text:
DOI: 10.19102/icrm.2011.021202
MARC W. DEYELL, MD, MSc and DAVID J. CALLANS, MD
Hospital of the University of Pennsylvania, Philadelphia, PA
|Download PDF
|Follow @JICRM
ABSTRACT. The ablation of ventricular tachycardia (VT) in non-ischemic cardiomyopathy (NICM) is one of the most challenging procedures in electrophysiology. As survival with NICM continues to improve, electrophysiologists will undoubtedly be faced with increasing numbers of patients with refractory VT. In this article, we outline our current approach to VT ablation in this population at the hospital of the University of Pennsylvania. We approach each procedure first with a thorough pre-procedural evaluation with the goals of optimizing the patient's clinical status and non-invasive characterization of the underlying substrate. During the procedure itself, it is critical to distinguish the substrate in as much detail as possible from the endocardium, as scar in NICM may be patchy and frequently involves the mid-myocardium and/or epicardium. In all cases, we aim to achieve as much as possible from the endocardium, even though an epicardial approach will also be required in a substantial proportion. Entrainment mapping of VTs in NICM can only be accomplished in a minority of cases due to multiple induced morphologies and hemodynamic instability. In these instances, a careful lesion set must be developed with the goal of interrupting critical components of the VT circuit(s).
KEYWORDS. dilated catheter ablation, tachycardia, ventricular cardiomyopathy.
Dr. Callans reports he has a financial relationship with Biosense Webster and Boston Scientific.
Manuscript received September 28, 2011, final version accepted October 17, 2011.
Address correspondence to: Dr. David Callans, Division of Cardiovascular Medicine, Section of Electrophysiology, Hospital of the University of Pennsylvania, 9 Founder's, 3400 Spruce Street Philadelphia, PA 19103. E-mail: firstname.lastname@example.com
The technology and techniques available for ventricular tachycardia (VT) ablation have grown considerably in recent years and, as a consequence, the success rates for catheter ablation of VT have also improved. Much of the focus has centered on ablation of VT in patients with ischemic heart disease, in whom there is a relatively fixed, well-defined, endocardial substrate. Increasingly, however, these lessons are being adapted to ventricular ablation in other cardiomyopathies, particularly in non-ischemic cardiomyopathy (NICM).
Sustained, monomorphic VT is less common in NICM than among patients with ischemic heart disease. Nonetheless, the rate of appropriate implantable cardioverter-defibrillator (ICD) discharges among patients in the DEFINITE trial, who had pre-existing non-sustained VT or frequent premature ventricular complexes, approached 9% per year.1 Nor is VT always a manifestation of end-stage heart failure; many patients with NICM have well-compensated heart failure, with VT being the dominant problem affecting quality of life. Improvements in pharmacologic and non-pharmacologic therapy for NICM continue to extend patient survival for this condition. As a consequence, the NICM population at risk for the development of VT will continue to increase and VT in this setting will increasingly be encountered by electrophysiologists.
Ablation of VT in NICM is challenging. Among published series, the success rates have ranged between 50% and 70%, which is less than that reported for ischemic VT.2,3 There are still enormous gaps in our knowledge of the pathophysiology of VT in NICM, and the technology available for ablation of VT in these patients is far from perfected. Notwithstanding these obstacles, ablation is frequently the only available therapy for patients who have failed antiarrhythmic therapy. The purpose of this review is to outline our current approach to ablation of VT in patients with NICM. We will focus our discussion on left ventricular NICM, including idiopathic and secondary cardiomyopathies, but many of the principles may be equally applied to ablation of right ventricular disease processes and ischemic heart disease.
Our pre-procedural assessment focuses on two essential goals: 1) optimizing clinical status prior to ablation, and 2) non-invasive evaluation of the arrhythmia substrate.
Optimization prior to ablation
Many patients with NICM and VT will have concurrent acute exacerbations of heart failure. The exacerbation of heart failure may be the triggering event for VT in some, whereas in others therapy for VT (by virtue of negative inotropy) or VT itself may have led to decompensation. Whatever the causal link, it is imperative that cardiac function, and particularly volume status, be optimized prior to ablation. We routinely involve the heart failure service in the pre- and post-procedural care of patients with severe NICM presenting for VT ablation. Some patients will require admission to the coronary care unit for tailored hemodynamic therapy prior to ablation. The decision about the optimal timing of ablation is complex and must weigh the risks of ongoing VT and its associated therapies with the need for adequate cardiac optimization.
Patients with NICM frequently have indications for chronic anticoagulation. If epicardial or right ventricular (RV) mapping, with their inherently higher risk of bleeding complications, is anticipated then we reverse their anticoagulation prior to the ablation, with the need for bridging therapy assessed on an individual basis. Where possible, we try to hold any antiarrhythmic drugs (AADs) for five half-lives prior to the procedure to maximize inducibility of VT. This is not a rigid approach and AADs are often continued in the presence of VT storm or if the AAD has rendered the VT more tolerable from a hemodynamic point of view.
Our assessment of the arrhythmia substrate begins with the 12-lead electrocardiogram (ECG). The underlying rhythm can provide useful clues. The presence of advanced atrioventricular block should raise the suspicion for septal involvement of the disease process.3 The presence of a left bundle branch block (LBBB) also implies septal or diffuse left ventricular involvement, with increased QRS durations associated with a greater burden of fibrosis. Transmural fibrosis is not typically seen in NICM; nevertheless, Q waves on the underlying ECG indicate severe fibrosis, regardless of the underlying etiology. The 12-lead ECG of VT, when available, is of critical importance. First, it localizes the exit site, which helps to delineate the likely underlying substrate abnormality. Measures of delayed intrinsicoid deflection can provide evidence of an epicardial exit,4,5 but the accuracy of these findings is impaired in the presence of AADs, especially in the acute setting. We rely more on morphologic characteristics of the tachycardia and specifically on the presence of Q waves or QS complexes to suggest an epicardial exit (Figure 1).6 In the absence of myocardial infarction, Q waves in leads I or AVL suggest a lateral epicardial exit, whereas Q waves in leads II, III or AVF suggest an inferior epicardial exit. The common form of bundle branch re-entry should be suspected for any LBBB morphology VT with a leftward or left superior axis, especially if similar in morphology to any underlying LBBB.
Figure 1: Localization of epicardial exits for ventricular tachycardia (VT) on the surface electrocardiogram. Two induced VTs are presented from a patient with non-ischemic cardiomyopathy and extensive epicardial scar. (a) A superiorly directed VT with a QS complex in lead III (arrow), indicating a likely epicardial exit from the inferior wall. The right bundle morphology, left superior axis and precordial transition suggest the exit is to the left of the interventricular groove, almost at the apex. (b) An inferiorly directed VT with QS complexes in leads I and AVL (arrows) again indicating an epicardial exit. The axis and precordial transition suggest a basal superolateral exit. Both VTs were confirmed to have epicardial exits by entrainment.
We obtained a baseline transthoracic echocardiography in all patients to assess LV size and function as well as to identify potential secondary causes of LV cardiomyopathy such as amyloidosis or non-compaction. An accurate assessment of LV diastolic dimensions is helpful in selecting the appropriate ablation catheter curve. If the presence of LV thrombus cannot be ruled out with standard imaging then echo contrast is used. The presence of concomitant valvular disease that may preclude a retrograde approach to the LV or the insertion of an intra-aortic balloon pump (IABP) is also assessed.
Where possible, we also obtain pre-procedural cardiac magnetic resonance imaging (MRI) to evaluate areas of delayed gadolinium enhancement indicative of extensive fibrosis. Cardiac MRI can not only localize the presence of fibrosis but also further characterize the distribution as involving the endocardium, mid-myocardium and/or epicardium. When extensive mid-myocardial or epicardial delayed enhancement is seen, the likelihood of epicardial ablation to achieve arrhythmia control increases dramatically. Although not routinely available in all centers, we perform cardiac MRI even in patients with pre-existing devices. The relative safety of 1.5-tesla imaging in the presence of ICDs has been previously documented.7
If prior coronary artery evaluation has not been performed previously, we obtain coronary angiography prior to the ablation to rule out significant concomitant stenoses that may influence tolerability of VT induction. In general, functional non-invasive stress imaging is inadequate to rule out coronary stenoses in patients with significant LV dysfunction. If epicardial mapping and ablation are anticipated, then coronary angiography may be deferred until the ablation procedure.
At our center, there is ongoing debate among the electrophysiologists about optimal anesthesia for ablation of VT. We routinely employ conscious sedation with a short-acting opioid as the dominant agent. A nurse anesthetist is present for the duration of the procedure. The advantages of conscious sedation relate primarily to improved hemodynamic stability with relatively slow VT, allowing for entrainment mapping. Although never rigorously proven, enhanced inducibility is also more likely with sedation than with general anesthesia. Nevertheless, conscious sedation has risks including: 1) a greater potential for patient movement either spontaneously or with cardioversion/defibrillation with subsequent potential loss of mapping information, 2) an increased risk of aspiration, and 3) a decreased likelihood that the patient will tolerate extremely long procedures from a comfort perspective. The need for epicardial access does not preclude the use of conscious sedation. Although epicardial access is easier during apnea (with standard positive pressure ventilation) or jet ventilation, it can be performed with reasonable safety during spontaneous respiration.
In general, we attempt conscious sedation as our first option, when feasible. Certainly if the patient has a difficult airway, is prone to obstruction, or is susceptible to aspiration, then conscious sedation is not an option. The nature of the clinical VT(s) may also dictate which anesthetic approach is used. If there are known to be multiple clinical VT morphologies that are poorly tolerated, then general anesthesia is favored. Of course any anesthetic staff for the procedure should ideally have familiarity in providing anesthesia to patients with severe cardiac dysfunction.
Access and equipment
When possible, we use the retrograde approach to the left ventricle. A 9F arterial sheath is placed to accommodate an 8F irrigated ablation catheter while also allowing for reliable arterial pressure tracings. We favor braided sheaths, either short (24 cm) or long (65 cm—for very tortuous or diseased aortoiliac vessels) to facilitate transmission of torque to the catheter tip. Venous sheaths are also inserted to accommodate RV apical and His quadripolar catheters and the intracardiac echocardiography (ICE) catheter. We place an additional 8F venous sheath to allow for RV endocardial mapping or epicardial mapping via the cardiac venous system. Anticoagulation with heparin is initiated to maintain an activated clotting time (ACT) between 250 and 350 s for LV endocardial mapping and ablation.
We use ICE for all procedures to assess anatomy, assist with ablation, and for continuous monitoring of any intracardiac complications during the procedure. The real-time anatomical information provided by ICE can assist greatly in catheter positioning and ensuring good endocardial contact at the time of ablation (Figure 2; showing good contact with or without lesion in NICM). ICE is also essential for accurately mapping the papillary muscles and aortic cusps.
Figure 2: Intracardiac echocardiography (ICE) to guide ablation catheter positioning. ICE of the left ventricle, obtained from the right ventricle, in a patient with non-ischemic cardiomyopathy affecting the lateral wall is shown. The left ventricular apex is oriented to the bottom left. The ablation catheter (arrows) is positioned with good contact at the basal lateral wall and the ablation lesion formation is seen as increased echogenicity of the myocardium around the catheter tip (asterisks). RV: right ventricle; LV: left ventricle; MV, mitral valve.
Hemodynamic assessment and support
We routinely perform a right heart catheterization at the beginning of any VT ablation procedure if the patient has any component of current or recent decompensated heart failure. Such baseline measurements provide a benchmark to assess how the procedure is being tolerated from a hemodynamic perspective at later time points. In high-risk patients, we leave the PA catheter in place for the duration of the procedure. VT ablation entails the exposure of the patient to many insults that may impair cardiac contractility, including anesthetic agents, volume loading with irrigated ablation, and recurrent cardioversion/defibrillation. We pay close attention to negative trends in pulmonary pressures, wedge pressure and cardiac output. If a negative trend cannot be quickly corrected, then the procedure is aborted.
The use of IABPs plays an important role in VT ablation in ischemic heart disease but may also provide enhanced afterload reduction in NICM. The presence of an IABP does not facilitate mapping of poorly tolerated VTs but may allow for more rapid recovery of cardiac function after termination of VT. We place IABPs up front in patients with NICM who are at high risk of decompensation with repetitive inductions of VT. It should be emphasized that a retrograde approach to the LV can still be used in the presence of an IABP.
