text:
|Home | About | Journals | Submit | Contact Us | Français
The outcome and management of relapsed lymphoma after allogeneic hematopoietic cell transplantation (HCT) is difficult. Therapeutic options may include donor lymphocyte infusion (DLI), reduction of immunosuppression (RIS), chemotherapy, radiation, immunotherapy, second HCT and experimental treatments, but reported data contrasting the response and efficacy of these salvage treatments is limited. We describe the treatments, response, prognosis and long-term survival of 72 patients with relapse of lymphoma after allogeneic HCT.
Between 1991 and 2007, 227 lymphoma patients underwent allogeneic HCT. Of these, 72 (32%) developed relapse/progression after their HCT at a median of 99 days (0–1898 days); 37 had early (<100 days) post-HCT relapse. Forty-four had non-Hodgkin's lymphoma (7 mantle cell, 5 indolent, 15 diffuse large B cell, 4 Burkitt's and 13 T/Natural Killer cell) and 28 patients had Hodgkin's lymphoma. At the time of HCT, 62 patients were in remission (22 in complete [CR] and 40 in partial [PR]), one had stable while 9 had progressive disease. Seventeen cases received myeloablative and 55 received a reduced intensity conditioning regimen. At relapse, most patients had generalized lymphadenopathy, extranodal organ involvement and advanced disease. Five patients received no intervention for the post-HCT relapse. Immunosuppressive treatment was reduced or withdrawn as the first line therapy in 58 patients (80.5%); 47 were treated using combinations of conventional chemotherapy (n=22), rituximab (n=27), interferon (IFN) (n=1), DLI (n=7), second HCT (n=2), local radiation (n=23) and other therapy (n=6). Thirty-eight patients had an objective response (CR in 30, PR in 8) and 2 had stable disease (SD). At the post-HCT relapse, favorable prognostic factors for survival after HCT included good ECOG performance status (0–2), normal lactate dehydrogenase (LDH), early stage disease (stage I–III), isolated extranodal organ involvement and later relapse (>100 days) post-HCT. Three year survival after HCT was significantly better in late than early relapse (53% (95% confidence interval (CI) [34–69%] vs. 36%, [20–52%], p=0.02). Of 72 relapsed patients, 29 (40%) survive at a median of 34 (3–148) months post transplant. The most common cause of death was underlying lymphoma (79%).
The overall prognosis of relapsed/progressive lymphoma after allogeneic HCT is disappointing, yet half of patients respond to withdrawal of immunosuppression and additional therapies. Novel treatments can control lymphoma with acceptable morbidity. Particularly for patients with later relapse, ongoing treatment after relapse can yield meaningful benefit and prolonged survival.
Hematopoietic cell transplantation (HCT) has been widely used as a treatment modality in relapsed and aggressive lymphoma, most often using an autologous graft (1–3). For the past decade, allogeneic HCT, particularly using reduced intensity conditioning (RIC) has become another potential curative treatment option, even in patients with relapse or progression following autologous HCT (4–7). However, the management and outcome of relapse after allogeneic HCT is uncertain and poorly described (8). Most available data are limited to donor lymphocyte infusions (DLI) which sometimes provide durable clinical response (9–11). Other modalities include withdrawal of immunosuppression, rituximab, chemotherapy, radiation, a second allograft or a combination of therapies. There are only limited data detailing the response and efficacy of these salvage treatments in relapsed lymphoma. Bethge et al reported on patients with relapse or progression after non-myeloablative allogeneic HCT (12) and in a small cohort, 48% survived at 24 months following the post-HCT relapse. We report on the outcome and response to salvage treatment of 72 patients with relapsed lymphoma following allogeneic HCT.
A total of 227 lymphoma patients underwent allogeneic HCT at the University of Minnesota between January 1991 and December 2007. We identified 72 patients who developed relapsed or progressive disease after HCT. Patients' data were retrieved from the University of Minnesota Blood and Marrow Transplantation Program Database which contains specified and prospectively collected data for all patients transplanted at our center. This was supplemented by detailed review of all treatment and response data from available medical records. Data and outcomes were analyzed as of December 2009. Pre-transplant characteristics included age, gender, chemosensitivity, lymphoma histopathology and disease status at HCT. Lymphoma histologies were grouped for analysis as: Indolent lymphoma (Chronic lymphocytic leukemia/small lymphocytic lymphoma, marginal zone lymphoma and follicular lymphoma); Aggressive lymphoma (Mantle cell lymphoma, diffuse large B cell lymphoma (DLBCL), T cell/Natural Killer (T/NK) cell lymphoma; Highly aggressive lymphomas were Burkitt NHL. Patients underwent allogeneic HCT using myeloablative or RIC regimens. Graft sources included bone marrow, filgrastim-mobilized peripheral blood (PBSC) from related or unrelated donors (URD) or unrelated umbilical cord blood (UCB).
In addition to demographics and pre-HCT disease characteristics, a variety of post HCT parameters were considered in univariate analyses to predict outcomes including: best response achieved from HCT, time to progression/relapse, relapse sites (nodal and extranodal organ), number of nodal area involvement (locoregional or 1–3 nodal area [stage I–II] vs. diffuse or > 3 nodal area [stage III]), bulky disease (any tumor mass >10 cm in diameter; or a mediastinal mass > 1/3 chest diameter), lactate dehydrogenase (LDH) and Eastern Cooperative Oncology Group (ECOG) performance status at the time of relapse. Salvage for relapse/progressive disease after HCT and therapeutic responses were reviewed. Treatment response was determined by using clinical assessment, biochemical and radiographic investigation as complete remission (CR), partial remission (PR), stable disease (SD) or progressive disease (PD) according to 2007 revised response criteria for malignant lymphoma (13). We determined the overall survival (OS) after allogeneic HCT and survival from the time of relapse to last follow up or death. Severe treatment-related complications (≥ grade 3) defined by National Cancer Institute Common Terminology Criteria for adverse events (CTCAE) version 3.0 were recorded.
Patients and transplant characteristics between groups were compared using chi-square or Fisher's exact test for categorical data and Wilcoxon's rank-sum test for continuous data. OS was analyzed by using the Kaplan-Meier method with 95% confidence intervals (CI) and comparisons between groups used the log rank test. All statistical analyses were performed with Statistical Analysis System statistical software version 9.2 (SAS Institute, Inc., Cary, NC) with p value ≤ 0.05 considered statistically significant. Patients and/or their parents/guardians had exercised written informed consent for protocol specified treatment and prospective data collection on their outcomes. The University of Minnesota Institutional Review Board granted specific approval for this secondary data retrieval and analysis.
Seventy-two patients had relapsed or progressive lymphoma following allogeneic HCT (Table 1). Median age at the time of HCT was 40 (4–62) years. Forty-four patients had non-Hodgkin lymphoma (NHL) (7 mantle cell, 5 follicular/marginal zone/small lymphocytic/chronic lymphocytic leukemia, 15 DLBCL, 4 Burkitt and 13 T/NK cell) and 28 had Hodgkin lymphoma (HL). The median number of pre-HCT chemotherapeutic regimens was 4 (range 1–11). Twenty-three patients underwent previous autologous HCT before the allogeneic HCT. At the time of allogeneic HCT 62 (86%) had chemosensitive disease (22 were in CR; 40 PR), 1 had stable and 9 (13%) had progressive disease. Seventeen patients received myeloablative and 55 a RIC regimen. UCB grafts were used more frequently (56%) than sibling donor granulocyte filgrastim-mobilized PBSC (33%) and marrow grafts (11%): 4 from siblings and 4 from URD.
The median time to post-allogeneic HCT relapse or progression was 99 days (range 0–1898 days); 37 patients (51%) had early progression or relapse (within 100 days). Table 2 shows disease characteristics at the time of relapse or progression. Nodal relapse occurred in 65 patients (90%). Of these, 41 patients (57%) had diffuse nodal involvement and 23 (32%) had bulky disease. Fifty-six patients (78%) had at least one extranodal relapse site (bone marrow 20, lung 27, gastrointestinal 11, musculoskeletal 19 and central nervous system (CNS) 2). At relapse, LDH was elevated in 20 of 52 tested (44%). Seventeen patients had poor performance status (ECOG 3 or 4) at the time of relapse/progression.
Salvage treatments of relapse/refractory lymphoma after allogeneic HCT were tailored individually based upon the timing of relapse, performance status, extent of disease, pre-HCT treatment and underlying co-morbidities including active graft versus host disease (GVHD) (Table 3). Five patients received no intervention at the time of relapse/progression due to poor performance status or advanced stage of lymphoma. In 67 patients who received salvage treatment, reduction of immunosuppression (RIS) was the first line therapy in 58 patients (81%) and was the only initial treatment in 36 patients.
Systemic therapies were used either alone or combined with other treatment (RIS, chemo-immunotherapy or rituximab). Fourteen patients received chemotherapy alone, 20 had rituximab alone and 7 had combined chemo-immunotherapy. Vinca alkaloid (vinblastine/navelbine)-containing regimens were used most often (12 patients). Other treatments include interferon (IFN) (n=1), second HCT (n=2) and novel therapeutic agents (n=6). DLI (not available for the 40 UCB recipients) was given to 7 patients. Local radiation (n=23) accompanied RIS and other systemic therapies. One patient had surgical resection of a mass to relieve compressive symptoms.
Of 67 patients who received treatment for their relapsed disease, 38 patients had an objective response (30 CR, 8 PR; overall response rate 52%) while 2 had SD and 30 had PD; 2 were not further evaluated. The median time to best response was 7.1 months (range, 1–70 months). Of 38 patients who achieved response, 24 patients responded (15 CR, 9 PR) to the initial salvage regimen [RIS (n=13), combined systemic treatment (n=5), chemotherapy (n=2), radiation (n=3) or DLI (n=1)]. RIS alone induced CR in 10 cases (HL 4, T/NK cell lymphoma 4, mantle cell 2) (Table 4). In those who achieved CR, the median progression free survival (PFS) was 19 months (range, 0.3–132 days). In 9 patients with PR, the median PFS was 1.5 months (range, 0.3–4.3 months), but all PR patients later progressed. Twenty-seven patients responded to second line salvage treatment (21 CR, 6 PR) (Table 4). Of 21 patients who received second line treatment with chemotherapy, 9 responded (5 PR, 4 CR) and 1 had SD.
The median duration of response from chemotherapy was 6 months (range, 2–74 months). Among 9 patients who had objective response to chemotherapy, five had HL, two T/NK, one DLBCL and one Burkitt's NHL. Six of 9 patients received vinca-alkaloid containing regimens. Gemcitabine was used as a single agent or combined with vinblastine or navelbine in 3 patients. Rituximab, either alone or in combination, induced response in 12 of 27 (44%) patients (7 DLBCL, 2 follicular, 2 mantle and 1 HL). Of the 12 patients who responded to rituximab (alone or in combination with other therapies) for their post-HCT relapse, 10 had previously received rituximab and all but 1 had responded (CR/PR). Rituximab responses for the post-HCT relapse were modestly durable lasting 1–68 months (median 23 months). Somewhat surprisingly, 6 of the 7 (85%) patients who received DLI achieved remission (4 HL and 2 T/NK cell NHL).
Objective to any therapy prolonged survival as the 38 patients who responded (CR/PR) to post-HCT therapy had median survival of 30 months (range, 0–150 months) after relapse and 36 months (range 3–148 months) after allogeneic HCT (Figure 2). Patients who did not respond had median survival of only 2 (0–26 months) months after relapse; five months (range 1–32 months) after HCT.
Twenty-nine patients survive at last follow up (17 in CR, 2 PR, 3 SD and 7 PD) (Figure 1). In univariate analysis, performance status [ECOG PS 3–4 vs. 1–2, median survival 1.1 months, (95% CI, 0.2–1.9) vs. 18.3 months, (17.2–81.2, p<0.001] and LDH [elevated LDH vs. normal LDH, median survival 2.1 months, (95% CI 1.3–2.9) vs. 9.1 months, (14.8–93), p<0.001] had a significant and unfavorable impact on overall survival and also on survival after the post-HCT relapse (not shown). The pathologic subtype of lymphoma had a marginal impact on survival outcome (p=0.05) with no survivors in those with Burkitt's NHL (Figure 2B). Age (<40 vs. ≥ 40), chemosensitivity, stem cell source (UCB vs. PBSC/BM), conditioning regimen (myeloablative vs. RIC) and number of treatment regimens prior to transplantation (<4 vs. ≥) did not impact overall survival or survival after transplant relapse.
Patients with later post-HCT relapse (>100 days) had better survival than those with early relapse, 3-year survival 53% vs. early relapse 36% (p=0.02) (Table 4B, Figure 1C). In addition to late relapse, patients who achieved remission (CR/PR), those with stage I–III disease at relapse or those with isolated nodal or extranodal disease at relapse had better 3-year survival after HCT (Figure 2), however, none of these factors factors had prognostic impact on survival after transplant relapse. The most common cause of death was due to underlying lymphoma, which accounted for 79% of all deaths. Other causes of death included infection (n=3), severe GVHD (n=2), diffuse alveolar hemorrhage (n=1) and liver failure (n=1).
Treatment related adverse events were recorded. Following treatment of relapse, 13 patients developed severe cytopenias requiring transfusion or growth factor support. Severe infection occurred in 12 patients. Acute GVHD after RIS or second allogeneic HCT was moderate-severe GVHD in only 13 patients (Grade II in 9, Grade III–IV in 4). All 7 patients who received DLI developed acute GVHD, but severe acute GVHD (grade III–IV) occurred in only 2 (28%).
Recurrent lymphomas have become an increasingly therapeutic challenge. Allogeneic HCT has been more commonly used as a potential curative option due to recognition of the graft versus lymphoma effect with recent reports describing improved outcomes and limited treatment related adverse events (6, 14, 15). However, progression or relapse after HCT remains common and a major cause of death (15). Importantly, we found that some patients had prolonged survival following their relapse, particularly those with later relapse following the allograft. However, the overall prognosis for our patients with relapsed/progressive lymphoma following allogeneic HCT is poor with a median survival of only 5 months after HCT (2 months following relapse, similar to the few other reports (12, 16).
Prognostic factors that modify outcome after allogeneic HCT include low transplant comorbidity index (HCT-CI) scores, conditioning regimen, age, type of lymphoma, prior cytomegalovirus (CMV) infection and graft source (7). In our study, the major prognostic factors that determined overall survival survival after HCT and survival following relapse include LDH at the time of relapse, ECOG performance status, stage and sites of relapse. The time of relapse after transplantation also affected post transplant survival, but not survival after the relapse. We observed no prognostic impact of graft source, conditioning regimen intensity or lymphoma histological subtype on survival after transplant relapse. Due to small number of patients, multivariate analysis was not performed. Most earlier reports of allogeneic HCT in lymphoma (4–7, 14, 15, 18) did not examine post relapse management, response or subsequent survival.
Several brief reports described salvage treatment in relapsed/progressive lymphoma following HCT; mostly relapse after autologous HCT (19–28). A few series describe allogeneic HCT for those who respond to other salvage treatments. Reports of salvage therapies after allogeneic HCT are limited and there are no standard guidelines for the treatment of post-allograft relapse. Available potential treatment approaches include RIS, chemotherapy, rituximab, DLI (9, 10, 29), second allogeneic HCT (30, 31), interleukin-2 (32) or other novel agents (33, 34) yet reported outcomes are disappointing. One small series described salvage treatment for NHL after autologous (n=46) and allogeneic (n=12) HCT (16). The median survival after allografting was only 7 months and no specific therapy was recommended.
Reduction of immunosuppressive is often a first step in patients without severe GVHD or highly aggressive NHL (11, 35). In our study, some patients with HL, T/NK cell or mantle cell NHL achieved CR with RIS alone while indolent B cell lymphoma and highly aggressive lymphoma such as Burkitt's lymphoma rarely responded to RIS, even with other therapies. A durable response to RIS observed in some patients might reflect a potent graft versus lymphoma effect, but we observed no correlation with specific histologies.
Rituximab, in addition to its application as an approved first line treatment for CD20+ NHL, has been increasingly used for relapsed/progressive lymphoma with promising efficacy and infrequent treatment-related adverse events (36). Following HCT, several studies reported its efficacy as a single agent or in combination, mostly following autologous HCT (25, 37–39). We observed that rituximab could induce responses in some patients, even if previously treated with rituximab. Most of these patients had NHL (DLBCL 7, indolent 2, mantle cell 2) and one had HL. However, no study prospectively tested rituximab as a salvage treatment for prevention or therapy of relapse after allogeneic HCT.
Several chemotherapeutic regimens were used, but we could not compare the efficacy of different regimens due to small numbers and treatment heterogeneity. Moreover, the selection of chemotherapeutic regimen was influenced by many variables including previous response, performance status, histopathology and lymphoma burden. Notably, most of patients in our series who responded to chemotherapy had HL whereas those with NHL rarely responded unless treated concomitantly with rituximab. It is interesting to note that chemotherapy plus rituximab provided a therapeutic effect in this highly refractory patient subgroup who had exhausted several earlier treatment modalities. This might reflect a combined graft versus lymphoma effect from the concomitant reduction in immunosuppression. This was also was demonstrated by the promising responses to DLI in our study. However, this hypothesis will need further research to demonstrate its therapeutic potential.
DLI are used as a rescue treatment in relapsed lymphoma following allogeneic HCT with mixed results. Most early reports of DLI described favorable responses, but mostly in chronic myeloid leukemia (40). Some recent reports include indolent NHL (10, 29). We observed promising responses after DLI in of 7 patients including HL and T cell NHL. In our series, the large number of UCB graft recipients could not receive DLI.
Second allogeneic HCT for lymphoma is rarely reported and has high treatment related mortality (30, 31). This may be due to patients' poor performance status, extensive previous treatment and refractory disease. Baron et al reported the feasibility of RIC allogeneic HCT in patients who had failed a first myeloablative HCT (autologous or allogeneic) (31) with median overall survival of 813 days. However, the patients were heterogeneous and only 10 (of 147) had undergone a previous allogeneic HCT, none for NHL or HL. Another series describe only modest morbidity/mortality of second myeloablative allogeneic HCT in pediatric patients, especially age < 10 years (30). Recently, Kenkre and colleagues demonstrated promising long-term survival from T-cell depleted allogeneic HSCT in multiply relapsed lymphoma (17). However, there were only four patients who had a prior allotransplant preceding the allogeneic transplant reported. We might consider that a second allogeneic transplantation might be a feasible option if DLI is unavailable.
The prognosis and response to salvage treatment in relapse/progressive lymphoma following allogeneic HCT are rarely reported. Acknowledging the limits of retrospective analysis and heterogeneity of patients, histologies and treatments, we are encouraged that for some patients, especially those with later relapse, combination approaches can again achieve durable CR and prolonged survival. Improvements in supportive care and development of novel therapies may further improve outcome for such patients, but careful clinical study is needed to dissect the best approaches and identify those most likely to benefit.
We acknowledge the collective contribution of the medical, nursing and administrative staff of the Blood and Bone Marrow Transplantation Program.
Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


