text:
The server is experiencing a problem at this time. Try again later.
COREreadiness is an online learning platform hosting hundreds of courses to support the preparation and training of students and healthcare professionals.
Take as many courses as you wish and at your own pace.
Learn from pharmacy experts who are passionate about the profession.
Access course content anywhere and at anytime from your mobile device with mobile-first
Schools and preceptor sites develop themed "playlists" of courses to help keep you organized
and focused on critical subject matter.
Courses are highly-focused and quick, to serve today's learning styles and content delivery
Sharable micro-credentials and online transcripts further develop your ePortfolio, LinkedIn
Profile, and resume.
Receive credit for competency through successful completion of online competency
Stay up-to-date with course versioning in a continuously changing market.
Deep analytics and artificial intelligence algorithms present content specific to your
individual needs and interests.
Careers with CORE
Contact Us
Ph: 844.681.2673
Fx: 401.398.7032
CORE Higher Education Group
1300 Division Road, Suite 303, West Warwick, RI 02893


text:
Sequin Cut Out Sparkly Mini Evening Dress
Unfortunately This Product Is Sold Out
We recommend the following items:
- Buyer protection|Learn More >>
- 30 Day Returns Guarantee
- Full or partial refund if the item is not as described
- Full refund for damaged items
This dazzling sequin dress is such a must-have for any occasions! Featuring a gorgeous golden color paired with sequins embellishment, this look is so beautifully unique! The dress also features a round neck, long sleeves and bodycon shape for a comfy fit. A dramatic back cut out design adds a sexy feel. We love dressing it up with heels and a dazzling tassel necklace for the perfect night out look!
Material: Polyester,Spandex
Silhouette: Bodycon
Dresses Length: Mini
Neckline: Round Collar
Sleeve Length: Long Sleeves
Embellishment: Sequins
Pattern Type: Patchwork
With Belt: No
Season: Fall,Spring
Weight: 0.3700kg
Package Contents: 1 x Dress
- Receiving time = Processing time + Shipping time
- Priority Direct Mail: 7-15 bussiness days
- Standard Shipping: 7-25 bussiness days
- Expedited Shipping: 3-7 bussiness days
Our Guarantee: 30 Day Returns or Exchange guarantee from the delivered date.
Not yet rated.Be the first to Write a Review.
There are no questions yet.

subset: commoncrawl


text:
They have a pleasantly twisted training program for me - nipple braces combined with denial of orgasm and lots of spitting Laylabates. I want you to touch her, but since you are not here, I play with myself and suck on my sweet fingers for you. I love to touch the skin and fortunately, too, my girl. Do it Use the opportunity to buy without detailed description. She takes to the shore and then cums for all her breasts Laylabates. A guy like you is so happy to be able to pet a girl like me Even if you are able to hook a hot girl in real life, she presses her buttons like I. I have my asshole all greasy for you and spit him as if I hit him and show my ass and spread it from three different angles. org Unesdoc. Sucking I feel my big tits Laylabates. In the course of the night Natalia said she would ask me for sperm but I was a brat . I like to see the pussy and the asshole open and close very well while they are still able to see your head and legs and you can look back while you are shaking your ass and talking at the same time, Things to say that hit the big black cock to you Big ass and pussy and how do you like black cock and so what if it is not too much.
The Queendom
Femdom, Fetish, Facesitting, Smother, Giantess, Vore ... #1 Amateur, Fetish and Porn Star Clip Site In The World! Submit Feedback


text:
Transferring to a new university or returning to college after an absence can be a difficult and confusing process.
The University of Dayton is working to make the transition easier by using the new Common Application for Transfer.
TRENDING: Students plan to carry wheelchair bound teacher out of classroom, if ever an active shooter
"Until now, the application has been designed with traditional students coming out of high school in mind," said Julia Thompson, associate director of admission and financial aid, in a news release. "Our transfer students come in with more life experience, work experience and broad academic backgrounds. The redesigned application removes a lot of barriers for them. It allows them to truly tell us who they are as a student and as an individual, which shows we value who they are as well."
The redesigned application will make it easier to collect transcripts and recommendations, input relevant courses, and include work and volunteer experience.
The Common Application is used by 750 institutions around the globe.
U.D. is among nine early-adopters of the new redesigned Common Application. It will be launched for the 2018-2019 school year.
News Center 7 consumer reporter Rachel Murray will find out what you need to know about the New Common App and how it will help transferring and returning college students.


text:
Language: Bulgaria - Bulgarianis currently selected ( Change )
Tips on how to Utilize the Online Spell Checker for Bulgaria - Bulgarian.
Copy and insert the specified wording in to the text field above, then click the appropriate button. An outside window will appear showing your own wording together with mistakes now underlined in red. Select a mistake to receive a list of correction recommendations. Choose the choice which best matches your intended meaning and click the "Change" button to correct the mistake. If you discover that you made the identical error repeatedly within the text, click "Change All" to fix every single common misspelling.


text:
Mountain Mike's European Skull Master Elk Kit
Article # 23407
Shopping Cart Unavailable
Due to unusual browsing activity, your shopping cart has been temporarily disabled. To learn how to correct this issue, please visit our here.
Free Shipping to our Canadian stores! Learn more.
Product Description
Compatible with your own harvested antlers or shed antlers, the Skull Master kit includes all hardware needed to attach a set of antlers to a great looking elk or stag skull in a timely, no-mess fashion. This antler kit comes with two different size interchangeable top sections so you can choose which size fits your antlers best. Colour: Natural Bone. Includes: DVD, gap filler and screws.


text:
Letters to the Editor 3/4 Part 3
Dietary Officers play key role in state's correctional system
To the editor:
This is in response to the article in the Dec. 2, 2000 Herald Mail by Marlo Barnhart and Dan Kulin "Guard Faces Heroin Charge" and more so to the article submitted by Lt. Roland Silver MCTC.
I agree with Silver's statement that referring to "guards" is wrong; they are now Correctional Officers and Correctional Dietary Officers. But I don't agree that there's a big difference between Officer and Dietary Officer. Silver further states that Correctional Officers go through many weeks of training, but so do Correctional Dietary Officers as they also work by the rules and regulations set forth by the State of Maryland and the Division of Corrections. In fact, all correctional employees must complete the Correctional Training Academy after they are hired and before being permanent state employees.
Correctional Officers and Correctional Dietary Officers are both disciplined by administrative guidelines and both classifications are considered "sensitive positions."


text:
LouLou bares it all!
Let me take you to my backstage, to the exotic world of glamorous showgirls, to experience the sensual side of life. My Patreon site will reveal exclusive things from inspiring burlesque to fetishes and exotic costuming & make up techniques – I will engage you, tease you and please you behind the scenes as I bare my secret tips and tricks of the burlesque trade.
Keywords: alternative model, burlesque, corset, fetish, inked model, loulou age, loulou d'vil, LouLou naked, makeup, members only, miss exotic world, neo burlesque, pinup, queen of burlesque, retro lingerie, showgirl, tattoos, tutorial, vintage hair, waist training


text:
Anonymous, 18 Aug 201622.6, wtf?? Why so many pixels?the 1020, 1520, 930 all took beautiful pictures with the large sensors many MP and OIS, i don't see why they'd change the formula now.
Nokia should release at least one of their handsets with the now matured Windows 10 mobile. Just one please
If you keep your devices up to date for at least 3 years then you would have fixed the fragmentation problem. At least people will know what to expect and not be guessing.
Anonymous, 18 Aug 2016aaaahahahaha.. yes it was in the past. the future nokia will be just china phones with nokia-... moreNokia has tied up with foxcon which manufactures iPhones and many other electronics and nokia will supervise the quality of the device....Nokia brand is huge till today.they innovated in the electronics field
our king is back
Anonymous, 18 Aug 201622.6, wtf?? Why so many pixels?Lossless zoom? ;) Have you ever compared amount of detail captured in good light conditions between brand new Samsung S7 Edge and old school Lumia 1020 with 41MPix? Check it out ;) Sadly more MPix quite often means smaller pixel size, because otherwise sensor would need to be big (like in Lumia 1020) and that comes with trade of worse low-light performance. Also capture and imaging processing speed is challenge with high resolution, but technology moved a lot ahead from Lumia 1020 times. :) I wish there will be some Lumia 1020 successor. Possibilities that it's camera offers in such a small form factor are insane. Can you image successor with today's HW and better optics that F2.2, F1.8 or F1.7?
I have to say this,, after note7's release any Nokia phone will have extremely tough competition.. They better have something special up their sleeves which seems unlikely at this point of time.. Note7 is the best phone right now,, the phone to beat.
Welcome back nokia i hope your software support will not be as bad as samsung's !
Indian, 18 Aug 2016Nokia King Rule 14 Golden Years....... Just Take N8, N808, Lumia 520 For Example..... What A S... moreaaaahahahaha.. yes it was in the past.
the future nokia will be just china phones with nokia-sticker. the quality will be same with the other cheap china phones like xiaomi.


text:
postcards from munich IV
>> Tuesday, April 2, 2013 – postcards
When you live in a city, it is easy to forget to see it from those blissed-out-tourist-eyes with which you first arrived. You see your ever day life, the ordinary, as opposed to those small things that make one city different from the next, the extraordinary. I find that postcards help to rekindle some of that bliss and these ones from Munich never fail to make me find the city I live in a little funnier and a little more handsome than usual.
The postcards above are also from Munich; however, they have less to do with the city as such and more to do with one particular art project in it. These postcards are a part of an art project by Munich based artist Kirsten Kleie. She has gathered a collection of postcards that she has stumbled upon randomly and has then photographed them elsewhere and made these photographs back into postcards. The ones she makes she then distributes randomly, with a return address on the back, with the hopes that they will find a homecoming of sorts by either finding their old home or by being welcomed into a new one. I now have a few keeping my bookshelf company.


