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This beautiful hotel located in the heart of Saint Germain des pres is a hidden treasure of elegance and comfort.Completely climate controlled, our 23 guestrooms are unique in their decor, mixing the purest styles of Louis XV, Louis XVI and Napoleon III wi ... more
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A quiet haven in the heart of the capitol, just steps away from the Madeleine, minutes from the Paris Opera and the Champs Elys?es.The subtle elegance of the rooms invite you to relaxe. All rooms feature the confort of a 4 star hotel. ... more
14 Rue Petel, Paris
The family spirit and Parisian soul will enchant you! The Modern Hotel Val Girard enjoys a privileged location in Paris between the Exhibition Park at Porte de Versailles, Montparnasse and the Eiffel Tower, with 5 bus lines, the underground at Vaugirard ... more
14 Rue Des Canettes, Paris
This little boutique hotel is a real gem. It was built in a 17th century building that has been completely renovated. The comfort has been chosen with great care and offers Scandinavian Goose down Duvet covers for the ultimate bedding experience. Our 38 ro ... more
Situated in Saint-Lazare district, close to the Opera Garnier and the department stores, the Minotel De Geneve welcomes you to the heart of Paris. Its central position is combined with pleasant modern standards of comfort. The nearby metro gives you easy a ... more
Between the Opera and Montmartre, half-way between the Gare Saint-Lazare and the Gare du Nord. A few minutes' walk from the Grands Boulevards and business districts. Direct RER B and D lines to Roissy-CDG and Orly airports and to Disneyland? Paris Resort. ... more
The establishment renovated in 2006, was once the Duke of Morny's particular Hotel.The latter was the step-brother of Napoleon III and founder of Deauville's city.The hotel is ideally situated next to the luxury boutiques, business centres, touristic point ... more
For a business or leisure trip, the Atlantic hotel is ideally located in the heart of Paris, close to the Opera House, the Madeleine and the most famous department stores.Our Hotel is entirely air-conditionned and non smoking.Discover in an ele ... more
The Hotel Glasgow is located in the 17 ?me district.Each room is decorated with contemporary furniture, beautiful, sober, elegant and natural colors of canvas. Each floor is harmoniously decorated with a variated palette from caramel, anis green to o ... more
Ideally located in the heart of the 15th arrondissement of Paris, near the district of La Tour Eiffel, Hotel-Residence Quintinie'Square welcomes you in its studios combining charm and authenticity. Traditional style 'LAVANDIERE' blue, romantic 'CAMEL ... more
3 Impasse Du Moulin De Jubiciaux, Gif Sur Yvette
The hotel has 43 rooms, all of which are tastefully decorated, each fitted with a kitchenette. The rooms can accommodate 1 to 4 people. Reception opening hours : Monday to Friday : 7.30 AM to 9 PM Saturdays, Sundays and bank holidays : 8 AM to noon// 2 P ... more
If you are looking for a comfortable, friendly, yet cost effective hotel in Paris, why not try Stars Paris Arcueil, a modern, spacious hotel 10 mn away from the center of the fascinating and vibrant city. The hotel offers you a choice of 97 rooms, each equ ... more
At the hotel Royal Opera you may stay in the center of Paris, in a very quiet street. Our comfortable rooms offer you a lovely and warm atmosphere, with clear colors and light wood. Breakfast in supplement : served from 7 a.m until 10.30 a.m in our breakfa ... more
The Avenir Hotel features 42 soundproof rooms (double-glazed), all equipped with bath or shower rooms and toilet, hair dryer, colour satellite TV and direct telephone line. The Avenir Hotel is a traditional establishment located near the Sacre-Coeur, in th ... more
This property features 29 bedrooms offering modern and functional comfort, as well as numerous amenities to ensure you a pleasant stay in Paris, such as a nice lounge, a terrace, 24-hour room service, a lift, an Internet point, individual safes at the rece ... more
A few minutes away from the subway station Marcel Sembat (line no 9) the Hotel Jardins de Paris Boulogne is perfect either for a business trip or for a holiday trip in Paris. It is indeed located close to the business district of Boulogne and not far from ... more
The Hotel Beauvoir, fully renovated in a contemporary, cosy style, is located in the triangle formed by the Latin Quarter, Saint germain des Pres and Montparnasse, at the foot of the Jardins du Luxembourg, and facing the famous restaurant La Closerie des L ... more
Former private town house,the H?tel Riboutte is Located in a calm street, near by the big departments stores and the touristique area of Montmartre, selected by Michelin Guide. The 24 rooms all are different, decorated in Parisien Style, spacious with sate ... more
This brand-new contemporary residential hotel offers 21 unusually big studios and 2-room apartments, between 36 60 m2, which is an exceptionally comfortable size for Paris standings. Functional and well planned all apartments are equipped with furniture ... more
The residence of Ferrieres is located in the est of Paris, in Seine et Marne department, 10 minutes from the Disneyland Paris and 5 minutes from the Chateau of Ferrieres. Citea Ferrieres has 114 apartments spread from studios to 2-rooms appartements wit ... more
The residence is located in Charenton Le Pont, at the south est of Paris, near the Bois de Vincennes and the plca of the Nation. CITEA RESIDENTIEL offers 133 apartments from the studio to the two rooms apartment, from 20m2 to 35m2, with spacious and co ... more
Pierrette, Rita and Nicolas, your receptionists, will be delighted to welcome you. Experienced and very attentive, they will help you to discover the district. The nearby Luxembourg Gardens, created in 1612, are home to the Senate. There are often shows an ... more
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A PAIR of Worcester residents are taking part in an Ironman challenge to raise awareness and funds for the Worcester Community Trust.