text:
I run an older whitebox as a PDF network printer for my users, using the rPath version of Acrophobia. The queue displays everyone's jobs, even after they are processed. The user that submitted it can remove it (of course only I do that, despite my requests) and I'd like to try to clear it to keep things more confidential.
Does anyone have experience with either Acrophobia or ePDF and know how to clear the queue?
1 Reply
Aug 27, 2009 at 9:35 UTC
i would suggest installing cutePDF on all the machines. it appears a a local printer and then asks the user to save the print job in a location of thier choice. on thier own computer or on the network.
then each user manages thier own print queue and the print is as confidential as the users wants it to be.
its free and easy to use and also i find it gives the best print quality out of all the PDF printers i have seen.
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.

subset: commoncrawl


text:
Comfort hands with the rich softness of shea butter cream that nourishes dry skin. The Marshmallow Melt Hand Cream from FarmHouse Fresh features notes of marshmallow, tonka bean, and sandalwood.
For more information, visit FarmHouse Fresh.
Mini Masterpiece 2017 Winners: Feline Grace37 photos
InternatioNAILS: Germany20 photos
An inflammatory condition of the skin characterized by redness, itching, and oozing vesicular lesions, which become scaly, crusted, or hardened.
Learn More
What is this washboard-pattern defect in the middle of my thumbs?
Is it normal that I'm in pain after doing a couple clients' nails?
How do you handle a client who constantly tries to correct you or tell you what to do?
What are reasonable terms for a non-compete contract?
How do I announce to my clients that I will be moving to a new salon?
Featured Products & Promotions | Advertisement
How big is the U.S. nail business? $7.3 billion. What's the average service price for a manicure? Dig into our decades' deep research archives.
View All
VietSalon is a Vietnamese-language magazine and the sister publication to NAILS. Click the link below to sign up for a FREE one-year subscription.
Subscribe to NAILS & SAVE!
Get a free preview issue and a Free Gift
Subscribe Today!