The advent of percutaneous, mechanical assist devices can allow for mapping of hemodynamically unstable VT.8 Our center has performed procedures with active mechanical support with success, although a transseptal approach to the LV must be used. However, given their resource-intense nature, we reserve these devices for patients who have failed conventional ablation and who have multiple, poorly tolerated VT morphologies.
Characterization of the substrate from the LV endocardium
Even when epicardial mapping and ablation are anticipated, it is our practice to gain as much information and accomplish as much mapping and ablation from the endocardium as possible. Endocardial mapping and ablation are safer for the patient and pose fewer logistical concerns than epicardial mapping and ablation.
We typically begin by performing LV voltage mapping. A detailed electroanatomic map is of critical importance in NICM, where voltage abnormalities may be patchy rather than confluent. Particular care must be taken to identify the valvular structures, by electrogram (EGM) or by ICE, as fibrosis in NICM typically extends from the atrioventricular groove or aortic annulus.9 For bipolar endocardial mapping of either the left ventricle or right ventricle, we use the standard voltage cutoff of <1.5 mV to indicate abnormality. It should be realized, however, that this cutoff has not been validated in patients with NICM and may be insensitive at identifying patchy or mid-myocardial scar. Therefore, we pay close attention to the presence of fractionation or late potentials, even when the bipolar endocardial voltage is normal. Sites of abnormality are tagged for later reference. Unipolar voltage maps provide critical additional information in NICM, owing to the ability to detect an epicardial scar (and likely mid-myocardial scar by extension) from the endocardium (Figure 3). As previously validated by our institution, a unipolar cutoff of <8.3 mV for the LV endocardium is used to identify abnormal signals.10 When bipolar and unipolar maps are compared in NICM, the unipolar abnormality is typically much larger.
Figure 3: Endocardial bipolar and unipolar voltage maps in NICM with septal involvement. The bipolar and unipolar endocardial voltage maps for the LV septum and RV septum in a patient with NICM are displayed. Note the bipolar scar is patchy but the unipolar map suggests more extensive fibrosis of the mid-myocardium. The bipolar voltage cutoff for scar in the RV and LV was 1.50 mV. The unipolar voltage cutoff for scar was 5.5 mV in the RV and 8.3 mV in the LV. Abbreviations: LV, left ventricle; RV, right ventricle; AV, aortic valve; MV, mitral valve; PV pulmonary valve.
Previous work by our institution has identified two predominant patterns of scar in NICM, which may overlap.3,9 The first pattern is involvement of the basal lateral wall, and the second is involvement of the interventricular septum. Fibrosis typically extends from the atrioventricular (AV) groove/perivalvular area. Exceptions do exist and may represent more focal disease processes, such as focal myocarditis or sarcoidosis. Even if bipolar voltages are normal, a unipolar abnormality on the basal lateral wall alerts us to the very likely need for epicardial mapping and ablation. Similarly the presence of septal scar means we will likely need to map the RV septum, and possibly the epicardium. Before proceeding to epicardial puncture, we attempt to first map the coronary venous system. If difficulty is encountered, we use coronary sinus venography to facilitate advancing the ablation catheter to areas of interest.
Induction, mapping, and ablation of VT
Most VT in NICM is re-entrant with the majority being scar related.11 Nonetheless, it is important to remember that a significant proportion of patients may have either bundle branch re-entry (BBR) VT or a focal tachycardia. Any atypical features of VT, such as acceleration, non-reproducible induction with programmed stimuli or frequent initiation and termination prompt us to formally evaluate the arrhythmia mechanism.
The presence of a His catheter provides valuable information on retrograde His activation and the sequence of right bundle branch activation during suspected BBR. We routinely entrain from the RV apical catheter to ensure that a diagnosis of BBR is not missed.
While entrainment mapping remains our preferred choice of mapping strategy in NICM, it can be difficult to accomplish for a variety of reasons. First, patients with NICM often have multiple inducible VT morphologies and, in our experience, frequently switch morphologies with attempts at entrainment.2,3 Furthermore, the substrate is less likely to consist of a large dense scar, meaning slow and tolerated VTs are the exception, with most inducible VTs being poorly tolerated.3 When entrainment is possible, it is important to establish whether any part of the endocardium is involved in the circuit. Unlike, ischemic cardiomyopathy, outer loop sites provide valuable information. For VTs originating from the basal lateral wall, we perform entrainment at sites around the mitral annulus, even in areas of normal voltage. If sites around the mitral annulus are outer loop for one or more VTs, even when no protected sites are identified on the endocardium, then we focus ablation in areas of abnormal substrate on the lateral wall and link this to the mitral annulus. Similarly, demonstration that the superior or inferior septum is an outer loop for one or more VTs suggest the protected components may lie within the septum, even if they cannot be demonstrated from the endocardium. We then focus our ablation efforts on the septum from the left ventricle and the right ventricle. It is important to remember that, even when one component of the circuit is demonstrated on the endocardium, the area of slow conduction may be transmural with other protected sites in the mid-myocardium or epicardium.
When entrainment is not possible, we rely on pace mapping to guide substrate ablation. At any site of abnormal signal during mapping, endocardial or epicardial, we pace (preferably at the same cycle length of the clinical tachycardia) to aid localization of the exit site for any known VT. As in ischemic cardiomyopathy, we also try to identify areas with long stimulus-to-QRS intervals that may represent critical parts of a macro-reentrant circuit. As the scar in NICM most commonly originates from the base, we attempt to produce lesion sets incorporating exit sites but that are also confluent with the mitral or aortic annuli.
We exclusively use bidirectional, irrigated ablation catheters with power of 30–50 Watts and temperature limits of 45°C. On the LV endocardium, we target impedance drops of 12–18 Ohms, and, in areas of mid-myocardial scar, continue ablation for 120–240 s to achieve maximum lesion depth.
Epicardial mapping and ablation
Our general philosophy is to obtain as much information and perform as much ablation as possible from the endocardium. Nonetheless, it is not infrequent that patients with NICM will have minimal endocardial substrate abnormalities and no critical sites for VT identified on the endocardium.
However, the decision to proceed with epicardial mapping and ablation has many logistical concerns. If extensive LV endocardial ablation has been performed, is it safe to reverse and interrupt anticoagulation or will the patient be exposed to an increased risk of embolic complications? If the procedure has already been lengthy, how much longer will the patient tolerate mapping and ablation? Although ideally we like to proceed with epicardial mapping and ablation during the same procedure, occasionally it is more prudent to delay accessing the epicardium as a separate procedure later that admission.
We obtain epicardial access using the Sosa method, which has been previously well described.12 We place a quadripolar catheter at the true RV apex, as visualized by ICE, as a radiographic marker for the endocardium. To avoid injury to the right ventricle, we aim for puncture lateral to the RV catheter in the left anterior oblique (LAO) projection. Typically, we use a posterior approach to avoid coming near the acute angle of the RV. An extra-stiff J guidewire is advanced into the epicardium and we look to see that the wire spans the cardiac silhouette in the right anterior oblique and LAO views to ensure that it has not been inadvertently placed in the endovascular space. After confirmation, a 23 cm 8F sheath is advanced into the epicardial space. We employ a 40 cm steerable, short-curved sheath if catheter manipulation is difficult.
When mapping the epicardium, voltages of <1.0 mV are considered abnormal. However, to differentiate fat from truly abnormal substrate, areas with fractionated/ split EGMs or true late potentials, are tagged specifically within the mapping system.13 We focus specifically on defining the AV groove and the superior extension of ventricular myocardium extending towards the outflow tract. As with the endocardium, ideally entrainment is performed. Again, it is important to establish whether the mitral annulus is part of one or more VTs exiting on the basal lateral wall. However, only the minority of patients with dominantly septal involvement will have demonstrable targets for ablation on the epicardium.3 While pace mapping, we also try to define the course of the left phrenic nerve across the anterolateral, lateral and inferolateral walls of the LV.
The general strategy for substrate ablation is the same for the epicardium as for the endocardium; however, the course of the coronary arteries and the phrenic nerve must be taken into consideration (Figure 4). We develop an ideal ablation strategy, then perform coronary angiography to localize the major epicardial vessels. During angiography, the ablation catheter is left at a site of particular interest for ablation. To accurately define the course of the coronaries with respect to the substrate for ablation, typically we perform multiple injections with the ablation catheter placed at various critical positions. As yet, we have no reliable way to incorporate angiographic imaging within an electroanatomic mapping system. We always aim to perform ablation at least 1 cm away from any major epicardial vessel. Prior to ablation, high output pacing is performed to ensure no phrenic capture is observed. In patients with lateral epicardial fibrosis, the phrenic nerve may run through the area to be targeted for ablation. Two strategies can be employed to minimize the chance for phrenic injury: either air and/or saline can be injected directly into the epicardial space or a large valvuloplasty balloon can be placed via a second pericardial sheath. Both approaches aim to increase the distance between the visceral and parietal pericardium.
Figure 4: Epicardial substrate ablation targeting the basal lateral wall. This patient had multiple inducible ventricular tachycardias (VTs) and extensive basal lateral scar on the epicardium. Limited entrainment of two VTs suggested they both coursed around the mitral annulus. An isthmus site was identified for one VT (white marker) and terminated with ablation at that site. Further substrate ablation was performed around the extent of the scar, anchoring to the atrioventricular groove. The lesion set had to take into consideration the course of the left circumflex coronary artery (arrows).
Procedure endpoints
Our dominant endpoint for ablation is non-inducibility of VT. Complete non-inducibility of monomorphic VT, with triple extrastimuli with RV and LV endocardial stimulation, is often difficult to achieve in NICM. At a minimum, we try to ensure the clinical VT is no longer inducible.
However, non-inducibility is an imperfect measure of the success of ablation and more reproducible endpoints are sorely needed. During the procedure, we try to also demonstrate additional endpoints, where possible, to show we have adequately affected the substrate with ablation. First, we ensure non-capture of the local myocardium with high output pacing (20–50 amps at 1.0 ms) immediately after ablation. When performing substrate ablation, we often try to create areas of inexcitability within the scar using surrounding lesion sets, as shown by the inability to exit the scar with high output pacing after ablation. Elimination of late potentials within areas of dense scar is another endpoint for substrate ablation, although this can be more difficult to achieve than in ischemic scar, as late potentials may originate from the mid-myocardium.
Endocardial procedures
All sheaths are removed when the ACT approaches 180–200 s. Anticoagulation is resumed 6 h after sheath removal, as long as no bleeding complications have occurred. Anticoagulation is continued for 24–48 h. For patients without indications for long-term anticoagulation, aspirin is administered for 6 weeks post ablation.
Epicardial procedures
For epicardial procedures, a pig-tail catheter is typically left in the epicardial space; however, if the aspirates are clear it may be removed to avoid the discomfort of an indwelling catheter overnight. Corticosteroid is administered after all irrigation fluid has been aspirated, to minimize pericardial adhesions. After 15 min, the pig-tail catheter is attached to a negative pressure drain. All patients are monitored overnight in the coronary care unit and anticoagulation is held. Transthoracic echocardiography is obtained the next morning and the pig-tail, if left in place, is removed if no significant effusion is seen. Echocardiography is repeated 3–4 h after removal, and if no further fluid has accumulated anticoagulation is initiated if extensive endocardial ablation had been performed or if there are other indications present.
Post-procedure stimulation
If patients have not had a recurrence of VT at 48–72 h and they are clinically stable, then we perform non-invasive programmed stimulation under conscious sedation using their ICD.14 If the clinical VT remains inducible or if other VTs are readily inducible with single or double extrastimuli, then repeat ablation is considered. Given the lower success rates for VT ablation in NICM, this post-procedure testing is critical in identifying patients who would benefit from repeat procedures. The decision to continue antiarrhythmics other than beta-blockade is individualized based on the number of inducible VT morphologies during the procedure, nature of the substrate, and residual inducibility at non-invasive testing.
It is important to reiterate that ablation of VT in NICM is very challenging, and outcomes are not as promising as those in ischemic VT. Nonetheless, with perseverance, and frequently with multiple procedures, we have achieved reasonable success with ablation in this population. While the elimination of all inducible VT may be unrealistic in many patients, frequently elimination of the dominant clinical VTs can be achieved in order to prevent further ICD therapy.


