moment cracking this job interview and be part of your organization.
Working in an interesting and professional company where everybody work hard and help each other to succeed as a team. Working in a R&D group!
Long term goals came from small steps and at the moment my small step is finding a position in a organization performance driven and in a team where i can add value and also learn from.
Work effectively in a team
In the next five continue to develop new skills, take on extra responsibility and see myself advancing to the next level in your organization
Recognition of successfully doing the tasks required and making smart decisions. Excellent support to my manager. The way I was able to find solution and worked with people to make it happen.
The Saxon stories


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Station Bed
Blu Dot
A durable glossy steel frame unites with the soft recline of a padded upholstered headboard. Two forms joining forces for a little bit of drama and hopefully some hijinks. Select from four headboard fabrics and two frame colors to create your own daring duo.
Blu Dot
Design Public is an authorized USA dealer for all Blu Dot products.
Blu Dot furniture was founded by John Christakos, Charles Lazor, and Maurice Blanks. The firm...


text: LET'S TALK TURKEY....... Too Big to Breed: The most prized portion of the turkey is the white meat of the breast. Because Americans like white meat so much, turkeys are bred to produce large breasts. Our domesticated turkeys have such large chests that the male, "tom turkey" is not able to fertilize the eggs of the female, "hen turkeys" in the natural mating position. Today, turkey eggs are fertilized by artificial insemination for the hatchery. What's a Wattle Anyway? The head and neck of turkeys have no feathers; rather it is covered with red, fleshy skin. A soft floppy growth on the front of the head, which dangles downward over the beak, is called the snood or dewbill. The turkey also has a pouchlike area at the front of his throat which is called a wattle. The head, neck, snood and wattle are all reddish colored until the male turkey begins to do his "strut" or mating dance at which time the entire area turns brilliantly bright red. White Meat or Dark? Did you ever wonder why the breast and wings of chickens and turkeys have white meat while the legs and thighs are dark? The explanation is a physiological one involving the function of muscles, which gives some insight into humans as well as animals. The dark coloration is not due to the amount of blood in muscles but rather to a specific muscle type and it's ability to store oxygen.


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Now that our puppos are getting older, we have to be a bit more discerning about where we get their Howl-iday treats. Gone are the days of giant boxes of grocery store dog cookies; with a million bajillion allergies and health problems between our doggos, we have to beeline for stores that carry healthier treats, so the hounds have something to open up on Christmas morning.
Enter Kriser's Natural Pets!
Just down the road a-ways from us, Kriser's closest store to us is in Studio City, CA, which is pretty central to anyone who lives in Hollywood, West Hollywood, Silver Lake, or most of the San Fernando Valley. Upon entering the store (just at the edge of the shopping district on Ventura), I was happily surprised to find a well-curated mix of natural food, treats, and toys for dogs, cats, and other animals.
My nine year-old chow rescue, Margo, came with us for the ride. Literally- she LOVES car rides, no matter where they end up. Today, she was doubly excited to realize we ended up at a toy store.
Everything in Kriser's Natural Pets stores is Kriser's Approved, meaning each product has gone through detailed review by owner/founder Brad Kriser and his team to ensure it is of the utmost quality.
- All food is free of corn, wheat, soy or by-products
- All health & beauty items are natural, gentle, non-irritating grooming products
- All treats, supplements and supplies are from trusted brands that they feel good about recommending
- And, as Brad says, "our groomers treat your pets like their own. Because for a few hours, they are."
Speaking of grooming, our fuzzball did get a little concerned once she realized that a big ol' doggo was getting a B-A-T-H in the next room. But human friends will be happy to know that their shopping experience won't be hampered by the smell of wet dogs. I couldn't smell the poor wet puppies at all!
Now, Margo isn't much of a toy-motived dog, so we bought her a box of all-natural, grain-free peanut butter and banana dog treats (YUM).