text:
About the Book
Amarante is a small beautiful city in northern Portugal. It was founded by Sao Goncalo, an hermit who lived in the 13th century. He did not want people to "live in sin" so he and a statue on his grave in the main church in Amarante is supposed to help bring lovers together...Anyhow this is a picture book from Amarante.
Features & Details
- Category Travel
Standard Landscape, 10×8 in, 25×20 cm
38 Pages
- Publish Date Feb 02, 2009
- Tags River Tamega, Sao Goncalo, Amarante, Portugal, travel, tourism
See More
About the Creator
I live in Stockholm, Sweden. I was a journalist for many years. In 1980 I got in contact with yoga and Eastern wisdom...this later led to Buddhist philosophy, and in particular to Tibetan Buddhism
Log in or create an account to post a comment.
0 Comments
Delete this comment?
See More


text:
Cat nail clipping
With your help, as needed, to hold or comfort cat, I will come trim your cats claws. I love cats and they seem to understand that I mean no harm when wielding nail clippers. I can read cats' body language and tolerance levels to help make the process go as smooth as possible.
*I will not trim claws that have grown over or become ingrown into foot pads. I will also stop if the task becomes dangerous to myself or the cat.
Training & Qualifications
I have cat, but more importantly, my friends now request my help because of my weird talent:
When I first meet a cat, I'll notice their claws need trimming. I'll comment about this to my friend/host, and they'll make a joke about it being impossible or difficult. "Give me some clippers, as I accept your challenge," I say. When all claws have been clipped in a matter of minutes, the pet parent is usually shocked, and then that becomes my task when I visit.
Availability & Preferences
I'm flexible in my schedule, but prefer no earlier than 10:30
Reviews of Emily
Razeen received unit of Family Behavior Consultation from EmilyNov 28, 2016
About Emily Ciscell
I am a former Special education teacher with lots of knowledge to share. Here's a list of things I can help with: Activity ideas (for all ages) Behavior consultation Augmentative communication Sen...sory issues Research Art- instruction, creation, etc. I love art Beginning ASL Resume writing and editing ...and more show moreOpen to other proposals
Emily Ciscell is looking for:
- Learning
- Cleaning
- Experiences
- Chiropractic
- Massage
- Physical Therapy
- Acupuncture
- Personal Training
- Pilates
- Yoga
- Fitness
- Tailoring & Sewing


text:
Let This All-American, Former Pro Soccer Player Show YOU Exactly
How To Drastically
|Module 1 is called "The Rock" because here we will developing a solid foundation in your game so that you can master more advanced soccer skills.
You will learn the right way to train and get thousands of quality touches on the ball to quickly improve your touch and feel.
You will NOT be wasting hours practicing the same old things and not improving at all.Instead, you will be learning how to train for soccer in a way that will make you a much better player in much less time.
|Module 2 is called "The Cup" because you will start to mix in more advanced soccer skills and will build off of module 1. You will learn tons of highly effective drills and techniques that will continue to improve your soccer playing ability even more.
You will develop some amazing soccer moves so that you can defeat your opponent every time and always know what to do when you get the ball. Plus you will begin to develop what I call your "soccer I.Q." which is what will make you not only a better soccer player but also a smarter soccer player.
You'll know exactly where to be to be a game changer, get the ball more, and make plays that will frustrate your opponents and make your teammates respect your soccer ability.You'll become a more complete soccer player and will be able to beat most defenders.
|In this module you will become a soccer machine!
You will start mixing in the skills you have learned in modules 1 and 2 with even more advanced skills and moves.You will literally have the skills and tools you need to beat any defender and become the best player on the field every time.
The skills you will develop in this module will make you a feared player by your opponents and a respected player by your teammates. You will also learn the skills to become a team leader so that you can help your team accomplish your team goals.


text:
Hey you! Yeah, I'm talking to you! The guy (or girl) who's reading this. Don't scroll down. Don't. However much you feel the temptation to.
Usually, I hate making blogs like these, because all they do is take up space, and they usually never get any comments, but here goes.
Would someone mind taking a look at my newest story? It's been awhile since I've written anything, so I'm really looking forward to any available feedback here.
The pasta is Running Out of Tombstones.
Thanks to anyone willing to take a look, read, and comment.


text:
| Is the atmosphere, knitted and woven tulle collar with knit vest.
Shetland wool from sheep that inhabit the North Shetland Islands of Scotland. It is characterized with soft hair quality by breeding environment, including severe winter cold or humid weather, it sucks sub-food seaweed.
In the layered style.!
He definitely PEAR recommended!
Or-a, or cute is yo ~!
* Table below please refer to your software and compared to please.
(The model is 156 cm)
* This item is after processing ( product washing, after dye such as ) is for impression and color, somewhat different, because we are. Please note that ogle differ somewhat by can see the environment, etc..
This product cannot be shipped to United States from the store.
Please contact the store for further information.


text:
This course has been designed to enhance your personal and professional knowledge of nutrition basics, enabling you to lay the foundation for optimal health for yourself and others. It is ideal for personal trainers and fitness professionals, empowering you to provide sound advice and make informed recommendations to clients to protect them from health problems and enhance their training results.
Key Features
Designed to enhance your personal and professional knowledge of nutrition basics
Lay the foundation for good nutrition, optimal health and the prevention of disease
Make general recommendations to clients to optimise their health through nutrition
Refute nutritional myths and identify risks in clients, altering their behaviour to reduce the risk and prevent progression of disease
Career Opportunities
Ideal for anyone who would like to learn more about nutrition
Highly recommended for personal trainers who are often the go-to-people for nutritional advice
Empowers you to provide sound nutritional advice and make informed recommendations to your clients
Study Modes
How is this course delivered? (Study mode & duration)
This is an online home-study course with a completion period of 6 months. You will receive your manuals and coursework via our online learning platform and be required to complete a 40-mark online multiple-choice exam for which 70% is required to pass.
What are the contents of the course? (Modules & chapters)
- Energy balance
- Digestion, absorption, transport & excretion of nutrients
- Macronutrients
- Micronutrients
- Nutrition through the life cycle
- Behaviour modification
- Healthy eating
- Weight management
- Metabolic syndrome
- Food Allergy, Intolerance and sensitivity
- Eating disorders
- Guidelines for healthy eating (including plate model and teaching tools, food labels etc.)
- Healthy eating for healthy infants and toddlers
- Nutrition for children & adolescents
- Nutrition in the adult years
- Nutrition in the Eederly and counselling for change
- Male and female Menopause and anti-aging
Do I need any previous qualifications to enroll in this course? (Entry requirements)
This course has no prerequisites and is open to anyone who would like to learn more about nutrition.
What job opportunities are available once I have completed this course? (Career paths & scope of practice)
This course is ideal for anyone who would like to learn more about nutrition. It is highly recommended for personal trainers who are often the go-to-people for nutritional advice. The course will enhance your knowledge of the topic, empowering you to provide sound advice and make informed recommendations to your clients.
Please Note: Writing diet plans is beyond the scope of personal trainers and some fitness professionals. In order to prescribe dietary programmes you require a bachelors degree in Dietetics, however you will be able to provide individuals with dietary advice and help clients make informed decisions relating to their dietary choices.
How will I be recognised once I have completed this course? (Accreditation & certification)
Upon completion of this course you will be awarded 6 REPS CPD points and will receive an HFPA certificate of achievement.
How to Register for this Course
Thank you for choosing to do our Essentials of Nutrition course! Please refer to the below steps to guide you through the registration process.
- Click 'Register for course' below.
- Then click 'View cart'.
- You will be redirected to our secure payment gateway where you will be required to 'pay now' or 'pay later' for the course deposit.
Pay Now
This payment option will require you to pay the course deposit immediately via credit card or instant EFT through PayFast's secure payment gateway. Upon successful payment you will receive a confirmation email with a link requesting you to complete your registration.
Pay later
This payment option will require you to make an EFT in to our bank account using your Order ID + Initial & Surname as a reference number. Upon placing the order you will receive an email detailing the payment instructions, together with a link requesting you to complete your registration.


text:
Hyatt Culinary Intern- Fall in DENVER, Colorado
At Hyatt, we believe our guests select Hyatt because of our caring and attentive associates who are focused on providing efficient service and meaningful experiences.
This is a paid Hyatt internship program (beginning 9/5/17 and ending 11/16/17) for students concentrating in Pastry.
Some previous cooking experience is required; one to two years previous cooking experience is preferred.Must be able to stand on feet for long periods of time, and must be able to work a flexible schedule during the internship.
Hyatt associates work in an environment that demands exceptional performance yet reaps great rewards. Whether it's career opportunities, job enrichment or a supportive work environment, if you are ready for this challenge, then we are ready for you.
* Continuous authorization to work in the U.S. * 2nd or 3rd year student * Studying hospitality or related major * Capable of a 10 week commitment
Primary Location: US-CO-Denver
Organization: Hyatt Regency Denver Convention Center
Pay Basis: Hourly
Job Level: Full-time
Job: Intern
Req ID: DEN005353
Hyatt is an equal employment opportunity and affirmative action employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, marital status, pregnancy, national origin, ancestry, age, religion, disability, veteran status, genetic information, citizenship status or any other group protected by law.


text:
"Colonoscopy procedure"
About: Mount Stuart Hospital Mount Stuart Hospital TQ1 4UP
Posted by Amanda Thompson
Anything else?
My very sincere thanks for such wonderful care. Dedicated , professional staff in a immaculate environment. I can't speak more highly of the treatment I received.
Response from Mount Stuart Hospital 13 months ago
Thank you for taking the time to give feedback. We are very pleased that you had a positive experience at Mount Stuart. I will ensure your comments are shared with the team
Best wishes
Debby Blease, Matron.


text:
Vogue Basic Design 3019; ca. early 1960s; Basic Proportioned Suit. Straight jacket with open front and patch pockets has above wrist length sleeves. Straight skirt has concealed pocket from depth of side front pleats.
Featured in Vogue Pattern Book February/March 1964, and in Vogue Pattern Book August/September 1964, and Vogue Pattern Book December 1964/January 1965
For the blouse, see view A of Vogue 3020.
Links to reviews/blog posts Edit
Sources/Vendors Edit
Gallery Edit
[insert your photos of this pattern made up]
Wishlist Edit
[insert your username, and make sure your preferences allow for people to contact you via e-mail. Do not list your email address here!]