Niki Kelly and David Lloyd-Rumens will be tackling the Tenby Ironman which includes a 2.4 mile swim, 112 mile cycle and a 26.2 mile marathon run.
Niki said, "Day to day I'm incentivised to push myself and work towards something so the opportunity to do this whilst giving back to my community, is the perfect fit.
"Plus, after completing a half Ironman in June of this year, I'm feeling confident and looking forward to get back into fundraising."
David, another Worcester resident, is aiming to complete the Ironman between 13 and 15 hours and in order to make that happen, has been training for 40 hours per month.
He said: "Taking part in this Ironman pushes me not only to get outdoors and exercise, it also enables me to raise money for a local charity.
"Contributing to those in need through the many different programmes Worcester Community Trust provide is all the incentive I need, even if I did have to teach myself to swim via Youtube videos."
For more, go to www.justgiving.com/fundraising/niki-kelly1 or www.justgiving.com/fundraising/david-lloyd-rumens

subset: commoncrawl


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In this article from Set to Camp, we have a closer look at some tips for an eco-friendly camping and touring.
Throughout this website, we have published numerous articles that either directly or indirectly touch on eco-friendly camping and touring. They are listed below:
War on camping waste:
– Reduce general camping waste
– Reduce single use waste, especially plastics
– Reuse – turn your camping trash into treasure
– Best mid-size cars for camping trailer free
Eco-friendly ideas:
– Camping uses for a rubber band
– greensacks reusable fruit & vegie sack
– Alternatives to cling wrap
Leave no trace:
- Plan ahead and prepare
- Travel and camp on durable surfaces
- Dispose of waste properly
– General waste
– Human waste
– Waste / grey water
- Leave what you find
- Minimise campfire impacts
- Respect wildlife
- Be conscious of your hosts and other visitors
Original article courtesy of Set to Camp. Set to Camp specialise on information for trailer free camping for those that just want to camp with their tent or from their vehicle. For more information from Set to Camp, you can see our other feature stories, or head on over to their website: Set to Camp


text: CHP SHOOTS, KILLS MOTORIST AFTER HIGH-SPEED PURSUIT IN EAST COUNTY Granite HillsSan Diego SheriffCHP shootingCHP shooting El CajonCrime Beat December 2, 2012 (San Diego's East County)—A driver observed driving a Chevrolet Tahoe erratically at a high speed on I-8 early this morning refused to pull over, leading officers on a high-speed pursuit. The driver ultimately exited the freeway in the Granite Hills neighobrhood, lost control and rolled over. "The driver, who was the sole occupant of the vehicle, exited the vehicle and the CHP Officers ordered him to stop and raise his hands," Lt. Glenn Giannantonio with San Diego Sheriff's homicide detail stated. "The suspect made movements leading the officers to believe he was reaching for a weapon while he was advancing toward them. Fearing the suspect would shoot them, one or more of the officers fired their service weapons at him." Error messageLocal news in the public interest is more important now than ever, during the COVID-19 crisis. Our reporters, as essential workers, are dedicated to keeping you informed, even though we've had to cancel fundraising events. Please give the gift of community journalism by donating at https://www.eastcountymedia.org/donate. Read more about CHP SHOOTS, KILLS MOTORIST AFTER HIGH-SPEED PURSUIT IN EAST COUNTYLog in or register to post comments


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A CHARMING COTTAGE on a large fenced corner lot with a shop! Close to Shasta Lake recreation! Original hardwood floors in most of home. Central heat and air. Two bedroom, one bath with a laundry room and extra storage. Back and front porches. You will love this home!
Listing courtesy of Windermere Norcal Properties.


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Episode 279: House Duality – Fifth Grade Impeachment
Why have one House when you can have multiple? Pull out your Sorting Hat, weigh your options, and wait about five minutes for a Hatstall! Join hosts Irvin, Beth, and Alison with guest host Beth as they dive into the complex nature of House Duality.
Episode 246: Hogwarts Houses – A Little Bit Phlegmatic
Travel with us to Ancient Greece as we unpack ancient philosophies that may have inspired the personalities of the four Hogwarts founders. Wade through an ocean of character discussion as we discuss which characters fit their assigned houses, and which may not. And finally, side with us as we tackle the all-knowing Sorting Hat and ask whether or not it is fallible. Guest host Alexis joins Eric and Katy and special guest Lizzie (from SpeakBeasty!) as we talk all things Hogwarts Houses while representing all four Houses ourselves!