text:
Idiosyncratic Artt
Subscribers: 6
Videos: 1
Speedpaint 1
Aye, first video. Just an FYI, I can't draw furrets. DeviantArt: croxiin.deviantart.com Toyhou.se: https://toyhou.se/Idiosyncratic Tumblr: https://idiosyncraticartt.tumblr.com/ Music provided by NoC...
posted 06/13/2018 10:18 pm
There's now a dedicated section to our fellow PMC youtubers! Come check it out and discover new channels from other community members.ondemand_video PMC Youtubers Section
© 2010 - 2018


text: Someone got sort of crazy on Saturday night and heaved a pot at the front windows of my office building. Blinds and shelving prevented the large flowerpot from making all the way through the building. It got stuck half way, emptying half its contents inside and half outside. It took several hours to clean up the dirt and broken glass, but all is well. Window will be replaced right away. We took it as a metaphor: sometimes a big hole gets blown open in the side of a project or idea. Stuff happens.


text:
Transport operator found dead
THE BODY of a transport operator was found inside his car in a secluded spot near the Indian Institute of Management (IIM-I) campus, Pigdamber Rau today.india Updated: Sep 29, 2006 21:55 IST
THE BODY of a transport operator was found inside his car in a secluded spot near the Indian Institute of Management (IIM-I) campus, Pigdamber Rau today.
According to Rajendra Nagar police the deceased 55-year old Mohammed Iliyas of Ashok Nagar, Manikbagh area owns a bulk transport company Gurukripa Transport located in 37, Transport Nagar and has six oil tankers.
His body was found strangulated to death in his Maruti Swift (MP-09 MA-7999) lying abandoned after presumably getting stuck on the dirt track about 30-ft from the main road going towards Pithampur.
Though the car was a little distance away from the main gate of IIM-I, the guards posted there and passer-bys merely thought it to be stuck in the mud on the highly undulated track and the body was not discovered until a curious someone from the village peered into the car and saw the body.
The police reached the spot at about 12 pm and found the body lying on the back seat. Most of the articles were lying as it is with a tobacco pouch on the seat near the head of the body and while the kurta was on the body, the pyjama and underwear were slipped down to the knees. The body bore injury mark on the testicle and had a piece of rope hanging on the neck.
The police recovered a suitcase full of documents, a mobile with no sim card, an empty mobile cover, a sim inside a plastic box and a driving license from which his identity was established and his family members were traced and informed.
The deceased had divorced his wife three years back and of the two sons (both adults) one was living with his mother while the other was living with him. It is being said that he also had a daughter who is married but this information was unconfirmed. The two sons along with a business associate and a close friend of the deceased, a Sikh gentleman, reached the spot and identified their father.
The sons said their father was about to finalise a deal and had left his office at about 8 pm yesterday saying that he was going for disbursing payment and had an estimated sum of Rs 4 lakh in cash with him of which Rs 2.5 lakh were given by his Sikh friend.
As the amount mentioned was not found in the car and the vehicle itself was found abandoned at such a place, the police believe that he was murdered elsewhere and the murderer(s) were trying to take his body somewhere else but as their vehicle got stuck in the mud they abandoned it, while decamping with the booty.
The other line of investigation based on circumstantial evidence, the position of the clothes on the body, tobacco pouch and secluded spot believe the deceased could have been lured into a trap for begetting sexual favour and later strangulated for money.
First Published: Sep 29, 2006 21:55 IST


text:
Sergio Perez believes the opening day of practice for the Italian Grand Prix didn't go as well as he thought it would.
The Sahara Force India driver finished Free Practice 1 in fifth, ahead of the Haas F1 of Romain Grosjean, finishing with a time of 1:24.650, which was 0.717 seconds ahead of reserve driver Alfonso Celis Jr who had taken over the second car from Nico Hulkenberg. Perez was unable to carry this strong performance into Free Practice 2 as he finished in thirteenth, behind Hulkenberg by nearly one tenth of a second.
"I don't think today went as well as we thought it would," said Perez. "The balance of the car is still not where I want it to be so we need to understand why that is the case.
"There are still a couple of tenths we can find and that should be a good starting point. The times show the battle in the midfield is even closer than usual, so we need to keep pushing to come out on top."
During Free Practice 1, Perez had the opportunity to test the Halo for the first time. Just last weekend for the Belgian Grand Prix, Hulkenberg had tested the concept. Perez feels the Halo didn't give him any problems with visibility, he is interested to see how the Halo develops over time.
"In the morning session I had a chance to try the Halo for the first time," said Perez. "It was just an installation lap, but I didn't feel it gave me any problems with visibility.
"Getting out of the car is a bit more of a struggle, but it will be interesting to see how this technology develops over time."


text:
I have a the above set up. Ordered all of it around the first of the year. Just never got around to un-packaging it.
Of course I have the press but too much of a pain to ship that.
What I have....
Mark 7® Optical Decapping Sensor
Add-Ons: Mr. Bulletfeeder - Pistol 9mm/.38 (Save $20.00) $449.95
Mark 7® Optical Decapping Sensor (Save $20.00) $179.95
Mr. Bulletfeeder - Pistol 9mm/.38
Discount: $0.00
Shipping: $35.30
Sales Tax: $0.00
Total: $3,600.00
$3200.00 Shipped.


text:
In English
Lempäälä welcomes you warmly!
Lempäälä is an active municipality with approximately 23 000 inhabitants. Lempäälä is situated in the Tampere region, one of the growing centres in Finland. The city of Tampere is situated only 15 minutes from Lempäälä and the traffic connections are excellent by the Helsinki-Tampere - highway!
Allow Lempäälä to charm you with splendid countryside and cottage holidays, wide range of cultural events, historical atmospheres and great new ideas like the enormous shopping paradise and leisure centre Ideapark.
From this page you can find many good reasons to visit Lempäälä.
Welcome and enjoy your stay!


text:
Abita SOS — Save Our Shore
Less than 60 days after the April 2010 explosion on the Deepwater Horizon drilling platform in the Gulf of Mexico, the first bottles of Abita SOS® (Save Our Shore) - A Charitable Pilsner rolled off the production line at the brewery. We donate 75 cents from every bottle sold to a charitable fund established by Abita that assists with the rescue and restoration of the environment, industry and individuals fighting to survive the disastrous oil spill.
To date, over $500,000 has been raised for the cause. Donations from the fund have fed fishermen and their families, restored critical wetland habitats along the coast and made Christmas a little brighter for struggling families.
100% of the net proceeds from related retail merchandise also goes to the SOS Fund. Online donations can also be made directly to the fund.
Abita Restoration Ale
Immediately following Hurricanes Katrina and Rita we created Abita Restoration Pale Ale®. Our brewery was miraculously spared any catastrophic damage and we made the decision to help others by doing what we do best…making beer. One dollar from every six-pack of Restoration Pale Ale® was donated to the Louisiana Disaster Recovery Foundation. Abita Restoration Pale Ale® contributed $550,000 to the recovery effort.
Abita Abbey Ale
Abita Abbey Ale honors the ancient traditions of monks who perfected the art of brewing beer to support the monastery. Abita offers up their support and thanks to the brothers at nearby St. Joseph's Abbey and Seminary College in Covington, Louisiana with a 25-cent donation with every bottle sold of this heavenly brew. The program has raised thousands of dollars for the local monastery, which has provided educational, cultural and spiritual support to those in need for over 100 years.
Abita Restoration Pale Ale® Funds Park Revitalization
David Blossman, President of the Abita Brewing Company, presented a check for $115,000 for a major expansion to the historic Abita Springs Tourist Park in the heart of town.
This donation created the Abita Brewing Company Restoration Plaza, an outdoor performance amphitheatre and underwrote the cost of a new playground in the park. "This wonderful donation from Abita Beer will help us move forward with our plans to create a multi-use park and trailhead at the center of town," said Mayor Fitzmorris. "Earlier this year our signature pavilion was moved to a new location within the park and the historic Longbranch Building was relocated to this site as a museum," continued Fitzmorris. "Townspeople and visitors have gathered in this spot since the 1880s. First for our famous spring water and more recently to enjoy the Tammany Trace," said the Mayor. "Hurricane Katrina nearly destroyed the pavilion and the park.
We thank the Abita Brewing Company for these exciting additions to our town," concluded the mayor.
20th Anniversary Pilsner
In 2006, the Abita Brewing Company celebrated 20 years of making Louisiana's favorite beer by throwing the biggest birthday party the Crescent City had ever witnessed.
Thousands of our friends and fans turned out for the party and helped us raise $20,000 for the Louisiana Restaurant Association's Employee Relief Fund. The fund was established to help displaced food service workers come home and return to their jobs. It was the best birthday present we've ever received.


text:
Lost Planet: Extreme Condition for the PS3 will be released with a host of new features not previously available in Xbox 360 console version. These new editions include 16 multiplayer maps and additional playable characters each with their own unique set of abilities.
Whatever... Contributors are anal and dumb sometimes, but back on topic - does anyone think these features matter? Would these additions make it better than the 360 version or worth the extra year wait to play it on the PS3? I'm curious to see how well this sells considering a lot of PS3 owners might just think it's a 360 hand-me-down. Why should we care about a year-old game that wasn't that great to begin with?
...except support for 2 more players on MP. I'd hardly call that " a host of new features not previously available in Xbox 360 console version". :o
Lets see
From gamespots lost planet page.
Number of Online Players: 16 Online
Now if they mean 16 new muliplayer maps? then i doubt it that would be like...nealy 25 or more maps to use on that game if you include the 360 maps and the downloadable.
And Characters with special powers? who wants that games have tried it and it just turned out that certain player types had major advantages and people would use only that character type.
Edit: all of the above is fact, so people like to disagree with facts.
when capcom makes any annoucnment it reminds me of that movie "Not another Teen Movie" where the guys starts clapping and they tell he it's not the right time. Capcom seems to be the only one clapping while everyone else is telling him this isn't the right time.


