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Tuberculosis and HIV Disease
November 2004
Table of Contents
Tuberculosis (TB) is caused by a bacterium called Mycobacterium tuberculosis. It usually infects the lungs, but it can also enter the blood and infect almost any part of the body. This includes the liver, kidneys, stomach and gut, bones, skin, breasts, brain and spinal cord. TB in these places is more common in children and people with weak immune systems, including people living with HIV.
TB is spread when a person with active TB disease coughs, sneezes or spits. Tiny droplets of fluid from the lungs are carried in the air and if other people breathe in these droplets they can get infected. TB can also pass from a mother to her unborn child before and after birth. However, it's more common for a baby to catch it after birth, due to close contact with its mother. If you or someone you live with has TB, you are all at risk for TB infection and TB screening is recommended for the whole family. Depending on your health and the health of people you live with, TB preventive therapy might be recommended for others in your household.
You are not likely to catch TB from a stranger coughing on a bus. Even if a healthy person spends 24 hours a day for two months with someone with active disease, there's still only a 50% chance that he or she will catch TB, though certainly people with weakened immune systems are more at risk.
TB Infection and Disease
TB infection is not the same as having TB disease. For most people who are exposed to TB bacteria and become infected the immune system can stop the bacteria from growing. Nine out of ten people with healthy immune systems who are infected with TB do not get active disease. They feel well and cannot spread TB to others. This is also true for people who have active TB disease but not in their lungs. Most people with active disease can no longer pass on TB after about three weeks of treatment. TB disease develops when the immune system cannot fight off the infection. People with HIV are ten times more likely to develop active TB than HIV-negative people. For this reason, routine TB screening and appropriate preventive therapy and treatment, when needed, is critical for people living with HIV.
TB is an ever-increasing concern for people living with HIV. In some parts of the world, TB is the leading cause of death of people with HIV. In the U.S. TB prevention and control efforts have been strengthened. However, in environments with crowded living conditions and poor ventilation, such as homeless shelters nursing homes, and prisons, TB is more common. Young children, seniors and people of color are at an increased risk of developing active TB disease. In addition the following factors put a person at an increased risk for developing active TB disease: pregnancy, HIV, Diabetes, Long-term kidney failure, poor nutrition, alcohol and/or injection drug use.
What Are the Symptoms?
Not all people with TB have symptoms unless they have active disease. The most common place for active TB is in the lungs and symptoms include a prolonged cough (lasting over 2 weeks), pain in the chest and coughing up fluid (sometimes with blood). A chart of symptoms is shown in the box below. Children infected with TB near their time of birth may have TB in many organs. They may have difficulty breathing or feeding and fail to grow at the normal rate.
Some symptoms of TB disease are similar to symptoms of other common HIV-related infections like toxoplasmosis, Pneumocystis carinii pneumonia (PCP) and Mycobacterium avium complex (MAC). Therefore, it's important to make sure that when symptoms appear they are appropriately diagnosed and treated the right way.
Symptoms of Active TB Disease
TB and HIV Disease
For many people, TB is the first sign of immune dysfunction associated with HIV infection, and active TB is an AIDS-defining illness. One in ten people living with HIV will get active TB within a year of being diagnosed with HIV. It can occur early in HIV disease when CD4+ cell counts are relatively high, in the 300-400 range. In early HIV infection, TB usually infects and affects just the lungs. As CD4+ cell counts drop, however, TB is more likely to appear in other organs too.
When the immune system responds to TB it can cause HIV levels to increase, and HIV disease may then progress more quickly. This, in turn, increases the risk of other opportunistic infections. The good news is that TB treatment leads to lower HIV levels in people with both infections.
It's very important for people with HIV to be screened regularly for TB. TB testing is recommended to begin when a person is first diagnosed with HIV, then yearly after that. Also, when starting anti-HIV therapy, a TB test is also recommended. Finally, for people living with HIV who come into contact with someone with active TB, a TB test is recommended.
Whether you have TB infection or active TB disease, it's extremely important to get treated right away. If you are diagnosed with TB and HIV at the same time, you may not want to start treating both at the same time. It might be easier to stick to your regimens if you start the anti-TB treatment first and wait awhile before starting anti-HIV therapy. This might not always be possible, but it's something to discuss with your doctor.
How Does a Doctor Diagnose TB Infection?A PPD skin test is used to detect TB infection. A small amount of liquid (called PPD Tuberculin) is injected under the skin of the arm. After 48-72 hours, a nurse or doctor reads the test. A hard swelling at the site larger than 10mm means that the person is infected with TB. A smaller swelling of 5mm is used to detect TB infection in people with HIV. This is because people with HIV might not have a strong immune response resulting in the more pronounced swelling seen 7in people who are HIV-negative and otherwise healthy.
Unfortunately, the PPD test is not 100% accurate for three main reasons. First, the reaction is caused by an immune response, and this may take awhile to develop. There actually may be no reaction within the first 10-12 weeks after infection. Second, a person may react to the test if they're infected with a related bacteria like MAC. Third, some people with weak immune systems do not react even if they're infected with TB.
When a person is infected with TB but does not react to the PPD, he or she is said to be anergic. This is more common when CD4+ cell counts are below 200. A different test can be used to check for anergy, but the results are not very reliable in people living with HIV. Anergy testing is not routinely used, but it may be helpful in certain cases. So, a negative PPD test result does not always mean that a person is free of TB. For this reason, routine testing is very important.
How Does a Doctor Diagnose TB Disease?Chest x-rays are used to detect active TB disease and to check for damage in the lungs. During or after active TB, x-rays will show lumps, holes or scars in the lungs. Chest x-rays may provide misleading or confusing results, however, because a chest x-ray may look unusual due to HIV or other HIV-related complications, including PCP and MAC. This is especially true for people with CD4+ cell counts below 200. This can make TB more difficult to diagnose in people living with HIV.
The best proof that a person has TB is to find the actual bacteria. In a TB smear test, a sample of sputum is studied under a microscope to see if it contains the bacteria. Unfortunately, it cannot tell the difference between TB and related bugs like MAC. If the smear test is positive, then the sputum can be grown in a lab to see if it contains active genetic TB material (called TB DNA). Tests that detect this genetic material have been developed, but are not routinely useful in all situations, such as diagnosing TB in places outside the lungs or definitely telling if someone is TB-negative. Also, growing bacteria from a sputum sample, in the lab, is needed to test for drug resistance.
Tests that are normally used to look for active TB in other organs include scans of the head, chest or abdomen; spinal tap; biopsy of lymph nodes or bone marrow; and urine culture.
Treating Active TB
The effectiveness of anti-TB treatment is quite good, regardless of HIV infection. However, it is vital that people take the full course of drugs in order to kill all the TB and to prevent the development of anti-TB drug resistance or recurrence of active TB disease. People on anti-TB drugs are generally encouraged to see their doctors at least once a month and maybe more often at the start of treatment. This is to check whether the drugs are working, to identify adherence problems (problems with taking the drugs as prescribed), and to monitor for side effects or reactions.
The treatment for TB in the lungs and other organs is the same and usually lasts for six months, although widespread TB may require taking anti-TB therapies for a longer period of time. Treating TB in the brain (meninges), bones or joints might require at least nine months of therapy. If anti-TB treatment doses are missed for any reason, longer courses of treatment are likely necessary. Also, people who don't respond quickly to the normal course of therapy might need to continue on anti-TB for nine months or longer.
Symptoms of active TB disease usually ease off 3-4 weeks after starting anti-TB treatment. When a person has had three negative smear tests, he or she is considered to be non-infectious, or not likely to be able to infect others with TB. This usually occurs 2-3 months after starting anti-TB treatment.
The first line treatment for TB disease is a combination of four drugs that includes isoniazid (Nydrazid) (300mg/day), rifampin (Rifadin, Rimactane) (450-600mg/day), pyrazinamide (Tebrazid) (20-30mg/kg/day), and ethambutol (Myambutol) (15-25mg/kg/day) or streptomycin sulfate (15mg/kg/day). These five drugs are given and resistance testing is performed. If the resistance test shows that the TB can be killed by isoniazid and rifampin, then the ethambutol or streptomycin can be stopped. The U.S. Public Health guidelines recommend that people with HIV taking isoniazid also take pyridoxine (Vitamin B6) because they are at higher risk for developing peripheral neuropathy.
Six-Month Treatment Plans for TB
Doses must be increased if they're given less often than once a day
Treatment Plans for Resistant TB
First- and Second-Line Drugs
First Line Anti-TB Drugs
Ethambutol (Myambutol)
Side effects:
Possible drug interactions:
Isoniazid (Nydrazid)
Side effects:
Possible drug interactions:
Pyrazinamide (Tebrazid)
Side effects:
Rifampin (Rifadin, Rimactane)
Side effects:
Possible drug interactions:
Second Line Anti-TB Drugs
Amikacin (Amikin)
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Possible drug interactions:
Capreomycin (Capastat)
Side effects:
Possible drug interactions:
Ciprofloxacin (Cipro)
Side effects:
Possible drug interactions:
Clofazimine (Lamprene)
Side effects:
Cycloserine (Seromycin)
Side effects:
Possible drug interactions:
Ethionamide (Trecator)
Side effects:
Side effects:
Levofloxacin (Levaquin)
Side effects:
Possible drug interactions:
Ofloxacin (Floxin)
Side effects:
Possible drug interactions:
Side effects:
Rifabutin (Mycobutin)
Side effects:
Possible drug interactions:
Rifapentine (Priftin)
Side effects:
Possible drug interactions:
Side effects:
Possible drug interactions:
Using Rifampin and Rifabutin With Anti-HIV Drugs
Rifampin interacts with protease inhibitor (PI) and non-nucleoside reverse transcriptase inhibitor (NNRTI) drugs. So people taking these classes of drugs should use rifabutin (Mycobutin, a treatment for MAC) rather than rifampin for treating TB.
There are a few exceptions to this general rule including when a person is taking 1) efavirenz (Sustiva) and two nucleoside analogues (NRTIs); 2) ritonavir (Norvir) and one or two NRTIs; or 3) ritonavir (Norvir), Fortovase and Invirase (Saquinavir) and a NARTI. However, if it is taken with ritonavir, the dose of rifabutin has to be dropped to 150mg 2-3 times a week. Lower doses may also be needed with other PIs. If rifabutin is used with efavirenz (Sustiva), its dose should be raised to 450-600mg daily, or 600mg 2-3 times a week. The bottom line is that drug interactions are a concern with anti-HIV therapies and some anti-TB drugs. Ask your doctor and pharmacist about the safety and appropriateness of taking your therapies together and if any dose modifications are needed because of drug interactions.
For people taking both PIs and NNRTIs, it may be hard to predict what effect rifabutin will have. If you're taking these drugs, it's wise to be checked often by your doctor for drug levels and side effects.
Side Effects
The list of drug side effects for anti-TB drugs shown in the boxes above is not complete. It's important to discuss all possible side effects with your doctor as well as discuss any other drugs you take. For example, people with HIV may be more likely to get peripheral neuropathy when using isoniazid (Nydrazid). You may also have more skin problems from these drugs.
Unusual Reactions to TreatmentSome people find that their TB gets worse when they start treatment. This more often happens when people are starting anti-HIV therapies for the first time. As HIV levels drop and the immune system starts to work better due to anti-HIV treatment, the immune system begins to respond to the TB and this can cause physical symptoms like fever, swelling of lymph nodes and even worsening of chest x-rays. This effect often doesn't last very long and switching anti-TB or anti-HIV drugs is probably not necessary. In some instances, however, the symptoms may get severe and might even require hospitalization. A short course of steroids may help control the symptoms.
Coping With Treatment
Anti-HIV therapy requires the use of many pills. Adding multi-drug anti-TB regimens on top of anti-HIV therapy can be daunting. Some people find it difficult to cope with taking the large number of pills, daily, required for treating both HIV and TB. There are options to explore that might help to make this easier.
Short-Course Anti-TB Treatments
Drug Resistance
Over the past decade there has been an increase in the appearance of strains of TB that are resistant to two or more anti-TB drugs. These strains are called multi-drug resistant TB, or MDR-TB. Resistance can occur if someone does not take a full course of treatment or if an extra drug is merely added to an already failing anti-TB therapy regimen. Once someone has developed drug-resistant TB they can transmit that TB to others, leaving those newly infected with fewer treatment options. Drug-resistant TB is more difficult to treat and more likely to cause death as a consequence.
In 1997, over 7% of TB strains were resistant to at least isoniazid, and 1.3% were resistant to at least isoniazid and rifampin. People with HIV are six times more likely to have MDR-TB than HIV-negative people. MDR-TB is three times more likely than drug-sensitive TB to cause active disease in HIV-positive people.
The box below shows treatment plans for TB resistant to either rifampin or isoniazid. If there is resistance to both, at least three new potent drugs should be used. Treatment may take up to 24 months, and sometimes seven or more drugs are needed.
Treating MDR-TB usually includes the use of an aminoglycoside [amikacin (Amikin), capreomycin (Capastat), etc.] and a fluoroquinolone [ciprofloxacin (Cipro), ofloxacin (Zagam), etc.]. Aminoglycosides (streptomycin, kanamycin, and amikacin should not be used during pregnancy because it can harm the unborn baby. Other drugs include rifabutin, cycloserine (Seromycin), ethionamide (Trecator-SC), clofazamine (Lamprene), and para-aminosalicylic acid. After treatment has finished, patients are encouraged to see their doctor every four months for two years to check for TB recurrence.
In more severe cases of TB, surgery may be used to remove infected tissue. Steroids are sometimes used to reduce inflammation and control tissue damage, as is the case when TB affects the brain.
How to Reduce the Spread of TB
Steps can be taken to stop the spread of active TB. People with active disease are often isolated until they are no longer infectious. This sometimes includes staying in hospital rooms with special airflow, called negative airflow, where air is circulated out of the room with new air constantly coming in to reduce the risk of TB in the air. Some low income and residential hotels and shelters are remodeling to include negative airflow devices to help contain the spread of TB. Also, to prevent spreading TB, someone with active TB can take simple precautions such as covering their nose and mouth when coughing or sneezing. Also, healthcare workers and caretakers can use disposable breathing masks to reduce their risk of contagion.
Preventing Active Disease
People with TB infection can take drugs to help prevent them from developing active disease. This is called TB prevention or prophylaxis. People living with HIV are encouraged to consider TB preventive therapy if TB skin testing has come back positive, if there has been contact with someone with active TB disease or if it's determined that a prior episode of TB disease was not treated properly.
It's important that a doctor make sure that a person does not have active TB before starting TB preventive therapy. This is because preventive therapy is less intensive than TB treatment for active disease and if active disease is present but not yet expressing itself fully, resistance to TB drugs could rapidly develop due to sub-optimal treatment. Isoniazid is the most common TB preventive therapy. It has few side effects and is cheap. It is usually taken daily or twice a week for nine months.
Studies also show that a two-month course of rifampin (600mg once a day) plus pyrazinamide (20mg/kg once a day) prevents active disease as well as 12 months of isoniazid. There is no difference in the amount of side effects between the two. The two-month course is also useful if the TB is thought to be resistant to isoniazid.
Preventive TB therapy is not usually given to people thought to be anergic. However, if someone who is anergic is determined to be at high risk for TB infection, they may be given TB preventive therapy. Pregnant women with TB infection are advised to start isoniazid preventive therapy right away, even in the first trimester. Children who need preventive therapy should take isoniazid for twelve months.
If the TB strain is resistant to both isoniazid and rifampin, prophylaxis preventive therapy may be difficult. In this case, options include pyrazinamide plus one of ethambutol, ofloxacin or ciprofloxacin daily for six months. Preventive therapy using three drugs has been tested but is not often used due to side effects.
Is There a Vaccine for TB?
The BCG vaccine is used in some countries for TB prevention but is not common in the U.S. It is 80% effective at best. BCG should not be given to people with weak immune systems.
For more information about TB, contact the American Lung Association, 1740 Broadway, New York, NY 10019. Call them at 212-315-8700 or email at email@example.com. Their website is www.lungusa.org.
The Bottom Line
This article was provided by Project Inform. Visit Project Inform's website to find out more about their activities, publications and services.