text:
Smilling Green Froggie Collection Kids Step Up Stool by Mommy's Helper allows your toddler to be a "big kid" and opens up their world to new and exciting experiences. This step stool will be so useful. It perfect to help kids in their brush teeth activity or helping mom around the house. It will boost your kids safe and securely. The non-slip surface on the top of the stool helps keep your little one safe from little slips as do the non-slip feet on the bottom of the stool. With its adorable froggie design, this step stool can also add the unique decoration to your room. Flip-up easy release tabs for simple installation and removal, this step stool also cleans easily.
Smilling Green Froggie Collection Kids Step Up Stool by Mommy's Helper, BUY HERE!
Join the discussion on this Smilling Green Froggie Collection Kids Step Up Stool by Mommy's Helper using your facebοοk account below.
Recent Posts
Monthly Archives
All contents published under GNU General Public License.
All Rights of images and videos found in this site reserved by its respective owners.
© 2013-2020 Furnikidz.com | Best Children Furniture Design.
Privacy Policy | DMCA | Terms & Conditions | Sitemap | Contact Us | About | Topics

subset: commoncrawl


text:
ATASCOCITA, TX (Gray News) – Petco really means it when it says "all leashed pets are welcome" at its stores.
Oliver Browning and Shelly Lumpkin put the policy to the test this week when they brought Oliver, an African Watusi steer, into a Petco about 20 miles northeast of downtown Houston.
"The awesome crew at Petco - Atascocita did not disappoint!! They welcomed Oliver the African Watusi with open arms," Browning said on Facebook. "The staff members here are always super friendly and courteous to us. We really enjoy coming to this location ... our favorite Petco BY FAR!!"
Oliver has his own Facebook page, which describes him as "fully-trained" and "available for events."
Oliver's exact weight is a mystery, but The Livestock Conservancy says adult Ankole‑Watusi males can tip the scales at between 1,000 and 1,600 pounds.
More importantly, the group says these African cattle are docile. Always important when your pet steer is the size of a compact car.
And Oliver isn't the only unique critter to pay a visit to Petco. The world's largest rodent also stopped by.
"We had a Capybara come visit us one day!" Nikki Collins said on Facebook. "I love my job at Petco!"
Copyright 2019 Gray Television Group, Inc. All rights reserved.


text:
-by Tom Munday
Northbridge Piazza's Sunday Sounds is the latest City of Perth Campaign drawing people to the pub-and-club hotspot, supports some of Western Australia's most entertaining musicians. This Autumn Season, the free, live events have taken a battering from our monstrous weather conditions. June 28th's concert, rounding out this season's spattering of insatiable performances, capped it off with two likeable acts and a solid turnout.
At first, the event seemed destined to the written off as an uninspiring, awkward experience. Though one of Northbridge's most pleasant places, the lawn and umbrella area, first lured in only a handful of family groups and couples. Scarborough musician Riley Pearce, one of our live music scene's most promising and engaging live performers, stepped onstage. Dodging reams of wires and instruments, the twenty-something tentatively pulled himself towards the microphone to a mild applause.
Pearce's set delivered a fair share of new and old tracks, giving fans and newcomers plenty to chat about during and after the event. From his opening number onwards, small groups began whispering enthusiastically between one another. "Who is he, again? He's really good!" has a chance of becoming his new tagline. His first two renditions showcased only one slither of his immeasurable guile and talent. His second song, 'The Long Road,' became a crowd favourite. In addition, his raw, earthy performance of 'Brave' elicited a strong, rowdy response from picnickers and passers by.
The technical difficulties between performer, equipment, and photographer, continued, with Pearce's soft voice passing listlessly through the wind as he discussed his set list. His mumble-core persona set a specific, undeniable tone for the remaining handful of renditions. Using the sit-down guitar, his performance of Circles suited the laid-back nature of the event. He, currently working on his second album, put his name out there with aplomb. Roskie, sporting a nuanced tone compared to other tracks, is a lively indie-folk romp. Rounding his set out 'Seasick,' 'Outside the Lines,' and Phoenix cover 'Lisztomania,' Pearce became a hard act to follow.
Between Pearce and The Julius Lutero Band, Northbridge-goers began to circle around the warm, welcoming venue. Lured towards the aptly named Super Screen and surrounding restaurants, people were eager to witness some of WA's brightest musicians elevating the already sparking atmosphere. The Julius Lutero Band approached the stage area with a mild swagger. The band immediately displayed its enthusiasm and affection for Perth audiences. Adapting quickly to the stage format, Lutero and co. dived into an array of effervescent renditions.
Like with Pearce, the crowd was hurriedly drawn into the ensemble's soothing pop-rock style. Children ran around as couples snuggled and beanbags were thrown across the bright, green grass. Their second track, 'Hazy Day', unleashed the group's penchant for silky electric guitar riffs and scintillating rhythms. Lotero, being the lead singer and guitarist, displayed his impeccable range and talents throughout the first few tracks. The following rendition, 'Rise and Shine,' brought the group's varying tastes and style together. The crowd, fitting in with the Sunday-arvo vibe warmed to the track's 70s-style pop-rock sound.
The performance gave bassist Billy Muchtar and drummer Elliot Jebb time to shimmer in the sunlight. Muchtar's bass gave each track a heart-thumping rumble. While Jebb's thumping, pulsating stylings heightened each track's intensity. As the temperature rose above the mid-twenties, Lutero's charisma and energy elevated the crowd's enthusiasm levels. The band delivered a refreshing blend of original tracks and well-known covers, performing Jimi Hendrix's Little Wing and Louis Armstrong's What A Wonderful World. The cheerful crowd certainly got on board, agreeing with Lutero's "Winter Wonderland" declaration.
Like the preceding performance, technical difficulties and communication quarrels made for several awkward interludes. The band, turning the event into jam session to cover up any hiccups, knew exactly how to keep momentum going. Lutero's sharp, unique vocals and spirited guitar solos got heads bopping and toes tapping. Tracks including 'The Space We Are' showcased the band's fusion of pop-funk and roots rock. Concluding with happy-go-lucky number 'Doin' Fine,' Lutero and co. gave Sunday Sounds the warm send off it needed and deserved. Kids and couples danced emphatically to the tracks' ascending tempo and charming melody. This coming September-November season can't come quick enough.
Photo Credit: Tom Munday