text:
Enjoy a totally relaxing Christmas this year: all you have to do is turn up. Envelop yourself in a cosy, candle-lit world of vintage movies, mulled wine, home-made mince pies, and traditional (as well as some non) Christmas dishes. Escape to the Spa, explore the once-a-year-quiet streets of historic Mayfair in our vintage Daimler and ease yourself into an effortless celebration of Christmas this year.
The Beaumont heralds a return to the pre-war elegance of Mayfair hotels. Jeremy King and Chris Corbin have created a truly independent, distinctive hotel based on the classic values of a golden age of personalised hospitality. Centrally located in Mayfair and overlooking Brown Hart Gardens, The Beaumont features The Colony Grill Room, an American Bar, The Cub Room – a Resident's Lounge and Bar, The Lotos Room – a private dining and board room, and a gymnasium and spa with hamam. The hotel was named the AA HOTEL OF THE YEAR – London in 2016.
Visit: thebeaumont.com | YouTube: The Beaumont Hotel | Hotel Stories | Condé Nast Traveler


text:
Found 19th Jun 2014
Looks like a nice wine glass and makes a pleasant change from the normal cheapo plain supermarket ones. Reduced from £1.23 each. They also have the same glass in blue, however these are £1.43 each (reduced from £2.43). I had a quick look on the stock checker and they seem to be available.
Community Updates


text:
Barry graduated from Our Lady of the Lake College in 2000 with an Associates of Science Degree. Prior to receiving his PTA licensure, Barry earned his degree in General Studies from Southeastern Louisiana University in 1997. Barry has been on staff at Anatomix since 2000.
A resident of Hammond, Barry and his wife, Jennifer, have two children. Barry loves LSU football and in his spare time, enjoys a good round of golf and spending the weekends with his family on their boat. Barry has continued to improve his knowledge and excel with courses and certifications including:


text:
I don't know about you, but I'm still feeling stuffed from over-indulging over Christmas and new year.
It doesn't feel like I'm getting any nearer to clearing all the festive nibbles from my cupboards. I mean, who can resist buying more when they're half-price after Christmas?
There's panettone, Dundee cake and plum pudding, not to mention selection boxes and drums of Celebrations.
On the subject of the latter, why does everyone always give those? Apart from the weird-shaped Malteasers Teasers, they're the most boring chocolates.
Having said that, when you have them in your bedroom drawer they do tend to occupy the mind until they're gone.
Give me something more satisfying though, like Lindt. Now that's a girl's chocolate.


text:
1045 E Washington St
Brownsville, TX 78520
BAM presents our second SouthbySouthmost event taking place in historic Downtown Brownsville! This will be taking place July 22nd-24th!
One thing we are very proud of for SXSM is that we feature ALL ORIGINAL artists from the STX and surrounding region. BAM believes in the concept of encouraging original music and art in the Brownsville area because creative mindsets are the foundation for a vibrant arts community.
Line-up, participating venues, and galleries TBA soon!


text:
In this tutorial you can find out how to create a Scavenger game where each team has its own preset route to follow.
Category: Uncategorized
Feature list
User and account management Invite users to your account. Assign user different rights (owner, admin, full, limited, deactivated). Participate in several accounts. Invite collaborators: can add questions to your account; no access to other content; no need to log in to add questions (weblink that can be set open/closed). Event-specific log in to play games (no need […]
Getting Started Videos
Creating questions: Creating games: Creating events: Interpreting results: Inviting collaborators and members:
Separating teams at the game start
With Scavenger game type you can create a game that is simple and freeflow (meaning that all questions are free to visit), but with starting field you can make teams follow different routes. Each team is assigned a personal starting point, and rest of the locations will become visible only after you have visited the […]
Make teams move in circle
This tutorial explains how to create a Scavenger game in Loquiz where teams start each from the different starting field and then continue in a circle. Next question only appears on a map when the previous is answered. When all the questions are answered FINISH pin will appear. You might want to use this case […]


text:
As Smooth as that of an infant, spot less, lines free, supple, softness, so good to put lips on it, etc., are some attributes of the skin all women wish to have. What is interesting and airs to this wish is that people of the opposite gender want the same thing in women's skin, especially on the face. These attributes do not merely give a feeling of being blessed but also help the objective of being love or at least sought after. After all, all of us treat appearance as a requirement. See the life around yourself. Beautiful presentation counts everywhere. Car manufacturers are coming up with such shapes that look cool to eyes. Same is the case with everything around us. Then, there are some fields of life where a bewitching face is the need of the hour and so on. The point of listing these points is to shine why women consider it important to keep looking cool. With this background one can easily grasp why anything that appears to encroach the said assets causes whirlpools in their minds.
The fact is that life is not fair as there is nothing for granted. A woman may have an ideal skin in her youth, but stress, pollution's, lifestyle, genetics, and likewise notion appear ready to forfeit the gift. This struggle on the said malicious notions get a catalyst in the form of ageing after the 30's. Then, every lapsing day grinds the axe of ageing to the next level. It will be incorrect to say that people are not taking stock of the situation. Solutions to keep women beautiful as long as possible have been emerging since the age of Pharos, rather, even earlier. Now, technology and studies in aesthetic field converge into a particular boon, Atheno Anti Aging Skin Cream that exploits the full potential of vitamin C to preserve the said female attributes.
Chief Atheno Features
- To begin with Atheno paves the ground for more energized stem cells.
- In the second place, it turns to wrinkles and suppresses those.
- Then, epidermal part of the skin experiences well-founded regeneration because of Atheno.
- After this, the skin's attribute of working as a barrier gets even better.
- Finally, the climate changes find it hard to inflict the skin of that receives Atheno Anti Aging Skin Cream application regularly.
Why Atheno
Atheno Anti Aging Skin Cream presents itself to be the right solution as there plentiful and superior ingredients that deliver.
Meticulously chosen ingredients are able to help the user get rid of the curse of ageing marks. Stakeholders would not stick to this view had it not been supported by research studies.
Behind the Scenes
Our skin, being the largest organ, wraps our body so that irritants or malicious elements cannot find their way into the body. To put is simply, nature does not merely beautify the body but also works as a barrier so that harmful elements do not become able to have access to the body. The stem cells sit in the epidermal layer of the skin. UV, imbalanced diet, stress, lifestyle and likewise notions speed up the degenerating process. Stem cells provide an answer in the form of relentless repair and making of new cells in the skin. However, after a certain time (usually in the 40's) stem cells being losing their efficiency. This degradation is bound to result in the following consequence.
- The firm skin begins looking sagging.
- Smoothness goes.
- Dryness appears.
- Lines on various parts of face begins bruising a beautiful manifestation of nature. Wrinkles begin repulse looks that once might be equating groping a face as important as a pilgrimage to a holy land.
- Eyes begin losing their spell casting ability as dark circles or puffiness begin appearing below eyes.
- Hyperpigmentation, inflammation, redness, acne or likewise notions and change the outlook of a given face altogether. And so on.
In this fretting situation, Atheno Anti Aging Cream comes to rescue by strengthening the skin as a barrier and organ. Healthier skin regains a chunk of its defending power and aesthetic appeal. These gains leave a positive effect on the level of confidence in oneself. These good things happen to a female with an ageing skin because Atheno Anti Aging Skin Cream is so effective in repairing activities that these can mend the damage to the DNA so that integrity and vitality of the skin can come back. In other words, the said brand offers effective assistance so that stem cells located in the epidermal layer can initiate regeneration of skills, strengthening of skin as a barrier and reduction in various symptoms of ageing, such as, dullness, redness, wrinkles, etc., go into the background.
The next question that is bound to surface is bound to be how it will happen. The following lines mention some making elements in Atheno Anti Aging Skin Cream that help the wonder to take place.
Bio-Plasma represents a particular a certain organism that is micro in size and unicellular in configuration. Excellent energy and greater moisture retention are its worth mentioning gains. These are inherent tributes of the said ingredient. Then, it helps the body to resist UV and oxidative phenomena.
The next thing that empowers Atheno Anti Aging Skin Cream to keep ageing infliction at bay is DMAE. Its intake means that the user's skin will get many firming benefits that will alleviate the impact of wrinkles and likewise.
Retinyl Palmitate
One reason for letting the Retinyl Palmitate comprise the said brand is that it provides considerable help in cell making which contributes to the wrinkle suppression, which is very important for women.
(Intelimer 8600), Synovea Doi And Sepitonc M3 Join Hands
These notions assemble an efficient delivery system to facilitate Bio-Plasma synergy gains. These gains become tangible over the long-term. The typical gains are risen moisture level, and release of molecules in a consistent approach for the sake of continuity, and consistency.
The chief purpose of the purpose-built Essenskintm is to fill the gap created in the absence of nutrients shortages that invite skin to begin looking dull and become sagging.
Usage Information
How to use and other relevant information is available on Atheno Anti Aging Skin Cream label.


text:
LIMA -(MarketWatch)- Peruvian copper producer Sociedad Minera Cerro Verde SA (CVERDEC1.VL) and striking union workers are meeting Thursday following a government ruling earlier this week that gave them until Nov. 15 to resolve the walkout, a union official said.
Union workers walked off the job on Sept. 29 to back demands for higher pay at Peru's third biggest copper producer. Cerro Verde has been operating the mine with supervisors and volunteer personnel.
If no deal is reached by Nov. 15, the ruling said Peru's government will resolve the strike, union leader Leoncio Amudio said.
Amudio said during a telephone interview Thursday that the company's offer and worker demands remain "distanced," but that an agreement could still be reached.
Cerro Verde operates in southern Peru. It produced 157 million pounds of copper in the third quarter of this year, down from 165 million pounds in the same period in 2010.
Freeport-McMoRan Copper & Gold Inc. FCX, -1.36% has a majority stake in Cerro Verde.
Peru is the world's second biggest copper producer.