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Local history buffs have a wonderful winter gift with the release of two new histories of the area.
Faye Muhlestein has released the second in her comprehensive, three-part history of Monticello. Monticello Journal II documents the history of the little town at the base of the Blue Mountains from 1938 to 1970. In addition to spending time on Facebook this winter, many local residents are delving into the 512-page depths of "Faye's book".
"The people who did things in this town ought to have some credit. Their work shouldn't be forgotten," said Faye. "If it isn't written, it will go away."
The book includes more treasures than can be described in a brief article. Muhlestein has interviewed scores of area residents and combines them with information gleaned from a host of source materials, including the San Juan Record.
The result is more than 500 pages of remarkable history. The book represents an incalculable investment in time and effort by Muhlestein.
Faye and her husband, Harold, wrote the first book, which was published in 1988 in conjunction with the Monticello Centennial celebration. It focused on the settlement of the community from 1887 to 1937. The book was well received and quickly sold out. Owners of copies of the first book carefully watch their rare copies.
In the subsequent 22 years, Muhlestein continued to research and interview and comb through historic records. Much of the work was completed while Faye was caring for her husband through his lingering illness and after his death in 2003. Harold Muhlestein was a history teacher at Monticello High School and the two made the history of Monticello a part of their life's work.
Faye relied on her children to help in the project, including son Daniel, daughter Janie and grandson Dennis. While the first book relied heavily on historical documents, including the journals of early pioneer Francis Hammond, the newest book relies heavily on interviews with community residents.
Book Two is likely to become as hard to find as the first. Muhlestein plans to release the third and final portion of her trilogy as soon as the majority of the second books are sold.
The third book will total more than 700 pages, documenting events in Monticello from 1971 to 2000. Faye explains that the research is complete and the third book is set to print.
A second book recently released is simply titled Jane. It documents the life of early pioneer Jane Walton, who was killed in a tragic shooting at a Pioneer Day dance in Monticello in 1891.
Jane was written by Mike King, a direct descendant of Walton, who grew up hearing stories about his famous great-great grandmother.
King relies on the stories of his youth, plus a copy of the journal of Jane's husband, Charles Walton, to recount the life of this early Monticello pioneer.
King brings an interesting set of skills to the task of writing about the death of his great-great grandmother. The former chief of staff of Utah Attorney General Jan Graham had a successful career as an investigator and profiler.
King teamed with former FBI agent Greg Cooper to create a series of documentaries for the Discovery Channel and A&E's Histories Mysteries. They investigate ancient crime scenes in an attempt to bring new light to old mysteries. A documentary about the death of King Tut earned the team an Emmy award in 2002.
The circumstances of Jane's death culminates the book and King brings many of his professional skills to the table. Soon after Walton's death, a warrant was issued for the arrest of Tom Roach, a local cowboy. King uses evidence, including the written words of the grieving Charles Walton the day after the tragedy, to suggest that the still outstanding warrant should have been rescinded.
The book provides a number of new insights into a familiar local story.