text:
Thursday, 15 July 2010
Ants In Their Pants
Yes it's the two Stephens (Rutt and Menzie). They have been released from their logging hutch for the day to accompany BirdGuides senior cameraman Max Whitby on an exciting filming trip to photograph Small Red Damselfly. Unfortunately the great master (ie Max): 1) forgot to bring the CF cards; 2) the tripod; 3) and failed to find out in advance that the private reserve that was the mission's objective requires advance permission and was closed anyway.
But we did find a splendid Wood Ant nest. Here you can see the boys up close and personal with several tens of thousands of the little beasts about to crawl up their trousers. Rumour has it a video will shortly be available on YouTube.
Posted by
Max Whitby
Email This
Share to Twitter
Share to Facebook
Share to Pinterest
No comments:
Post a Comment
Newer Post
Older Post
Subscribe to:
Post Comments (Atom)


text:
You have no items in your shopping cart.
There are no products matching the selection.
Free Delivery Included
16 Drayton Crescent, Crewe, Cheshire, CW1 5YH
(+44) 844 884 9912
Mon - Fri / 9:00AM - 5:00PM
Get all the latest information on Events,Sales and Offers. Sign up for newsletter today.
Enter your e-mail Address


text:
- 0
Nineteen Eighty-Four vs Brave New World
Both Brave New World and 1984 are dystopian novels, published in 1931 and 1949 respectively. Both Aldous Huxley, and George Orwell criticize the customs of their societies by describing a dystopia.
- 2
Symbolism in the Great Gatsby
Symbols in The Great Gatsby. Symbol: an element of imagery, in which a concrete object stands not only for itself but for some abstract idea as well. Symbols are a key narrative method in the novel.
- 5
Analysis of Women in "The History Boys"
The History Boys is a play by British playwright Alan Bennett. The play premiered at the Lyttelton Theatre in London on 18 May 2004. Its Broadway debut was on 23 April 2006 at the Broadhurst Theatre.
- 0
Great Gatsby Chapter Three Analysis
Chapter 3 is the point of "rising action", with Gatsby's introduction, his elaborate party and the infamous car crash. Fitzgerald uses various techniques to get the story across.
- 2
How does Shakespeare present Claudio and Hero's relationship
Much Ado About Nothing is a comedic play by William Shakespeare about two pairs of lovers, Benedick and Beatrice, and Claudio and Hero. Is Claudio worthy enough to be Hero's suitor
- 0
Materialism in the Great Gatsby and the Jazz Age
The "Jazz age" was a period where American society began to replace traditional values, rooted in the declaration of independence, with modernism and valuing individual success. Great Gatsby notes.
- 4
The History of African American's- Segregation in the 20th century
Was there ever a point during the after war period when African Americans could be described as equal citizens?No. But does that mean they were second class citizens?...


text:
King Stefen is the ruler of Dyperia, an Eternian kingdom on the sea. Stefen is known to have one son, Prince Dal, and is the uncle of Prince Adam of the House of Randor.
Stefen only appears in one episode of the original He-Man and the Masters of the Universe series, "Just a Little Lie," and there is not enough information to determine how he is related to Adam's other relatives, such as Jeremy and Lady Edwina. He is presumably either King Randor's brother or brother-in-law.


text:
Question: Steel tubes with a Young s modulus of 207 GPa
Steel tubes with a Young's modulus of 207 GPa have the specifications:
View Solution:
View Solution:
Answer to relevant QuestionsRepeat Prob. 5–35 for maximum shrink-fit conditions.Use the results of Prob. 5–40 for plane strain near the tip with θ = 0 and ν = 1/3 . If the yield strength of the plate is Sy , what is σ1 when yield occurs? (a) Use the distortion-energy theory. (b) Use ...Give some examples of vendor provided toolsWrite SQL statements to perform the following operations on the wine cellar database: a. Get bin number, name of wine, and number of bottles for all Geyser Peak wines. b. Get bin number and name of the wine for all wines ...Sketch the contents of the catalog relvars TABLE and COLUMN for the suppliers and parts database.
Post your question


text:
To support your business plan, your mission and your firm's marketing and communications strategies, Shazaaam! offers a wide spectrum of options. Below is a sampling of some of the services we offer:
Interactive Media and Social Marketing
- Web Site Content
- Multimedia Sales Presentations
- Electronic Public Relations
- Podcasting and Vcasting
- Social Networking
- Virtual Worlds
- Web Site Promotions
- Interactive Marketing Programs
Social Networking – including:
- YouTube
- Google+
- Blogs
- Thousands of User generated content sites
Public Relations – Traditional Publicity, Media Relations & Electronic Public Relations
- Media Relations
- Media Tours
- Media Training
- Regional, National and International Program Development
- Crisis Communications Management
- Product Opportunities Review and Assistance in Placing/Installing Product
- Tactical Campaigns and Promotions Designed to Generate Media Interest
Product Launches
Experiential Events
Cause Related Marketing
Word of Mouth Marketing
Brand Ambassadors Street Teams
Community Relations and Public Affairs
Employee Communications
Strategic Counsel / Market Development for Branding and Message Development
Marketing Collateral
Corporate Identity
Sales Promotion


text:
Potted Plants
Beautiful, healthy plants add so much to the atmosphere of a home. They soften the look of the hard surfaces and angles and bring a little of nature and all that's wonderful about gardening, inside. For me, it's the way I survive the winter withdrawal from being in my garden.
The following pages will give some basic information about how to grow houseplants and how to care for house plants. Help on how to select plants that will live in your environment and information about house plant pests.
Also, check out these posts about wintering plants over inside and about growing ferns.


text:
Gerbio Office
Am Feuersee 8
74592 Kirchberg/Jagst - Germany
Tel.: +49 7954 921 969
Fax: +49 7954 926 204
Michael Köttner
Liability advise:
The operator of this website does not take any liability or guarantee for topicality, correctness and completeness of the available information. As well as for the contents of hyperlinked websites. The operators of hyperlinked websites are responsible for the contents.


text:
By Zach Howard
CONWAY, Mass (Reuters) - A Texas woman was charged with second-degree murder in the apparent asphyxiation death of her young son whose body was found alongside a road in Maine, authorities said on Thursday.
Julianne McCrery, 42, of Irving, Texas, was arrested in Massachusetts as a fugitive from justice on Wednesday and then charged with killing Camden Hughes, 6, in Hampton, New Hampshire, said New Hampshire Attorney General Michael Delaney.
McCrery was returned to New Hampshire on Thursday, where she was arraigned for second-degree murder at district court in Portsmouth, New Hampshire in the early afternoon, a Portsmouth court clerk said.
Authorities said the boy was killed in New Hampshire on Saturday and his body was found in neighboring Maine later that day.
The body of the boy, who remained unidentified until Wednesday, was found by a local resident along a road in a remote wooded area of South Berwick, Maine, close to the New Hampshire border. Police called the death suspicious.
Delaney said preliminary findings from an autopsy performed by Maine's Chief Medical Examiner showed the cause of death was asphyxiation and the manner of death a homicide, but further studies are pending.
Police located McCrery Wednesday morning while following tips from the public about a vehicle that matched the description of a blue pickup truck spotted near the child's body in Maine on Saturday. When found, she was the lone occupant of the vehicle at a highway rest stop in Chelmsford, Massachusetts.
Police said she agreed to be questioned on Wednesday at the Massachusetts State Police barracks in Concord. She was transported to the hospital later in the day for medical evaluation.
(Editing by Barbara Goldberg, Jerry Norton and Greg McCune)


text:
One Chance - Unfaithful NEW! MP3
Good song from One Change.
One Chance - Unfaithful MP3
Best of the RnB.
One Chance - No Brainer (+ Lyrics/DL) MP3
LYRICS: How could you see a girl so fine and Not push up How could you finally win her heart and Messed that up How could you blow a whole time of beautiful ...
J. Cole - Apparently MP3
Download J. Cole's new album '2014 Forest Hills Drive' on iTunes: http://smarturl.it/ForestHillsDrive Google Play: http://smarturl.it/ForestHillsDriveGP Amazon: ...
J. ColeOh right, oh Oh why na-da-da-da I keep my head high I got my wings to carry me I don't know freedom I want my dreams to rescue me I keep my faith strong I ask the Lord to follow me I've been unfaithful I don't know why you call on me This is my canvas I'ma paint it how I want it baby, oh I This is my canvas I'ma paint it, paint it, paint it, how I want it nigga Fuck you cause there There is no[...]
One Chance - One Chance ( Lyrics ) MP3
Free Fallin`- One Chance Lyrics.wmv MP3
Unfoolish - Ashanti Lyrics MP3
Ashanti Unfoolish Lyrics No copyright intended. I do not own any contents of this video.
One Chance - Crazy MP3
Lyrics: Verse 1: (Rob) What if I cheated on you? And risk everything for a little, Temporary piece of something that, Doesn't come close to you. What if I broke ...
Story of my life - Rob(of One chance) + Lyrics MP3
Emptiness shelters me It controls my life But i'm trying to find freedom, can somebody teach me right I'm tired of reflecting on the reason why i haven't found love.
one chance - thats my word MP3
one chance - thats my word.
Ashanti w/ Biggie - UNFOOLISH - MP3
extended version--UNFOOLISH.
Could this be love? By:One Chance MP3
another song by One Chance.
One Chance - Turn Back The Time MP3
TURN BACK TIME LYRICS! Ohhh noo I want you Ohhh yeah I was never meaning to do it How could I ever be so foolish To throw away what was proven (Never ...
One Chance - Unfaithful MP3
i love bnbv.
One Chance - Neverland MP3
One Chance - Neverland http://im1music.net/
One Chance - Slo Mo MP3
One Chance - One Chance ( Lyrics ) MP3
One Chance - Try To Fight HD + Lyrics MP3
No Copyright Infrigment Intended, For Promotional Uses Only. Lyrics the more that i try to fight the more i start to bruise said it's beating me up i ain't tryna lose ...
Trey Songz - Last Time (video) MP3
2008 WMG Last Time (video)


text:
I don't want to add her on my facebook because I fear that she will stak me and find out my past which I don't want her to know =_=
I've been very polite about this and refused to give her my facebook in very nice ways, but she keeps asking for it and it's starting to piss me off.
Most Helpful Girl
Why are you friends with someone that you fear having as a fb friend? I can see your side and her side, but you need to recognize why you don't want her knowing your past. Do you like her? If so, you offend her with your denial and won't get far. Is she untrustworthy? If so, then why is she your friend to begin with? What makes you think she will stalk your page? When I accept someone or am accepted by someone else, I do check out their page a bit, but I don't go far. A few posts and a few pics, but that's just simple curiosity. I don't stalk them to know everything about them.10|10|0
I like her but I don't want her to dig through my past :/
I know she will stalk because she searched my name/IDs on google and found out what I've been up to =_=
Do you not want her to dig because you have something to hide? Are you ashamed or embarrassed of what she may find?
If she is interested in you as relationship material, it's normal for a girl to do her research on a guy. She wants to know what she may be getting into. She wants to be reassured that he won't hurt her in some way.