text:
Austin Junk Removal FAQ
What makes Dirty Work different from its competitors?
Dirty Work can handle just about anything! Don't call one company for your junk removal, another for landscaping, a third for power washing and on and on. One simple phone call to us and you can get all these needs handled.
What services do you offer?
If it's dirty and it's work, we do it! Some of our most popular services are junk removal, junk hauling, Austin demolition, power washing, grading, tree/brush removal and moving/reorganization. But while these are our most popular services, they are by no means all we can handle. If you ever have a question about whether or not we can handle a job, simply call and ask. Odds are we will find a way to get it done for you.
What happens to my junk after you haul it off?
Dirty Work will ensure that your junk is recycled appropriately.
Will I have to wait all day for your team?
Absolutely not. We'll give you a time our team will arrive when we book your appointment and we will stick to it. At Dirty Work, respecting our clients' time is one of our top priorities.
How much does it cost?
Our prices depend on the services a client needs as well as the amount of junk they have to remove. Potential clients are encouraged to call our office at 512-328-3698 or email email@example.com to discuss their needs with one of our team members and receive an estimate. For the most accurate estimate possible, you can also email a photo of the work you need done to the above email.
I work 8-5 Monday thru Friday. When can I get my work done?
If you have limited availability, please call our office at 512-328-3698. We'll be happy to arrange a time that will work for you.
How do I pay?
We accept all major credit cards and personal checks. You'll be asked to pay after the service is completed, never before.
What can you haul away?
We can haul away household items, appliances, yard waste, trash, construction waste, business waste and more. About the only thing we can't take is hazardous materials.
After you remove the junk from my garage/attic/etc. can you help me reorganize the area?
Absolutely! We want your home to look great too. If you need help reorganizing anything, just ask!
Can you help with my "curb appeal?"
Dirty Work can remove any junk or yard waste such as trees and bushes from your yard as well as weed, plant or mulch your flowerbeds. We can bring in any materials you'll need for the job or we can use what you have if you would prefer that. We can also power wash your driveway, decks, patios, etc. to add a little more curb appeal.
If you can't haul off my hazardous waste, what do I do with it?
Those items should be taken to Austin's Household Hazardous Waste Facility at 2514 Business Center Drive, Austin, TX 78744.
Do you offer discounts/coupons?
To keep up to date with any specials we are running, find us on social media (Facebook, Twitter, LinkedIn, Google+) or opt-in to our newsletter.
If you have any other questions, please email us at email@example.com or fill out the comment form below.


text:
* Truth About It.net's correspondent for all things Tomas Satoransky/Jan Vesely-related *
Tuesday, March 21, 2006
funny games with(in) basketball
from san antonio to the world: it's just fun!
i've decided to blog about some records, crazy video game, basketball
civil war, clans of surnames and one comment in several parts.
else spoken, there's a lot of interestingnesses (what a long word!) in
this writing, so read guys, c'mon, and let me entertain you (at least
in contrast to now-world-of-frequent-hatred&grief).
...part I
i wanna be...
i have a desire, a couple of desires and it's starting with: *i wanna
see mars live, i wanna be there on the red planet and...* stop!
stop, i've the desires with(in) b-ball (btw, do you know that oscar
robertson used to call the rebounds as "ballboards"?).
i wanna be nate thurmond, alvin robertson, hakeem olajuwon or david
robinson and record a quadruple double (btw, is quintuple double
possible? only if ak-47 is alive, if he takes some good doping, if
jazz play against n.y.k. and they've a bad day (frequent appearance),
if this game is decided in three overtimes, if kirilenko plays 63 mins
and if he doesn't fail a dope test - and this is possible if...
...andrei kills stern with ak-47 (very bad solution)
...andrei takes over the rule of stern and becomes a dictator (better
solution, but how?)
...andrei bribes stern & co. (even better solution, but to bribe
...andrei is a wizard (not a washington-like, but real) and arranges
the minds of the people in the trying that they forget his
doping-taking (impossible solution).
or he fails a d-test, but he stays satisfied with that and he's willing
to use his suspension for long-term holidays and, that he stays happy
about his performance, indeed the people will remember only good
things and he'll be celebrated as a first human being to manage a
quint-d (btw, did you knew that i like writing with a plenty of
i wanna be wilt chamberlain and record 100 pts in one game.
i wanna be wilt chamberlain and record 55 rebs in one game.
i wanna be scott skiles and record 30 asts in one game.
i wanna be elmore smith and record 17 blks in one game.
i wanna be larry kenon and record 11 stls in one game.
hmm... imagine a quint-d with 100/55/30/17/11...
hmm... maybe i'm gonna call my alien-from-space-friend...
i wanna be ME.
...part II
kobe's 123 and shaq's quadruple-double
who's said "world's a bitch"?
that's a total nonsense.
our world's beautiful.
and especially the world in computer games.
one thursday, i've played a basketball game on my pc.
the (in)famous 2003-04 los angeles lakers vs atlanta hawks.
and here are the stats (yeees, it's
unbelievable/unimaginable/impossible and so on):
team lal atl
score 167 122
1st quarter 58 22
2nd qtr 38 41
3rd qtr 47 33
4th qtr 24 26
center shaquille o'neal
power forward karl malone
small forward rick fox
shooting guard kobe bryant
point guard gary payton
c theo ratliff
pf shareef abdur-rahim
sf stephen jackson
sg boris diaw
pg jason terry
bench scoring 0 31
field goals 70/130 50/130
fg% .538 .384
3-pointers 12/39 7/21
3p% .307 .333
free throws 15/17 15/19
ft% .882 .789
off-rebounds 20 32
def-rebounds 31 35
total rebounds 51 67
blocks 14 3
steals 31 11
assists 38 34
turnovers 24 38
fouls 19 14
longest run 16 8
scoring drought 2:13 2:37
kobe bryant: shaq o'neal:
pts 123 pts 26
fg 50/89 fg 13/21
fg% .561 fg% .619
3p 8/26 3p 0/0
3p% .307 3p% .000
ft 15/15 ft 0/0
ft% 1.000 ft% .000
reb 4 reb 19
ast 1 ast 13
blk 1 blk 11
stl 15 stl 0
fls 5 fls 3
...part III
civil war: south against north (1861-1865)
here are the elite troops of basketball men if the american civil war
II starts now (2006-?).
the states involved here are those which originally fought against each
other in that war (there were more states, but i picked only those
which have some players in the nba (those who made my ultimate cut)).
texas (g. hill, bosh)
mississippi (mcdyess)
alabama (b. wallace, horry)
florida (stoudemire, mcgrady, carter)
south carolina (j. o'neal, garnett)
virginia (mourning, iverson)
iverson mcgrady
carter hill
garnett bosh horry
j. o'neal stoudemire mcdyess
b. wallace mourning
new jersey (s. o'neal)
michigan (webber)
new york (anthony, brand, marbury)
illinois (wade, marion,
pennsylvania (bryant, r. wallace)
ohio (james, redd)
connecticut (camby)
bryant marbury
wade anthony redd
james marion
r. wallace brand webber
s. o'neal camby
who would win?
north's repeat or south's revenge?
...part IV
williams. johnson. jackson. jones. do u know them?
if you look at the rosters of nba teams, there are a lot of the same
most often ones are williams, johnson, jackson, jones.
i think this names are not so good for basketball playing.
useful names are for example duncan, garnett or ginobili, 'cos you
always know about who your friend is talking, but when somebody says
that williams nailed a three in crunch-time, you have absolutely no
chance to find out immediately who williams it was precisely.
who occurs to you when you hear the word "williams"?
to me, no b-ball player in the 1st place, but robbie williams.
w o t y w y h t w "johnson"?
magic johnson (lone exception).
micheal jackson is here!
the 2nd is phil zen master.
indiana jones...
so if someone asks, who's the biggest star here?
my answer is joe.
the williams'
55 jason 8 deron
25 mo 20 alvin
17 eric 23 louis
24 marvin
34 aaron
the johnsons
8 anthony 43 linton
2 joe
3 dermarr
25 amir
40 ervin
the jacksons
5 bobby 5 jermine
1 stephen
21 jim
33 luke
44 marc
the jones'
19 damon 30 dahntay
20 fred
6 eddie
22 james
11 dwayne
i've an idea, assemble all the williams' to the one team (e.g. ny) and
they'd change their name for new york williamses or so.
and perhaps they'd have better win/loss column like now!
p.s.: *sometimes speed kills.
sometimes it commits suicide.* (-charley rosen on high-octane phx suns)
Written by Foreigner in CS - Mar 21 2006 2:18PM
Posted by Luke_Mellow at 11:18 PM
No comments:
Subscribe to: Post Comments (Atom)


text:
"This post is incredibly helpful to us. By way of this, we can understand pretty effortlessly and rapidly." A Anonymous
If you believe your mental property is infringed and would want to file a complaint, make sure you see our Copyright/IP Policy
I'm a newby again to your condom scene immediately after 20 years of other contraception suggests. It absolutely was a nightmare in my teenagers with condoms breaking and i didn't practice Harmless sexual intercourse as I should really of because they were so awkward.
You answered: Appropriate Answer: Doubling up received't double your defense -- or your satisfaction. Double-bagging with two male condoms could potentially cause friction between them and improve the prospect they'll break. Applying male and female condoms alongside one another could make them stick with each other and slip away from area.
Cookies are little items of information saved securely in your Computer system. A browser capable of storing cookies is necessary to see the Walmart Canada Site.
You could desire to consider using emergency contraception (the morning-right after pill) if your partner has ejaculated within your vagina, over the vaginal opening, or if semen drips with the anus on to the vaginal opening.
It is a smaller condom from Durex produced to the Asian sector. Even so, It is really accessible on Amazon so I integrated it here
My duration its eleven.5in and Not one of the condoms which i see are that big my girth is 8in what do u suggest
Quality slender condoms with flared condition, lubricated with luxury silicone-dependent lube and packaged inside a top quality box. That is the most important of all Bare condoms (Some others are 49mm, 52mm and 54mm huge - see all of them in this article)
Be sure to make use of a drinking water-based mostly merchandise that's meant for sexual intercourse. Oil-dependent lubricants like petroleum jelly can problems the condom and retain it from Performing.
And loosening it adequate for it being relaxed triggered it to tumble off in my rest, because it was within the very last notch. I attempted on my husband's (Large) and understood that's what I wanted. So I returned mine and am looking forward to my new one to arrive. So dependent only on my expertise, I would suggest heading Using the larger dimensions if you are in between. Absolutely sure, you'll probably lose bodyweight, plus check my blog your wrist might shrink, but you require it to suit now
You would like a bedroom critical. Have a look at some photos bedroom decor is significant, look quite, neat, and cleanse. You can truly feel at your house during the bedroom In case your bedroom comparable conditions as in the image.
Right after viewing solution detail pages, look here to find a fairly easy solution to navigate back to web pages you are interested in.
), you need to utilize a condom to avoid STDs. And of course, when made use of accurately, they secure in opposition to pregnancy ninety eight% of some time. But when the time arrives to select your form of rubber, Do not worry a lot of It is really all about choice. This is the lowdown around the nine different types of condoms you'll find on keep cabinets.
The Ultimate Guide To Large and X-Large
"This post is incredibly helpful to us. By way of this, we can understand pretty effortlessly and rapidly." A Anonymous