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Notice to Members 02-11
NASD Dispute Resolution Establishes a New Hearing Location in Orlando, Florida, for Arbitration and Mediation Claims Filed in Its Forum
NASD Dispute Resolution, Inc. (NASD DR) recently established Orlando as the third hearing location within the State of Florida. Boca Raton and Tampa will continue as hearing locations in Florida.
The Southeast Regional Office of NASD DR, located in Boca Raton, will administer all arbitration and mediation claims assigned to the Orlando hearing location. With the recent addition of Orlando, NASD DR now operates hearing locations in 47 cities across the United States.
Questions concerning this Notice may be directed to Rose M. Schindler, Director, NASD DR Southeast Regional Office, at (561) 416-02


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Related Items
Trending Stories
Brazil U-17 MNT Defeats Turkey U-17 MNT to Open Nike International Friendlies
Brazil Sits in First Place as USA and France Draw in Second Match
LAKEWOOD RANCH, Fla. (Nov. 30, 2011) – Brazil beat Turkey in the opening match of the ninth edition of the Nike International Friendlies with a 65th minute goal by Linik Santos.
Santos dribbled down the right side of the field, turned in front of goal and fired a shot into the top of the net to beat Turkey goalkeeper Anil Demir for the game-winner.
With the second match between the U.S. and France ending in a 2-2 draw, Brazil sits in first place in the tournament. The next matches will be on Dec. 2, with France and Brazil facing off at 2 p.m. ET and the U.S. taking on Turkey at 5 p.m. The U.S.'s match will be live on FOX Soccer, and fans can also follow along on ussoccer.com's MatchTracker or Twitter @ussoccer.
Brazil almost scored off a corner kick taken by Gabriel Penha in the 45th minute. Marcel Furtado headed it off the crossbar, but Demir was able to snag the rebound. Demir quickly started Turkey on the counter, but eventually Aziz Ceylan's shot sailed over the top of the goal.
Turkey only forced Brazil goalkeeper Guilherme Serrano into one save the entire match.
- U-17 Men's National Team Match Report -
Match: Brazil U-17 Men's National Team vs. Turkey U-17 Men's National Team
Date: Nov. 30, 2011
Competition: 2011 Nike International Friendlies
Venue: Premier Soccer Campus; Lakewood Ranch, Fla.
Kickoff: 2 p.m. ET
Attendance: 175
Weather: 60 degrees, windy
Scoring Summary: 1 2 F
BRA – Linik 64th minute
BRA: 1-Guilherme; 2- Kaue (14-Ian, 69), 3-Marcel, 4-Eriks (capt.), 5-Matheus Queiroz, 6-Abner, 7-Walney (16-Linik, 61), 8-Ze Augusto, 9-Bruno, 10-Gabriel (15-Gabriel Barbosa, 86), 11-Joanderson (18-Renan Gorne, 69)
Substitutions Not Used: 12-Fellipe, 13-Derlan, 17-Kaique
Head coach: Emerson Rodriguez de Avila
TUR: 1-Anil Demir, 3-Umut Can Ince (15-Mahmuthan Samet Acar, 46), 4-Mehdi Akgul, 6-Serdar Bingol (13-Safa Altuntas, 84), 7- Anil Capkin, 8- Mert Ozturk (19-Ramazan Civelek, 62), 10-Semih Islemecioglu (9-Mustafa Batuhan Altintas, 32), 11-Berk Yildiz, 14-Melih Can Yagci (capt.) (18-Yusuf Selim Sahin, 84), 17-Ismail Kose, 20-Aziz Ceylan (2-Cahit Enis Katipoglu, 76)
Substitutions Not Used: 5-Alim Harlak, 12-Mehmet Goktug Bakirbas, 16-Muhammet Rasit Sahingoz
Head coach: Mehmet Hacioglu
Stats Summary: BRA / TUR
Shots: 11 / 3
Shots on Goal: 4 / 1
Saves: 1 / 3
Corner Kicks: 4 / 4
Fouls: 10 / 10
Offside: 0 / 6
Misconduct Summary:
TUR – Serdar Bingol (caution) 84th minute
TUR – Yusuf Selim Sahin (caution) 88
Referee: Tyler Ploeger (USA)
Assistant Referee 1: Danny Thornberry (USA)
Assistant Referee 2: Kevin Klinger (USA)
Fourth Official: Baldomero Toledo (USA)


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At almost $80,000, the sticker price on the 2008 Mustang Shelby GT500KR was already on the high side of ridiculous, but we knew Ford would sell every one of these purported "King of the Road" 'stangs to pony car fan-boys. With that kind of demand, you'd expect to see a little bit of margin dropped on top of the already steep price by dealers looking to milk the fans dry, but little did we know to what extent. Until we saw the following EBay auction by a Houston, Texas dealership.
The dealership, LoneStar Ford, is offering a brand-spanking new GT500KR for the bargain basement buy it now price of just $154,991. We'll give you a moment to let that sink in. You done? For the math-impaired, that's approximately a $75,000 mark up to the sticker price. Good luck with that, guys — you've officially made us want to throw up over this truck-axled super-powered 'stang. But if for some crazy reason you want a piece of this action, better hurry because you've only got two more days left to slap down your cash. [EBay via Carscoop]


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Facing La Fière Bridge crossing the meandering Merderet River, our Bed and Breakfast is the converted WWII barn where the battle of Normandy began on 6 June 1944!! It is located in the triangle of the three designated 82nd Airborne Division drop zones, 3 km due west of Ste. Mère-Eglise, and 15 km from Utah Beach in Normandy, FRANCE.
Originally, this was a grain mill built in 1180 by a Viking settlement. Now, it is a quality guest home providing five guest bedrooms and a bountiful American-French breakfast.
Our central location will enable you to visit lots of interesting sites while enjoying our history and heritage, the countryside, the coastline and the sea, family activities, local traditionally cooked meals, as well as fresh regional foods and products from open air markets and shops.
The assets of Normandy are open to you, allowing you to practice your favorite activity at your own rhythm. French-American hosts, Rodolphe and Vivian Roger,
Our B&B is composed of 4 bedrooms for 2 people each and 1 family suite for 2 - 6 people. Each room is dedicated to the 82nd Airborne and its Parachute and Glider Infantry Regiments that fought here 6-9 June 1944.
All of our bedrooms are located upstairs and unfortunately are not suitable for the handicapped. Each room has a private en suite bathroom, bathrobes, hairdryer. We provide fixings for tea and coffee. All of our mattresses are new and firm. The rooms are centrally heated by an air to water heat pump system.
Breakfast is included in the room price and is served 8.30 –10 am. We do not require a deposit and do not accept credit cards. We accept euros when you arrive. Check-in is 4:30 – 7:30 pm. Check-out by 11 am. We are sorry, but early check-in is not possible.
Our reception-living room is open to our guests, unless it is booked for a private event. This area is available 7:30 am - 11:30 pm.
Please let us know if you have other requirements. We have two dogs who live inside and one cat who lives outside only. We do not accept other pets. No smoking. Well behaved children over 13 years of age are welcome.
Down by the creek's edge in full majestic view of the bridge is a raised wood deck dedicated to Sergeant Major Brian "Butch" Card (82nd Airborne Division Paratrooper and Ranger). How it became named as such is another story, and will be told at a later time. A little play with words and you have "the Card Deck". Just follow the terraced steps down the slope, while being careful of the gravel and railway ties. There you will find three green park benches available to our guests. You may be soothed by the soft flow of the water as it breaks over the "Merritt Rocks" on its way around the bend, on its way to the Douve River, before dumping into the English Channel. These rocks that interrupt the flow are named for WWII veteran Command Sergeant Major Kenneth "Rock" Merritt of the 508th PIR, 82nd Airborne Division. As of this writing (2011), Rock lives in Fayetteville, North Carolina…. so near to Fort Bragg where he was trained. This naming conjures another story to tell…... later!
Imagine this deck and benches as prime seating for the battle that took place here 6 - 9 June 1944. This area was flooded and many soldiers lost their lives here. The fight to gain control of this bridge and the causeway up to Cauquigny Chapel was one of the primary objectives of the U. S. paratroopers on D-Day. This is why they jumped here. Surprise was an important element for their victory. Our B&B is sitting on the battle site…. where the Battle of Normandy began.
Now you may enjoy the peace and beauty of the marshland as it folds out in front of you. This is La Fière DZ (drop zone) where the annual D-Day commemorative paratrooper jumps are made. This peaceful place is now a haven for reflection, memory, and gratitude. Enjoy it for a while and take the memory with you. Never forget that our freedom is not free. Be thankful to our U.S. soldiers.
To compliment our B&B we work with DDay Battle Tours who provide memorable tours of the DDay operation
Cornish Secrets for fantastic cottages in St Ives Cornwall
Laundry Services Cornwall
Mull self-catering - Ardfenaig Lodge


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Nathan Lerner
Gelatin silver print
23.3 x 18.5 cm
The Art Institute of Chicago: Edward Byron Smith and John Bross Fund
Chicago's legendary Institute of Design began in the 1930s as an outpost of experimental art education based on principles established by Germany's famed Bauhaus school. One of the most important schools of photography in twentieth-century America, the Institute of Design (or ID) was the home to such photographic luminaries as László Moholy-Nagy, Harry Callahan, and Aaron Siskind, and the inspiration to students who would become some of the best fine art photographers in the country. It also educated generations of photographers who would in turn become teachers, thus insuring a lasting legacy of ID principles.
The pictures that were created by the teachers and students there set new standards for photographic exploration, using photography's own means to expand its possibilities. Despite its illustrious past, however, the significant contribution of the Institute of Design to the history of American photography remains largely unexplored and under-recognized. To date, no in-depth, scholarly exhibition or catalogue has examined the contributions the school made to photography in its formative and peak years.
In addition to important works by Moholy-Nagy, Callahan, and Siskind, the exhibition will feature the work of Barbara Crane, Yasuhiro Ishimoto, Joseph Jachna, Kenneth Josephson, Gyorgy Kepes, Nathan Lerner, Ray K. Metzker, Richard Nickel, Arthur Siegel, Art Sinsabaugh, and others.
SponsorsThis exhibition was organized by The Art Institute of Chicago and has been made possible by LaSalle Bank.
CuratorsThe exhibition is coordinated in Philadelphia by Katherine Ware, Curator of Photographs, Philadelphia Museum of Art. It was organized by David Travis, Curator of Photography, and Elizabeth Siegel, Assistant Curator of Photography, The Art Institute of Chicago.
LocationBerman and Stieglitz Galleries, ground floor
- The Art Institute of Chicago • March 2–May 12, 2002
- San Francisco Museum of Modern Art • July 20–October 20, 2002
- Philadelphia Museum of Art • December 7, 2002–March 2, 2003