text: The song "Hands to Myself" is by Selena Gomez who is an American singer. She recorded this song for her 2nd album named "Revival." Julia Michaels and Justin Tranter wrote this song, and produced by Max Martin, Mattman and Robin. It was stimulated to include bright, female point of view and was prejudiced by the composition of Prince. "Hands to Myself" is a pop, dance and upbeat song, supported by calmly ticking drumming, dark guitar, "tribal pop" and clap synths. Selena used her both higher and lower vocals. Higher to record for belting and lower for the range that comprised breathy words that are merely more than a whisper. She changed her accent of the words which featured very differently. Alek Keshishian directed the music video of "Hands to Myself" and was made in the Hills of Hollywood, California US.


text:
Aditya Deshpande
Student and Software Engineer in Munich, Germany
I am a student at Technical University of Munich and software engineer at Kaia Health gmbh currently living in Munich, Germany. My interests range from startups to Quick Prototyping of Web Apps. I am also interested in Deep Learning, photography, and technology.
You can click the button above to view my photos. If you'd like to get in touch, feel free to say hello through any of the social links below.


text:
Centura Health has more experts in more places throughout the region. Start your health journey by finding the right one for you.
How to Request Copies of an Avista Adventist Hospital Medical Record:
Processing Requests:
If you have questions call 303-673-1220, Option 1
Our search tools require a zip code to match the location nearest you.


text:
Community Scholarships are available based on annual contributions.
Deadline to Apply:
Fall - September 1
Spring - Week before Spring Break
PLEASE read criteria for each scholarship carefully BEFORE APPLYING!
The ALPHA KAPPA ALPHA (AKA) SCHOLARSHIP is awarded to a student who will return for the Fall 2015 semester. The student must be in good academic standing with a GPA of 3.0 or above. The award is in the amount of $500. You must attach two (2) letters of recommendation. CLICK HERE TO APPLY (SPRING SEMESTER)
The purpose of ASPIRE is to provide supplemental financial assistance to those single parents who are pursuing a course of instruction which will improve their income-earning potential. Scholarships may be used for tuition, books, utility bills, car maintenance, childcare, or any other financial need that contributes to the recipient's success in school.
Fall scholarships for Coahoma, Bolivar, Quitman, Tallahatchie, or Tunica County Residents-$500 for full-time students, $250 for part-time students. Click HERE TO APPLY:
The BENNIE S. GOODEN, SR. SCHOLARSHIP is an award of $500.00 given to a freshman during the second semester, who has demonstrated financial need, academic excellence, strong leadership ability, community involvement, good moral character and preferably one who resides in an affordable housing development. Applicant must: (1) be interviewed by the Scholarship Committee; (2) have maintained a minimum grade point average (GPA) of 2.5; (3) hold membership in a community/college organization; and (4) have an official recommendation from either a counselor or a pastor who has some knowledge of the student's moral character. CLICK HERE TO APPLY. (SPRING SEMESTER)
The BLAKE SCHOLARS is awarded to INCOMING FRESHMEN ONLY and the requirements
are as follows:
The applicant will be required to participate in an interview with Coahoma Community College's Scholarship Committee. CLICK HERE TO APPLY. (SPRING SEMESTER)
The DAVID AND HATTIE TAYLOR MATH AND SCIENCE SCHOLARSHIP is in honor of the late David Taylor and his widow Mrs. Hattie J. Taylor who are alumni of Coahoma Community College, we the Wright Temple COGIC family are proud to award a student the generous donation of $500.00 for both the fall and spring semester 2017-2018 school term. CLICK HERE TO APPLY. (SPRING SEMESTER)
THE DELTA SCIENTIFIC SCHOLARSHIP is an annual scholarship awarded to a student that is pursuing an education in some capacity of the medical profession and has a strong desire of remaining or returning to the Delta to work. The student must have a GPA of 3.0 or better and must submit an essay expressing what their goals are and what they hope to contribute to the Delta post education. The amount of the scholarship is $300. CLICK HERE TO APPLY. (SPRING SEMESTER)
The DELTA SIGMA THETA SORORITY, INC. FANNIE LOU HAMER SCHOLARSHIP is awarded to a sophomore who exhibits scholastic achievement, good moral character, and versatility. Submit two (2) letters of recommendation. CLICK HERE TO APPLY. (SPRING SEMESTER)
The DELTA SIGMA THETA SORORITY, INC MISSISSIPPI TAG SCHOLARSHIP applicant must meet the following criteria:
a) Provide proof of 30 hours of community service *IMPORTANT*. Attach the document with name of organization, contact person, telephone number and number of hours of service completed for each organization.
b) Incoming Freshman for Fall 2016
c.) High school GPA of 2.75 or above
d) Must be a full-time student at Coahoma (15 or more hours)
e) Submit two (2) letters of recommendation
f) If selected as the recipient, you must acknowledge by submitting a letter to DELTA SIGMA THETA SORORITY, INC, POST OFFICE BOX 566, and OXFORD, MISSISSIPPI 38655 CLICK HERE TO APPLY. (FALL & SPRING SEMESTER)
The DR. SHAKEBRA L. YOUNG HIGHER HEIGHTS SCHOLARSHIP has been established to assist single mothers pursuing a degree in Social Work. For the 2017-2018 academic year, the scholarship will offer two (2) $500.00 awards.
Eligibility Requirements:
Application Requirements:
The FRANK W. GAMBRELL JR. MEMORIAL SCHOLARSHIP is awarded to a freshman science major with the highest scholastic average above 3.0. The award is given to a student who desires to continue his/her education beyond two years of college. Submit two (2) letters of recommendation. CLICK HERE TO APPLY. (SPRING SEMESTER)
The FRANK HOWARD, SR. SCHOLARSHIP was established in honor of Frank Howard, Sr., who served as an instructor in the Math and Science Department for Coahoma community from 1966 - 1990 Five students will be awarded in the fall and five students will be awarded in the spring semester. The student must be enrolled full-time (15 hours) without a break or gap in enrollment with a cumulative overall GPA of at least 3.0 on a 4.0 scale. CLICK HERE TO APPLY. (FALL & SPRING SEMESTER)
The GREG MALATESTA SCHOLARSHIP is designed to provide financial assistance to those students enrolled in a Business Associate degree program offered in the Academic Division of studies. These funds are stipulated for students with no other means of financial assistance. Students may qualify for up to $1,000 per academic semester for one academic year. CLICK HERE TO APPLY. (SPRING SEMESTER)
The HENRY "Win" WINGROND MEMORIAL Graduate Scholarship is designed to provide financial assistance to a 2017 CCC graduate who plans to attend University of Mississippi (OLE MISS)and meets the following criteria:
JOHN STEEL'S Barron, Dickerson, Gambrell, McCune and Whiteside Scholarship. John Steel is a 1955 graduate of Coahoma Community College who currently resides in New York. He endeavors to help those who have a hunger for an education. The scholarship name honors all of the faculty and staff that help him succeed at Coahoma Community College. The criteria for scholarship:
The LILLIAN ROGERS-JOHNSON MEMORIAL SCHOLARSHIP is given to a freshman on the basis of academic potential and Christian character. Submit two (2) letters of recommendation. Total award is $300.00. CLICK HERE TO APPLY. (SPRING SEMESTER)
The Lockett Family Breathe Easy Scholarship is a $500 award given during the summer session to a full-time student who is enrolled in the Respiratory Therapy program and is returning after having completed the fall and spring semester of the freshman year. The student must have clearly demonstrated a financial need for the award. The student also must have demonstrated motivation, dependability, and reliability. The student must have a cumulative 2.75 GPA during the didactic phase of the program and must have an active membership in either the MSRC or AARC. The student must complete the scholarship application and submit the following along with the online application:
The McKENDRA CORTEZE` BURNS MARTIN MEMORIAL SCHOLARSHIP: Attorney McKinley "Mack" C. Martin, Jr. has established a scholarship in memory of his niece, McKendra Corteze` Burns Martin. The scholarship will be awarded to an applicant who has been diagnosed with a learning or physical disability. The disability should be a learning-related disability such as dyslexia, dysgraphia, attention deficit hyperactivity disorder (ADHD) OR a physically-challenged/mobility-impaired disability that can often lead to difficulty in learning environments.
Award Amount: In-state tuition for one year.
The selected candidate must have met the following criteria:
Meet Coahoma Community College's scholarship requirements as listed in the College Catalog and the Student Handbook. CLICK HERE TO APPLY.
The MISS FOUNDATION FOR EDUCATION & ECONOMIC DEVELOPMENT SCHOLARSHIP is awarded to four freshman students who will return for the Fall 2016 semester. The student must be in good academic standing without a break or gap in attendance, have a GPA of 3.0 or above and plan to pursue a career in education and/or economic development. An interview may be requested. The amount of $500 will be awarded during the fall semester. The student must remain enrolled in school six weeks or more to receive this award. Submit two (2) letters of recommendation. Total award is $500.00 per student. CLICK HERE TO APPLY. (SPRING SEMESTER)
The ROBERT SWATZELL HEALTH SCIENCE SCHOLARSHIP is designed to provide financial assistance to those students enrolled in a certificate or degree programs offered in the Health Science Division of studies. These funds are stipulated for students with no other means of financial assistance. Certificate Programs, limited to $500 per student per program and Associate Degree Programs, limited to $1000 per student per program. CLICK HERE TO APPLY. (SPRING SEMESTER)
The TOLERNISA SMITH-BUTLER EARLY CHILDHOOD EDUCATION SCHOLARSHIP is a donation of $500.00 to the Scholarship Fund for Coahoma Community College. The requirements to receive the scholarship are (1) the student must be a Broad Street High School Student (Graduating Senior) only/and must attend Coahoma Community College and (2) must major in Early Childhood Education. Other requirements are listed on the application. The award amount is $500. CLICK HERE TO APPLY. (SPRING SEMESTER)
The VIVIAN M. PRESLEY SCHOLARSHIP is awarded to a non-traditional student who has returned to school and has been persistent in furthering his/her education to better their financial situation. The recipient must be a full-time student for the fall and spring semester of any given year. The recipient of this scholarship must demonstrate a caring spirit and positive attitude and have at least a 2.5 cumulative grade point average or above. Submit two (2) letters of recommendations. CLICK HERE TO APPLY. (SPRING SEMESTER)
Note: Funds will be disbursed after the Community Foundation receives the progress from the university.
Applicants must meet the set criteria of scholarship and follow Coahoma Community College's Scholarship Guidelines as published in the in the Catalog.
Each scholarship will have a criteria defined by the institution or by the person(s) or organizations funding the scholarship.
NOTE: Please read the criteria carefully BEFORE applying for scholarships.