Episode 239: HBP 10 Revisit – The Crimes of Merope
Harry's becoming curious about the Half-Blood Prince's identity (more so than we are), but it's time for his first lesson with Dumbledore. The topic? How Tom Riddle's past would become Voldemort's future. To find the answer, follow Eric, Katy, Michael and returning guest host, Alex, into the Pensieve and through the door of "The House of Gaunt," Chapter 10 of Half-Blood Prince.
Episode 228: Nineteen Days Later – What a Mess
It's been nineteen years since Voldemort and Harry's showdown shook the wizarding world. After a war like that, how much can magic really fix? Join Alison, Beth, Michael and guest hosts Jon and Shauna as they try to piece together what happened Nineteen Days Later in the immediate aftermath of the Battle of Hogwarts.


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Active member
It's actually that randomness which is an alright look lol. It just feels like posting whatever thought comes to your head rather than fabricated posts, and an agenda behind each angle taken.He showed some interest and energy through his every post and how he's approaching them. Yet along the way, something is off completely out of place. Despite his big energy posts, the heavy involvement feeling he's giving coming to no conclusion. While you're saying he sounds pure, I do not believe that is the case. If we follow his energetic modus operandum, it just wouldn't feel natural. His posts would feel totally random if you skip his tone only to pay attention to the context. To actually have this tone but not the actual heavy involvement in-game with lot of question feels too unnatural with his current demeanor, no matter how I think about it, it doesn't make sense for him to not involve in the game as much as his wording, tone implies
Fair enough though, this is interesting. I've never played with the dude, so that's something to take into consideration. Link me some of the exemples of the modus operandum you talking about.


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If you spend a few minutes talking to the most successful P&C agents, they will without fail tell you that part of their "secret" is so simple it's almost ridiculous—you've got to pick up the phone and dial nearly every day. Prospecting must be part of your day-to-day life. You may be in a position where you've acquired a book of business, but if you want to grow your agency to its fullest potential, you're going to have to actively find and identify people who fit consumer profiles that align with the type of clients your agency is trying to target (and then reach out to these consumers). We call this insurance prospecting.
Depending on the type of agent you are, there are different strategies you can use for insurance sales prospecting in order to drive more top of funnel activity (basically, a prospect's first awareness of and engagement with your product/company) and more contacts (which will ultimately mean more quotes and more binds). In this article, we're identifying 4 strategies that can work for all agents; check them out below.
Insurance Prospecting Tips
1. Cross-sell your existing book.
If you've been in the insurance business for a few years, there's an opportunity to make the most of what you already have: Use your existing book of business to cross-sell products. Done right, cross-selling can yield powerful results. It requires only the organizational ability to see what products your customers currently have. High performing agents establish and use a system that shows them, on a daily or weekly basis, which clients have which policies in force, which clients have renewals coming up and which clients would be ideal opportunities for adding additional insurance products to their portfolio.
2. Use your existing customers to generate referrals.
Ask your best customers to refer people to you. After asking for referrals, be sure to send a small gift or thank you. Similarly, you can move the needle by providing an incentive—like a gift card, for example—for referrals. Beyond providing simple motivation, incentives also create a sense of urgency, invest the agent in the outcome of the referral, and may produce faster results.
Another way to generate referrals is to connect with partner industries who can refer you to prospects. For example, you can incentivize real estate agents, attorneys, car dealerships, mechanics, and other local industries to send referrals your way.
3. Understand which of your products are competitive.
An underutilized prospecting tip is to make sure you know which of the insurance products you're selling are the most competitively priced, so you can effectively prospect potential customers who are a good fit. It sounds simple, but when you know which products you are most likely to sell to your target customer, you'll be able to bind more policies and reach more people—because you know you are sharing with them products they are actually interested in and ones that they will be much more likely to purchase.
4. Explore using internet leads.
When it comes to finding potential customers for your agency in the digital age, buying high quality leads can be one of the most effective strategies you have. Of course –as you've probably realized– not all leads are created equal. The following information can help you identify the leads that are a good fit for you, and could potentially provide the most ROI to your company.
- Aged leads: When you buy aged leads, you're buying the names and contact information for people who may or may not be actively looking for insurance. Typically, agents who pay for aged leads pay very little for the information, but the leads they receive are relatively cold–often buying these type of leads is literally only a small step above using the phone book. Unless you're one of the extremely small segment of agents successfully using aged leads as core part of their strategy, we don't recommend purchasing aged leads – there are better options.
- Real-time leads: Real-time leads, like those you purchase from EverQuote, are connections to people actively looking for insurance products. Real-time leads are excellent prospects because they generally have higher relative conversion rates (as well as a typical quicker time to bind). Real-time leads cost more, so it's best to start using them with a strategy in place for how to best use them—preferably, a multi-touch process that keeps you in close communication with the prospect. That process should include phone calls, emails over the course of several days to two months, giving you ample opportunity for sales conversations.