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I don't know how the Bills did it, but they did – they finally passed a test. Completely, historically destroyed in their previous 2 contests, the Bills faced a road game against a decent team and won their second game outside the confine of Orchard Park. The team needed a win – the fans did, too.
The game got off to an inauspicious start when Fred Jackson coughed up the ball on the very first play from scrimmage, giving the Cardinals a scoring opportunity right off the bat. Like many Bills fans, I just shook my head in disbelief yet total belief – it was going to be yet another long Sunday afternoon.
The Bills defense held the Cardinals to a 3 and out series covering 2 yards – the result was a 49 yard field goal – not bad considering the world of trouble they were in. The Bills offense continued to show signs of weakness on their first drive, covering 31 yards in 7 plays that came to a halt at the Arizona 44 yard line when Ryan Fitzpatrick failed to complete a pass on 3rd and 6.
Things got interesting on Arizona's next drive. Chris Kelsay found a way to collapse the pocket and sack Kevin Kolb for a safety – the type of play that can really change the momentum of a game. Sure enough, the Bills started their running game and drove the ball 49 yards in 10 plays that culminated in a pretty 10 yard touchdown run by C.J. Spiller – things were starting to feel better.
The remainder of the half saw two teams struggle to make sustained drives, but Buffalo much-maligned defense was starting to look pretty good, getting nice pressure on Kolb. As a Bills fan, you did get that gnawing feeling that regardless of how well the defense was playing, 9 points was not going to win the game – the offense, especially Fitzpatrick, needed to step up and put some more points on the board.
By now Bills fans should be used to optical illusions on the football field – it seems what we see isn't what we really see. Just like the homerun throwback by Tennessee wasn't a forward pass (it just looked that way to any sane person), it was actually a lateral – we all just saw it from a bad angle. By the same token, we all must have had a bad angle and seen it wrong when the Cardinals got a first down a full chain link short of the marker – Gailey challenged the spot, but hey, just give it to 'em.
Sadly, the first down prolonged a drive that turned into 7 points for Arizona, and the Bills squandered their final possession before the half on some puzzling short pass play calls that got them nowhere – they went to the locker room down 10-9 at the half.
In the third quarter Arizona tacked on a field goal and Buffalo got another touchdown thanks to some really nice runs by Spiller.
Buffalo held on to a 3 point lead into the fourth quarter. They had run the ball well all afternoon but had trouble moving it through the air. Fitzpatrick was his normal self – inconsistent and throwing many balls behind his receivers and unable to make a throw longer than 10 yards. With clock control and solid defense, the Bills might just be able to hang on for the win, but then again this is the Bills.
Playing conservatively almost all afternoon (and at times even too conservatively), the Bills decided to get cute with 4 minutes to go. For reasons known only to God and Chan Gailey, the Bills ran one of the most ill-advised plays you may ever see – a deep ball thrown out of the wildcat by Brad Smith that was, of course, intercepted. Instead of killing clock, instead of trying to put another 3 points on the board, the offensive mind of Chan Gailey hit a bout of dementia – having a guy who never throws the ball throw the ball with the game on the line. Even if it had worked you would have had to shake your head at the stupidity.
Queue the doom we've all seen before. Jay Feely lines up for a career long 61 yard field goal and hits – just like you knew he would. Buffalo does what you'd expect them to do in the situation – take a sack and get 9 yards on 2 short running plays burning a grand total of 19 seconds to go 3 and out. After a bad punt by Powell, the Bills commit a penalty, then give up a 28 yard pass play that put Arizona well within winning field goal range, especially for a guy who just hit from 61. Been here – seen this – it's not pretty – the Bills snatch defeat from the jaw of victory using a stunning combination of bad luck, utter stupidity and mind-numbing poor play.
I don't know what cosmic force shifted, but the usual-scripted ending didn't happen – Feely's 38 yard winner not only bounced off the post, but somehow didn't go in anyway – are you kidding me? The Bills didn't lose? I guess this extends the game and the Bills will find another way to lose.
The Bills take the opening drive down to the Arizona 35, but opt to punt rather than try a long field goal. Many see this as a controversial call – not going for the long field goal, but I actually agree with the call. If you don't have a strong degree of certainty that Rian Lindell is going to hit from 50+ you risk missing and giving the Cardinals very good field position. Under the new overtime rules, once Buffalo gives up possession, all Arizona needs to do is score to win. Good field position and a kicker who has hit from 60+ is not a good thing. I agree that you may be better off making your opponent make a longer drive, led by their backup quarterback and facing your defense that has, on the whole, played pretty solid all afternoon. The gambit paid off when Jairus Byrd intercepted the ball and Lindell kicked a 25 yard field goal. Holy crap – the Bills actually won it!
So the Bills are 3-3, just like the rest of the AFC East. Before you get too excited, let's have a reality check.
The Bills needed this win to gain some confidence back after being dismantled – big win no matter how you slice it. The defense played well and finally got pressure on the quarterback, but let's not forget that the Cardinals lead the league in sacks allowed – Kolb has spent so much time on his back looking up at the ceiling his last name might as well be Kardashian. The Bills posted 5 sacks on the day, 2 short of where they would have been had the officials ever heard of the in the grasp rule (seriously – how do you let a guy throw from a full sitting position and call it incomplete?).
For all the pressure on the quarterback, the Bills once again showed their game plan was completely inflexible. When Kolb learned he could beat the Bills with his feet he gashed the bills for huge runs time and time again – Buffalo made no adjustments to shut it down. Imagine if that was a quarterback with even better wheels – imagine if they had exploited this earlier in the game.
Buffalo's passing game is still in deep trouble. Fitzpatrick is not the answer, but sadly is the answer as the Bills have no better options right now. It's scary to think how bad you have to be not to even get a shot at taking over for Fitzpatrick given how inconsistent and ineffectual he has been. Scarier still that the Bills saw enough to give up a draft pick for a guy they don't even dress for the games.
Most troubling perhaps is the state of coaching on the Bills. Chan Gailey really made some bad decisions with his play calls – playing too conservatively at times and playing recklessly when caution was best advised. Somehow the gods were smiling on the Bills on Sunday and they came away with the win, but they probably shouldn't have. Defensively Gailey has abdicated all responsibility for his team to Dave Wannstedt. Here's a guy screaming that he wants to be a coordinator, not a head coach – how can you be that absent on one side of the ball and still think you're a head coach?
Enjoy the win, Bills fans, but please temper it with some reality. There are better teams out there, with better offensive lines, better running backs and more mobile quarterbacks. There are teams who will load the box even more and dare a noodle-armed quarterback to beat them. There are more wildcat formations, and more Brad Smith passes at inopportune times out there – it's going to be a long season.


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Derek124 necesitaba un nuevo diseño de página web y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 155 diseños de 29 diseñadores freelance.
Rate A Reel
Think hotornot.com for digital artists in film, tv, and video games. Members will upload their demo reels and be rated by their peers. Studios and recruiters can then search for talent based on artist rating. Its a combination of a job site and matchmaking site.
Digital artists in high end computer graphics, animation, and visual effects for film, tv, and video games. And the studios/recruiters that hire them.
prefer to stay within the standard 960 width (background image may extend these limits) and not have to scroll down to see all the information
this is for digital artists so it needs to be simple but look creative and fun
our logo is attached - feel free to change colors
Use reference provided for proper dimensions of 2nd page and limitations
should not be a flash site, but may use flash elements
our competitors site is http://creativeheads.net/ (but we don't like the design--too busy)
please provide all files created (psd, ai, etc)
Home page with info about the site. possibly form fields to sign in or register. There will be a video embedded on the home page about the site.
A secondary template page to use for member profiles and/or rating reels
palm.com, http://www.cucweb.org, http://toolsforschools.ca, awesomejs.com, http://supermegaultragroovy.com/products/Capo/, http://brightkite.com/account/signup
These are just a few we like... please be creative and fun
Again, the site is about rating artists in animation, visual fx, and video games. We are looking for something that represents that


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Camilla 7 drawer Chest
Product Features
- Dimensions:
W:155cm x D:45cm x H:90cm
Delivery/Click & Collect Available
Available - allow 3 weeks for delivery
This item falls under our Large Item Delivery
Delivery Options Available:
- Large Item Delivery
- Collect In-Store
Delivery Costs
Small Items:
Delivery for smaller items can be tracked and also controlled by the receiver. On the day of dispatch you will receive a text message and email to confirm that delivery will be made the following day. A list of 'in-flight' options will be available on your phone enabling you to instruct how you would like to take delivery i.e. leave with neighbour, leave in shed, pickup from local collection point. On the morning of delivery you will receive a final text message and email with a 1 hour time slot, nice and easy!
Medium Items:
Most items within the medium size delivery category will be delivered via a two man delivery service to room of choice. When appropriate we will sometimes use a one man service - this type of service helps speed up your delivery for not so heavy items that don't require a two man delivery team. We will always inform you of the delivery service we intend to use. Should for any reason you require a two man delivery team then please let us know when we contact you and we will ensure that a two man team is used.
Large Items:
All items within the large delivery category will be delivered via a profeshional two man delivery service, to room of your choice. We will contact you a week before the last day of the estimated deliverytime to arrange a suitable delivery date. We will then confirm the exact delivery date via email for your records.
Store Pickup:
Available 7 days a week from your local store. Simply choose the store you want to collect from at the checkout page. Once all your items are ready we'll notify you by phone.
- You will only pay one delivery charge for multiple items. The item that has the highest delivery charge is the one that you will pay. All delivery charges are listed on the product pages.
- We'll deliver all of your items at the same time when possible. On some occasions we will dispatch products from different locations and this may cause them to be delivered on different days. We would only do this with your permission.
- We use our own vehicles and a selection of trusted couriers to deliver furniture and accessories across the UK.
- Note: Delivery prices above are for mainland UK addresses only. Deliveries to the Scottish Highlands, UK Islands and Europe may incur an additional charge. For these areas please contact us for an accurate delivery quotation.
- Each product page has a delivery calculator. Simply type your postcode in to reveal the delivery cost to your area.
Lead Times & Delivery Details
Every product has it's own lead time which is stated on the products page within the delivery tab.
Next Day Delivery Items
|Order by - Monday 11am Delivered Tuesday
|Order by - Tuesday 11am Delivered Wednesday
|Order by - Wednesday 11am Delivered Thursday
|Order by - Thursday 11am Delivered Friday
|Order by - Friday 11am Delivered Monday
|Order by - Saturday Delivered Tuesday
|Order by - Sunday Delivered Tuesday
Buyers Guides
Bring a touch of country chic into your bedroom with the Camilla range of bedroom and occasional pieces. Reclaimed timbers are enhanced by a gently-distressed elegant two-tone finish, to create a fresh and contemporary look with bags of charm.
The Camilla range will bring subtle shabby chic style to your home. Its gently-distressed and graceful finish in a light shade of paint perfectly complements the reclaimed timbers to achieve an understated rustic look, inspired by French country interiors.
Made from solid hard wearing materials, this elegant 7 drawer chest is structurally sound and is built to last.
Empowers local communities through partnership reforestation initiatives. By increasing the area of community planted and owned forests, livelihood assets are created, the negative effects of deforestation are reduced and renewed.
Visit our showrooms across South Wales and the South West of England. We are open 7 days a week. Find out more.