But she did deign us with a photo op with two adorable Christmas-themed stuffies:
The recipient of our two hedgehog friends was really more our rescue pittie, Carson, who didn't come on our field trip with us.
Not pictured: Carson's happy, waggy tail, which is DEVASTATING to store displays. We all get a little embarrassed when his tail takes down sales racks and upends giant bins of stuff.
The staff at Kriser's was kind and knowledgeable, friendly, and fun. And, I must say, appealed to my vanity by complimenting our old fluffball several times during our visit :-) And best yet, they carried our favorite brand of natural pet food, so needless to say– we will return to Kriser's!


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I was never much good at journaling, either. So forgive me if the posts come sporadically. I just wanted to get THAT out of the way asap 🙂 I do want to track my progress for my own sake, so hopefully I'll be good like many of the fabulous blogs I read and post lots of pictures and interesting narratives of my projects.
Knowing me, though, they will probably come months apart… heh.


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What are we gunna learn?
Top 20 Grammar Errors
Sentence Structure
Top 20 Errors
Missing comma...
after an introductory element
in a compound sentence
with a nonrestrictive element
in a series
Unnecessary commas
Missing Comma with an Introductory Element
When I was in the woods I think I heard a Bigfoot call.
When I heard the strange noises I ran to my car, but it wouldn't start.
Missing Comma with an Introductory Element
Last weekend when I was in the woods, I think I heard a Bigfoot call.
When I heard the strange noises, I ran to my car, but it wouldn't start.
Zombies, Bigfoot, and Unicorns -- oh my!
Missing Comma in a Compound Sentence
Vampires can't go in the sun and they don't care for garlic.
You can tell if someone is a vampire by looking for pointy teeth but that does not always work.
Missing Comma in a Compound Sentence
Vampires can't go in the sun, and they don't care for garlic.
You can tell if someone is a vampire by looking for pointy teeth, but that does not always work.
Missing Comma with a Nonrestrictive Element
The zombie who hadn't eaten in weeks was too tired to chase me. Lucky me!
Zombies even though they have opposable thumbs can't seem to work doorknobs.
The zombie, who hadn't eaten in weeks, was too tired to chase me. Lucky me!
Zombies, even though they have opposable thumbs, can't seem to work doorknobs.
Missing Comma with a Nonrestrictive Element
Missing Comma in a Series
Missing Comma in a Series
The unicorns are smart majestic and surprisingly dangerous.
I want my unicorn to take me on a ride to Hawaii London Paris and the moon!
The unicorns are smart, majestic, and surprisingly dangerous.
I want my unicorn to take me on a ride to Hawaii, London, Paris, and the moon!
Parts of a Sentence
Independent Clause:
Has a subject and a verb
Is a complete sentence
Example: A pirate's favorite pet is a parrot.
Parts of a Sentence
Dependent Clause:
has a subject and a verb but does not express a complete thought.
Not a full sentence.
Must be attached to an independent clause.
Example: When the pirate lifted his eye patch.
Some cues that you are dealing with a dependent clause....
Dependent clauses often start with words like:
after, although, as, as if, because, before, even if, even though, if, in order to, since, though, unless, until, whatever, when, whenever, whether, and while.
(When the pirate lifted his eye patch.)
Turn the dependent clause...
into an independent clause...
(The pirate lifted his eye patch.)
by removing the marker word.
Comma Splice
Using a comma to separate two independent clauses (full sentences).
The Lockness Monster is real, I saw it when I was on vacation.
How to fix a comma splice or fused sentence:
Separate into two sentences
Link with a comma and coordinating conjunction (and, but, or, nor, for, so, yet)
Use semicolon
Rewrite the two clauses as one independent clause
Rewrite one independent clause as a dependent clause
Fused Sentence (aka run-on sentence)
Two independent clauses joined with no punctuation
The Lockness Monster majestically jumped out of the lake it was so cool!