One more note: We have been working directly with insurance agents for years now and in that time we have heard a lot of myths and misconceptions about lead generation companies, and while there are many lead generation companies that contribute to the industry's somewhat negative image, not everything you hear about buying leads is true; in fact, much of the negative information you might hear about buying leads is often inaccurate and most definitely is not applicable to every lead vendor. For the whole story on this see the article: 4 Misconceptions About Insurance Lead Generation Companies.
Let us give you the high-quality leads you need.
At EverQuote, our expertise is in giving you leads that will help kickstart your growth process. Talk to us about what our leads can bring to your insurance agency today!


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Trueman Bradley: Aspie Detective
Jessica Kingsley Publishers
Trueman Bradley – Aspie Detective is a fantasy adventure that will capture the imagination of anyone interested in Asperger's Syndrome.
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The newly remodeled Hilton Wilmington Christiana provides complimentary shuttle service within 10 mile radius, free Wi-Fi, outdoor pool open Memorial Day thru Labor Day, onsite restaurant and bar, breakfast buffet featuring made to order omelets, outdoor Patio with seasonal live entertainment, unique executive lounge, fitness center, and business center.
The exclusive executive lounge features complimentary breakfast each morning and a weekly cocktail reception with beverages and hors d'oeuvres Monday thru Thursday from 5pm to 8pm.
All guest rooms feature mini refrigerators, iHOME clock with docking station, tabletop lamp with built-in power outlets and USB port, Ergonomic work desk and chair, Peter Thomas Roth Bath Amenity Collection, 42 inch LG TVs with On Demand and HBO, and much more.
The breakfast buffet features made-to-order omelets and a number of hot and tasty egg, meat, pastry and side dishes to choose from. There is also a different hot skillet option daily, including Mediterranean and Mexican scrambles.
Onsite restaurant, Market Kitchen and Bar, specializes in gastropub type fare. Dishes are infused with fresh ingredients from the hotel's outdoor Courtyard Garden and made with local product from partner farms. The outdoor Patio overlooking a pond features live seasonal entertainment Tuesday – Thursday evenings. In-room dining is also available.
This Hilton hotel offers exclusive packages and is located near many corporate offices, world class area attractions, and tax free shopping. The hotel is located just off Delaware interstate 95 midway between Philadelphia international and Baltimore Washington International airports.


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text: On 28 Jan 2014, at 6:45, Christopher Eliot wrote: > In TM2, the behavior of command-i is unexpected, and I believe > different than in TM1. > […] > Thanks, and I apologize if there's a legitimate reason for this > result which I don't know about! The command in question takes "selection or word" as input. For 2.0 placing caret on whitespace and using "Select Word" will select the whitespace sequence (same as double-click). The command could be updated to handle that case, but since this is (presumably) a change in behavior compared to 1.x, I have changed TM 2 to not give whitespace sequences as input to commands expecting a word, so your expected behaviour should happen starting with next build.


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Boys Lacrosse Notebook Weston carries second-half roll to Barlow
A six-game winning streak, including Saturday's 9-6 win over Guilford, has Weston back in the GameTimeCT Top 10 at No. 8 this week.
The Trojans only graduated a couple of seniors but still had lots of younger players contributing. Still, their seniors have stepped up, coach Josh Thornton said, players like Greyson Collins, Matt Scott and Ryan Werner in assorted roles.
"Looking at the team, we're playing how we should be," Thornton said.
The Trojans are 11-2 going into Thursday's showdown at Barlow, a rivalry game, a game that could set seeding in the SWC and a game at which the teams will honor and raise money for Mary Socci, the Newtown girl battling brain cancer who is the daughter of lacrosse referee Lew Socci.
Weston's losses came back-to-back in mid-April, a 17-4 loss to No. 5 New Fairfield after a penalty-filled 9-5 loss to Newtown. Those are the two teams ahead of the Trojans in the SWC standings.
Since then, they've taken care of their business, including a win over then-No. 8 Guilford, which dropped into a tie for ninth in this week's poll.
"Our D played really solid on their guys," Thornton said, adding that junior Julian Caplan was on Guilford's All-American attackman John DeLucia. "The only goals they got were kind of unsettled situations."
A third-quarter run got the Trojans some breathing room in a game that moved them ahead of Guilford (10-2) in the Class M rankings.
Several players have contributed offensively, Thornton said.
"James Goetz is probably one of the more underrated guys, outside the coaches who play us," Thornton said of the junior midfielder. "He's not the one putting up a lot of points, but he does so much that gets our offense going."
ANGELIC DEVILS: West Haven had hovered around .500 the past few years. In 45 years, coach Patrick Reed said, the Blue Devils' highest win total in a season was nine.
So this 10-2 start, with wins in the past seven, is historic already, though the Westies hope it doesn't stop there.
"In my 12 years, this is the most positive, bought-in group I've had," Reed said.
Some of that comes from senior attackman Niko Kyle.
"He's very calming for us," Reed said. "We were really kind of struggling in the preseason, and we gave him the reins. ... He took that leadership role."