text:
Asquiths Restore Bath Spout
Crosswater Belgravia Lever Wall Mounted Bath Filler
Reference 11973 Code BL322DC_LV|BL004WC
Crosswater Belgravia Lever Wall Mounted Bath Filler.
The Crosswater Belgravia Lever Wall Mounted Bath Filler features elegant and delicate lever handles which will grace any period styled bathroom.
Product Features:
- Wall mounted
- Minimum 1 bar pressure
- Ceramic lever handles
- Height: 256mm
- Projection: 165mm
- 15 Year Guarantee
- Matching basin tap options available
How Long will my delivery take?
Delivery times will vary depending on a number of factors including type of product ordered and whether it is an item that is carried in stock or a special order. Look out for the delivery times displayed on the product pages that act as a guide to delivery estimates.
Small items
include taps, shower systems, bathroom accessories and towel rails.
Medium items
include toilets, mirrors, basins and any other item not defined as
Large items
include toilets and basins, baths, shower cubicles, and any other item not defined as
£5.95 Delivery on this Item2-5 Days Estimated Delivery Time
Free Deliveryon All Orders over £500


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This is a guest post by Andrew Youderian of eCommerceFuel.com
People LOVE to talk about revenues. The numbers are big, impressive and easy to fixate on. But when was the last time you heard someone bragging about growing their margins or improving business efficiency?
These metrics aren't nearly as sexy, but they're immensely important. As the saying goes, "It doesn't matter how much you make. It matters how much you keep." With that mantra in mind, here are three highly-effective and unintuitive strategies to improve your business's bottom line.
Raise Your Prices
Raising prices is a terrifying prospect. As entrepreneurs, we assume that customers will abandon us, sales will dry up and our business will collapse into the dust-heap of failure. But like most fears, we tend to grossly overexaggerate the consequences and underestimate the benefits. Especially if you're reselling an existing product in your ecommerce store, a small increase in price can do miracles for your bottom line.
Imagine the following scenario for a popular item in your online store:
- Item Retail Cost: $100
- Wholesale Cost: $80
- Profit: $20
- Profit Margin: 25% ($20 profit / $80 cost)
Now image that, after being inspired by an article on the Shopify blog, you re-priced this item at $110:
- Item Retail Cost: $110
- Wholesale Cost: $80
- Profit: $30
- Profit Margin: 37.5% ($30 profit / $80 cost)
Our minor 10% increase in prices resulted in a massive 50% increase in profits and gross margin!
Under the best-case circumstances – assuming you have a strong unique selling proposition and aren't competing on price – your conversion rates won't dive and you'll have achieved an instant 50% increase in your overall profits. Even with a significant 30% drop in conversions, you'd still be making more money than under your old pricing model, but with fewer customer servicing costs to consider.
I successfully used this approach with my own ecommerce store to instantly increase my bottom line by 25%. It was, bar none, the most effective technique I've ever used to increase profitability.
When implementing this strategy, keep the following in mind: Make sure you test different pricing levels. While raising prices is often very effective, you'll need to confirm it for your market/business.
If you have a large catalog, testing pricing on thousands of products can be a tall task. Start out testing pricing on only your best-selling products instead.
This strategy relies on having a unique selling proposition and offering value to your customers. The more price-sensitive your customers, the less effective this will be. If you don't have a unique selling proposition, you need to get one.
Don't Obsess About Per-Order Profits
Many businesses are unwilling to lose money on an order, even if that means ending the relationship with an unhappy or dissatisfied customer. You may have had a similar experience, which often goes something like this:
"I'm sorry, sir. We only made $X on your purchase, so if we (fill in your reasonable request here), we'd lose money on your business. I hope you understand."
This is a penny-wise but pound-foolish approach, and a terrible way to do business in today's highly social and connected world. If you're not consistently losing money on orders to quickly and pro-actively resolve customer problems, you're missing out on the chance to improve your bottom line.
Customers are so accustomed to mediocre service that when a business goes out of its way to proactively resolve a problem – without charging them – they're blown away. Apart from the life-long value of that customer, you'll receive valuable referral marketing and recommendations that are impossible to purchase.
If you're running an ecommerce store, here are four ways you can invest in the future of your business and, ultimately, your long-term bottom line:
- Did something inexpensive break? Ship customers a free replacement immediately without requiring them to hassle with the return.
- If an expensive item needs to be returned, ship them a replacement as soon as they submit tracking confirmation of the return, instead of waiting until it hits your warehouse.
- If a long-time customer needs something ASAP, overnight it to them at no charge.
- If a customer wasn't happy with a purchase, proactively issue a partial refund to help compensate him for the disappointment.
Serving customers like this will cost a bit more in the short term, but will pay incredible dividends as you build a loyal and highly vocal fan base that results in a very healthy bottom line.
Reconsider Offering Phone Support
Would you be willing to reduce your workload by 50% if it meant only giving up 15% of your business? I would, and did, when I stopped advertising my toll-free sales number on one of my sites.
We were able to take the savings – both in terms of time and money – and pour them into better serving our online customers and improving our site. While phone support is a rarity among many online businesses, it seems that a disproportionate number of ecommerce merchants still feel it's necessary.
After the previous section, which championed outstanding customer support, this may seem like a major contradiction. But great customer service doesn't mean being all things to all people. It simply means taking outstanding care of the customers you've chosen to do business with. Based on your product and market – especially if your price point is lower - offering phone sales support may or may not be a wise use of your time.
Try measuring the impact removing your phone number has on conversions. You'll likely be surprised that the vast majority of people simply order online. If you do decide to offer a sales line, try to place it in strategic places such on the "Contact Us" page or in the shopping cart, where only qualified prospects will see it. If you serve both individuals and businesses, you can also experiment with a business-only phone line.
If you decide to scale back your phone support, make sure to:
- Be honest with customers and let them know WHY you don't list a telephone number. Tell them you prefer to invest in a quality website and outstanding customer service for your existing clients.
- Ensure you have a highly detailed, informative website to answer customers' questions.
- Have fantastic email support if customers can't reach you easily via phone. Using a help desk like Desk.com, Helpjuice, Zendesk, or Kayako will ensure that your email correspondence is top-notch, and that requests don't go unanswered.
Also, don't write off the phone entirely. If a customer requests a call back, or if you need to resolve issues that require personal attention, make sure to pick up the phone.
The Biggest Danger Is Inaction
Change is always scary, and you may be reluctant to implement these suggestions for fear of what might happen to your business. But experimenting with these ideas will likely go unnoticed by most of your customers, especially those new to your business. If the changes aren't beneficial, you can always revert back to your old policies and pricing.
Without taking action, you'll never know how much money could be added to your bottom line.
By Andrew Youderian, an ecommerce entrepreneur and the owner of numerous online stores. You can learn how to create a profitable online store with his free 55-page eBook. Also check out his blog, eCommercefuel.com.
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13 comments
October 04 2012, 10:59AM
There are only 2 real ways to grow any business.
- Increase sales.
- Reduce costs.
The 3 points raised here, fall into one or both of these buckets. The clarity gained when a business learns to correctly balance sales and costs, is called profitability.
October 04 2012, 11:05AM
Very true, Dan. But I think some cost reducing measures as more effective than others. For example, being selective about how you offer phone support and gutting your investment in quality employees both can save you money, but the latter option will be much more likely to result in long-term problems.
So it's not just about reducing costs, but identifying ways to do it smartly and efficiently without hurting the long-term prospects of the business.
October 04 2012, 11:28AM
100% agreed, there are effective ways to reduce costs and increase sales ……..and ways that might end up simply choking it out.
Posts like this, that inspire a data driven decision making process – are awesome. Deep down inside of me, I always have to have some sort of quantitative rationale to support any of my eCom decisions. Each of your 3 points are fundamentally supported by data. And that's rad.
When quantitative business decisions in retail are made, they are almost often made measuring $$'s. Earn more, spend less. Repeat. :)
October 04 2012, 04:57PM
These are all valid points. Per the 800# decision, in your case it worked out fantastic. I think many clients though, still get a "warm and fuzzy feeling" seeing a prominent 800# listed. It's that one extra assurance there is someone to contact if needed.
But, in your case, the data supported doing this!
October 04 2012, 05:42PM
Agreed – I strongly recommend testing this, and making sure it matches your market and strategy. I own a site that sells high-end goods with a $1,000 price point, and pulling down our phone number there would be a very poor decision. People need more support / re-assurance when ordering expensive goods online.
But if your price point is lower, it definitely makes sense to experiment with using the phones most efficiently. When done right, it frees up more resources to pour back into creating an amazing website and solving legitimate problems that do crop up for existing customers.
October 04 2012, 05:51PM
Got the email today, fantastic read.
October 04 2012, 06:30PM
Thanks Frantzdy! Glad you enjoyed it.
October 04 2012, 11:16PM
Your profit margin calculation doesn't follow the commonly accepted methodology.
The correct presentation is:
- cost of goods: $80
- selling price: $100
- gross profit: $20
- gross margin : 20 (gross profit/selling price)
With the price increase:
- cost of goods: $80
- selling price: $110
- gross profit: $30
- gross margin : 27 (gross profit/selling price)
The reason it's done this way is that it makes it very easy to estimate your profitability knowing just the top-line sales figure.
For example, if a business has sales of $1M and gross margin of 22%, then the gross profit is 220K.
October 06 2012, 11:44AM
Great post on all points, especially the overall concept of being open to change and running the experiments— whatever they may be.
I agree with Fred, Gross Margin = Gross Profit/Gross Revenue
October 10 2012, 12:55PM
@Fred Great catch – you're right. In my attempt to convey how much leverage a price increase gives you, I mislabeled Profit Margin. Instead, I should have called it the markup margin or something similar. Thanks for pointing out my mistake.
@James – Thanks! Experimentation is one of the easiest ways to create massive change quickly in your business.
June 09 2013, 09:05AM
I understand the macro logic of not focusing on per item profit, however, if you sell a variety of different items, it's good to know what's costing you too much versus the return.
Does anyone know of any accounting or reporting services that let you report on per item sales, expenses and profit? Right now we have excel and have something like:
Number of sales * price per item
= Total revenue
- Cogs
- Tax
- Shipping
- Packaging
- Fees
= Profit
October 01 2015, 02:54AM
great post …really helpful
Thanks for sharing
January 05 2017, 01:12PM
The last year we started a Multilingual PPC campaign and online sales are on the rise. I have watched advertising online improve for over a decade. Consumers from other parts of the world can contact businesses, allowing brands to expand their presence internationally. One of the more simple alternatives I found was PPC through the company Dalai Group (http://dalaigroup.com/services/ppc/). My company webpage is seeing more sales and visit because of the pay per click campaign Dalai Group created for our strongest keywords. Multilingual PPC has been a great way to adapt to an internet economy that constantly changing and communicating in new ways.