text:
Look at other dictionaries:
dart snake — dart snake, any one of a group of serpentlike lizards that dart on their prey … Useful english dictionary
dart — Synonyms and related words: antelope, arrow, arrowhead, barb, beesting, blue darter, blue streak, bobtailed arrow, bolt, bowl, bustle, buzz about, cannonball, career, cast, catapult, chested arrow, chuck, chunk, cloth yard shaft, courser, dash,… … Moby Thesaurus
Poison dart frog — Poison dart frogs (Dendrobatidae) Dendrobates azureus (top) and Dendrobates leucomelas Scientific classification … Wikipedia
Acontias — A*con ti*as, n. [NL., from Gr. ?, fr. ?, dim. ? dart.] (Zo[ o]l.) Anciently, a snake, called {dart snake}; now, one of a genus of reptiles closely allied to the lizards. [1913 Webster] … The Collaborative International Dictionary of English
Snakefinger — Infobox musical artist Name = Snakefinger Img capt = Album photograph from Night of Desirable Objects Img size = Landscape = Background = non vocal instrumentalist Birth name = Philip Charles Lithman Alias = Born = June 17 1949 Died = July 1 1987 … Wikipedia
Chundan Vallam — (Beaked Boat), known to the outside world as Kerala snake boats, are one of the icons of Kerala culture used in the Vallamkali (boat race.) Snake boats during the Aranmula Uthrattathi Boat Race Contents 1 … Wikipedia
List of fishes of India — This is a list of the fish species found in India and is based on FishBase. [Froese, R. and D. Pauly. Editors. 2006.FishBase. World Wide Web electronic publication. [http://www.fishbase.org] , version (05/2006)] AlbuliformesAlbulidae… … Wikipedia
Golden Poison Frog — Taxobox name = Phyllobates terribilis status = EN | status system = IUCN3.1 trend = down image width = 240px regnum = Animalia phylum = Chordata classis = Amphibia ordo = Anura subordo = Neobatrachia familia = Dendrobatidae genus = Phyllobates… … Wikipedia
Jersey Zoological Park — Durrell Wildlife Conservation Trust (prev. Jersey Zoological Park) The dodo is the symbol of the trust and the zoo. Statues of dodos stand at the gateways of the zoo. Date opened 26 March 1959 Location Trinity, Jersey … Wikipedia
Wolfrider — The Wolfriders are a tribe of elves on the World of Two Moons in the comic book Elfquest , created by Wendy and Richard Pini. Wolfrider is also the title of an Elfquest story featuring Bearclaw, in some respects the archetypal member of his tribe … Wikipedia


text:
Breath Analysis for Evaluation of Radiation Exposure in Lung Cancer Patients Treated With Radiation
This study has been completed.
Stanford University
Information provided by (Responsible Party):
Stanford University
ClinicalTrials.gov Identifier:
First received: August 12, 2010
Last updated: June 30, 2016
Last verified: June 2016
|Tracking Information
|First Received Date ICMJE
|August 12, 2010
|Last Updated Date
|June 30, 2016
|Start Date ICMJE
|August 2010
|Primary Completion Date
|September 2011 (Final data collection date for primary outcome measure)
|Current Primary Outcome Measures ICMJE
|Pre and post-radiation FeNO (fraction of exhaled nitric oxide) measurements [ Time Frame: Every 3 months for 1 year ]
|Original Primary Outcome Measures ICMJE
|Same as current
|Change History
|Complete list of historical versions of study NCT01182155 on ClinicalTrials.gov Archive Site
|Current Secondary Outcome Measures ICMJE
|Pre and post-radiation CO (carbon monoxide), CO2 (carbon dioxide), and N2O (nitrous oxide) measurements and feasibility as the fraction of patients unable to give a breath sample. Adverse events are not expected but any that appear related to the breath [ Time Frame: 1 yr ]
|Original Secondary Outcome Measures ICMJE
|Same as current
|Current Other Outcome Measures ICMJE
|Not Provided
|Original Other Outcome Measures ICMJE
|Not Provided
|Descriptive Information
|Brief Title ICMJE
|Breath Analysis for Evaluation of Radiation Exposure in Lung Cancer Patients Treated With Radiation
|Official Title ICMJE
|Breath Analysis for Evaluation of Radiation Exposure in Lung Cancer Patients Treated With Radiation: A Feasibility Study
|Brief Summary
|Patients treated with radiation therapy for lung tumors can experience inflammation after treatment. This study hopes to evaluate the use of breath analysis to evaluate changes in the composition of exhaled breath in patients undergoing radiotherapy. If changes can be detected, this may ultimately serve as biomarkers for identifying patients at highest risk for radiation-induced lung injury (radiation pneumonitis).
|Detailed Description
|Not Provided
|Study Type ICMJE
|Study Design ICMJE
|Observational Model: Cohort
Time Perspective: Prospective
|Target Follow-Up Duration
|Not Provided
|Not Provided
|Sampling Method
|Non-Probability Sample
|Study Population
|Patients with lung tumors who are undergoing radiation therapy
|Condition ICMJE
|Intervention ICMJE
|Procedure: Exhaled Breath Sampling
Standard of care
Other Name: breath gas analysis
|Study Groups/Cohorts
|Not Provided
|Publications *
|Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Recruitment Information
|Recruitment Status ICMJE
|Enrollment ICMJE
|Completion Date
|March 2012
|Primary Completion Date
|September 2011 (Final data collection date for primary outcome measure)
|Eligibility Criteria ICMJE
Inclusion Criteria:
Exclusion Criteria:
|18 Years and older (Adult, Senior)
|Accepts Healthy Volunteers
|Contacts ICMJE
|Contact information is only displayed when the study is recruiting subjects
|Listed Location Countries ICMJE
|United States
|Removed Location Countries
|Administrative Information
|NCT Number ICMJE
|Other Study ID Numbers ICMJE
SU-08102010-6705 ( Other Identifier: Stanford University )
|Has Data Monitoring Committee
|U.S. FDA-regulated Product
|Not Provided
|IPD Sharing Statement
|Not Provided
|Responsible Party
|Stanford University
|Study Sponsor ICMJE
|Stanford University
|Collaborators ICMJE
|Not Provided
|Investigators ICMJE
|PRS Account
|Stanford University
|Verification Date
|June 2016
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP


text:
Anyone besides us now waiting hours for Technical support to answer the phone? We also have a laptop that we have been waiting several months for parts for now that we have overnight service on. I maybe wrong, but this is starting to look like they are going out of business. I have read a few articles about all the layoffs there in the last few weeks. Wondering if anyone else is seeing the decline in service and support.
4 Replies
Nov 10, 2008 at 8:23 UTC
Apparently MPC/Gateway Filled Chapter 11 on Friday......... So I guess I have answered my own question.......
Nov 11, 2008 at 9:19 UTC
Sad to hear about that, but not too surprising.
Our school gets most of our computers as donations from the U.S. Air Force. They've (at least the base we get our computers from) have always used MPC. This most recent time around they got Dells. Since this happened right after MPC purchased Gateway, I think MPC was probably planning on that large military contract to help with their budget.
Just my speculation.
Dec 8, 2008 at 1:57 UTC
Just a heads up to those who may need AC power adaptors for laptops and such during the Chapter 11 proceedings that MPC is going thru. I had called in last Friday and they had explained that manufacturing and supply was in a state of flux which is to be expected during the re-organization. However. they weren't unwilling to help (after a long wait for someone to answer in the sales dept.), just pointed me elsewhere for the sake of solving my needs faster. :)
If you need a source for parts various eBay stores are most likely your best bet as CDW and NewEgg seem to only carry batteries for the small biz selection of laptops. I found my AC adaptor at http:/
I'll give these folks a plug as thier service was very fast and friendly.
Dec 11, 2008 at 5:09 UTC
Merryworks is an IT service provider.
Another site for parts if needed.
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.