Nik Camara and Steve Moran, a couple of big seniors who can handle the ball, anchored the defense in front of junior goalie Kevin Moriarty.
"He's the best goalie that I've seen this season. He's been amazing," Reed said. "He saves us a lot."
The two losses came against the two SCC Division I teams on the Blue Devils' schedule, Xavier (16-1) and Notre Dame-West Haven (14-6). They've got another big test coming Wednesday, when Branford (9-4, five wins in a row), featuring Air Force-bound midfielder Robbie Lionetti, comes to Ken Strong Stadium.
ROAR, LION: Another program record falls: Foran junior Ethan McVoy's eight-point night Monday against Sheehan gave him the school's scoring record.
McVoy has 83 goals and 62 assists for 145 points. Jonathan DePascale, Class of 2015, had 79 goals and 62 assists for 141.
FELT SO GOOD ... : Tip of the cap to first-year program Enfield, which earned the program's first varsity win on April 30, beating fellow first-year program Capital Prep 6-5. It worked so well, the Eagles beat Bristol Eastern a day later, 8-2.
Enfield is 2-8 with three games remaining.
Fine performances
Wes Carpenter, Ridgefield: Scored four goals, including the last-minute winner, and had two assists in the Tigers' 12-11 win over Yorktown (N.Y.).
Beckett Cashman, Granby: Scored in overtime to beat Somers 16-15.
Luke Conway, Hand: Two goals and an assist in a 6-3 win over North Haven.
Tyler DiNapoli, North Branford: Five goals and two assists in a 10-9 win over Valley Regional.
D.J. Donovan, Danbury: Scored in overtime to beat Stamford 8-7.
J.J. Ford, Xavier: Hat trick in a 9-7 win over Conard.
Chris Gonzalez, Fairfield Warde: Made 12 saves in the Mustangs' 12-10 win over Fairfield Ludlowe.
Justin Hazard, Glastonbury: Two goals and two assists in a 12-8 win over Newtown.
Seth Libby, Woodstock Academy: Scored five goals in an 11-5 win over Norwich Tech/Windham Tech.
Teddy Manges, New Canaan: Scored four goals in a 15-12 win over Fairfield Prep.
Brian Mills, North Haven: Two goals and an assist in a 5-4 win over Trumbull.
Jake Ober, Simsbury: Four goals and an assist in a 13-7 win over Southington.
Patrick Ruther, Norwalk: Made eight saves in a 5-2 win over Stamford.
Connor Smith, Notre Dame-West Haven: Stopped 13 shots in a 6-5 win over North Haven.
Scott Symington, Somers: Five goals and two assists in an 11-4 win over Old Lyme.
Games to watch
Hand at Notre Dame-West Haven (Veterans Stadium), Wednesday, 6 p.m.; Xavier at Cheshire, Wednesday, 6:30 p.m.: In which we continue to try to sort out who fits where in the SCC behind Fairfield Prep and Guilford.
Ridgefield at Wilton, Thursday, 5:30 p.m.: The resurgent Warriors, winners of five in a row, play host to Ridgefield, which has found a way against all in-state, non-Darien opponents (going into Tuesday night's game at Trumbull, at the very least).
Weston at Barlow, Thursday, 7 p.m.: In which we continue to try to sort out who fits where in the SWC behind New Fairfield. The winner of this game has the inside track to finish third behind the Rebels and Newtown.
New Fairfield at Glastonbury, Saturday, noon: New Fairfield's biggest tests had come out of state until Saturday, when the Rebels took a 10-0 lead in the first quarter to beat No. 9 Newtown 17-5. Well then. The Rebels' regular season ends with two out-of-conference games against top-10 teams, starting with this one.
Weston at Hand (Surf Club), Saturday, noon: An interesting match between two of the top 10 teams in the Class M rankings going into the week, as well as two teams that have been in the GameTimeCT top 10 at various times.
Darien at New Canaan, Saturday, 3 p.m.: More often a midseason game, the rivalry moves to the last weekend of the regular season. They could meet twice more in short order.
St. Joseph at East Catholic, Tuesday, 4 p.m.: Since 2009, every time St. Joseph has made the Class S tournament, it has made the final. This won't be the third time the Cadets miss out; with a 15-game schedule, their sixth win got it done Saturday against Danbury. This, then, is a matchup of two of last year's semifinalists with a chance (the Eagles need one more win to clinch, going into Monday against Conard) to get there again.
Staples at New Fairfield, Tuesday, 6 p.m.: The Rebels' second top-10 matchup of the week closes the regular season for both teams. Really. It's almost playoff time.
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PLEASE NOTE: Water Street in this area will be closed on Sunday morning to traffic, except local traffic. Blockhouse Island will also be closed to traffic during the event! As well the tunnel will be closed to the public during the event Sunday morning!
Brockville – The 2019 Thousand Islands Triathlon & Duathlon is being held this Sunday, August 18th in Downtown Brockville.
Runners will be running a course which includes Brockville's historic railway tunnel.
Please note, Water street in that area will be closed to traffic except local traffic.