text:
Portsmouth have confirmed the signing of goalkeeper Antti Niemi with the 37-year-old coming out of retirement to join the Barclays Premier League club.
Former Finland international Niemi left Fulham in September 2008 and had announced he was calling time on his career, which included spells at Rangers, Hearts and Southampton.
Pompey boss Paul Hart told the club's official website: "Antti has got vast experience and will be a welcome addition to the squad"
Hart, who earlier this week signed French striker Frederic Piquionne on loan from Lyon, believes the experienced stopper, set to provide cover for England number one David James, still has plenty to offer.
He added: "Our goalkeeping coach David Coles worked with him in the past and told me all about his character and his quality.
"He has a massive appetite to succeed and he relishes a challenge.
"It provides David James with some good competition and also allows Asmir Begovic to go out on loan, while Jamie Ashdown needs first-team football as well."
Portsmouth also confirmed midfielder Arnold Mvuemba has left the club after his contract was terminated by mutual consent.
The south-coast club may have sold England duo Peter Crouch and Glen Johnson this summer but chief executive Peter Storrie maintains they are not looking to allow any more departures.
Indeed, Pompey are understood to be keen on a deal for ex-Newcastle forward Mark Viduka.
Copyright (c) PA Sport 2009, All Rights Reserved.


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Gadsden County Sheriff's Office
Arrest Report
March 28, 2011
1. Roderiel Moses ------------Burglary of Occupied Dwelling With Assault, Battery and FTA/Public Affray.
2. Mark Guancial--------------Introduction of Contraband.
3. Garrett D. Langston--------VOP/ Carrying a Concealed Firearm.
4. Jose L. Rojas----------------Aggravated Assault and Domestic Battery.
5. Vontisha Bush --------------Aggravated Assault W/Deadly Weapon (Motor Vehicle).
If you currently subscribe or have subscribed in the past to the Gadsden County Times, then simply find your account number on your mailing label and enter it below.
Click the question mark below to see where your account ID appears on your mailing label.
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text:
freedesktop.org Mission Statement
freedesktop.org was formed in March 2000 to encourage cooperation among open source desktops for the X Window System.
An X desktop is a graphical environment designed to give a technologically advanced, user-friendly face to the X Window System running on UNIX-like operating systems. Most X desktops also provide a development infrastructure for writing applications that integrate well with the desktop.
freedesktop.org has the following concrete goals:
- Collect existing specifications, standards, and documents related to X desktop interoperability and make them available in a central location;
- Promote the development of new specifications and standards to be shared among multiple X desktops;
- Integrate desktop-specific standards into broader standards efforts, such as Linux Standard Base and the ICCCM;
- Work on the implementation of these standards in specific X desktops;
- Serve as a neutral forum for sharing ideas about X desktop technology;
- Implement technologies that further X desktop interoperability and free X desktops in general;
- Promote X desktops and X desktop standards to application authors, both commercial and volunteer;
- Communicate with the developers of free operating system kernels, the X Window System itself, free OS distributions, and so on to address desktop-related problems;
- Provide source code hosting, web hosting, mailing lists, and other resources to free software projects that work toward the above goals.
The concrete goals of freedesktop.org stem from the following general principles:
- Developers should be able to use the development environment of their choice without limiting their potential userbase to users of a particular desktop environment
- Users should have a maximum amount of choice in selecting the applications they wish to run. Users should not be limited to a certain subset of applications; ideally, even the components of the desktop environment (window manager, panel, file manager, etc.) would be interchangeable.
- Code sharing and modularity are a good thing. When possible, a common implementation not dependent on a specific desktop increases stability, increases interoperability, reduces system footprint, and optimizes the use of free software development resources.
- Concept sharing is a good thing. Users do not benefit from the existence of multiple desktops if those desktops do not share their good ideas and work together toward common goals.
- freedesktop.org is first and foremost a work project; we intend to develop specifications, and then write code where needed. Work is the only currency that matters in the free software world.
- freedesktop.org is an organization made up of developers, designed to help developers do development. XDG does not intend to provide user resources.
- freedesktop.org's code will be placed under free licenses that encourage wide use; most commonly, the LGPL for libraries, or an X-style license when appropriate.
Most importantly: the goal of an X desktop is to provide a service to users (including not only the users of the desktop environment, but also the developers who use the development infrastructure). freedesktop.org should be judged by how well it serves the interests of X desktop users.
The goals of freedesktop.org specifically exclude "blessing" or legislating formal standards, because freedesktop.org does not have the formal infrastructure for that. This site is about catching interoperability issues much earlier in the development process, ideally before code has been written, and providing a forum to work on specifications. Some of these specifications may be standardized by other bodies, but only after "de facto" acceptance most likely. You can look at freedesktop.org as a way to oil the wheels of "de facto" shared specifications.


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Featured News - Current News - Archived News - News Categories
The Town of Wheatfield has announced the introduction of two new electronic tools aimed at highlighting existing town businesses, as well as attracting new economic development to the area.
The first tool is the updated Wheatfield Business Directory located on the town's main website http://www.wheatfield.ny.us/economic_development. This list is presented both alphabetically and categorically to help residents locate different services available.
Supervisor Bob Cliffe announced the release Monday stating, "We are still in the process of adding companies to this site. We encourage anyone familiar with a business missing from the list to call or email the Economic Development Committee so it can be added."
The second tool aimed at improving overall economic development is the brand new www.wheatfieldbusiness.com website. Created by the Town's Business Development Focus Group, this site is geared toward companies interested in locating within the town. It provides information about the town's features and demographics as well as incentives that are available to prospective businesses. Also, as part of this new site, local businesses will be highlighted on a regular basis. Residents can look for pictures, interviews and videos of their favorite local companies.
"Assisting businesses brings jobs, helps keep taxes down and becomes a part of making Wheatfield an even better place to live," Cliffe said.
For additional information, contact Business Development Focus Group Chairman Bill Wagner at 716-481-8164.


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Genomics Pioneer: We Are a Software Driven Species
J. Craig Venter, the first scientist to sequence the human genome, describes the chemical and genetic basis of life as software. "Most people view themselves as static entities, not billions of reactions going on from constantly reading that software," he says.
This transcript has been automatically generated and may not be 100% accurate.
... I ... you can buy or sell your whistle ... likely start with four bottles of chemicals ... based on information all ones and zeros in the computer ... and booted up that chromosome and inverter so ... that everything in the snow came from that from the main piece of PMI ... so stop making every molecule must sell some of the clean ... we are software group and species like all biology on the planet ... and ... our key thing that were shown to change the software to change this piece is ... Sophie to replace every cell ... in your body with rapid DNA ... and eliminate the human genome yourselves with start ... expressing all the rapid proteins son ... in these ... complex Nokia would make you a Playboy bunny but they are a okay with that ... don't ... be transformed every cell based on the genetic information ... and that happens all the time with a single soul world in the oceans ... were much more complex with the hundred trillion cells ... but everyone of ourselves a software driven ... every second ... the DNA is being read new proteins are being made ... there turned over ... your skin turns over almost completely every couple weeks ... so most people don't realize they view themselves as steady ... and fees ... not billions of reactions going on constantly reading that software ... you take away the DNA you die ...