text:
The Generation UK – China programme was launched by the British Council in 2013, aiming to help 80,000 students from the UK to boost their employability, enhance their long-term job prospects and develop a global mindset through study and work experiences in China.
The programme offers students and graduates the chance to complete a 2-month internship in one of three cities in China; Chengdu, Qingdao and Zhuhai.
By encouraging UK students to engage with China, Generation UK aims to bring young people from both countries closer together, increase mutual understanding, and pave the way to lasting links and partnerships between the UK and China.
Since 2013, InternChina has sent hundreds of students and graduates to China on the Generation UK funded programme, and below are some of our alumni from the 2018 cohort.
Katie Trippett of Lancaster University worked in an International Trading Company in Zhuhai in summer 2018. She learnt a lot about the cultural differences in China, both in day-to-day life, as well as in the work place. Find out more about her experience here.
Sarah Gumush of Birmingham City University completed a Digital Marketing internship in Chengdu in the summer of 2018. Sarah has given us an insight in to her thoughts about the Generation UK programme before, during and after. Check out her experience here.
NIAMH McNULTY
Niamh McNulty of Aberystwyth University spent two months in Qingdao in summer 2018 as a Logistics intern. She wrote about her experience of living in Qingdao as a foreigner, as well as her experience in her internship and the differing cultural norms in China.
Rebekah Kane of Queen's University, Belfast, completed a 2-month IT internship in Zhuhai in Autumn 2018. Rebekah told us about her experience in Zhuhai, and her advice to other people thinking about doing the Generation UK programme.
Dashen Allen of Birmingham City University spent 2-months in Chengdu in 2018. He had a unique experience in China after things didn't work out at his first internship, but he was determined to make a success of his time there. Find out here about how the Chengdu team supported him.
Teri Rooney of the University of Strathclyde spent 2-months in Zhuhai over summer 2018. She completed her internship in a Marketing and Tourism company. She told us about how the internship in China allowed her expand her horizons and follow her dreams.


text:
Stock # :
Engine :
Click To View
Trans :
COLORz :
Location :
Comments/Options :
1996 Ford E-350 Econoline Dual Rear Wheel Shuttle Bus/Daycare/Church Miniature School Bus. This van has seating for 14 people plus the driver so basically a 15 passenger. World Trans is the company that built this van, it has a very unique storage area in the back for luggage as well as passenger caring area. 38,000 low miles showing and we have been over this van freshly servicing and inspecting it. Want to try to make sure it was usage ready. This is not the prettiest van in the world as it does have nicks and scratches from the many years of use but I think most of its usage has been occasional and mainly just sitting. Call for questions or details financing. For financing assistance with multiple credit unions and lenders in state and out of state apply at www.davis4x4.com. (Please realize some vehicles may not qualify with all banks and all out of state situations; feel free to call ahead to verify). We also accept USAA and Navy Federal checks as well. We will be more than happy to work with your bank or credit union of choice. We can provide bill of sale, copy of title, etc. whatever they may request. Financing rates as low as 2.99% with qualified credit. We also accept cash deals. We assist with and transport to all 50 states even outside the country and will be happy to help with this process. Also view our website www.aboveaveragetrucks.com for full listings of our 150 plus stock and lifted, accessorized trucks and SUVs gas and diesel, commercial work trucks, vans, tow trucks / rollbacks, and custom hauling vehicles of all shapes and sizes. This vehicle is at our 800 East Hundred Rd. Chester Va. 23836 location.
Our Price:$9,995
Processing Fee $98
Tax, tag and title fees are not included in advertised price.
All pricing and details are believed to be accurate, but we do not warrant or guarantee such accuracy. Vehicle information is based off standard equipment and may vary from vehicle to vehicle. Call or email for complete vehicle specific information.
Our vehicle VIN decoder automatically generates the factory options that you see listed on our website and window stickers. It is up to the customer to inspect and verify these options are on the vehicle before purchase as we can't guarantee all of these features.


text:
GREENVILLE, SC. -- Michelin North America has won a Product Line Strategy award from Frost and Sullivan for its X One line of tires.
GREENVILLE, SC. — Michelin North America has won a Product Line Strategy award from Frost and Sullivan for its X One line of tires.
Each year, Frost and Sullivan presents the award to the company that demonstrates the most insight into the needs and product demands of its customers. The recipient company optimizes its product line by leveraging products with the various price, performance and feature points required by one or more market segments, according to officials.
"Michelin, through its longstanding commitment to wide-base tires, has been instrumental in developing a comprehensive product line-up that addresses the demands of diverse truck operations and has consequently driven the adoption of wide-base tires," says Kumar Saha, industry analyst with Frost and Sullivan's automotive and transportation team. "The company has emerged as the leader in this category by working with customers to consistently improve its products and by optimizing its portfolio to cover not only the different requirements of drive and trailer axles but also the unique needs of long-haul, regional, vocational, and ultra weight-sensitive applications."
Based on Frost and Sullivan's independent analysis of the North American wide-base truck tires market, it found that the Michelin X One line of wide-base tires combines advanced rubber technology with practical and cost-efficient consideration, transitioning wide base single technology from a niche option to the mainstream in the commercial trucking industry, according to officials.
The report goes on to say Michelin's continued commitment to wide-base tires has led it to strategically improve the distribution support of these products across North America, enabling fleet customers to experience the benefits of wide-base tires over traditional dual tires.
"When Michelin launched the X One wide-base tire in 2000, our goal was to provide a product that would bring value to trucking fleets and owner/operators," said Jaye Young, country marketing manager, Michelin Americas Truck Tires. "Over the years, Michelin has continued to innovate and now offers a breadth of wide single products that are the most fuel efficient, longest lasting, most retreadable wide base tires in the industry."
Frost and Sullivan Best Practices awards recognize companies in a variety of regional and global markets for demonstrating outstanding achievement and superior performance in such areas as leadership, technological innovation, customer service and strategic product development. Industry analysts compare market participants and measure performance through in-depth interviews, analysis and extensive secondary research to identify best practices in the industry.
Congratulations to the Michelin team! BEST TIRE AVAILABLE


text:
Published on MSN Travel.
As pretty as Luxor is, there is one main reason why people visit the area and that is to see Tutankhuman's tomb. In fact, so many tourists have walked through the tomb that the mummy itself has been showing signs of deterioration. Because of this, the decision has been made that the mummy will be taken off public display in 2014 and replaced by a replica.
Egypt might not seem like the most obvious tourist destination at the moment because of on and off unrest, but it's mainly the area that borders Israel and Saudi Arabia that is off limits. After checking the Foreign and Commonwealth Office website to make sure it was safe, we decided that we really wanted to see the real thing before it's too late.
We drove away from the picturesque centre of Luxor, over the Nile with its traditional sailing boats and steam cruisers and past the lush sugar cane fields into the arid desert mountains of the Valley of the Kings.
Our anticipation grew and conversation stopped whilst we looked out at the jagged mountains, each with a solitary guard keeping watch.
The tarmacked road twists and turns through the red limestone hills until you reach the centre of the necropolis where 63 pharaohs are buried in individual and magnificent tombs. Walking around you realise the scale of the valley, which has enough sites to keep you coming back for a week.
The most famous tomb of all – that of Tutankhamun – is located on the edge of a large clearing, flanked by the otherworldly, opulent tombs of the kings Ramses VI and Merneptah. His tomb entrance is hidden in the side of the rock and located lower down than his neighbours, which enter high into the hills. Its unconventional location probably helped the tomb to stay hidden for so long, my guide, Yasser Mohammed Ali, tells me.
The lack of tourists meant we didn't have to wait long in the midday heat to begin our entrance into the tomb. We moved underground and hovered in a modern clearing just in front of the entrance for a few moments to adjust to the low light and cool air of the chambers waiting below. We then slowly made our descent down the ancient corridor into the main chamber. Unlike most other tombs in the Valley of the Kings, which are adorned with colourful artworks throughout, the entrance corridor leading into Tutankhamun's tomb has unfinished, plain walls. This is because the king died unexpectedly at the age of 18 so his tomb, as well as being less grand and less complete than those of other pharaohs in the valley, might have even originally been meant for someone else.
Looking down into the chamber I started to feel a mixture of excitement and claustrophobia. The air became thicker the further we descended and the wooden planks that cover the original limestone steps are worn and slippery and I had to kneel slightly to avoid hitting my head.
After a minute or so we entered the main chamber, which was dark but surprisingly tall. Tutankhamun's body lies in a temperature-controlled glass box to the left hand side. His blackened, dehydrated face and long skeletal feet are clearly visible. The rest of his body is hidden under a white sheet. As other people followed me into the room the air grew stuffy and oppressive and I felt a strong sense of being an intruder in this underground sanctuary. I stood and stared at the mummy, completely astounded that I was standing a foot away from a pharaoh who ruled Egypt in 1327BC and yet I could still make out his features and get a sense of what he would have looked like when he was alive. Even in death, he had a king-like presence that demands your respect.
On the other side of the room is where the lower part of the chamber can be found. This is where the king's remains were located when they were discovered back in 1922, encased in several coffins, the last of which being solid gold. The sarcophagi still sits in the room, surrounded by beautiful ceremonial artworks. The splendour of the colours and detailed accuracy of the drawings is really quite breathtaking. What is also noticeable is just how delicate the room is with its porous walls and plaster paintings on the verge of crumbling. As more people crammed into the room it made me wonder how much longer this tomb can survive having visitors and how long I could stand being in such a small, cramped space.
Indeed, King Tut, who is the only remaining mummy left in the Valley of the Kings (the rest have been moved to the Cairo Museum), is housed in the glass box to protect him from the moist air and heat that visitors create. Now outside of his coffin, he is vulnerable to even the slightest flash of a camera and experts say the mummy is deteriorating.
As a result of this Egypt's Supreme Council of Antiquities has announced that the tomb of Tutankhamun will close to the public in 2014 and a replica replacement will go on show instead.
I spoke to conservationist Neville Agnew from the Getty Conservation Institute, who is leading a restoration team on the site. He explained: ''Before the revolution, this tomb had up to 1,000 visitors a day. It was chaos. People forget that this is a still, quiet area; the king's final resting place. It should be a place for reflection and thought, but it's just not possible with this amount of people. This is why a replica had to be built. We are going to conserve as much as we can until the closure in 2014.''
Much of Egypt's charm and history has been overshadowed by its political troubles over the last few years. Even the fascinating appeal of Tutankhuam's tomb and the abundance of other historical sites is failing to convince tourists back in significant numbers.
Based on my own experiences there's no denying the military presence, which is heavy, but I never felt unsafe. And it was glorious to enjoy the Egypt that existed before the tourist boom.
The difficulty is that the local people in Luxor have come to rely on tourism as their main income. They struggle to see why tourists are slow to come back to the area. Our taxi driver shared his thoughts: ''Its 100% safe in Luxor but people are scared to come here because they think it's close to Cairo. Tourists are totally separate from the troubles here and they don't need to worry. They won't have any problems in Luxor or Cairo."
Businesses are really suffering in Luxor, with hotels occupied at only 10%. The local people are happy to see tourists and remain positive and light-hearted on topic of the situation, but from taxi drivers to shop owners, I was asked again and again to please tell my friends to visit Egypt, and indeed I will.
It's more important than ever to visit now, while sites like the original Tutankhuman's tomb still exist are accessible to the public.
If that's not enough to encourage you, maybe the beautiful climate, cheap flights, empty hotels and bargain deals will.
MSN's Ginny Weeks travelled to Luxor with lowcostholidays.com and was a guest of the Sheraton Luxor Resort, on the east bank of the Nile.