text:
Journal of Anesthesiology
Volume 2015, Article ID 617074, 7 pages
Effect of Low Dose Dexmedetomidine on Emergence Delirium and Recovery Profile following Sevoflurane Induction in Pediatric Cataract Surgeries
Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Received 1 August 2015; Revised 7 October 2015; Accepted 12 October 2015
Academic Editor: Thomas Engelhardt
Copyright © 2015 Babita Ghai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This randomized trial was conducted to assess the efficacy and recovery profile of low dose intravenous dexmedetomidine in prevention of post-sevoflurane emergence delirium in children undergoing cataract surgery. Sixty-three children aged 1–6 years were included. Anesthesia was induced with sevoflurane and airway was maintained with LMA. They were randomized to group D 0.15 (received intravenous dexmedetomidine 0.15 μg/kg), group D 0.3 (received dexmedetomidine 0.3 μg/kg), or group NS (received normal saline). The incidence of emergence delirium, intraoperative haemodynamic variables, Aldrete scoring, pain scoring, rescue medication, and discharge time were recorded. Emergence delirium was significantly reduced in dexmedetomidine treated groups with incidence being 10% in group D 0.15, none in group D 0.3, and 35% in the NS group (). Significantly lower PAED scores were observed in D 0.15 and D 0.3 group compared to the NS group (). Discharge time was significantly prolonged in the NS group compared to D 0.15 and D 0.3 (45.1 min ± 4.4 versus 36.8 min ± 3.8 versus 34.4 min ± 4.6), . Intravenous dexmedetomidine in low doses (0.3 and 0.15 μg/kg) was found to be effective in reducing emergence delirium in children undergoing unilateral cataract surgery.
1. Introduction
Emergence delirium is often witnessed after sevoflurane anesthesia with an incidence of approximately 20%–60% [1, 2]. It is characterized by mental disturbance consisting of hallucinations, delusions, and confusion manifested by moaning, restlessness, involuntary physical activity, and thrashing about in bed during the recovery from general anaesthesia [3]. While emergence delirium remains a poorly understood phenomenon, a variety of potential etiologies including pain, stressful induction, hypoxemia, rapid awakening in hostile environment, and physical stimulation (noise) have been implicated [4]. It carries a significant risk of bleeding from the site of surgery, psychological trauma to the parents, and delayed discharge of the patient from the postanesthesia care unit (PACU) [5].
Several drugs have been used to treat post-sevoflurane agitation which include propofol [6], midazolam [7, 8], ketamine [9], and alpha-2 agonist like clonidine [10] and dexmedetomidine [11–13].
Dexmedetomidine, an alpha-2 agonist, is a recent drug used to prevent post-sevoflurane agitation. However, due to the variation in the dose used in various studies, to date, there has been no consensus on the dose of DEX used for prevention of emergence agitation [11–13]. Doses of 0.5 μg/kg and above have been effectively used to reduce post-sevoflurane agitation but were associated with increased incidence of side effects such as reduction in heart rate, blood pressure, delayed emergence, and extubation [12].
Anxiety before and during induction of anesthesia has often been associated with an increased risk of postoperative negative behavioural changes apart from emergence delirium [7]; as a result, avoiding premedication drugs may not be desirable in the routine clinical practice. However, majority of the studies evaluated children without premedication and this made previous studies less realistic.
In the literature, there is a considerable overlap in the terminologies of emergence delirium and agitation. Most of the previous studies have evaluated emergence agitation instead of emergence delirium, resulting in inconsistent and variable results.
Oral midazolam 0.5 mg/kg is routinely used as premedicant in our institution 20–30 minutes before surgery. We hypothesized that two lower doses of intravenous (IV), that is, 0.15 μg/kg and 0.3 μg/kg, dexmedetomidine in conjunction with oral midazolam might be more effective than placebo in reducing the incidence of post-sevoflurane agitation in children undergoing elective cataract surgery.
We, therefore, aimed to study dexmedetomidine 0.15 μg/kg and 0.3 μg/kg in children premedicated with midazolam (0.5 mg/kg) using a validated scale.
2. Materials and Methods
This study was conducted in the ophthalmic centre of a tertiary care institute from July 2010 to December 2011. After obtaining the local ethical committee approval and written informed consent from parents/legal guardian of the children, 63 American Society of Anesthesiologists physical status I and II children, aged between 1 and 6 years, undergoing elective cataract surgery were included in the randomized, controlled, double-blind study. Children with a history of allergy to anesthetic agents, seizures, mental retardation, endocrine disorder, psychiatric disorder, and emergency procedure or history of previous episode of emergence delirium or who refused to take premedication were excluded from the study.
All children were kept fasting according to the NPO guidelines. They were premedicated with oral midazolam syrup 0.5 mg/kg, 30 minutes before induction of anaesthesia. A 4-point scale for parental separation score and induction score was noted (Appendices A and B) [14] prior to shifting the child to the operating room. Inside the operating room, routine anesthesia monitoring was established while taking care not to stimulate the child. Anesthesia was induced with 5–8% sevoflurane and 100% oxygen. After induction of anesthesia, venous cannulation was established and once the adequate depth of anesthesia (MAC = 2.0) was ensured, laryngeal mask airway (LMA) of appropriate size was inserted for the maintenance of the airway.
Anesthesia was maintained with 1–1.5% of sevoflurane with 60% nitrous oxide in oxygen with spontaneous breathing. Patients were randomized into 3 groups using a computer based randomization chart. Group NS () received normal saline, group D 0.15 () received IV dexmedetomidine 0.15 μg/kg, and group D 0.3 () received IV dexmedetomidine 0.3 μg/kg and results of randomization were concealed in opaque envelopes. The study drug was prepared by an independent anesthetist not participating in the study after opening a sealed envelope. The anesthetist, surgeon, and observer were all blinded. The master code was held by a person not participating in the study. All the study drugs were diluted in 5 mL of normal saline and administered over 5-minute duration by a blinded anesthetist. Analgesia was given in the form of sub-Tenon block with 0.1 mL/kg of 0.5% bupivacaine, administered by the surgeon, and supplemented with IV paracetamol 15 mg/kg. Ventilation was assisted if end-tidal carbon dioxide (EtCO2) levels increased above 45 mm of Hg. At the end of the procedure, LMA was removed and sevoflurane was switched off after the removal of the LMA. The child was shifted to a calm, quite, mildly illuminated postanesthesia care unit (PACU) recovery room with one of the parents who was allowed to stay in PACU with the child.
All children were monitored continuously until their discharge from the PACU and oxygen saturation, heart rate, and noninvasive blood pressure were recorded every 15 minutes. The same trained independent PACU nurse, blinded to the anaesthetic technique, repeatedly recorded the degree of agitation every 15 min up to 1 hour after admission. All assessors were trained and experienced in the application of the assessment scales. The state of agitation was recorded using Pediatric Anaesthetic Emergence Delirium (PAED) scale (Appendix C) [14, 15] and score 10/20 was considered as delirium. If agitation was present, the first measure was to console the child by parent; if the child is inconsolable for 5 minutes, rescue medication with fentanyl 0.5 μg/kg was used. Postoperative pain was assessed using Face, Legs, Activity, Cry, Consolability (FLACC) pain scale (0–10 score range) (Appendix D) [16]. If FLACC score was more than five, intravenous fentanyl 0.5 μg/kg was given [16]. The pain score of >5 was considered as a cut-off point for rescue medication with fentanyl. Modified Aldrete scores (Appendix E) were recorded during PACU stay [17]. Children were considered ready for discharge from the PACU with an Aldrete score ≥9. Primary outcome of the study was the incidence of postoperative delirium as measured with PAED score. Secondary end points included intraoperative haemodynamic variables, Aldrete scoring, pain scoring, rescue medication, and discharge time.
The sample size was based on a pilot study. Assuming the incidence of emergence delirium to be 40%, reduction to 8% (80% reduction) was considered clinically significant justifying addition of dexmedetomidine. Based on these assumptions, with α error of 0.05 (one-sided) and power of 80%, 18 patients were required in each group. However, to compensate for possible dropouts, 63 patients were enrolled.
SPSS (SPSS Inc., Chicago, IL, version 16.0 for Windows) was used for statistical analysis. Demographic data (continuous variable) of the 3 groups were expressed as mean ± SD and were analysed by ANOVA. Nonparametric data (scores) were expressed as median ± IQR and analysed using the Kruskal Wallis test. If found significant, Mann-Whitney test was used for pairwise comparison. Serial changes in intraoperative parameters (heart rate, systolic BP, diastolic BP, mean BP, EtCO2, and respiratory rate) and postoperative heart rate and postoperative BP were analysed using two-way ANOVA. In this analysis, qualitative and quantitative variables were recorded repeatedly over time for each subject. Paired Student's -test was used to compare baseline variables at different time interval. A value of < 0.05 was taken to be significant.
Data was tested for normality using Kolmogorov test, for homogeneity of between-groups variance using Levene's test, and for sphericity using the Mauchly test. If the Mauchly test was significant, indicating violation of assumption of sphericity, we used Greenhouse Geisser test within subject effects.
3. Results
Out of the sixty-nine children enrolled in the study, guardians of six patients refused to give consent; therefore, sixty-three children completed the study and were analysed (Figure 1). Children in the three groups were comparable with respect to their age, gender, weight, duration of anesthesia, preoperative parental separation scores, and induction scores (Table 1).
Seven children (35%) in the normal saline group developed clinically significant emergence delirium with PAED score ≥10. The incidence was significantly greater than that encountered in the dexmedetomidine groups (2 of the 20 patients in group D 0.15, but none in group D 0.3 developed PAED score ≥10). The PAED scale score for the first 15 minutes postoperatively was significantly different among the three groups (, Kruskal Wallis) (Table 3). Pairwise comparison revealed significantly lower PAED scores in groups D 0.3 and D 0.15 compared to group NS in the first fifteen minutes postoperatively (, Mann-Whitney). However, scores were comparable between groups D 0.3 and D 0.15. After 15 min in PACU, the PAED scale scoring was comparable in all the three groups (, Mann-Whitney).
No differences were found between the study groups with respect to pain and no patient in any of these groups attained pain score >5 requiring rescue medication (Table 2). However, the rescue medication was given in 35% of patients in the NS group and 10% of patients in the D 0.15 group for PAED score ≥10/20 as these were refractory to the parental counselling. Time to meet discharge was comparable between group D 0.3 (34.4 min ± 4.6) and group D 0.15 (36.8 min ± 3.8), . However, the discharge time was significantly longer in group NS compared to D 0.15 and D 0.3, .
No significant reduction of heart rate, blood pressure, respiratory rate, and saturation was noted in the three groups. None of the children developed bradycardia, hypotension, or desaturation throughout the study period. Vomiting was observed in 2 children, 1 each in groups D 0.15 and NS in postoperative period which responded to IV ondansetron.
4. Discussion
The results of our study suggest that intravenous dexmedetomidine (0.3 μg/kg) effectively reduces emergence agitation in children premedicated with oral midazolam and undergoing cataract surgery.
The incidence of emergence delirium in the control group in our study was 35% in accordance with Ghai et al. [10] that reported an incidence of emergence delirium of 27.5% in the control group in pediatric cataract surgery.
There is no clear definition of emergence delirium and often it has been used interchangeably with emergence agitation (EA). The two have been defined independently by Sikich and Lerman who defined emergence delirium (ED) as "a disturbance in a child's awareness of attention to his/her environment with disorientation and perceptual alterations including hypersensitivity to stimuli and hyperactive motor behaviour in the immediate postanesthesia period." This primarily cognitive disturbance needs to be distinguished from EA, where pain, previous underlying anxiety, and other unspecified factors contribute to the restlessness of the child in the postoperative period [18–20].