Sentence Fragment
A dependent clause or an incomplete sentence.
When Dracula said "blarhh blarrh blarhhh!"
Dracula's coat.
How to Fix a Sentence Fragment
Either turn it into an independent clause by removing the dependent marker word and making sure it has a subject and verb.
OR connect it to an independent clause (if it is a dependent clause)
When Dracula said "blarhh blarrh blarhhh!" I was very frightened.
Dracula's coat is long and flowy.
Sufjan vs. Miley
How to transform your dependent clauses.
Link two independent clauses with no connecting words.
The fairy was tall; Her head practically brushed the ceiling.
You and a partner will be assigned one of these common comma or semicolon errors. Together, write three sentences that exhibit the mistake you were assigned (comma splice, missing comma, etc.). Note how to fix these errors.
You will write these on the board to be shared, and corrected, by the class.
You can either write sentences using the theme of your research project, or a fantasy theme of your choice.
Unnecessary Commas
When I saw the goblin I was, super excited!
Goblins, who are tall, are hard to come by.
Summary of Activity
Write 3 wrong sentences using your error.
Know how to correct them.
Write them on the board.
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Jordan Terriereon 14 May 2014
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Nairobi National park game drive tour is a short half day safari to see and spot wildlife at the Nairobi wildlife park. Nairobi animal park game drive trip is a great way to experience the animals only a short distance from your hotel room. This means you get to enjoy a game drive after a meeting or conference or even during a layover while on transit through the Jomo Kenyatta Nairobi airport. The Nairobi national park one day game drive is provided with experienced driver guides.
Game Drive at Nairobi National Park
Nairobi national park game drive safari is a full day trip to some of the big five animals in this park which include the lions, rhino, buffalo, leopard, giraffes, hippos, zebra, gazelles, hartebeest, wildebeest, hyena, baboons, elands and many others. There are more than 100 animals in Nairobi national park that you can see in a game drive. Rhinos are especially easy to see since this park acts as their sanctuary. The lions are more than 80 and are also very easy to see in a morning game drive even while they lie on the road or when hunting.
Nairobi National park 1 day game drive trip starts with a pick up from the hotel in the morning. You will be at the park gate by 6:15am to start the game drive. You will stop at the ivory burning site to see where ivory worth millions was burnt down to show solidarity in banning the ivory trade. There are other sites that you can step out of the vehicle and watch the scenery like the mokoyiet picnic site, kingfisher picnic site, view point, and the mbagathi river walking trail.
You can call or email us to get the Nairobi national park game drive 1 day tour timings, Charges, opening hours, entrance fee, fees, Map, Elephant Orphanage etc.
Pricing of Nairobi Game Drive Tours from Usd 95, Kshs 9,500; Hours (4 hrs - 7 hrs); Join 4-6 Pax;... Read more
Rates for Nairobi Game Drive Trip from Usd 95 or Kshs 9500; Opening Hours (0600hrs-1800hrs); Entrance Fee from Usd 43;... Read more
Nairobi Park Lion 1 Day Safari Tour Nairobi national park lion safari tour takes you to see the park's pride of... Read more
Nairobi national park big five safari tour is a short 5hr game drive in Nairobi animal park to see the... Read more
Nairobi Walking Safari Day Tours Nairobi National Park Walking Safari Tour is a half day short walking tour near river Mbagathi... Read more
Nairobi 1 Day Sightseeing Tour Sightseeing Tours: Nairobi national park sightseeing tour are day trips to see attractions inside the park... Read more
Nairobi Park 1 Day Game Drive Tour Nairobi National park game drive tour is a short half day safari to see... Read more
Nairobi National Park 1 Day Bird Tour Nairobi National park bird watching tour starts early to make sure you see as... Read more
Nairobi Park 1 Day Tours Day Tour: Nairobi National Park Tours is a half or full day safari to Nairobi game... Read more


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Where to play darts in North East London. Pubs from Kings Cross to Walthamstow
Williams Ale and Cider Pub - Liverpool Street