text:
E-mail Us
Your Privacy
Vanet.com (owned by Virginia Networks) takes your privacy seriously. We collect personal information if you have joined our mailing list. We ask for your email address only. We do not sell, trade or give that information to anyone. When you visit our site, information such as your IP address, your web browser, the pages you visit are logged. This information can not identify you personally, and the information is only used for statistical purposes.
Questions? Suggestions
If you have questions or suggestions about the information we collect, please email us at: firstname.lastname@example.com or write us at:
Virginia Networks
P. O. Box 70594
Richmond, VA 23255


text:
TORONTO - They called him damaged goods. They said his best basketball was behind him.
Lou Williams used it to drive him.
The Toronto Raptors sharpshooter — whose exploits inspired a Drake song — won the NBA's Sixth Man Award on Monday as the league's best reserve player. The honour comes less than two years after a torn anterior cruciate ligament left his career in doubt.
"It fuelled me just to work," Williams said. "When you experience a certain level of success and you know you can play at a high level, and then your legs get swiped from under you with an ACL tear, anything you can use as fuel to get back on the court, to get back to playing at a high level, we all use anything that we can.
"So I appreciate all the people that said I was damaged. But today is a special day to commemorate everything I've been through."
Williams averaged a career-high 15.5 points in his 10th NBA season, helping Toronto win a franchise-record 49 games. He's thrilled fans with his clutch three-point shooting, which prompted a team official to run the length of the court trailing a giant "Looouuuuu!" flag with each made basket.
Toronto rapper Drake, who's also the Raptors' global ambassador referenced Williams in his song "6 Man," which goes: "Boomin' out in South Gwinnett like Lou Will, 6 man like Lou Will. . ."
"The song is cool, I have a soundtrack to go with the award now, so it's pretty cool," Williams said
On whether he received a memento from Drake, he said, laughing: "Yeah, I got like 100,000 Instagram followers."
"Drake got it right," said Raptors reserve Patrick Patterson. "He made the song for a reason. He predicted the future. It's a huge accomplishment for Lou. We're all extremely proud of him and we're happy for him."
Williams is the first player in Raptors history to win the award, after earning 78 first-place votes and 502 total points from a panel of 130 sportswriters and broadcasters throughout the United States and Canada.
GM Masai Ujiri acquired Williams in a trade last summer with Atlanta. Williams was coming off one of the worst seasons of his career as he adjusted to his new reality.
"(I was) scared. Once I tore my ACL, that was the closest I felt to retirement," Williams said. "Just because you don't know what's ahead, the fear of not knowing. Once I finally got back on the court, I realized I couldn't jump as high, I wasn't as fast, it takes me a little while to get my legs going. It's a frightening thing, but to be here today is very gratifying."
Ujiri summed up Williams' contribution, saying: "He's done far and beyond what we expected."
Williams accepted the trophy at a posh downtown hotel, and posed beside the 2016 Kia Sorento that would be donated to The Remix Project in his name.
His mom, brother, two daughters and his South Gwinnett High School coach Roger Fleetwood, from Snellville, Ga., were there to support him. Williams spoke gratefully of Fleetwood, calling him mentor and father figure. He recalled how the coach would pick him up for school every morning and take him to breakfast. Their car rides became coaching sessions.
"Everything he wanted me know, it was taught to me right there in the car," Williams said. "He's been everything to me. He had 10 seniors and a scrawny freshman and he had the heart to start the freshman over these seniors."
Teammates DeMar DeRozan, Amir Johnson and Chuck Hayes were at the news conference, hours after DeRozan told reporters Williams "is the coolest dude in the world. If you can't tell on the court, now you know."
"Is that a fact? Is that what you said?" Williams asked DeRozan, laughing.
Boston's Isaiah Thomas finished second in voting with 324 points, and two-time winner Jamal Crawford of the Los Angeles Clippers was third with 131.
Williams came off the bench in all 80 of his appearances and averaged 25.2 minutes a game. He led or tied for the team lead in scoring 18 times, second most in the league for a reserve. The Raptors went 14-4 in those games.
The 28-year-old also led the Raptors in free throw percentage (86.1) and made a career-high 152 three-pointers, nearly double his previous high of 88 set with the 76ers in 2010-11.


text:
If you own a drone, it's important that you understand the rules that keep you and others safe.
Visit knowyourdrone.gov.au to find out more
Capture memories and share life's moments more easily and more cinematically than ever with the Osmo Mobile. It turns your smartphone into a smart motion camera, making every moment you shoot look smooth, professional and ready to share. Use it with the DJI GO app to automatically track your subject, capture stunning motion timelapses or even stream a moment live around the globe.
ActiveTrack technology built into the DJI GO app allows the Osmo Mobile to automatically keep your smartphone facing you as you move. You no longer have to choose between recording a moment or taking part in it. Do both and share scenes from your life that people have never seen.
Motion timelapse videos are an awe inspiring way to show the passing of time. You used to need professional equipment and skills to capture them but using the Osmo Mobile and your phone, making your own is as easy as a few taps.
If you have ever walked around while shooting video with your smartphone, you will know how hard it is to keep your camera still. Osmo Mobile smooths and even cancels out the movements you make, stopping camera shake and turning every shot into cinematic video.
Share moments using YouTube Live inside DJI GO, or stream straight to Facebook Live while using the Osmo Mobile. Every stream you shoot will be steady and smooth, as if you have your own personal camera crew.
Take 1-second long exposures without a tripod for sharp night shots. The Osmo Mobile will keep your phone steady. Place the Osmo Mobile on its tripod and point it up at the sky to capture stunning star trails that are ready for instant sharing.
Take big, detailed landscape photos you will want to frame using only your smartphone and the Osmo Mobile. Its Panorama function automatically captures and blends 9 separate photos together to create one stunning photo.
Control your phone camera like a professional camera, with dedicated buttons for the Shutter and Record, as well as manual ISO, Shutter and White Balance settings. Control exposure simply by dragging your finger up or down the screen. Use the trigger for a suite of features only available on the Osmo. Long Press the trigger to isolate your movement completely for even smoother video, tap twice to re-center the camera, and triple tap to start Selfie mode.
Make the Osmo Mobile Joystick work the way you want it to. Set sensitivity, invert pan or tilt, or even set it so that the gimbal can only move in specific directions. Use Push Mode to change the direction of the gimbal directly using your hand.
Using an optimized Bluetooth connection, the Osmo Mobile is able to detect your smart device and sync up automatically and quickly if it has been paired before, so you can get shooting faster.
High energy efficiency and high capacity batteries give the Osmo Mobile a maximum run time of 4.5 hours. Batteries can be quickly and effortlessly swapped out, and an external battery extender can be used for even longer life.
Use the dedicated USB charging port for both charging and firmware upgrades. Charging will take approximately 3 hours when using a 1amp source. Only use the provided Power Cable with the Osmo Mobile. Damage may occur if the Power Cable is attached to any other device's 3.5 mm port.
Osmo Mobile features the same high quality materials and technologies found in the rest of the Osmo family. It is compatible with a range of phones, from 2.3in to 3.3in (59mm to 85mm) long.
Used with its range of accessories, the Osmo Mobile can be mounted almost anywhere, giving you even more opportunities to get that perfect shot.
The Osmo Mobile is open for people to develop their own great ideas and apps. Check back often to discover our favorite new Osmo Mobile apps.
To be the first to review this product simply fill out the form to the left and let us know how you feel about this product!
To estimate the freight on this item simply enter the destination postcode and the desired quantity and click the "estimate" button.
Get Free Shipping on all orders! No minimum spend! Items are dispatched from our Melbourne Warehouse within 24 Hours*
Shop with peace of mind knowing all items sold @ C.R.Kennedy & Co are backed by genuine manufacturers warranty.
Place a Click and Collect order online and pickup from your nearest warehouse.
C.R. Kennedy is Australia's leading importer and distributor of photographic equipment. Our head office and main warehouse is located in Melbourne with branch offices and warehouses in Adelaide, Brisbane, Cairns, Perth and Sydney.
All rights reserved.
We pay the store, you take the goods the same day.
Choose how you pay - weekly, fortnightly or monthly.
Up to $1,000 interest free always or up to $1,000 with 6 months interest free.
Accepted here:
*A $6.00 monthly account fee applies. Pay your balance by the due date (the end of next month) and we'll waive the fee. See full Ts & Cs
If you order an item we do not have in stock it may take a period of time for us to receive the product from our suppliers and ship it to you as explained further below
STOCK DUE – The product is not currently in stock however our best estimate of the date we are due to receive more stock is indicated by the date shown. This does not guarantee all orders placed will be able to be fulfilled from the stock we are receiving on this date but is the best date we are able to provide as an estimate. Also note once we receive stock it may take a number of days for this stock to be sent to our customers
ON ORDER - The product is on order with a supplier but not currently in stock and we do not have a clear enough date from our supplier as to when the stock is due to arrive. In this situation we cannot therefore provide an estimated availability date to you
NO STOCK - The product is not currently in stock and we do not have this on order with a supplier
If you have questions about the availability of items on our web site or if you have placed an order for products not in stock and would like further information or wish to cancel your order please use our Contact Us form and include the product code and/or order number so we can assist you further