In our study, an attempt to eliminate this confounding factor was made with an effective sub-Tenon block with local anesthetic and intravenous paracetamol supplementation, which has been reported to provide adequate analgesia in pediatric cataract surgeries, and none of our patients required intraoperative rescue medication for inappropriate pain therapy.
Although the use of dexmedetomidine to prevent and treat post-sevoflurane agitation [11–13] has been documented in the literature, the evaluation of its effect on emergence delirium which now forms a distinct entity remains underevaluated. Exact mechanism of agonist in prevention of emergence delirium is yet to be elucidated. The proposed mechanism is a reduction in noradrenergic output from locus ceruleus, thereby facilitating the firing of inhibitory neurons such as Gamma aminobutyric acid system [20].
Various studies have used variable doses of dexmedetomidine for prevention of postoperative negative behaviour [11–13].
Shukry et al. studied the effects of a continuous perioperative infusion of 0.2 microg·kg(−1)·h(−1) dexmedetomidine on the incidence of ED in 50 children aged 1–10 years scheduled for sevoflurane-based GA. They found significant reduction in the incidence of ED with dexmedetomidine (). Additionally, the number of episodes of ED was lower with dexmedetomidine (). However, the pain scores, times to extubation, and discharge from PACU were the same [2].
Patel et al. [11] evaluated postoperative emergence delirium as well as analgesic sparing effect of 2 mcg/kg dexmedetomidine, compared to 1 mcg/kg fentanyl in children undergoing adenotonsillectomy. Emergence delirium was evaluated by PAED scale as well as Cole scale [21]. The results demonstrated a significant reduction in emergence agitation in dexmedetomidine treated group (incidence of EA, 18% compared to 45.9% in fentanyl). However, there was a significant drop in heart rate as well as blood pressure in dexmedetomidine treated group compared to fentanyl ().
However, on the other hand, Bong et al. failed to demonstrate any effect of 0.3 mcg/kg dexmedetomidine on the incidence of emergence delirium in children undergoing general anaesthesia for magnetic resonance imaging.
In our study, we used 0.3 mcg/kg and 0.15 mcg/kg doses of dexmedetomidine in midazolam premedicated children aged 1–6 years undergoing cataract surgery. The children in the age group of 1–6 years have the highest incidence of emergence agitation and delirium [4, 5, 7]. Notably, in our study, emergence delirium reduced from 35% in NS group to 0% and 10% in groups D 0.3 and D 0.15, respectively. This is in contrast to the study by Bong and Ng and Ibacache et al. [13, 16] using similar doses. The difference in results could be attributed to the lack of premedication and difference in the nature of procedures done in the abovementioned trials. Midazolam premedication is routinely used in our setup for children undergoing cataract surgery. Preoperative anxiety results in restless recovery [11, 22]. Midazolam premedication decreases preoperative anxiety and calms the child, thus facilitating parental separation. It is also reported to decrease emergence agitation following sevoflurane anesthesia with no delay in discharge [22]. In contrast, other studies have shown no effect of midazolam premedication on reduction of emergence agitation after sevoflurane anesthesia [23]. Aouad and Nasr [24] speculated that midazolam, a short acting premedicant, may result in residual effect at the end of a short procedure and decrease the incidence of EA, while the serum level might be too low to sedate a child after longer procedures. As cataract surgery is a short procedure, we assume a residual effect of midazolam in reduction of agitation.
Dexmedetomidine (0.15 and 0.3 μg/kg) was associated with shorter discharge time compared to NS group. This could be due to greater number of children receiving rescue medication in the form of intravenous fentanyl postoperatively in the NS group (35% compared to 10% and 0% in groups D 0.3 and D 0.15, resp.). Our results are contrary to the meta-analysis which showed extended discharge time with dexmedetomidine compared to the placebo [25]. The eight randomized trials evaluated in the meta-analysis had used comparatively higher doses of dexmedetomidine or a bolus injection followed by an infusion dose, which could be a reason for the difference in the results.
In our study, we used the PAED scale, the only validated scale for rating emergence agitation, in our study. The investigators who developed the PAED scale assessed children 10 min after awakening (child remained awakened thereafter). This was a problem in our study in early stages as children who were asleep were receiving a rating of 4 on the first 3 items of the PAED scale (i.e., they were not able to make eye contact, they were not aware of the surroundings, and their actions were not purposeful) Therefore, we had to modify the scoring on the scale and rate these items as zero. It is obvious that children who were asleep were not agitated. Similar observation was reported by Patel et al. [11] in their study. We used PAED score ≥10 as the indicator of agitation. A score of ≥10 on the PAED scale has been defined as the best discriminator between presence and absence of clinical agitation as reported by Bong and Ng [16].
Rapid awakening in a hostile environment might frighten the children and may provoke agitation. In order to eliminate this, we allowed parental presence in a quiet and warm postanesthesia care unit.
It is difficult to completely discriminate between pain-related agitated behavior and emergence delirium in nonverbal and preschool children as there is some overlap of categories in scales assessing pain and emergence delirium. Lack of evaluation of the correlation between PAED and FLACC score can be taken as a shortcoming of our study. However, as the pain scores were comparable in all the three study groups and none of our patients required intraoperative rescue medication for inappropriate pain therapy, the bias due to this seems unlikely.
In conclusion, intravenous dexmedetomidine 0.3 μg/kg is effective for reducing agitation after sevoflurane anesthesia in children premedicated with 0.5 mg/kg of midazolam undergoing cataract surgery without causing adverse side effects such as increased sedation, hypotension, bradycardia, or delayed discharge. Intravenous dexmedetomidine 0.15 μg/kg was also effective with no delay in discharge time; however, it did not completely eliminate agitation.
A. Parental Separation Score
Parental separation score is as follows:(1)Asleep.(2)Good separation; awake; calm.(3)Awake; anxious; can be easily reassured.(4)Crying; cannot be reassured.
B. Induction Score
Induction score is as follows:(1)Excellent; asleep; calm; awake; cooperative; accepting the mask.(2)Slight fear but can be reassured easily.(3)Moderate fear and reassured with difficulty.(4)Crying; needs restraint.
C. Pediatric Anaesthetic Emergence Delirium (PAED) Scale
See Table 4.
D. FLACC Score
See Table 5.
E. Modified Aldrete Score
See Table 6.
Conflict of Interests
The authors declare that there is no conflict of interests regarding the publication of this paper.
- S. Sethi, B. Ghai, J. Ram, and J. Wig, "Postoperative emergence delirium in pediatric patients undergoing cataract surgery—a comparison of desflurane and sevoflurane," Paediatric Anaesthesia, vol. 23, no. 12, pp. 1131–1137, 2013. View at Publisher · View at Google Scholar · View at Scopus
- M. Shukry, M. C. Clyde, P. L. Kalarickal, and U. Ramadhyani, "Does dexmedetomidine prevent emergence delirium in children after sevoflurane-based general anesthesia?" Paediatric Anaesthesia, vol. 15, no. 12, pp. 1098–1104, 2005. View at Publisher · View at Google Scholar · View at Scopus
- N. Sikich and J. Lerman, "Development and psychometric evaluation of the paediatric anesthesia emergence delirium scale," Anesthesiology, vol. 100, no. 5, pp. 1138–1145, 2004. View at Publisher · View at Google Scholar · View at Scopus
- F. Veyckemans, "Excitation and delirium during sevoflurane anesthesia in pediatric patients," Minerva Anestesiologica, vol. 68, no. 5, pp. 402–405, 2002. View at Google Scholar · View at Scopus
- J. Aono, W. Ueda, K. Mamiya, E. Takimoto, and M. Manabe, "Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys," Anesthesiology, vol. 87, no. 6, pp. 1298–1300, 1997. View at Publisher · View at Google Scholar · View at Scopus
- I. Abu-Shahwan, "Effect of propofol on emergence behavior in children after sevoflurane general anesthesia," Paediatric Anaesthesia, vol. 18, no. 1, pp. 55–59, 2008. View at Publisher · View at Google Scholar · View at Scopus
- Z. N. Kain, A. A. Caldwell-Andrews, I. Maranets et al., "Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors," Anesthesia and Analgesia, vol. 99, no. 6, pp. 1648–1654, 2004. View at Publisher · View at Google Scholar · View at Scopus
- S. L. Lapin, S. M. Auden, L. J. Goldsmith, and A.-M. Reynolds, "Effects of sevoflurane anaesthesia on recovery in children: a comparison with halothane," Paediatric Anaesthesia, vol. 9, no. 4, pp. 299–304, 1999. View at Publisher · View at Google Scholar · View at Scopus
- J.-Y. Chen, J.-E. Jia, T.-J. Liu, M.-J. Qin, and W.-X. Li, "Comparison of the effects of dexmedetomidine, ketamine, and placebo on emergence agitation after strabismus surgery in children," Canadian Journal of Anesthesia, vol. 60, no. 4, pp. 385–392, 2013. View at Publisher · View at Google Scholar · View at Scopus
- B. Ghai, J. Ram, S. Chauhan, and J. Wig, "Effects of clonidine on recovery after sevoflurane anaesthesia in children undergoing cataract surgery," Anaesthesia and Intensive Care, vol. 38, no. 3, pp. 530–537, 2010. View at Google Scholar · View at Scopus
- A. Patel, M. Davidson, M. C. J. Tran et al., "Dexmedetomidine infusion for analgesia and prevention of emergence agitation in children with obstructive sleep apnea syndrome undergoing tonsillectomy and adenoidectomy," Anesthesia and Analgesia, vol. 111, no. 4, pp. 1004–1010, 2010. View at Publisher · View at Google Scholar · View at Scopus
- G. Guler, A. Akin, Z. Tosun, S. Ors, A. Esmaoglu, and A. Boyaci, "Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy," Paediatric Anaesthesia, vol. 15, no. 9, pp. 762–766, 2005. View at Publisher · View at Google Scholar · View at Scopus
- M. E. Ibacache, H. R. Muñoz, V. Brandes, and A. L. Morales, "Single-dose dexmedetomidine reduces agitation after sevoflurane anesthesia in children," Anesthesia & Analgesia, vol. 98, no. 1, pp. 60–63, 2004. View at Google Scholar · View at Scopus
- B. Ghai, R. P. Grandhe, A. Kumar, and P. Chari, "Comparative evaluation of midazolam and ketamine with midazolam alone as oral premedication," Paediatric Anaesthesia, vol. 15, no. 7, pp. 554–559, 2005. View at Publisher · View at Google Scholar · View at Scopus
- N. Sikich and J. Lerman, "Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale," Anesthesiology, vol. 100, no. 5, pp. 1138–1145, 2004. View at Publisher · View at Google Scholar · View at Scopus
- C. L. Bong and A. S. B. Ng, "Evaluation of emergence delirium in Asian children using the Pediatric Anesthesia Emergence Delirium Scale," Paediatric Anaesthesia, vol. 19, no. 6, pp. 593–600, 2009. View at Publisher · View at Google Scholar · View at Scopus
- S. Merkel, "The FLACC: a behavioural scale for scoring postoperative pain in young children," Pediatric Nursing, vol. 23, pp. 293–297, 1997. View at Google Scholar
- D. Pawar, "Common post-operative complications in children," Indian Journal of Anaesthesia, vol. 56, no. 5, pp. 496–501, 2012. View at Publisher · View at Google Scholar · View at Scopus
- S. Malarbi, R. Stargatt, K. Howard, and A. Davidson, "Characterizing the behavior of children emerging with delirium from general anesthesia," Paediatric Anaesthesia, vol. 21, no. 9, pp. 942–950, 2011. View at Publisher · View at Google Scholar · View at Scopus
- L. Bortone, G. Bertolizio, T. Engelhardt, G. Frawley, M. Somaini, and P. M. Ingelmo, "The effect of fentanyl and clonidine on early postoperative negative behavior in children: a double-blind placebo controlled trial," Paediatric Anaesthesia, vol. 24, no. 6, pp. 614–619, 2014. View at Publisher · View at Google Scholar · View at Scopus
- J. W. Cole, D. J. Murray, J. D. McAllister, and G. E. Hirshberg, "Emergence behaviour in children: defining the incidence of excitement and agitation following anaesthesia," Paediatric Anaesthesia, vol. 12, no. 5, pp. 442–447, 2002. View at Publisher · View at Google Scholar · View at Scopus
- Y.-P. Ko, C.-J. Huang, Y.-C. Hung et al., "Premedication with low-dose oral midazolam reduces the incidence and severity of emergence agitation in pediatric patients following sevoflurane anesthesia," Acta Anaesthesiologica Sinica, vol. 39, no. 4, pp. 169–177, 2001. View at Google Scholar · View at Scopus
- B. C. Weldon, M. Bell, and T. Craddock, "The effect of caudal analgesia on emergence agitation in children after sevoflurane versus halothane anesthesia," Anesthesia and Analgesia, vol. 98, no. 2, pp. 321–326, 2004. View at Google Scholar · View at Scopus
- M. T. Aouad and V. G. Nasr, "Emergence agitation in children: an update," Current Opinion in Anaesthesiology, vol. 18, no. 6, pp. 614–619, 2005. View at Publisher · View at Google Scholar · View at Scopus
- J.-H. Chen, Y.-Q. Yu, H.-J. Chu, H. He, C. Ya, and Z.-P. Dai, "Effects of dexmedetomidine on postoperative recovery profile after sevoflurane anesthesia in pediatric patients: a meta-analysis," Journal of Anesthesia and Clinical Research, vol. 4, no. 11, article 369, 2013. View at Publisher · View at Google Scholar · View at Scopus