A Fantastic little pub hidden awa down a side road by Liverpool Street station. William, it was really nothing...but darts! If you find yourself in Spitalfields or Shoreditch looking for somewhere to play a spot of arrows then The Williams Ale & Cider pub should be top of your list. There's a lively atmosphere, great selection of beers and if you walk past the extended bar you'll find a dartboard at the back of the pub. It's discrete enough that you'll probably only play if you know it's there, and this manages to avoid giving the pub the sweaty old man vibe. At least until yer da enters! j/k he's toned it down recently, he's good. The board's in good condition, although there's no oche and limited whiteboard space. The location of the pub makes it perfect for a quick game before heading on anywhere from Liverpool Street Station, like for instance heading to the Olympic Stadium to watch Crystal Palace ineptly attempt not to concede 3 goals to the weakest West Ham side of the last 10 years. But the pub was welcoming enough that we returned after the game to lick our wounds and carry on the arrows. Nearby alternatives: http://www.dartslondon.co.uk/pubs/the-black-horse-brick-lane http://www.dartslondon.co.uk/pubs/cheshire-cheese-aldgate
Prince Arthur - Shoreditch
Good for a game when it's not busy, but plan back-up locations. Reliably informed that this Old Street pub had a dartboard, we made this the second stop on a darts pub crawl, but it took at least 2 full-bar reccies to locate it. Hidden away in the main room upstairs, behind the staircase, it's easy to assume that this nook serves no purpose. Incorrect. It serves the finest possible purpose. Darts. Inside the nook is the dartboard with a thin, narrow space to throw. It's not massive, and unfortunately the large table in the room means that the board is almost certainly out of use if the table is occupied. The upstairs room leads through to a balcony which may be more popular with drinkers in the summer months than the dingy allure of the darts. The fools. The Old Fountain (http://www.dartslondon.co.uk/pubs/old-fountain-shoreditch) and Electricity Showrooms (http://www.dartslondon.co.uk/pubs/electricity-showrooms-shoreditch) are valid alternatives nearby
Old Fountain - Shoreditch
A CAMRA pub of the year, but not great for darts. The Old Fountain is a welcome antidote to the chain pubs adorning East London's streets, a pub with a real sense of identity and character. Family-owned, welcoming, close to a tube station, and best of all it's got a dartboard. But, alas, no arrows were thrown on our visit. The board is located opposite the bar in the centre of the pub. Prime position, but obstructed by tables occupied by oblivious drinkers. On a Thursday or Friday evening there's no chance of a game. We'd recommend a trip to the Horseshoe in Farringdon instead (http://www.dartslondon.co.uk/pubs/the-horseshoe-farringdon)
Parcel Yard - King's Cross
Excellent railway station pub with fully stocked games room. The Parcel Yard is a slightly surprising destination to find a dartboard. There's something about public transport and sharp flying instruments that doesn't seem to mix. So when a friend told us that this station pub had a dartboard we were more than a little dubious. But there it is. Walk down the long corridors beyond the main room of the pub and you come to a quaint little games room, complete with billiards, draughts tables and darts. The board is new and in good condition, there's plenty of space to throw and a well marked out oche. The room even comes with a retro pinball machine and HD TVs. What a treat.
The Boot - King's Cross
The Irish tricolour flying outside and slightly run-down appearance might have you faintly threatened, but this is a very welcoming Irish tavern. A proper pub, make no mistake about it. We were handed a free half a pint - they were trialling a certain Guinness beer variation - as soon as we walked in, which is a first. The darts board is set to the corner of the room, within reaching distance of the long bar. On the downside, most of the pub can see you throw. So, it's about coping with the pressure and making sure hardened regulars don't see you throwing a 7. There's no oche or line to throw from, but that's not a big problem in a place with a good atmosphere like this. This pub has been here for a long time - Charles Dickens apparently used to get boozed up here and even mentioned it in one of his books - and here's hoping it stays for a good while yet.