text:
What Is a Bear Market Rally?
Bear Market Rally refers to a short-term price increase in a stock or market amid a longer-term bear market period. Investors can sometimes misinterpret bear market rallies as markers of the end of a bear market, and so they must be treated with caution.
Understanding Bear Market Rally
Bear Market Rally is a buzzword used to describe a period in which prices of stocks temporarily increase during a bear market. This rise in prices is typically a short-lived increase, sometimes lasting anywhere from days to months, amidst an overall long-term downward trend in the market. This phenomenon is sometimes also referred to as a sucker rally.
A bear market is typically indicated by a 20 percent drop in the market and tends to occur when the market is overvalued. During a bear market, investor confidence trends low, and traders watch eagerly for signs of upward movement in the market.
While speculating on bear market rallies tends to be a high-risk investment strategy, it can be attractive to investors looking to pick up cheap assets at a low price and sell as the rally peaks. This strategy can also be attractive to stockholders looking to mitigate long-term losses and to liquidate assets.
Identifying a Bear Market Rally
Identifying a bear market rally can be challenging, even for experienced traders. In many cases, a bear market rally can last for weeks or months amidst a longer-term downward trend.
Although there are no specific benchmarks for classifying a bear market rally, the term is typically used to describe an increase of 5 percent or more during a bear market, followed by a subsequent, continued downward drop. Notably, the Dow Jones experienced a three-month bear market rally following the Stock Market Crash of 1929, although the bear market continued to decline until bottoming out in 1932.
Longitudinal research has shown that since the beginning of the 20th century, every bear market has spawned at least one rally of 5 percent or more before the market corrects. Two-thirds of the 21 bear markets that occurred between 1901 and 2015 experienced rallies of 10 percent or more. Analysis of the 30-month bear market that began in 2000 and accompanied the Dotcom Crash shows nine rallies of 5 percent or more, four of which exceeded a 10 percent gain.
Because bear markets last for long periods of time, they can exact an emotional drain on investors hoping for a market turnaround. Market advisors warn against emotional responses to market volatility, as investors may panic and make judgment errors regarding their holdings.


text:
You just clicked a link to go to another website. If you continue, you may go to a site run by someone else.
We do not review or control the content on non-Medtronic sites, and we are not responsible for any business dealings or transactions you have there. Your use of the other site is subject to the terms of use and privacy statement on that site.
It is possible that some of the products on the other site are not approved in your region or country.
Your browser is out of date
With an updated browser, you will have a better Medtronic website experience. Update my browser now.
Medtronic knows how committed you are to helping patients manage their health. We share your commitment with a passion for providing lifelong solutions that can assist you in managing patients' chronic medical conditions. Our products range from diagnostic equipment to therapies that manage long-term conditions where other medical therapies have failed.
In continuing to this website, you acknowledge you are a registered healthcare professional and I have a valid certification in your possession.
By clicking 'Accept' below you agree that you are a registered healthcare professional and you have a valid certification in your possession.
Treatment Options
Although a normal part of the ageing process, degenerative spinal conditions like herniated disc can cause back and neck pain as well as other symptoms. If you have a herniated disc, you may be able to alleviate the symptoms through conservative care such as exercise, medication, or other nonsurgical options. If conservative care doesn't work, your doctor may suggest surgery as an alternative. Your surgery options may include artificial disc replacement, dynamic stabilisation, or spinal fusion.
Not all patients with back and neck pain require surgery. In fact, the vast majority find symptom relief through non-surgical therapies such as exercise, medication, physiotherapy and chiropractic care.
The surgical procedure most often done for cervical spinal stenosis is a cervical foraminotomy. The purpose of this procedure is to enlarge the space of the spinal canal to relieve compression on the spinal cord and symptoms such as tingling and weakness that are seen with spinal stenosis.
An artificial disc is designed to maintain motion and flexibility while replacing a diseased disc removed from the spine.
More: About Artificial Discs
Traditionally, a surgical procedure called a spinal fusion has been used to treat degenerative conditions in the spine. Using bone grafts and instrumentation such as metal plates and screws, this procedure fuses two or more adjacent vertebrae. The procedure aims to stabilise the spine and provide pain relief.
More: About Spinal Fusion Surgery
This website is intended to be educational and is not to be used as a diagnostic tool. It is not intended to replace the information provided to you by your healthcare providers and does not constitute medical advice. The information may not be directly applicable for your individual clinical circumstance. Please talk with your doctor about diagnosis and treatment information.


text:
Picture this. We're young and probably immature. It's a family member's birthday and he's just ever so slightly older than us. There's not a history of exchanging gifts, but we do seek the perfect card.
The one. Simple. A line drawing - almost a sketch - with just the minimal water coloring to fill it in.
Is there such a thing as the perfect hybrid of wonky and geeky? That's what this youngish looking line drawn man looks like. The text balloon above his head says, "Remember when you were 14 and you couldn't wait to grow up?"
Inside - "Who's good idea was that? Happy Birthday anyway..."
Ha. Ha. It was funny back then since we had just entered into the realm of grown up, newly married, finishing up school, managing finances, and excitedly living the adult experience.
Fast forward. May 2012. Being a grown up is tough. Although many are in bloom, things just aren't coming up all roses around here. And being "grown up" is a good idea.
We've encountered unprecedented challenges in parenting. The mini farm we're gratefully developing taxes all our limits. Finances are strained. No kidding, our cows ran away and took a three day mini vacation in the 100+ acres of woods, swamp, and neighbors fields - unbelievable stress and exertion tracking them, understanding their away from home habits, and eventually just waiting for them to come home. (Do you want to hear more on this later...it has the potential to be a pretty entertaining post?)
And here's the biggie. Unemployment. Ugh. That's a weighty one to type. After many years of commitment, sacrifice, and personal investment, Weekend Farmer Husband's company has severed ties and he's out of a job.
So, how could this possibly be a good thing? A good idea?
Although the stress and discomfort produces a constant ache in my chest, there's a deeper knowing even more central. This is the process of maturing. The coming to contentment in plenty or in want. Personally experiencing weakness, completely coming to the end of ourselves, and resulting in the increased understanding that when we are poor He is rich. It's the feeling like you're at the edge of an endless abyss and circumstances beyond your control shove you in.
And it feels like a bad thing, this free fall.
But, God's ideas for how we grow are far beyond ours. And He is always good.
So, for those of us who believe in the Lord Jesus Christ and live to glorify God our Father, this is a good idea. It necessarily and logically follows.
Because this free fall doesn't require or even offer a safety net - no matter how much we want or think we need it.
Unconcerned with how fast, how far, how sloppily we fall we can only end up in one place.
We fall into the infinite character of God who never changes and who's promises hold fast.
And when all else seems to be coming undone it comes to me as more than a good idea. It is my only comfort in life that I belong body and soul to the One who holds all things together for His glory and my good.
- In uncertainty and want, the Holy Spirit tenderly leads through scripture, songs, and worship to minister to my fearful heart.
- Friends rally.
- Holiday weekend takes the edge off no office hours required.
- Plenty of deferred work getting done in barns, around the property, and the messy stashes of a busy life.
- Cows quietly enjoying their green pastures while the electric fence (newly reinforced) hums all around them.
- Strangers providing for needs we didn't even know we had.
- Friends just showing up and praying.
- Seeds going into earth promising a harvest and providing metaphors for hope in this gritty personal growing season.
- Mercy poured out and lavish forgiveness for the guilt I bear from selfish sin.
- Excellent hospitality in recent weeks growing relationship in our community of faith.
- Enough for now. Isn't that always enough?
- White Horses stampede and threaten to sweep away, but this repost reminds me it's all good.
- Grace aplenty.


text:
The UK conveyancing market has been known for the longest time to be an absolute drag. On top of that, property buyers and sellers have had their share of complaints of the service being too complex and expensive.
Having said that, finding a conveyancer that ensures a seamless, hassle-free, and cost-efficient service can be challenging. But not until the online conveyancing services have become more competitive. These days, you'll find out worth your time carefully choosing a good conveyancer.
To be quite sure of your choice, you should know that a good conveyancing solicitor should be able to do the following for you:
- Reasonably speed up the process for you.
- Reduce the risks of the transaction falling through.
- Ensure a seamless and stress-free conveyancing process as possible.
What's even better is that we have collected 8 of the best tips to help you through in finding out if you are actually looking at a really good conveyancer to help you with buying or selling a property.
- Conveyancing should be their specialisation. Whilst there is no written rule that solicitors should only work on one field in their practice, it is always best that you choose someone well-versed in the field. Their experience in conveyancing should speak for the kind of service you'll get. You can choose a lawyer who works on all kinds of cases, but you can never be sure of how long the process can drag on in their hands as they need to switch their own minds on to something else every now and then. Solicitors specialising in other legal fields may not be the best conveyancer for you.
- You should be informed of who should look after your transaction. When hiring a sizable firm, you should be given a direct line to the conveyancer in charge of your case. More so,there should be a dedicated team of admin and paralegal to get things sorted for you – before the licensed conveyancer verifies everything.
- They should at least have a fairly advanced way of communicating with you. More so, there should be an online case tracking system for you to check the status of your case. With the kind of technology that we have these days, it is not uncommon for conveyancers to be able to give you updates via email, SMS, etc.
- Conveyancers should at least be able to offer you a no-move-no-fee service. This kind of offer maybe bit vague, as a conveyancer may already have paid for some disbursements whilst working on your case. In this instance, and if the transaction falls through right in the middle of everything, a good conveyancer should at lease waive the basic fees for you.
- A good conveyancer offers a fixed fee for their services. Yes, that's how competitive the conveyancing market has become these days. No more hourly charges for conveyancing – not even percentages of how much the property was bought or sold for! With a fixed amount that you are quoted for their basic fees, you should be able to set your budget properly.
- They should be approved by mortgage panels. This one's a bit crucial especially when you're buying through a home loan. Your lender will have your conveyancer do some work for them to check on a few legal matters. Hence, if you chose someone not on their approved panel, they will assign someone to work on it at your expense.
- A good conveyancer can work beyond the 9-5 working hours. It's not quite crucial, but it can make things more convenient if you need to instruct them quite quickly during after-hours. It doesn't necessarily have to be close to midnight, but at least, a good conveyancer can ideally be available to talk and receive instructions a couple of hours after 5 or most of the weekend.
- A "Client Care Letter" must be provided to you upfront. As soon as you decide on instructing a conveyancer, they should be able to provide you this, letting you know of the cost breakdown and description of their services. If they're not in place, you have every reason to be in doubt. And always remember that you will only be committed to their service after you signed and returned the letter to them.
If you're looking to check out conveyancing prices from different firms, you might as well want to check out our quotes by clicking on the image below.