Everything gets underway with the Olympic Triathlon, Olympic Relay and Olympic SwimCycle at 8:30am. The Super Sprint Triathlon begins at 9:00am, followed by Try A Tri: at 9:02am, Sprint Duathlon at 9:05am and the Wylie Ryan 1 Km Kids' Run at 9:06am.
The Sprint Triathlon & SwimCycle* will start for the Men at 9:10am and the Women & Relay at 9:15am. *AFTER the Super Sprint and Try A Tri are clear of the course.
The 750m and 1500m swims are in the St. Lawrence River. Both swims begin at the boat ramp adjacent to the T-Zone with a deep water start. The swim course is a triangle of 750m, which the Olympic Triathlon participants swim twice. The exit ramp is a concrete slab that allows participants to walk out of the water. The 200m swim is on a triangle course near shore.
The 20.7K bike is an out and back course. Cyclists exit the transition zone onto Water Street, which is closed to all but local traffic during the event (first and last 500m). They head East on Water Street to Ford Street where they turn left and go up a short steep hill to King Street. They turn right onto King Street East (Highway 2), and proceed to the turn around.
The 40.2K cyclists do two loops of the 20.7K course.
For more information please visit: https://somersault.ca/triathlon/thousand-islands/


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The 9th Annual LANAP Study Club will be held on Wednesday, October 14th in beautiful Orlando, Florida. Learn important LANAP® & LAPIP™ protocol techniques from experts in the field, and increase your operatory efficiency and clinical outcomes while maintaining a high standard for patient care. Come enjoy world-class food and cocktails while networking with other fellow LANAP clinicians!
IMPORTANT NOTE: This meeting is open to all LANAP clinicians; registration includes 8 hours of CE credit, breakfast, snacks, lunch, and a Fellowship Reception dinner.
CANCELLATION POLICY: If cancellation is made more than 60 days in advance of the program date, 100% of tuition will be refunded, 59 – 30 days prior to the program date, 50% of the tuition will be refunded. Cancellations within 29 days are nonrefundable.


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PULMONARY FUNCTION TESTING. Purposes of Pulmonary Tests. General Categories of Lung Diseases. Types of PF Tests
- Derek Long
- 2 years ago
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1 PULMONARY FUNCTION TESTING Wyka Chapter 13 Various AARC Clinical Practice Guidelines Purposes of Pulmonary Tests Is lung disease present? If so, is it reversible? If so, what type of lung disease is present? How bad is the problem? Is rehabilitation an option? Is there more than one lung disease present? General Categories of Lung Diseases Obstructive Diseases characterized by airflow limitations Asthma; Emphysema; Chronic Bronchitis Restrictive Diseases characterized by a decrease in lung volumes Pulmonary Fibrosis; Severe Kyphosciolosis; Obesity Types of PF Tests Tests of Lung Volumes & Capacities FRC; RV; TLC; IC; VC Tests of Airflow Spirometry measures flowrates of exhaled gas based upon a forced exhalation Flow-volume loops creates a visual picture showing the flowrate at any given lung volume Carbon Monoxide Diffusing Capacity Measures how well gas can diffuse across the alveolar-capillary membrane This value is decreased in Emphysema & in Pulmonary Fibrosis What is Considered Abnormal? Normal values for volumes, capacities, diffusion & flowrates are based upon a person s; Age Height Gender Nomograms provide an easy way of determining a person s expected values Example of a Nomogram
2 When is a value abnormal? Normal = % of predicted Mild impairment = 65 79% predicted Moderate impairment = 50 64% Severe impairment = % Very Severe = <35% How to calculate % predicted % predicted = measured value X 100 predicted value How Lung Volumes Change in Disease What causes Restrictive Changes? HOW VOLUMES & CAPACITIES CHANGE Restrictive Disorders Vt N or decreased FRC decreased RV decreased TLC decreased
3 VC decreased IC - decreased Obstructive Disorders Vt N or increased FRC increased RV increased N or increased VC N or decreased IC N or decreased Types of flowrates Simple Spirometry FVC forced vital capacity Usually expiratory maneuver FEV 1 amount of volume exhaled in 1 sec. FEF average speed of gas being exhaled after the first 200ml up to 1200 ml Looks at quality of airflow in the larger airways FEF 25-75% - average speed of gas coming out of the lungs after the first 25% up to 75% of the VC Looks at the quality of airflow from the smaller airways Good index of small airways disease seen in asthma and emphysema
4 Calculating Simple Spirometric Data What is FVC? What is FEV 1? What is FEV1/FVC ratio? To calculate; Observed FEV1 X 100% Observed FVC FEV1% is a good general index of presence of obstruction verses restrictive disorder Significance of FEV1% In obstructive disease; FEV1% is decreased In restrictive disease; FEV1% is increased or normal Flow-Volume Loops Obtained when a patient does an Expiratory FVC followed by an Inspiratory FVC Inspiration is below the x-axis & Expiration is above the x- axis Significance of Flow-Volume Loops Gives a unique visual picture of flows throughout the breathing cycle During the last 25% of exhalation (from 75% to 100% of expiratory flow), flowrate is effort independent Allows clinicians to identify obstruction on either inspiration OR exhalation Examples of Flow-Volume Loops As you can see, each patient type has a distinctive signature pattern.