Escape Sports Bar - King's Cross
Looks like a prison, home to 2 lovely boards. What a curious sports bar. From outside the bar looks like the inside has seen some shanking, but step through the door and the most threatening thing in sight is the Millwall shirt above the bar. The aquarium in the centre of the room gives the pub a calming glow, and all around Van Gerwen's face beams down from the television (ok, that's the scariest thing). To the left of the bar is a flight of stairs leading off to mezzanine darts area, with slightly too low ceilings. The board is reasonably modern, but the owners haven't gotten round to installing the electronic scoreboard so it hangs limply from some string on the wall. To the right of the bar is a large function room, with a second board. On our visit this was partly obscured by tables and chairs, but would presumably be available if needed. Ultimately we had a lovely evening throwing arrows, at least until 2 kids came up and told us that "for a couple of lads who travel London visiting darts pubs, you two are shit". A not entirely inaccurate assessment, but certainly unnecessary.
Sheephaven Bay - Camden
Situated just 3 minutes walk from Mornington Crescent, Sheephaven Bay is the perfect place to stop for a drink before a gig at hip music venue Koko. So when Phil Collins announces that comeback tour, don't think you won't be able to get a quick game of arrows in before he takes to the stage. No jacket required. Avoid the overcrowded pubs on Camden High Street and walk round the corner to Mornington Street for a spot of darts. Inside the pub are two dartboards, one directly in front of you as you enter, and one on the opposite side of the U-shaped bar. The first board is in good condition but the throwing area is blocked by double sofas. A spectacular waste. Around the corner is the main board bordered by blue rubber, with a large chalk board to the side. A large TV shows the sports to the left of the board, just distracting enough to sabotage your throw as England concede a 4th at the Euros.
The Duchess of Kent - Islington
We're a mile and a half away from Emirates and you certainly know about it here. This pub is Gunners through-and-through; there's about 20 photographs of Arsenal players through the ages holding trophies aloft to the side of the darts area. If Mauricio Pochettino fancies a game of arrows, not a good idea to do it here. Past the long bar and a few venerable locals chatting to the barmaids - it was pretty quiet when we arrived at 9pm on a Tuesday night - there's a dedicated darts board; we just had to move a table and chairs out of the way to get at it. The board itself has seen better days, with a few white smears and roughed up damage to some beds causing a few bounce outs, but nothing too bad. Two stand-out features to report: a clear red line of masking tape on the floor (well, this is an Arsenal pub) marking out where to throw from. Good idea. Secondly, we've never seen such a big blackboard area for scoring - about three times the space of usual ones. If you're feeling lazy - and we were - you can just score in different parts of it for different games, rather than having to laboriously wipe off the old one. Result.
The Mucky Pup - Angel
Tucked away on a side road a few minutes off the main Angel thoroughfare, this is an unpretentious haven from the nearby busy bars and pubs. Don't be put off by any thrash metal - as we nearly were, thinking we'd strolled into a Satanic bunker - playing, it soon turns out the place has a cracking free and varied jukebox. The barmaid and regulars by the bar were friendly, which scores points in our book. Pints were about £4.60, probably par for the course around London nowadays, sadly. The darts board has its own space in the other room through the bar area, the only downside being that it backs onto a pool table. If someone wants to throw a dart and play pool at the same time, it just ain't gonna happen. The board itself is good quality - very few bounce-outs - and there's chalk provided and spaces for scoring, as well as a jug full of darts for anyone who's forgotten their arrows. It was quiet. But almost too quiet. We played on a Tuesday night and the pub was literally empty when we left. Some might find this place a bit spit-and-sawdust; we quite liked the down-to-earth vibe. Oh, and bonus points for a decent, vaguely fresh pub name.