text:
"20 years designing, building, And supplying modular & soft play environments!"
JIM'S JUNGLE PLAY And DESIGN | PO Box 6258 | Abilene, TX 79608
Phone - Cell 325 665 7274 »
email us
Thank you for your interest in Jim's Jungle
Play & Design products & services.
Jim's Jungle Play & Design
commitment to our valued customer is to select the best
soft playground equipment
and related products on today's market with durability and safety, number one. With implementation of new technology,
new materials and an on going commitment to constantly upgrade our high standards.
Jim's Jungle Play & Design will design and provide our customer with the best
soft playgrounds
in the industry, for
the dollars spent, to fit the needs of the customer. We encourage you to compare our products and savings we offer to
our customers, knowing you are giving your children and your community the very best value in the industry.
Jim's Jungle Play & Design
is a leader in design, building and installing the most exciting, fun play systems -- anywhere!
Jim's Jungle Play & Design
, also offers our customers a service to refurbish & update the play system they have
in use. This include all major repairs due to wear & tear as well as the weather elements.
If we can be of any service please call 325 665 7274
Jim's Jungle Play & Design,
also offers our customers a service to refurbish & update the play system they have
in use. This include all major repairs due to wear & tear as well as the weather elements.
If we can be of any service please call 325 665 7274.
Jim Howlett
A Few Examples of Modular Playsystem Installations
Modular playsystem in a
Dairy Queen; outside view.
An outdoor playsystem installation.
Components can easily be arranged in
any configuration for any size play
system for use indoors or out.
Components come
in various types &
shapes; junction
boxes, tubes, &
Safety flooring is an essential part of
any play system installation.
Curved tubes & elbows can be arranged
in spiral slides & combined with bubbles &
junction boxes for a safe and irresistable
Other Modular Playsystem Installations
Participatory playground equipment for children's indoor and outdoor amusement areas.
PO Box 6258
Abilene, Texas 79608 phone 325-665 7274
email us
Modular playsystem in a
Dairy Queen; inside view.
The information and photos on these pages generally describe the main elements that make up a
typical family entertainment center. As well as indoor & outdoor soft playground equipment.


text:
|Item #
|Manufacturer Part Number
|100 Sets
|Varies; Available in Many Lengths
|Binding Style
|Screw Posts / Chicago Screws
|Post Diameter
|Post Length
|Available in Many Lengths
|Head Diameter
|Side 1 [Post]: Hole [Sizes 1/8" to 3/8"]
Smooth [1/2" & Larger]
Side 2 [Screw]: Slotted
Aluminum screw posts have been a popular book binding solution for a long time, as they are extremely easy to put together and take apart, and require no machines or special training to use. Binding screws are simply that: screws. They are a two-piece binding solution that has one post side (female side) and one screw side (male side) that are screwed together to bind. To un-bind, they are simply unscrewed. Because binding posts can be easily bound and unbound quickly, they are a great choice for photo book binding, blueprint and engineering drawing binding, and presentations that might be edited or changed in the future.
Also called Chicago screws or Chicago screw posts, they come in a large selection of sizes from as small as 1/8" up to as large as 5". We also offer screw post extensions so you can bind even thicker books. We offer steel screw posts and plastic binding screws as an alternative, however, these aluminum Chicago screws are the most popular option that we offer because of the larger range of sizes available, the perfect blend of affordability and strength, and their ability to easily be edited.
All of our aluminum screw binding posts feature one slotted side. For small binding bolts up to 3/8", the other side features a hole that allows the screw to bind tightly with the post, creating a more secure bind. For large screw posts, however, the other side is smooth, as the post is long enough to create a strong bind with the screw without needing that additional length provided by the hole.
Start quickly and easily binding thin and thick books that need to be edited frequently when you buy aluminum screw posts online. Choose a color that best suites you needs; they are available in traditional silver screw posts, black screw posts, gold screw posts, or antique brass screw posts. All colors and sizes are packaged with 100 sets per pack, which means you receive 100 male screws and 100 female posts.
|Colors Available
|Head Style
|Compatible Extensions
|All Colors
|1 Side Slotted (Flat Head) / 1 Side Hole
|1/8" Thick Stack
|1/4" & 1/2" Extensions
|All Colors
|3/16" Thick Stack
|All Colors
|1/4" Thick Stack
|All Colors
|3/8" Thick Stack
|1/4", 1/2", 3/4", & 1" Extensions
|All Colors
|1 Side Slotted (Flat Head) / 1 Side Smooth
|1/2" Thick Stack
|All Colors
|5/8" Thick Stack
|All Colors
|3/4" Thick Stack
|All Colors
|7/8" Thick Stack
|All Colors
|1" Thick Stack
|1 ¼"
|Silver Only
|1 ¼" Thick Stack
|1 ½"
|All Colors
|1 ½" Thick Stack
|1 ¾"
|Silver Only
|1 ¾" Thick Stack
|All Colors
|2" Thick Stack
|2 ¼"
|Silver Only
|2 ¼" Thick Stack
|2 ½"
|Silver, Black, & Gold Only
|2 ½" Thick Stack
|2 ¾"
|Silver Only
|2 ¾" Thick Stack
|Silver, Black, & Gold Only
|3" Thick Stack
|3 ½"
|Silver, & Black Only
|3 ½" Thick Stack
|Silver, & Black Only
|2 ½" Thick Stack
|4 ½"
|Black Only
|4 ½" Thick Stack
|Silver, & Black Only
|5" Thick Stack
* Approximate maximum capacity; may vary depending on several factors. Slightly thinner is recommended for easier page rotation and no pinching.
Quick & Easy Binding with Aluminum Chicago Screw Binding Posts
Subscribe to our YouTube ► https://www.youtube.com/c/binding101
Aluminum screw posts are the most popular kind of binding post.
Also called Chicago screws, they are made of a sturdy and durable aluminum that is strong, but affordable. They are packaged with 100 sets per pack, and bulk discounts are often available for larger orders. Call (866)537-2244 to see if your order qualifies.
Choose from several colors -- including silver, black, gold, and antique brass options -- as well as quite a... Read More
Subscribe to our YouTube ► https://www.youtube.com/c/binding101
Aluminum screw posts are the most popular kind of binding post.
Also called Chicago screws, they are made of a sturdy and durable aluminum that is strong, but affordable. They are packaged with 100 sets per pack, and bulk discounts are often available for larger orders. Call (866)537-2244 to see if your order qualifies.
Choose from several colors -- including silver, black, gold, and antique brass options -- as well as quite a range of sizes from 1/8 of an inch to 5 inches.
The post is 3/16 of an inch thick, and will fit into standard punched holes, such as those from a 3-hole puncher.
The heads are 7/16 of an inch, and feature a slot on one side so you can use an optional flathead screwdriver. Smaller sizes also have a hole on the opposite end to allow enough room for a tight bind.
Plus, they are incredibly easy to use. And because they are loose bindings, you can use as few or as many as you need to bind your pages.
Chicago screws are one of the easiest, cheapest, and fastest ways to bind documents, making them a great book binding solution for users of all kinds, including both individuals or businesses…basically anyone who needs to bind together pages that can be edited, without a machine.
How to Expand your Aluminum Binding Post Capacity
Subscribe to our YouTube ► https://www.youtube.com/c/binding101
Aluminum screw post extensions can expand the capacity of our standard aluminum screw posts.
Made of the same metal material, these extension pieces are strong and durable.
Binding post extenders are available in all colors, including the silver, black, gold, and antique brass.
Sizes available include 1/4", 1/2", 3/4", and 1".
They measure 3/16 of an inch wide, and the threaded screw portion is shorter on the small... Read More
Subscribe to our YouTube ► https://www.youtube.com/c/binding101
Aluminum screw post extensions can expand the capacity of our standard aluminum screw posts.
Made of the same metal material, these extension pieces are strong and durable.
Binding post extenders are available in all colors, including the silver, black, gold, and antique brass.
Sizes available include 1/4", 1/2", 3/4", and 1".
They measure 3/16 of an inch wide, and the threaded screw portion is shorter on the smaller sizes.
Also called Chicago screw extensions, they are packaged with 100 per bag, and bulk discounted pricing may be available for higher quantities.
Just as easy to add as they are to remove, screw post extensions offer a fast and easy way to expand your screw post capacity.
Expert Reviews
Expert Product Review: Aluminum Chicago Screw Posts by Mallory Morsa
Hi everyone! My name is Mallory Morsa, and I am the product expert at Binding101. I have been a part of the Binding101 team since 2008, where I started out in service and sales, learning our customers' needs and how to offer truly exceptional service. After a of couple years, I moved into a role of product management that required in-depth product research, as well as training of our staff. And in my honest expert reviews, I am proud to share that extensive knowledge with you. Take a look at the product review below, which will highlight both the pros and the cons, as well as identify the ideal customer. If you have any questions or need more information, please call our customer care team at (866)537-2244. Thank you for stopping by, and please check out our Binding101 social media channels by clicking the icons above.
Binding posts are my personal favorite option when it comes to screw post binding. They are easy to bind and unbind, and are available in a huge variety of sizes as well as extending options to allow for any capacity. They are ideal for anyone who may need to modify the items bound (photo books, presentations, blueprints, etc.), as well as those who need a clean bound look (very professional), and have a high capacity of pages or materials to bind (such as large machinery manuals, scripts, etc.).
Aluminum Chicago screws are great because they are made of metal, which is easy to screw together and unscrew, as needed. There are no threading difficulties when trying to get both ends straight in order to connect properly; they are smooth and easy to work with. In addition, they come in the largest variety of sizes of all our screw posts, from tiny 1/8" posts up to 5" long. And the capacity can even be expanded further by adding the post extensions. For this reason, these metal screw posts offer the thickest potential binding capacity of any other binding method (possibly, with the exception of screw lock binding rings). They are also stocked in a couple different colors (black, gold, antique brass, silver), so you are not stuck with just plain silver male and female posts.
In addition, I like screw post bindings because they are fairly inexpensive, costing as little as about 7¢ each, depending on the size and color you choose. We also offer bulk pricing for larger quantities that can get the cost down lower; just call (866)537-2244 for a quantity discount quote.
Metal screw posts are also very versatile, and can be used for any application that has a standard size hole punch, no matter how many holes you have in the document. Bind just the corner with 1 Chicago screw, or put 3 in each document using the hole pattern of a standard 3-hole punch (many options available here). Bind the top, or bind the side...there are no restrictions.
As you add more extensions, the stability of the binding post will become less strong. For that reason, if you plan to bind what will become a very large book, such as 7" thick, you should buy the longest post available (5") and then extensions. Sometimes customers will buy 2" posts, expecting to extend them larger over time, but it is not recommended to begin with something so much shorter than your final length.
You should also keep in mind that the smaller posts (female side) have a hole in the head. The purpose of this is to allow for more threading, and more strength-of-bind, however, some customers do not like the look of this. This is the case for screw posts up to (and including) 3/8". Anything larger will have a slot for a flat head screwdriver. The screw end (male side) always has a flat slot (note: even though they are slotted for a screw driver, they are easily bound tightly with just your hands).
Screw post binding works well for anyone (individual or business) who needs to bind an editable document quickly, without any machinery, and easily. You can use 1, 2, 3, or more screw posts per book, depending on your preference. They come in a couple professional colors, and a huge range of sizes to allow for very thick books up to 5", or even larger when you add extensions. Still not quite sure aluminum Chicago screws are right for you? Call us at (866)537-2244 or fill out this form to request a sample to test before you buy.
Screw Post FAQs
Q: What is included in 1 pack?
Each pack contains 100 sets (100 screws & 100 posts).
Q: What size extensions are compatible with what size binding posts?
1/4" extensions work with 1/8", 3/16", and 1/4"posts. 1/2" extensions work with 1/8", 3/16" and 1/2" posts. 3/4" and 1" extensions work with all sizes larger than (and including) 1/4" posts.
Steel Screw Posts (Pack of 100)
From: $29.50 - $41.99
Plastic Snap Lock Screw Posts (Pack of 100)
Starting at: $13.75
White Plastic Screw Posts with Loops (Pack of 100)
From: $20.50 - $26.25
Clear Plastic Push-Lock Screw Posts (Pack of 100)
From: $11.04 - $15.25
Silver Metal Loose Leaf Binding Rings (Pack of 100)
From: $15.59 - $46.20
Silver Metal Screw Lock Binding Rings (Pack of 10)
From: $19.19 - $57.00