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'Duck Dynasty' Ratings Take A Hit Post Anti-Gay Controversy
It looks like Duck Dynasty's taken a hit in the wake of its anti-gay uproar due to series star Phil Robertson's virulently homophobic comments.
Records of Q scores for both Duck Dynasty and Robertson — the industry's ratings system for a celebrity's popularity — show that both have taken a hit since his homophobia scandal.
At this time last year, the show had a positive Q score of 32. Now, it's just 26. That represents a nearly 20% drop. In addition, the negative Q score went up from 19 to 20.
Interestingly, it appears that women may have been more offended by Robertson's remarks, since that segment shows the greatest drop in show popularity: from 38 to 27, or 29%.
As for Robertson himself, the data is even more striking. He dropped 34% from 32 to 23 points. Looking more closely, he went from 27 to 20 or 26% down with men, and from 36 to 25, or 31% down with women.
This obvious decline in popularity has also been reflected in the show's ratings as of late. Once a powerhouse, the series brought in its lowest ratings since 2012 in late February — a 40% drop from its ratings that same week one year ago.
Hmm...while it certainly appears that homophobia doesn't pay with regards to viewers, we still question whether this will have an impact on the show staying on the air. It continues to bring in dollars for A&E, so we're betting Duck Dynasty will remain secure.
Still, we're pleased to see that many viewers have chosen to support other programming.
What do you think, Instincters?
It didn't cross my mind to block the channel but I think I will do that. I just make it a point to not watch anything on A&E but blocking the channel is more permanent. I like that, not allowing anyone in my household to watch anything A&E. I'm glad to read that their ratings have dropped. I believe that once the LGBT community sets it's mind to doing something we usually get it. We are stronger together, our voices & our $'s.
AMA says its biology
APA says its biology
WHO says its biology
American Pediatric Assoc says its biology
American Psychologist Assoc says its biology
Sociologist of America say its biology
You are an uneducated religiously deluded strung out Jesus Junkie which makes you irrelevant does it not
Are you some kind of special? Did you crack your skull this morning when you fell out of bed? What the hell are you even doing on a gay website if you believe that homosexuality is wrong and disgusting? Do you even understand that homosexuality has been around since the dawn of creation, not only in the human race, but in nearly all creatures that roam this vast earth that we live on. How ignorant can you be, calling yourself a human being, to degrade someone for being what they were merely created to be? It's small minded people like you that has kept this world in the dark for so long, and make minority groups fight so long and hard for the simple rights that are automatically awarded to others based upon color, religion, and social/economical standing. Do us all a favor and find some education and pull your head out of your stinky brown orifice and look around. I'll be willing to bet there is at least one person in your life, friend or family memeber, that you love dearly that's gay and you don't even know it.


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Online Storage: Pick a Cloud, Any Cloud
Apr 25, 2012 11:49 AM PT
With the launch of Google Drive on Tuesday, the number of cloud storage service options for consumers has become bewildering.
Players include Google with Google Drive, Microsoft's Windows Live SkyDrive, Apple's iCloud, Dropbox, YouSendIt, SpiderOak, SugarSync, Box.net, Amazon Cloud Drive and Ubuntu One.
On a basic level, they all offer similar services. But they make different claims about privacy and security. They also generally offer between 2 GB and 7 GB of free storage in addition to paid services.
How can a consumer figure out which service to pick?
"It really depends on what you want to do," Rob Enderle, principal analyst at the Enderle Group, told TechNewsWorld. "If you start with a set of requirements you'll likely find one service meets them better than another."
A Look at Some Options
Apple's iCloud is pretty much reserved for users of Apple products, and the main players in the market apart from that are Google Drive and Microsoft's Windows Live SkyDrive. Dropbox is yet another option that is fairly widely used.
These services offer varying degrees of cross-platform access.
Google Drive works with any browser and can run on Macs, PCs and Android devices. Google's working on an app that will let Apple iOS devices access the service. Down the road, however, Google Drive will reportedly be integrated more tightly with Google's Chrome browser.
SkyDrive runs on Windows Vista, Windows 7 and Windows 8. Microsoft's releasing a preview client for Mac OS X Lion. This service has mobile apps for Windows Phone and iOS devices, but not for Android.
Dropbox runs on Windows, Mac and Linux platforms. It has mobile apps for the iPhone, iPad, Android and BlackBerry devices.
SpiderOak works with Windows, Mac OS X, and Linux's Ubuntu, Debian, Fedora and OpenSUSE implementations. It also has mobile clients for iOS and Android.
"People want to have more usability of their data once it's in the cloud," Ethan Oberman, CEO of SpiderOak, told TechNewsWorld. "They want data accessible from any mobile device, synced between various points and want to be able to easily share data."
Select Features of Some Cloud Storage Providers
Microsoft's SkyDrive offers an initial 7 GB of storage for free; Google Drive offers 5 GB free.
Dropbox offers consumers 2 GB free but that can be increased to 18 GB through referrals and other means at the rate of 500 MB per referral. There's an article on how to do this at Lifehacker.
An additional 20 GB costs $10 a year at SkyDrive and $30 a year at Google Drive. An extra 50 GB costs $25 a year at SkyDrive, but Google Drive doesn't offer 50 GB. SkyDrive charges $50 a year for an extra 100 GB and SkyDrive $60 a year. Google Drive offers 1 TB for $600 a year. SkyDrive doesn't go that far.
Dropbox's Pro 100 plan offers 50 GB of storage for $100 a year or $10 a month. Its Pro 100 plan offers 100 GB of storage at $200 a year or $20 a month. Storage in both these plans can be increased by an additional 32 GB at the rate of 1 GB per referral.
Apple's iCloud offers 5 GB of free storage. It charges $40 a year for 20 GB and works with both PCs and Macs as well as iOS devices.
What About Security and Privacy?
"Google's terms say ... that anything you upload to Google Drive can be used by Google and you can't stop that by removing it," Pam Dixon, executive director of the World Privacy Forum, told TechNewsWorld.
Both Apple and Google will release user data to meet any applicable law, regulation, legal process or enforceable governmental request. Dropbox explicitly denies ownership of a user's data, and it claims that, with rare exceptions, it will refuse to share content with law enforcement without the owner's permission.
SpiderOak states that users' data is encrypted, so if forced to give data to a government agency, it will only be capable of handing over scrambled information.
Microsoft "is, at least for now, inherently more secure by practice, and Apple has security as a religion but is typically not that good with hosted services like this," Enderle said.
Most cloud storage service providers can reset users' passwords if the users forget them, which means they can "automatically see what's behind that password," SpiderOak's Oberman said. SpiderOak has what it calls a "zero knowledge policy," which involves storing only encrypted data and not retaining the user's password.
"Fundamentally, when you put your data in the cloud, you should assume that it will be compromised," Randy Abrams, an independent security consultant, told TechNewsWorld. Consumers shouldn't put data on the cloud, such as healthcare information, that might be harmful to them if compromised.


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Z/1 Classic Sandals
$47.25 used
Color: Black
- 6 Wide
- 9
Item Conditions
All used gear backed by a 30-day satisfaction guarantee.
- Excellent Condition Practically new; likely never worn outside.
- Lightly Worn Trail-tested a few times; minor wear visible.
- Moderately Worn Used for a season; visible wear.
- Well Worn Broken in; may have a missing part specified in item notes.


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< Features
Feature Name
Better DPI
Enhance usability and increase the mature look of Fedora, Make it more usable by designers
- Name: Marijn de Groot
- email: firstname.lastname@example.com
Current status
- Targeted release: Fedora 11 or later
- Last updated: (28/03/09)
- Percentage of completion: 0%
Detailed Description
Currently the fonts and DPI are set to render quit large, making netbooks and small screens almost unusable if someone doesn't know how to change it, The less changes a user has to make the more they will feel at home, However, for those with bad eye sight could have an install option for large text. Currently, on a 1280x1024 resolution the DPI is set to 54 to make it proportional,
Benefit to Fedora
Readability is everything, however, A sharp and neat look could benefit all of us in Fedora. especially graphic designers.
Isolated change only, It won't effect much or create loads of work but could save users having to edit config files or use gconf-editor (useful for new users and graphic designers)
How To Test
User Experience
Enhanced user experience through a better look, and less changes to be made for the user.
Contingency Plan
If not by default, Add a DPI entry to screen resolution setup under System > Preferences > Hardware > screen resolution Or possibly an added independent configuration window to allow easy DPI setup.
Release Notes
Improved DPI