5 Important Data Points on Flow-Volume Loop FEF25%; FEF50%; FEF75%; FIF25%; FIF50%; FEF75% These points give indications of flow at specific lung volumes Maximal Voluntary Ventilation Also called MVV or MBC Patient breaths rapidly using breaths greater than a normal Vt but less than IC or FVC Significance of MVV Is a test of overall function of respiratory system. Influenced by; Status of respiratory muscles Compliance of lung-thorax system Condition of ventilatory control mechanisms Resistance offered by airways Normal values in young people is l/m. Only decreases of >30% are significant Before & After Bronchodilator Tests Spirometric values (FEV1); FEF ; FEF25-75%; MVV & Flow-volume loops can be repeated after giving the patient an SVN tx or MDI with a bronchodilator Improvement is defined as a 20% increase in any observed values Diffusion Tests Carbon monoxide (CO) diffusing capacity DLCO. Most popular type is the single-breath method Patient breathes in to TLC a mixture of 0.3% CO + 10% He + 21% O2 and holds breath for about 10 seconds Patient exhales into a small bag where gas concentrations are analyzed DLCO Calculations Where; FaCOo = fraction of CO at beginning of breath-hold
6 FICO = fraction of CO in the reservoir FAHe = fraction of He at the end-tidal sample FIHe = fraction of He in inspired gas FACOo = FICO X FAHe FIHe Significance of DLCO Normals vary by as much as 30% Decreased in restrictive diseases (generally) Alveolar fibrosis Decreased by space occupying tumors and after lung resection Decreased in loss of lung tissue Emphysema Measuring RV, FRC and TLC FRC is measured indirectly using one of the three following techniques; 1. Body plethysmography (body box) 2. Nitrogen washout study 3. Helium dilution Once FRC is measured, RV and TLC can be calculated mathematically 1. Body Plethysmography Patient is sealed in a box & ventilates through a mouthpiece with a pressure transducer and shutter valve allowing obstruction at the mouthpiece Patient breathes gas from the box. At FRC, the shutter is closed; the patient pants for breaths/min against an obstruction As this occurs, pressure is measured at the proximal airway AND within the box at the same time Boyle s law is used to determine the final volume in the box: P1V1 = P2V2 Where; P1 = Original pressure in the box (760 torr) V1 = Original volume in the box (1,000L) P2 = Increased pressure in the box as a result of chest expansion V2 = Final volume in the box Example; (760 mmhg)(1000l)=(760.2 mmhg) x (760 mmhg)(1,000l) = x mmhg x = L Difference between V1 & V2 change in volume in the patient s thorax 1,000 L L =.263 L As the patient pants against an obstruction, the volume in the thorax increases & the pressure in thorax is decreased. Using Boyle s law again; Pa1Va1 = Pa2Va2 Where Pa1 = prox airway pressure at resting FRC(this equals 760 mmhg) Va1 = volume of FRC
7 Pa2 = pressure in airway after inspiring against an obstruction Va2 = Final volume in thorax (# from previous equation) (Pa1)(Va1) = (Pa2)(Va1 + V) (760 mmhg)(x) = 700 mmhg (x +.263) 760 mmhg x = 700 mmhg x mmhg x = mmhg L 60 mmhg 60 mmhg x= 3.07 L this is the patient s FRC Body Plethysmography is popular since it is the most accurate method for determining FRC Other methods do not accurately measure trapped gas commonly present in patient s with COPD 2. Nitrogen Washout for FRC Patient connected to breathing circuit & inspires 100% O2. Total volume of exhaled air is collected separately Test normally lasts for about 7 minutes or until expired N 2 is 1% to 2.5% Since nitrogen makes up about 80% of FRC on room air, the volume of nitrogen is the total exhaled gas will equal about 80% of FRC Total volume exhaled into bag is measured along with N 2 concentration in the bag Example; Total volume collected 50 L Measured N2 % 5% Volume of nitrogen in bag = 50 x.05 = 2.5 L Example continued; 2.5 L = x..80 FRC 1 FRC x = L (this is the patient s FRC) Problems with Nitrogen Washout Atelectasis may result from washout of nitrogen from poorly ventilated lung zones (obstructed areas) Elimination of hypoxic drive in CO 2 retainers is possible Underestimates FRC due to underventilation of areas with trapped gas 3. Helium Dilution for FRC Since helium is inert, as patients breaths the helium, it s volume does not decrease since it is not absorbed by the blood. Patient is connected to a rebreathing system and a known volume & concentration of helium is added to the system The patient breathes until the final He concentration is stable. (About 7 minutes) FRC is calculated using the following equation; FRC = (% He initial - % He final) x initial vol. % He final Where % He initial = 10% % He final = 3.5% Initial vol. = 200 ml = 2,000ml or 2.0 L
8 10% FRC = (% He initial - % He final) x initial vol. % He final FRC = (10% - 3.5%) x 3.5% 2.0 L = 3.7 L Problems with Helium dilution for FRC are similar to Nitrogen washout problems; Presence of severely obstructed airways as found in COPD patients tends to cause poor distribution of helium Leaks in the system or patient will cause erroneous values ADDITIONAL PULMONARY FUNCTION TEST Determination of Closing Volume Closing volume is the point during slow exhaled VC maneuver at which small airways begin to collapse In young, healthy adults is about 10% of VC Closing volume increases with age At age 60 may be as high as 40% Increases with lung disease (COPD) Is a good earlier indicator of small airways disease Single-breath Nitrogen washout study is used to determine Closing Volume Patient breathes in 100% O 2 from RV to TLC and slowly exhales back to RV Single-breath Nitrogen washout curve Single-breath Phases Phase 1 N 2 % is zero (gas from upper airways) Phase 2 Steep increase in N 2 % (gas from smaller airways & alveolar regions) Phase 3 Slow increase in N 2 % (gas from mostly alveolar regions Phase 4 Closing volume (gas from apices only is exhaled N 2 % is highest in apices)