text:
For the older generations of Singaporeans, the question of whether to buy or rent a property is a no-brainer. No prizes for guessing that most would opt for the perceived security of owning their home. Renting, on the other hand, is often seen by them as a last resort or a stop-gap measure.
But pose the same question to millennials and their answers might just be the polar opposite. Unlike their elders, millennials are increasingly choosing to rent instead of purchase property, this is why:
#1: If you're single, waiting to get a HDB flat takes too long
If you're happily married, then yes, there's nothing that's standing in your way of getting a flat. But if you're single, you're only eligible to purchase a HDB flat under the Single Singapore Citizens Scheme or the Joint Singles Scheme when you turn 35. Even then, the single HDB homebuyer faces many restrictions, such as only being able to apply for cheaper built-to-order (BTO) flats in less accessible non-mature estates.
And as societal attitudes change, renting your own space — as opposed to staying with the folks — is becoming the norm. And, given their increasing disposable income, an increasing number of Singaporean adults under 35 are making rental enquiries through property search portals, the largest one in Singapore being 99.co
#2: Condominiums are too expensive
Of course, single folks below the age of 35 have the option of purchasing private property, but this is likely out of their financial reach unless they are career high flyers. For the others who are fine with living in a shoebox apartment (500 square feet or under), they can check out private properties on sale for under $600k here: https://go.99.co/condos-under-600k-listing. Even then, getting a home loan may be hard, so millennials rent while they build their careers.
#3: Rent for the experiences
Millennials will tell you it's all about the experience. "If you can afford renting an apartment that will allow you to enjoy life to the fullest, such as studio condo unit at an unbeatable location or a loft with an amazing Star Wars-themed interior, then why not?"
Renting also gives you the option to keep things fresh instead of being tied down to a single property, you can hop from location to location and decide which neighbourhood is your favourite. Why settle for one property when you can "test-drive" a few first?
#4: Renting is more flexible
You might be working in Singapore today — but who knows what the future holds? Millennials (not just the ones who do yoga) want to be flexible. Being flexible means being open to all the experiences that life has to offer, regardless of whether they come in the form of a six-month backpacking sabbatical across Europe, or a two-year working stint in Shanghai.
If you own a property in Singapore, it's a lot harder to leave as you have to figure out how to cover your mortgage with enough rental income, plus other concerns and hassles. But if you're simply renting, then it's just a matter of terminating or not renewing your lease before you pack up and set off. In other words, renting makes you a bona fide world citizen!
If you found this article helpful, 99.co recommends 5 ways to score the rental apartment of your dreams at a cheaper price and tips to help you live peacefully with your landlord.
Find the home of your dreams today at Singapore's largest property portal 99.co!


text:
Daytona Beach
Inn Policies
Overlooking the Intracoastal
Halifax River in Daytona Beach.
Check in time: 3PM
Check out times: 11:30AM
A later check out time is billed at $20 per hour based on availability.
Room rates include two guests with and an additional $35 fee for a third guest.
No more than three guests to a room, please
Children must be 10 years of age or older.
As we are a small inn with six rooms, late cancellations affect us significantly. We will make every effort to book the extra rooms that are madse available through late cancellations thereby only charging the guest who had to cancel a processing fee of $45.
Cancellations must be made at least seven days prior to reservation date. After that, guest will be charged for the full cost of their reservation if we are unable to book their rooms.
Unfortunately, at this time we are unable to accommodate pets. We allowed pets when we first opened and they became an inconvenience to our other guests. We can give you a list of nearby pet motels and kennels to house your pets. Our future plans include a separate building with pet friendly accommodations. We are pet lovers ourselves and we apologize for this situation. Only seeing eye dogs are allowed on the property.
The cost of anything that is damaged or missing from the guest rooms will be charged to the guest. For functions at the River Lily Inn, a credit card or refundable damage deposit is required to cover any damages that may occur and/or is caused by you or your guests at your function.
The River Lily Inn does not provide security for your belongings or those of your guests or anyone involved with your function at the inn. The River Lily Inn is not responsible for any loss or damage sustained by the guest or of guests of guests during their stay or function. The Rive Lily Inn will not be liable for any loss to client, vendor or any guest resulting from theft, accident, personal injuries, hurricane, excessive rain, roofing defects, fire, windstorm interruption of utility services or any act or omission beyond the control of River Lily Inn.
Smoking is only permitted outside. Cigarette buts must be disposed of in ashtrays that are provided on the property.
All decorations are to be approved by the innkeepers as to what is allowed and how they are displayed. No holes are to be made anywhere including the ceiling, walls, floors or furniture. Any damage will be charged to your credit card or will be deducted from your deposit. All decorations must be removed immediately after the function. The River Lily Inn is not responsible for any items left after the function by the guests or vendors.
Glitter, confetti and anything that is time consuming to clean up will incur an additional clean up fee.
Bed and Breakfast Gift Certificates | Bike Week Daytona Room Rates | Daytona Beach B&B Rooms for Rent | Daytona Luxury Bed and
Breakfast | Daytona Beach Bike Week Hotel Alternative | Elopement Weddings | Daytona Honeymoon Lodging | Daytona Beach
Weddings | Florida Inn Wedding Packages | Wedding Reception | Daytona Custom Wedding | Florida Bed and Breakfast
Specials | Luxury Bed and Breakfast | Florida Romantic Bed & Breakfast | Historic Florida Inn | Online Reservations
Copyright © 2008, River Lily Inn Bed and Breakfast. All Rights Reserved.
Orlando Website Design by TOAD Web Sites, Inc.


text:
India is a land of regional diversity with more than 22 languages and thousands of dialects.
In India there are more than 850 million mobile phone users and only 10% of these users speaks English.
Inspite of this most of the interactions on the mobile phone takes place in English
It would be any marketers dream come true if he could communicate to rural india in their own language through the mobile phone
Regional voice based SMS services enhances the quality of your communication by making interactions more meaningful.
Don't just convey but stay connected with your customers through voice SMS
Features & Benefits of Voice SMS
So what are you waiting for call 3HDMedia and take advantage of technology at its best in this fast changing world.


text:
Famous People Whose Name Is Kristen
List of famous people named Kristen, along with photos. How many celebrities named Kristen can you think of? The famous Kristens below have many different professions, as this list includes notable actors named Kristen, athletes named Kristen, and even political figures named Kristen. Did we forget your favorite famous person whose name is Kristen? Add them to the list.
There are definitely some funny ladies on this list. Kristen Wiig is best known for her work on Saturday Night Live. She continues to act in independent films, such as Welcome To Me and The Skeleton Twins. She is also well known for her role in the film Bridesmaids. Another funny lady is Kristen Schaal. She was frequently on the Daily Show with Jon Stewart, and after that, she provided the voice for "Louise" on the animated show Bob's Burgers.Kristen Bell is a stage and film actress. She made her Broadway debut as "Becky" in The Adventures of Tom Sawyer. She was famously on the show Veronica Mars, Forgetting Sarah Marshall and provided the voice for "Princess Ana" in the movie Frozen.