text:
Sexy MILF Eva Karrera is dominated by black cock and stuffed airtight...
Shemale gets cum stuffed from the ass
Shemale got behind the stud and stuffed her enormous shemale prick inside of his tight butt
Hot shemale gets 2 dicks stuffed in her ass bareback
Hot shemale gets 2 dicks stuffed in her ass bareba
Precious teen with a round ass dominated and ass fucked
"Dominated amateur gets her mouth stuffed with cock"
Gorgeous Milf Ass Spanked And Dominated
Dominated lesbo clamped and exposes her ass
Juicy ass gets dominated and butt fucked!
Hot pretty babe ass fucked and dominated
Dominated black shemale enjoys anal
Lorena Smith and Lara Gaucha Ass Guy Dominated
Hot pretty girl ass fucked and dominated in bondage
Busty Sex Slave Tied, Dominated And Get Ass Fucked
:- DOMINATED BY A SHEMALE BOSS -: ukmke video
Gia DiMarco fisted, ass fucked and dominated in strict bondage.
Pain slut get dominated and ass fucked by Isis Love....
Tight ass brunette lezzie gets tied and dominated in public
Sexy shemale Andreia Mel dominated a female cooch
TrafficHolder.com - Buy and Sell Adult Traffic|Trafficshop.com - Let your business grow|Contact Us|Webmaster
All content, including images, text, graphics, video and audio content contained in the website is protected under the laws of copyright, owned or under license to company or its designees,and represents proprietary and valuable intellectual property.
Contact Webmaster 18 U.S.C. 2257 Record-Keeping Requirements Compliance Statement
Powered by Stream Rotator


text:
INDIA: Tata Motors to increase truck plant capacity
An executive at Tata Motors has said the company is planning to invest INR3.5bn ($US76m) in its commercial vehicle plant in Lucknow, Northern India, according to Reuters.
Get full access to all content, just $1 for 30 days
A Message From The Editor
just-auto gives its paid members access to the very best automotive market coverage.
And now there's just-auto plus, our premium membership that gives you exclusive component forecast data, company profiles and extended news coverage - just for premium members.
Today I can offer you 30 days access for $1 - and that includes just-auto plus.
Dave Leggett, editor of just-auto
* plus VAT if applicable
Only on


text:
Repair or service of air conditioning components is not covered by this guide, because of the risk of personal injury or death, and because of the legal ramifications of servicing these components without the proper EPA certification and experience. Cost, personal injury or death, environmental damage, and legal considerations (such as the fact that it is a federal crime to vent refrigerant into the atmosphere), dictate that the A/C components on your vehicle should be serviced only by a Motor Vehicle Air Conditioning (MVAC) trained, and EPA certified automotive technician.
Refer to General Information & Maintenance for additional information on additional considerations dealing with your vehicle's A/C system.


text:
Would you like to save as your currency permanently or for this visit only?
Whether you are a tourist or traveling on business, Home Inn(Chongqing Shangqingsi Niujiaotuo) is a great choice for accommodation. It is only 1 km from railway station and coach station. With its good location, the hotel offers easy access to transportation links and neighboring key destinations. All rooms here are well equipped with domestic/international direct-dial telephone, slippers, indoor washroom, indoor bathroom. To ensure a pleasant stay for guests, the hotel provides a vast array of facilities and services, which include free Wifi, business center. More services can be done upon request. Opened in 2005, the hotel houses 65 rooms and suites.


text:
The Benefits of Midlife Parenting
An interview with Jan Andersen from MothersOver40.com about life as an older mum and the benefits of midlife parenting.
1. What are the advantages of being an older mother?
2. What do you think about Patricia Rashbrook, the 62-year-old who recently gave birth to a baby son?
3. Won't your daughter feel embarrassed about having an older mum?
4. Do you worry about being sixty when your child is twenty?
5. What about the fertility experts who say women shouldn 't delay childbearing?
6. Isn't infertility an issue for older women?
7. What about potential risks of pregnancy after 35, 40 and upwards?
8. Do you thing that being an older mother affects the way you raise your children?
9. Does being an older mum affect your relationship with your child at all?
10. Do you have any statistical information regarding older mothers?
What are the advantages of being an older mother?As an older mum myself, I can only perceive the benefits, but it is important to mention that age alone doesn't predetermine your ability to be a good parent. You can be a great parent at 23 and a great parent at 63. However, I do believe that in our youth we often do not have the patience, life experience, the wisdom and stability that we may have at a later time in our lives. I have a direct comparison, because I had my first child at the age of 22 and my last at the age of 40 in 1999. When I gave birth at 40, I was entering motherhood with a lot more wisdom and experience of life and, I feel, am now better equipped to deal with any challenges I face. I am certainly in a better position to educate my daughter. I am more stable - both emotionally and financially - and have a lot more patience than I had when I was younger.
When I gave birth to my first son at the age of 22, I was a single parent and not only was I concerned about maintaining an active social life, but I was in a very unsettled phase in my life and certainly didn 't have the emotional strength that I have now. Whilst I loved my son dearly, I feel that I have enjoyed motherhood far more as an older mum. I cherish every single moment of my time with my daughter, Lauren, who is now six, and miss her dreadfully when she is at school. I spent a great deal of time educating her before she started school, which has paid off because she is, in her teacher 's words, "excelling". She 's a bright, happy little girl and keeps telling me that I am "the best mum in the world".
In general, older parents tend to be less selfish. They have been there and done that and are often no longer interested going out to pubs and clubs every weekend, or backbacking around the world, for example. They are less likely to view children as a burden and are more likely to spend quality time with them.
Back to top
What do you think about Patricia Rashbrook, the 62-year-old who recently gave birth to a baby son?I am thrilled for both Patricia and her husband. I believe they will make wonderful parents and will provide their son with all of his needs during his formative years, which of course is the most important time in a child 's life.
With regard to the media intrusion and critics, I think it 's rather sad that Patricia Rashbrook's ability to be a good parent is being determined purely by her age. That 's like taking a 25-year-old parent with seven kids living on welfare, who smokes and abuses her children and saying that she 's a good parent just because she 's young.
Dr Rashbrook is a child psychiatrist, so is clearly aware of the benefits to her child and am certain that she did not embark on pregnancy without a great deal of forethought and consideration, as is the case with most older parents. She 's entering parenthood with a wealth of experience and I am sure will spend a great deal of quality time with her son.
We seem to live in a very negative, judgemental society. People should be focusing on the positive aspects of bringing a child into the world later in life. There are too many unwanted children in the world, so why criticise a mother whose child is clearly very much wanted?
I 'd rather have 10 good years with a parent who truly loved me than a lifetime with a parent with whom I didn 't have a close relationship.
Back to top
Won't your daughter feel embarrassed about having an older mum?What's embarrassing about having a loving, caring parent? I can only assume that people who ask this are referring to the fact that the parent looks old, which is very shallow. Sadly, we still live in a society that judges us by the way we look and if we don 't fall within the parameters of what is acceptable image-wise, then we are unfairly criticised. People who are going to be embarrassed by having a parent who looks old, would probably be equally embarrassed about having a parent who is overweight, or has some other flaw. Frankly, I find it quite difficult to determine people 's age these days. I have seen grandmothers whom I assumed were the children 's mothers and vice versa.
I've spoken to many adult children of older parents and their views have been tremendously positive. Some of them have actually said that their friends of younger parents used to say that they wished their parents were like theirs.
Back to top
Do you worry about being sixty when your child is twenty?Absolutely not. My gran, for example, was in her late forties when I was born and yet I had a far better relationship with her than I had with my own mother, who was only 23 when I was born. It is the quality of time that is important, not the quantity. I wouldn 't exchange the years I had with my gran for a lifetime with someone with whom I didn 't have a close relationship.
Chronological age and biological age are often two very different things. You age doesn 't always necessarily dictate your outlook on life, or your energy levels. I know people of 30 who are going on 70 - mentally and physically - and people of 70 who have more energy than some 30-year-olds.
I am a very active, healthy person and intend to remain this way for decades to come! I also have a very youthful outlook on life and don't anticipate this changing.
My own grandmother is an excellent example of someone of pensionable age who is still perfeclty capable of looking after young children. Not only was my grandmother in her sixties when she fostered children, but she looked after my eldest son full-time when he was a baby whilst I went out to work. She had far more vitality than many younger parents I knew at the time and I would not have felt confident leaving my son with anyone else.
My mother is 70 and belongs to a rock climbing club. Not only does she rock climb in places like the Alps and Pyranees, but goes white water rafting in Colorado and on adventure holidays to places like Iceland.
These examples show that not everyone gives up living life to the full, or has less energy once they reach a certain age.
With regard to life expectancy, you can die at any age. It 's not always something that you can predict. In fact, my maternal grandmother lived longer than my eldest son, who sadly died when he was 20 in November 2002. We are all dodging the grim reaper, whatever age we are, which is why it is so important to live life to the full and appreciate your family every minute of the day, even when you are at odds with them!
There is also the issue of gender hypocrisy. Whenever we hear of an older man becoming a father e.g. David Jason, everyone thinks he is wonderful. You don't hear the critics condemning him.
Back to top
What about the fertility experts who say women shouldn 't delay childbearing?I think it's wrong for women to be pressured into having children before they feel ready just because the so-called experts say that they might not be able to conceive at a later date. The most important factor is that a child is loved and wanted, not that they should be regarded as some sort of social accessory brought into this world because the experts say that the woman might be infertile later on.
Women who feel under pressure to have children before they are ready might end up feeling resentful and are more likely to immediately hand the child over to a childminder, because they don 't feel ready to take a career break or take an active part in childcare. An unwanted child born to a younger mother is far less likely to fare well than a much-wanted child born to an older mother.
It is very presumptuous to assume that all women are going to meet the right partner by the age of 35. Are the fertility experts suggesting that women should find a partner who may not be suitable just to enable them to have a baby during their optimal breeding years?
Not all women delay conception in favour of a career - they want to delay conception until they are happily married and can provide a stable family life for their children.
Back to top
Isn't infertility an issue for older women?Not always. The greatest risk is for first time mothers over 40, because of course they have no idea whether they 've ever been fertile. If they have trouble conceiving, they will be thrown the "old eggs" line, but they may well have had problems conceiving at an earlier age if they had tried. They'll never know.
There are many causes of infertility, not just age, so I think that you have to look at each woman as an individual. Does the woman smoke? Does she drink alcohol? Is she malnourished? Is she exposed to harmful chemicals or other toxins in the environment? Is her partner healthy? These are questions that are often overlooked when an older woman is experiencing fertility problems, but almost certainly areas that are explored in younger women trying to conceive. The male factor is sometimes overlooked too. I have had several "older" friends who discovered that their partners were the ones with the fertility problem.
Women should also get in touch with their bodies and learn to recognise possible signs of declining fertility, such as irregular periods for example and other symptoms that might indicate peri-menopause. Looking at your family history is also a good idea, since genetics plays a part. If your mother had an early menopause, then you are more likely to go through the menopause early and if she had a late menopause, then the chances are that you will be fertile for longer.
I think that society places enormous pressure on women to have children by a certain age. Older women wishing to become pregnant are bombarded with over-exaggerated statistics about declining fertility and the risks involved in having a baby after the age of 40. I have met many women who became pregnant for the first time and gave birth quickly and easily after the age of 40.
I had a laparoscopy a few years ago and was told that I had the reproductive system of someone in their early twenties.
Back to top
What about potential risks of pregnancy after 35, 40 and upwards?Pregnancy is a risk at any age. The biggest issues are, of course, fertility and the increased risk of chromosomal abnormalities. However, a woman over 40 still has a greater chance of producing a healthy baby than one with disabilities.
Doctors should be focusing more on the health of the individual, rather than their age. If a woman over 40, for example, smokes, drinks and lives on junk food, then yes, she is bound to encounter problems, but there is no reason why a fit and healthy woman in her forties shouldn't have a successful pregnancy and healthy baby. Doctors need to explore all the other reasons for infertility and not just throw the age factor at more mature women.
Back to top
Do you thing that being an older mother affects the way you raise your children?Definitely. As an older mother, I am far more in tune with my daughter's needs than I was with my other three children as a younger mother.
When I gave birth to Lauren at the age of 40, I was far more prepared. I was in a stable relationship with my partner and was much more settled in my life, professionally, financially and emotionally.
After my daughter was born in 1999, I gave up a full time marketing career to combine working from home as a freelance writer with looking after my daughter. She has given me so much joy and I could not even contemplate returning to a mainstream occupation. I feel that I have the best of both worlds. She is such a delightful little girl and is very advanced - intellectually and socially.
Although all of my children were breastfed for up to a year, I continued to breastfeed my youngest daughter until just before her fourth birthday. I would not have had the time or patience to do this as a younger mum.
Back to top
Does being an older mum affect your relationship with your child at all?I have a wonderful relationship with my daughter. She certainly helps to keep me young! I just cannot ever imagine not having had her. Lauren is such a caring, affectionate child and attracts friends like a magnet. Although I love all my children equally, I feel a special connection with Lauren.
Back to top
Do you have any statistical information regarding older mothers?Recent figures released by the Office for National Statistics show that the number of women giving birth over the age of 40 has almost doubled in 10 years. During the 1990s, the conception rate among women aged 40 to 44 rose at a greater rate than for any other age group
It's not just a British phenomenon, many thousands of women around the world are having babies later in life. In Sweden in 2004, almost 3,000 children were born to mothers over the age of 40. When you consider that the population in Sweden is less than the population in London, that 's a significant number of older mothers
Brian Powell, a sociology professor at Indiana University says that people who had children in their 40s generally spent more time with their children and had a closer connection to the children 's friends than younger parents
Studies show that women over the age of 40 who have babies are four times more likely to live to 100 than women who give birth at a younger age
A team at Finland's University of Turku suggests women who raise a family late in life tend to die later
In May 2006, UK figures released by the Human Fertility and Embryology Authority showed that the number of women over 50 having babies is soaring
Back to top
© Jan Andersen
More..... Mums | Older Mums
Share This...