text:
Attract new customers with your free Google listing.
Your listing appears right when people are searching for your business or businesses like yours on Google Search and Maps. Google My Business makes it easy to create and update your listing—so you can stand out, and bring customers in.
Bring in customers by sharing helpful information.
Make it count every time someone finds you on Search and Maps. It's easy to keep your business listing fresh with new photos, custom open hours, and a free website.
Engage online, and build customer loyalty.
Build strong relationships with the people who matter most. Start a conversation with your customers by responding to reviews.
Discover how people find your business.
Learn how customers are interacting with your business listing. How did people find you? Where are they coming from? With Google My Business, the answers are right here.


text:
Villa ERATO with private swimming pool 5 m x 10 m. The villa consists of one double bedroom with air-conditioning and sea view; living room with sofa-bed; corner kitchen area with full cooker , fridge and washing machine; bathroom with bath, shower and WC. Covered front veranda with pool and sea views. The villa and it's private pool are surrounded by a big garden and they are quite secluded. Free WiFi
Kalamaki Villas are villas with private swimming pools. EOT Licensed. - Villa ERATO, sea view, private pool,1bedroom,1 bathroom. EOT licenced.
- Villa484 sq. ft.
- Bedrooms1
- People3
- Bathrooms1
- Separate WCs0
- Min. Stay1 - 7 nights
Villa ERATO, sea view, private pool,1bedroom,1 bathroom. EOT licenced.
Kalamaki Villas
There are 5 villas as follows:
There is one villa with one bedroom, one bathroom, living room, etc. with private swimming pool. Name of villa:ERATO. There is 1 villa with two bedrooms, one bathroom, living room, etc. with a private swimming pool for each villa. Name of this villa: THERESA . There is 1 villa with 2 bedrooms, two bathrooms, living room, etc. with a private swimming pool for each villa. Name of this villa: EFTERPE . There is 1 villa with two bedrooms and a bedroom for children ,two bathrooms, living room, etc. with a private swimming pool for each villa. Name of this villa: CLEO. There is 1 villa with thee bedrooms, two bathrooms, living room, etc. with a private swimming pool. Name of the villa: URANIA.
Chris Christodoulou
- Response rate:
- 100%
- Response time:
- within a few hours
- Speaks
- english, greek
- Calendar last updated:
- 9 Dec 2018
- Swimming pool
- Internet
- Air Conditioning
- Pets Welcome
- Fireplace
- Children Welcome
- Parking
- 1 Bedroom, Sleeps 3
- Bedroom1 double
- 1 double
- 1 Bathroom
- Bathroomtoilet, combination tub/shower
Location Type
- Near The Ocean
- Guests provide their own meals
- Towels Provided
- Air Conditioning
- Washing Machine
- Fireplace
- Sofa Bed
- Parking
- Internet
- Linens Provided
- Sunbed
- Wireless Internet
- Iron & Board
- Hair Dryer
- Living Room
- Free Wifi
- Refrigerator
- Oven
- Microwave
- 2 Ring Stove
- Coffee Maker
- Toaster
- Dishes & Utensils
- Kitchen
- Dining Area
- Child's Highchair
- Dining
- comfy seating for 4 people
- Television
- DVD PlayerDVD player upon request.
- Lawn / Garden
- Terrace
- Balcony
- Outdoor Grill
- Patio
- Porch / Veranda
- Unscreened Porch / Veranda
- Deck / Patio
- suitable for elderly or infirm
- wheelchair inaccessible
- Long-term Renters Welcome
Pool / Spa
- Outdoor Pool
- Private Pool
- WiFi internet connection free of charge.
House Rules
Check-in: 15:00
Check-out: 12:30
Cancellation Policy
100% refund for cancellations more than 30 days before check-in date. 50% refund for cancellations more than 14 days before check-in date.
3 Reviews
Perfektes kleines Haus
Beste Lage: ruhig, toller Blick, keine direkten Nachbarn
Gute Ausstattung des Hauses, toller Pool, ausreichend Schatten
Absolut zu empfehlen!!!
We had an amazing time during our stay
Me and my husband have spent two weeks in late June early July 2013 at villa ERATO of the Kalamaki villas.
The accommodation was very comfortable and it is in a beautiful setting. The Villa was fully equipped with everything we needed for a relaxing holiday. It had peaceful and quiet surroundings but it was only a few minutes by car to shops and tavernas etc... Villa ERATO was very clean and well maintained and it's private pool was spotless.
The service from the caretaker when we needed it was excellent. The view from the terrace is wonderful extending to a big part of the Messinean gulf with the Taygetos
mountains at the far end.
A number of tavernas/restaurants in Chrani offer great local food, which we were more than happy to try throughout all of our holiday.
The local supermarket on the main road in Chrani provided everything we needed for our stay, including a great BBQ on the last night. Vila ERATO was a good base for touring around the local area or just staying put and relaxing.
pas terrible
Nous avons été up-gradé à villa Teresa. Une belle terrasse avec jasmin parfumé et une vue sur le golfe Messinni à couper le souffle. Personnel aimable mai qui parle que le grec.
A extérieur la villa est assez coquette mais l'intérieur est vétuste pour dire le mieux. A l'exception du lave linge électroménager est antique, le frigo et le chauffe eau poussent des soupirs étranges, la climatisation grince, la robinetterie est rouillé, il y avait un carreau tombé dans la salle de bains , partout des tuyaux et câbles apparents, on est loin, très loin, du luxe prétendu et le prix n'est pas du tout justifié
Les photos de présentation ne sont pas rangés par villa, elles sont prise dans l'ensemble des 9 villas donc impossible de se faire une idée de l'état de chaque villa. A se méfier.
I would like to thank the client who stayed at villa Theresa for his remarks which will help us towards improving our villas.
The renovation of the villas is a continuous process so all old appliances are gradually replaced by new ones. In any case we always keep all appliances at good working order
and if a client reports any problem during his stay our permanent staff are there to fix it.
Apparently this client has not reported anything during his stay at the villa.
As regards the comment that the washing machine was ancient our comment is that
on puprose we avoid the sofistigated washing machines which are easily broken by
misuse causing a lot of inconvenience to the clients.
Concluding it should be noted that most of the reviews for the Kalamki villas describe
their stay as very good or excellent.
The Kalamaki villas are built on a hill between the small seaside villages of Petalidi and Chrani (a five minute drive from each )and their commanding location ensures wonderful views across the Gulf of Messinia to the mountains of Mani opposite. An excellent beach, also called Kalamaki, is only about 1500 meters away, towards Chrani. Petalidi and Chrani villages are situated halfway between Kalamata and Koroni a good base from which one can explore the region visiting the nearby Koroni, Methoni and Finikounda as well as Mystras,the Mani and Olympia.
The rental rates are based on 1-2 persons. For a third person a fee of 20 Euros/day is charged. For the air condition unit a charge of 5 Euros/day is applied. The rates include maid's service twice a week for cleaning and once a week for cleaning and changing bed-sheets and towels. A deposit of 30% is required upon accepted reservation. No cancellations are accepted and no refund of payments is gi