text: Human Rights Observatory FBI Probing Dow Jones Hacking by Russians U.S. authorities are reported to be investigating whether Russian hackers have infiltrated the Dow Jones financial news company to steal market-moving information prior to publication. The breach was "far more serious than a lower-grade intrusion" a year ago, Bloomberg News reports, citing sources. There has been no reaction from the White House or the State Department. But Bloomberg reports the Federal Bureau of Investigation, Secret Service and the Securities...Read complete article© Voice of America - Saturday, October 17, 2015


text:
Plasma Based Solutions:
Cardiac rhythm devices
Plasma treatment of pacemakers and implantable cardioverter defibrillators ensures hermetically sealed devices and reliably bonded subcomponents
Artificial cardiac rhythm systems are complex devices with sub components requiring robust integration. Pacemakers and defibrillators are composed of electrode wires and sensors, a titanium housing for a computer, battery and a single- or multiple-pulse generator. It is critical that all bonded subcomponents preserve their adhesion reliability to avoid device failure. Plasma treatment greatly enhances adhesion of these subcomponents by cleaning and activating surfaces prior to laser welding, adhesive bonding and potting. For example, the electrode leads that are intravenously fed to the heart are coupled to the titanium housing via a polyurethane feedthrough. Plasma treatment not only provides excellent bondability between the polyurethane and the titanium housing, it also promotes potting of the leads ensuring the entire unit is hermetically sealed from the body.
© 2007 - 2016 PVA TePla America. All rights reserved.


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Alternative Titles
Japanese: 紺碧のプリズナー
Type: Manga
Volumes: Unknown
Chapters: Unknown
Status: Publishing
Published: Aug 27, 2012 to ?
Genres: Seinen
Authors: Hashimoto, Eiji (Story & Art)
Serialization: Young King
Score: N/A1 (scored by 0 users)
1 This score is not weighted. Please note that 'Not yet published' titles are excluded.
Ranked: #207842
2 based on the top manga page. Please note that 'R18+' titles are excluded.
Popularity: #38004
Members: 23
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a b
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- Date of birth: Jan 18, 1787
- Date of passing: Jan 11, 1789
This memorial website was created in memory of our loved one, a b, 1, born on January 18, 1787 and passed away on January 11, 1789. We will remember her forever.
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Recline in front of the open fireplace with a cheese fondue and sample the extensive wine list Astra has to offer. What better place to spend your evenings at Falls Creek.
Astra is the way skiing was meant to be. Our iconic ski in - ski out lodge is a multi-award winning property with bar and restaurant, a large open fireplace, big leather couches and ambient surrounds, all with Astra's exceptional standards of service delivered by the welcoming Astra family.
Recline in front of the open fireplace with a cheese fondue and wine from the extensive list on offer. What better place to spend your evenings at Falls Creek.
Rejuvenate the body after a perfect day on the mountain in the sparkling magnesium indoor pool, a first for Falls Creek and it's great for those tired muscles. You can also relax in the steam room before visiting the spa & sauna, or truly spoil yourself with an in-house massage or hairdresser at the fully serviced day spa.
Astra is the pinnacle of on mountain accommodation options with deluxe rooms, deluxe with balcony rooms, family interconnecting rooms as well as a studio apartment and two bedroom apartment. All include comforts such as ensuite bathroom with Triumph and Disaster complimentary amenities, LCD TV with Apple TV, Nespresso coffee machines, T2 selection of teas and complimentary wifi.
Astra is designed to give you the ultimate in skiing holidays, so come and enjoy Falls Creek in Astra style.
Read reviews from our guests and find out about their experiences at Falls Creek.
A more up-market establishment with a nice feel and ambiance. The restaurant is excellent as is the service and wide variety of wines are available from varied regions both in Australia and also Spain, France, NZ. Probably my favourite times at the Astra are frequenting the Lounge Bar. Here you can sit with friends and try shots of vodka from all over the world.
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