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CHICAGO – Brash talk for a guy picked last in the first round of his draft in 2011, a relative unknown by two names – Jimmy Butler – in a league where the big dogs need only one. Like, for instance, Carmelo.
So when Butler talked after the Chicago Bulls' shootaround Thursday about the mind games he hoped to play with the great New York Knicks scorer Carmelo Anthony, it seemed like tugging on Superman's cape or spitting into the wind.
Turns out, 'Melo was the one who shouldn't have messed around with Jim.
"Yeah, I think it was all right," said Butler, the Bulls' small forward drawing so many of the dirty defensive assignments these days. "Just challenging him, man. I've got that much respect for the guy."
Butler respected the heck out of Anthony earlier in the day too, about 10 hours before Chicago's overtime, streak-busting victory, but that didn't stop him from sharing some of his game plan after shootaround. Stuff like crowding Anthony, making him uncomfortable physically, the usual pestering and hassling. But Butler talked as well about his ambition to get the Knicks star off his game mentally.
"There are ways you can get into him," Butler said, "try to get into his head a little bit and just try to make everything as difficult as possible."
OK, so how'd that work out for Butler? Anthony – on one of the most torrid scoring and shooting paces in NBA history – wound up taking 34 shots for his 36 points. He came in hitting 61.1 percent of his attempts over the previous five games (and 58.6 percent on 3-pointers), but walked off a loser for the first time since March 17, lugging a 38 percent performance overall, an 0-for-4 collar from the arc and a defunct 13-game winning streak.
"Every time we see Chicago, they try to beat us up. Especially seeing us shorthanded," Anthony said, overlooking the Bulls' many injuries too.
Anthony put up 10 shots in the game's first nine minutes and had 12 by the end of the first quarter. He was getting the full attention not only of Butler but of Luol Deng in their tag-team shifts on him and as the Knicks' early 23-6 lead fizzled down into single digits.
On one play, Anthony picked up a loose ball foul when he put a forearm into Butler's back. Then, after a whistle in traffic in the lane, he came out yapping and picked up a technical from ref Joey Crawford.
Butler had plenty of help against the obvious focal point for any Knicks opponent. One time, as Anthony bulled back against Deng near the rim, Chicago's Richard Hamilton snuck around him on the baseline and stripped the ball. In general, the Bulls made life miserable for him, as they did for New York in sweeping the four-game season series.
"They can have it [the sweep]," said Anthony, who still had a chance to settle things in regulation but his 21-footer at the buzzer bounced off. "They can have the regular season wins. … We're not worried about them right now at this point."
Nate Robinson was the drama king for Chicago, scoring 35 points (18 in the fourth quarter and overtime) and out-3-balling the 3-ball specialists. But Butler did so much of the grittier stuff, from shadowing Anthony to chasing J.R. Smith, from stealing and slamming consecutive New York turnovers in a pivotal third-quarter turnaround to hightailing downcourt defensively after Raymond Felton to thwart a Knicks break-out opportunity in the fourth.
The kid from Tomball, Texas, by way of Marquette, was the No. 30 pick in 2011, sandwiched between Cory Joseph and Bogan Bogdanovic. He mostly sat for Chicago as a rookie but with Ronnie Brewer gone, Butler's rapid development has looked like elapsed-time cinematography.
"Every time he's been called upon, he's played huge," Kirk Hinrich said. You can just see his comfort level is much higher and his confidence is much higher. He's really grown up before our eyes."
But had 14 rebounds against New York, his latest career high, while scoring 22 points. When the Bulls snapped Miami's 27-game streak on March 27, Butler had 17 points, five assists and five boards while guarding Dwyane Wade. He scored 28 points on 10-of-12 shooting and logged 48 minutes against Toronto Tuesday, and Chicago now is 4-0 in his double-double games.
"I loved Jimmy's demeanor," Bulls coach Tom Thibodeau said afterward. "Jimmy will keep coming, he doesn't get discouraged. he has proved each and every day that he has gotten better and better."
On the court. And in selected All-Star's heads.


text:
April was another month of double-digit same-store sales increases at Fazoli's, thanks to new marketing and hospitality programs launched in early April combined with a recently revamped menu, expanded service, and a new unit design.
The new marketing program spotlights recent changes that include the new look, new menu, table service, and real silverware and plates. In conjunction with the campaign, Fazoli's rolled out a new service and hospitality program. Both were launched in company markets.
"Guests are really responding to the improvements that we have made to every aspect of the Fazoli's experience," says Carl Howard, president and CEO.
According to Howard, company-owned restaurants in April experienced 10.4 percent same-store sales growth, making it the best April comp-store sales performance ever. Franchisees reported an April increase of 5.1 percent over 2011–their best April in nearly a decade.
The new marketing and hospitality programs are being phased in to franchised units and markets.
"This was Fazoli's 21st straight month of comp-store sales increases, making for our longest growth streak since 1999," Howard says. "This really sets up Fazoli's for a great spring and summer."
The five times weekly e-newsletter that keeps you up-to-date on the latest industry news and additions to this website.


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Morgenstern: 'Lucy' Is a Fun and Bold Thriller
'Lucy' is a bold, visually adventurous thriller, WSJ film critic Joe Morgenstern says on Lunch Break with Tanya Rivero. Plus, why Emma Stone is a wonder in "Magic in the Moonlight." Photo: Universal Pictures/"Lucy"
This transcript has been automatically generated and may not be 100% accurate.
... I ... he says ... he he he ... it's ... I ... the hoops ... no it be ... I that that was a clip from the lists a is starting ... to happen the latest action thriller by director did this on the scene of the young woman if she develops into an all powerful thing a present ... to a twist inside by faith in joining us from L a they give us his take on this the as well as Woody Allen's magic in the moonlight ... is doubly SJ film critic Joe Morgenstern Jeff thank so much for being with us ... thank you to ... so he'll in July we see and take it ... and did much more than expected to ... them that it has turned out to be do we know that ... really illustrates the power of wonderful actresses who ... were Johannsen the Moo soon ... the Moonstone in Woody Allen's magic in the moonlight ... to put Lucy in some perspective quickly ... the action thrillers big scale studio action thrillers have ... always been the purview of ... of of American films ... of Hollywood ... nobody else has been able to do them like Hollywood ... the closest anybody is comes with this moment and it has done a couple of really craze films ... one from the keep that in the fifth element ... but what he needed to do a really first rate of action thriller is a terrific a leading lady ... and he's got it and Scarlett Johansen she's ... she's question is it ... mean when you think of what she's done as couple in the past year ... the voice of her ... and that's just the vocal performance but it is the essence of ... not just the telephone smartphones operating system but the absence of a ... of the beautiful calm it ... can Lyrical soul ... inspired Jones's film ... and then a really creepy wonderfully effective film called on to the skin in which she plays ... that an alien of some sort with a woman's body fascinating though she really carries that found that she really does and does your clip indicated this is about ... of a woman who has pressed into service is a drug mule drugs explode and on he she becomes a kind of a super person who uses one hundred percent of her ... cerebral ability ... talented Bay the movie uses uh hundred percent of dough into an sms style achieved really ... valid it's a lot of delicious with Chilean on the skin and make it there but I miss all that I found it this weekend the the the the the ... in Woody Allen's latest film that the Cynamon like another film starring an alluring and talented young actor as an astounding about the Clippers and a plaque ... so ... essentially these ... things you never know ... she's a visionary and efficient ... and I think I mentioned ... if you're a fiery is considering new while wailing say ... that it demonstrates the very southern Obama wants to pick me and it is telling you how I see people ... and oh another delightful performance there ... will you know ... and the most room for in addition to its root in ... the G eight ... which is due and not cruel Roman really underappreciated in ... high school comedy ... and lets the movie the Raiders star ... she was breath taking an enemy that she ... had been born in the nineteen thirties she wouldn't bungalow Katharine Hepburn Terre lumbar and she has that ... kind of comic talent ... and let him know Woody Allen has thrown the right vehicle for telling ... cheaply is the root of the period is the nineteen twenties places the south of France ... Hulbert beautiful to watch cheaply is the American psychic medium who ... may or may not be the real thing probably fake ... Colin Firth who is a ... lot of the ... English ... master magician who has come to ... an massacre ... and that ... again what can I say about the ... Moonstone she is very open and she is one of America's finest comedians ... and the idea of these two actresses appearing ... on multiple Experian's and say we ... use of ... that delicious event promoting love ... I think you so much to tell you ... fed me out to see two movies this weekend things that led to that ... effect it


text:
|High Hopes
|I Write Sins Not Tragedies
|This Is Gospel
|Miss Jackson (feat. LOLO)
|Nine In The Afternoon [Radio Mix]
Nov 2018 • 1 song
Sep 2018 • 1 song
Aug 2018 • 1 song
The members of Panic! At the Disco had barely graduated high school when their full-length debut, A Fever You Can't Sweat Out, transformed the suburban Las Vegas teens into national emo-pop stars. The band had materialized several years earlier, when friends Spencer Smith (drums) and Ryan Ross (guitar) began covering blink-182 tunes together. After tiring of playing another group's material, they recruited two additional classmates, guitar/vocalist Brendon Urie and bassist Brent... Read more


text:
HiBURN8 represents a new level of cutting edge innovation and breakthrough technology. Exclusively formulated and manufactured using only the highest quality
ingredients, HiBURN8 provides bio-available proteins in a simple, easy to use, great tasting liquid that can help your body manage weight, improve sleep and so much more.
One of the best kept secrets to anti-aging and weight loss is a protein that represents one-third of all the protein produced in your body. As we age, the collagen production in our bodies decreases causing many people to lose muscle, organs don't function as well, digestion and metabolism slow down, and it becomes more and more difficult to get rid of extra fat. Not only does Collagen help control appetite, it also provides highly usable protein to help rebuild muscle mass and connective tissues allowing the body to use up more fats and sugars to promote weight management. And unlike many weight management products, HiBURN8's Hydrolized Collagen contains no fillers, hormones, acids, or antibiotics!
Stress is one of the biggest enemies to weight management. People who are stressed tend to eat more, have more anxiety, fatigue, and can't get a good night's sleep because their minds are constantly worrying. All of these things make
managing weight even more difficult, yet very few weight management products focus on this challenge.
On top of a formulation packed with weight management ingredients, one of the keys to HiBurn8's unique design is ingredients that help calm your body and manage stress levels.
Including Sensoril, Chamomille, Melatonin, Ginseng, and more, taking HiBurn8 before bed can help calm your body and help manage stress levels, making it easier to sleep. And the better we sleep, the more POWER our body has to stay healthy, rebuild and restore cells, metabolize food, and MANAGE OUR WEIGHT!


text:
General Position Description:
The Front Office Assistant will be responsible for greeting patients, activating patient files and provide support to patients and medical staff.
MedExpress Core Responsibilities:
Adherence to standards of business conduct and compliance.
Principal Duties and Responsibilities:
Working Relationships:
Works well and effectively with all center staff, providers and center manager as well as area and regional leadership.
Working Conditions
Center-Based. Requires working in a clinical setting. The noise level is moderate and there is a potential for exposure to infectious diseases and blood-borne pathogens. Also requires: travel to other Centers, the ability to stand and sit for hours at a time, (with some bending and stooping), ability to use manual dexterity in relation to clinical requirements, and ability to lift 50 lbs.
Key Words:
Healthcare, Medical, Center, Operations, Great Care. Fast, Urgentcare, Expanding, Customer Service, Receptionist, Secretary, Data Entry, Entry Level
This position is currently not accepting applications.
To search for an open position, please go to http://MedExpress.appone.com