9 CO 2 response curve Patients are connected to a rebreathing circuit and given a mixture of 93% oxygen while CO 2 % is gradually increased up to 7% Changes in minute ventilation are measured as CO 2 concentration is increased. CO 2 response is determined by the peripheral chemoreceptors Decreased response to CO 2 is seen in lung disease (COPD patients with severe airway obstruction)
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Eye - Broken Blood Vessels/Hemorrhage
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Joined: 13 Dec 2006
Posts: 1406
Location: Cleveland, OH
Posted: Dec Fri 15, 2006 10:38 pm
Post subject: Eye - Broken Blood Vessels/Hemorrhage
Eye - Broken Blood Vessels /Hemorrhage
Q: I was playing Basketball yesterday when my left eye was injured by someone's fingernail. Now I have a bloody eye that fills half of my eye from the outside of the blue all the way to the corner near my nose.
Anyone have any idea what to do? Anyone ever have this happen to them? It is not very painful, but looks scary. -Catherine
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Yes, it happened to my oldest daughter -- maybe in her 30's. Once it happened, the time in-between occurrences became shorter. She went to an eye doctor -- who told her once the capillary became weak, it WOULD keep breaking. He said there was nothing that could be done.
I gave her Bilberry and that takes care of it. I just called her to ask how many she takes. She said one, twice daily. She said she can skip one once in a while -- but if she goes off of it or cuts down to one daily, she will have an eye Hemorrhage.
In the beginning, it would just be a yellow spot, then faded pink -- finally a flood. If she quits, she goes the same route. Yellow, then pink, then hemorrhage. Hope this helps you out. -Georgiana
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I am on vacation and just woke and found that my right eye is full of thick red lines that look like blood is flowing through it. I don't want to do anything drastic if it is just a symptom of something minor, so your help would be appreciated. Thanks. -Nolee
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Formula EW is exceptional for eye infections and injuries. It contains herbs that stimulate circulation to the eyes to promote healing, shrink inflamed tissues, absorb toxins, alleviate pain and fight infection. It would be a great formula to keep on hand for spring allergies as it quickly soothes dry itching eyes that have been irritated from pollen. It can be taken internally and used as an eyewash. -Jewel
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Nolee, I'd like to suggest using Colloidal Silver directly in the eye. It doesn't sting and will keep out infection. Use as many times a day as you need to. I'd also suggest MSM + Vitamin C Ascorbates until you can get it looked at. -Carol Martz
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I suggest you read a book called, "Diagnosis Unknown by Randy Smith" The author tells the story of how his wife woke up one morning with a bloodshot swollen eye, she suffered over the next year desperately ill, she and her husband thought she could have gotten a spider bite. Some thirteen doctors were unable to give her a diagnosis and so I doubt very much if anyone here could even speculate on your particular problem, but in the mean time there are many modalities you could start with. I would have a professional herbalist or ND look at it as soon as possible if the problem persists. -Jewel
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Nolee, If you have any Vitamin C with you, Id recommend it. It always helps me short term. Have a selenologist do an analysis when you get back home. Having learned selenology has helped me tremendously in helping others as well as myself explain the broken vessels in my eyes.
A sclerologist is a person that practices the science and study of the sclera or the whites of the eyes. Whereas the iridologist studies the iris or the colored part of the eye. When you combine the study of the two, the resulting analysis is confirmation and more specificity. In studying the sclera, blood vessels are very important indicators of what may be occurring in your body. Similarly to iridology it depends on where it is in your sclera, the shape it takes, etc. to determine the degree of significance. -Sharlene
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In Sclerology if it's in the lower inner - quadrant of the right eye (closer to the nose and looks like a blood mass) you will want to check for heart imbalances. Broken Blood Vessels you may want to try Vitamin C, EW and Thai-Go. -S. Mitchell
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