text:
Or a 1946 Ford Super Deluxe Station Wagon.
We've been keeping you up to date about the virtual garage available for Forza Horizon 3 and now the final piece of the puzzle has been revealed. The identity of the last 65 cars has been disclosed, and some of them are quite unusual. The 1972 Reliant Supervan III would have to be one of them, featuring a 700-cc motorcycle engine developing just 29 horsepower (22 kilowatts).
Based on its specs, it obviously wouldn't be our top pick in a multiplayer race against supercars. We would however drive it just for fun and try to roll it over, much like Jeremy Clarkson did to a Reliant Robin back in the glory days of Top Gear.
Besides the three-wheeler vehicle, Forza Horizon 3 will also include a 1946 Ford Super Deluxe Station Wagon for those who are fans of wood-bodied cars. With 90 hp (67 kW) on tap, it's significantly more powerful than the Reliant and it also looks a lot cooler.
Looking at the last 65-car list published, there is a wide variety of models to pick from, ranging from a Ferrari 250 GTO to a Lamborghini LM002. There's also a Rolls-Royce Dawn and the rare Ultima GTR 720 if you want to try out something more exclusive.
Developed by Playground Games, the third installment of the Forza Horizon franchise will be launched on September 27 on Xbox One and PC platforms.
Check out the press release area below for the complete list of cars. We have to warn you that it's huge.
Source: forzamotorsport.net


text:
We help you search for a Knighton baritone horn tutor. Baritone Horn lessons are a great way to begin a stimulating new hobby, acquire a new talent and attain confidence in baritone horn. Try our site to find Knighton baritone horn tutors and select which suits your requirements so you can start your baritone horn lessons in Knighton straight away!
First Tutors: Music is the only place to find Knighton baritone horn teachers in the UK, helping you find Knighton baritone horn tuition in your area and Knighton teachers to help with any instrument like piano, violin or guitar. We can help you find Knighton baritone horn tuition or a Knighton baritone horn teacher to prepare for baritone horn exams and develop your baritone horn skills! Our search will order Knighton baritone horn teachers local to you by their tuition prices and distance from you.
If you are a baritone horn teacher wishing to offer baritone horn lessons in Knighton or anywhere else across the UK, please register with First Tutors: Music or find out more about us here. Becoming a Knighton baritone horn teacher is a wonderful way to improve your own skills by providing baritone horn lessons while helping someone else, all in Knighton!


text:
On Tap
Wednesday, Mar 19, 2014 06:00 am
Mikkelson Day
Two-time Olympic gold medallist Meaghan Mikkelson will be honoured by the City of St. Albert on Saturday at Servus Credit Union Place.
The schedule of activities is a follows.
1 to 1:30 p.m.: Mix and mingle.
1:30 p.m.: Introduction of Mikkelson and her family.
1:30 to 1:45 p.m.: Formal program: master of ceremonies is Mayor Nolan Crouse.
1:45 to 2 p.m.: Mikkelson will address the audience, followed by a video of her accomplishments.
2 to 3 p.m.: Mikkelson will sign autographs and pose for pictures.
Hockey cards of Mikkelson will be distributed for signing.
At the Sochi 2014 Winter Games the Team Canada defenceman played in the gold-medal game against the United States despite a broken right hand and with the Americans leading 2-0 she assisted on Canada�s first goal with 3:26 remaining in regulation time.
Mikkelson finished the dramatic 3-2 overtime victory with 21:44 minutes of ice time.
The assist was the first point in four games at Sochi for the former bantam AAA St. Albert Sabre. The national team member since 2007 sat out the 3-1 semifinal win over Switzerland after suffering the hand injury at practice in a collision with Hayley Wickenheiser.
Mikkelson, 29, was one of 12 returning players in Sochi from the 2-0 win over the Americans in the 2010 gold-medal game in Vancouver.
The 2011 inductee into the City of St. Albert�s Skating Wall of Fame was the first female to play rep hockey in St. Albert with the 1997 atom AA provincial champion TD Lightning.
Donnie MAC Cup
The second annual Donnie MAC Cup on April 5 at the Akinsdale and Kinex arenas is shooting to surpass last year�s fundraising total of $15,000 in the fight against lung cancer.
The event will feature two simultaneous games and the majority of the 54 players (four goalies, 16 defencemen and 34 forwards) are St. Albert Minor Hockey Association alumni.
The ceremonial puck drop is 2:30 p.m.
The fundraiser honours the memory of Don MacMillan, a St. Albert resident who died of lung cancer on March 19, 2011 at age 61.
Donations can be made to www.lungcancercanada.ca or at MAC Insurance at No. 8, 44 St. Thomas Street in St. Albert and MAC Registries, 14228 Stony Plain Road.
You can also like/join the Facebook pages for MAC Insurance or Sleepingbeagle Studios for more information, or contact Derek MacMillan at 780-458-1441 or email@example.com.


text:
My first and last Zlot as a youth Member
Written by Michele Zajkowski, PFA Future Leader (Nest 36, Southwestern Conn.)
The 2014 Zlot was my first and last Zlot as a youth Member and I couldn't be happier with the outcome, from all of the activities, to team challenges, to the card games, and to the cardboard food at the dining hall. The week I was there was so fun-filled it flew by to where I wish we had a couple more days. Saying goodbye is the hardest thing to do when leaving. That is why we say, "See you soon." At the end of the week and on the ride home, I realized how much Falcons has impacted my life. Falcons is my escape from reality. I get to run away from all the stress at work to a week of fun. Zlot also opened my eyes that my friends at home may never be by my side throughout my life, but my Falcons will always be there. That's why I say Falcons are family. You never lose them.


text:
We at Pasture Prime Wagyu & Family Farm understand your concerns about the security of online transactions. Therefore, our site is equipped with the most advanced Secure Socket Layer (SSL) technology available to ensure the privacy of any information you submit through this site.
Shopping Cart
is currently empty
Telephone: (352) 266-2660
Get the latest news and updates from the farm straight to your inbox!
We will never share your email address!
4141 SE 180th St. Summerfield, FL 34491
© Pasture Prime Wagyu All Rights Reserved.
Website by Fertile Minds.


text:
ED Magedson – Founder
Ripoff Report
WhereIsMyOrder.comInternet U.S.A.
Does your business have a bad reputation?
Fix it the right way.
Corporate Advocacy Program™
Set the record straight:
Arbitration Program
This report was posted on Ripoff Report on 07/02/2007 08:37 AM and is a permanent record located here: http://www.ripoffreport.com/reports/whereismyordercom/internet/whereismyordercom-ripoff-i-was-sent-and-billed-for-a-phone-i-did-not-oreder-and-i-am-bein-258181. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content
Click Here to read other Ripoff Reports on WhereIsMyOrder.com
If you would like to see more Rip-off Reports on this company/individual, search here:Search Tips
In order to assure the best results in your search:
Advertisers above have met our
strict standards for business conduct.


text:
Closing date: 31 August
- MSW, MSN (Reproductive Health) or Master's in related field.
- Background in Protection and Human Rights
- 5 years in developing or post-conflict environment at a program management level.
- Previous experience living in a hardship environment.
To officially begin the application process, please visit IMC website at http://www.imcworldwide.org and complete the online employment application form found under the tab "Work with IMC".


text:
Does anyone have any network security policies, or parts of a policy they are willing to share? What type of items should this cover?
2 Replies
Jan 27, 2010 at 1:42 UTC
I have found SANS to be an outstanding resource for policy templates.
Jan 27, 2010 at 5:59 UTC
SANS totally rocks.
Let me add that in addition to building the conceptual framework of an aup, you also need to make really specific policies with regard to adding and removing employees - especially in a hurry.
We've been pretty complacent - until the other day when an employee was:
a> terminated - unusual for us, and
b> technically knowledgable
c> privy to a lot of passwords to vendor accounts
It wasn't really a huge threat - but it made me stop and look at our processes - or lack thereof.
If I had been unavailable, and the ex-employee had really wanted to do damage, or carry off proprietary info, there would have been little to stop him.
This discussion has been inactive for over a year.
You may get a better answer to your question by starting a new discussion.