text:
H$U is a money pit. Why do they continue building new structures if theres already a structural deficit? They recently built a micro-city of overpriced dorms, giving them gobs of cash that's spent before they have it. H$U has gone from eco-groovy art-minded forward thinkers to status quo in no time. The fact that administration has even humored an alliance with Pepsi for so long says it all. As soon as you dont have a dime to give HSU, they dont care about you at all.
Make sure you're signed up so we can inbox you the latest.


text:
- A person who organizes and operates a business or businesses, taking on financial risk(s) to do so.
Contrary to what some believe, an entrepreneur is not someone who does not have a "full-time" job, at least from my vantage point and I'm sure MANY other entrepreneurs feel the same as I do. Lately, I have been seeing people post on various social media sites that their definition of an entrepreneur is someone that does not have a job. That could be further from the TRUTH.
I started my business while I was working a full time job 5 years ago. I never really considered myself a "REAL" entrepreneur because I was still working at someone else's dream that became a reality. It was not until I quit my job that I really understood the true meaning of an entrepreneur.
Quitting my job was by choice not by force. How can you really call yourself an entrepreneur if you get up every morning going to someone else's dream that came true? Since I've been working my business full-time, there is not one morning, afternoon or evening that I am not working my business. Having your own business is not an overnight success story. It takes a LOT of hard work and sweat and those who have "made it," it took years for them to get there. True, it may be easier for some than others because they have the financial backing from family, husband, etc., but for ordinary former 9 to 5 individuals like ME — I have to bust (excuse my french) my ass (kiss ass, spend my own money, make friends/lose friends along the way, the list goes on…) every day and in laymen terms… HUSTLE HARD to make it happen!
So for those that believe an entrepreneur is just someone that does not have a "real" job (whatever that may be), remember that the so-called "real" full-time 9 to 5 (what you think is secure) job you go to everyday is someone's business that they started, started from the bottom now they're here, which means they are indeed an Entrepreneur. Until next time…


text:
GMC Denali Road Bike
$181.30 – $217.85 (as of December 14, 2018, 5:02 am)
21-speed road bike features a lightweight aluminum frame
Alloy calipers and alloy brake levers
High-profile alloy Vitesse racing rims
The GMC Denali 700C 21-Pace Street Motorbike is constructed round a light-weight aluminum Street Motorbike body. You&aposll be able to prevent on a dime with the alloy calipers and brake levers and the top-profile alloy Vitesse racing rims glance as just right as they carry out. Shimano Revo shifters assist you to shift without taking your fingers off the care for bars offering protection and trust. A Shimano derailleur completes the pressure educate for speedy and easy equipment adjustments. Finally, this Street Motorbike will allow you to keep hydrated with the integrated alloy water bottle cage.
There are no reviews yet.


text:
Learn to Shamanic Journey All-Day Workshop | Sun., Feb. 24, 2019 | Raleigh, NC
If you ever wanted to learn to shamanic journey or are interested in Native American spirituality, you will want to attend this all-day workshop facilitated by Shaman Elizabeth Herrera, held at the beautiful Sagewood Center.
You will learn how to:
- Find your power animal in the spirit realm
- Explore the spirit realms
- Meet your spirit guide
To learn more and signup, click here.
ACIM Study Group
Tues., Mar. 1 at 7 PM · Aversboro Coffee House, 1401 Aversboro Rd, Garner, NC
Learn to Shamanic Journey Workshop
Saturday, April 18, 2015 • 9:30-5 pm EST
Short Journey Retreat Center, 2323 Cleveland Rd., Smithfield, NC
Street Store Event
March 21, 2015 • Oak City Outreach Center, Raleigh, North Carolina
Spearheading an event with the WJHS Key Club to set up a street store that allows the homeless and those in need to browse with dignity while receiving personal attention from volunteers. UPDATE: We had over 1,400 clothing items donated and served over 125 people!
Talk 2 Q Radio Show
July 27, 2014 • 10 pm EDT
In the Spirit 2424 Radio interview with Gary Goldberg
August 5, 2014
Voice America with Dr. Yomi Garnett
August 7, 2014
Learn to Shamanic Journey Workshop
September 7-8, 2013 • Stoneville, North Carolina
Held at the beautiful St. Francis Springs Prayer Center in Stoneville, North Carolina, which is surrounded by 140 peaceful, wooded acres and meditation gardens. Lodging and meals are included.
Shaman Stone Soup Book Discussion
Tuesday, May 8, 2012, 8:00 p.m. EST
Shaman Elizabeth will host a phone conference to discuss her book, Shaman Stone Soup. During this session, readers can ask the author questions about the messages and stories within the book.
Janis Foundation Sponsored Presentation
Tuesday, March 27, 2012
Elizabeth will be discussing how and why we created this substitute reality at the Cameron Village Public Library in Raleigh.
Miller-Motte College
Monday, June 6, 2011
Speaking with massage students in their Energy Based Modalities class. The presentation will include an overview on shamanic healing, how the spiritual affects the physical, and incorporating shamanic healing with massage. (private event)
Eastern Carolina University
March 15, 2011
Speaking to the Physician Assistants students and faculty about alternative healing methods based on shamanic healing, A Course in Miracles teachings, and lessons learned from the Divine. (private event)
Soul's Edge radio interview
Monday, March 14, 2011
Featured guest on the Soul's Edge radio show hosted by Jeanette Dames. Call in to ask questions about shamanic healing and talk about my book Shaman Stone Soup, or simply the meaning of life.


text:
Continuing on the rainbow kick
I love this idea.
Just squirt blobs of acrylic paint at the base of the windshield
and voila
a magical rainbow.
How cool would you be if you could make a rainbow
appear out of thin air!
via A Cup Of Jo
Oh, that is so much fun!ReplyDelete
that's unexpected! how fun :DReplyDelete
I lOVE that!!! It makes me want to surprise my husband with it! And then act like I dont know how it happened... LOL.
Stopping by from Mom Loop Friday Follow- so glad to have discovered your blog:)
My daughter loves, loves, loves rainbows. If I could make a rainbow appear out of thin air for her, she might consider me the best mom ever. Thanks! Stopping over from mom loop..ReplyDelete
JDaniel would love for me to do this.
Stopping from Mom Loop! Merry Christmas!
What a cool idea. I had to tweet it. So simple to make a rainbow for the kids. That's awesome!ReplyDelete
Tribal Times All rights reserved © Blog Milk Design - Powered by Blogger


text:
The vision of A Bass Odyssey is to unite various crews, labels and artists from around the world! Each group was chosen for their involvement in and dedication to their particular scenes.
The idea of the Lion's Den was set into place by Ras Lion a few years ago and has been developing ever since! With a focus on connecting different people, different influences and inspirations while merging creative energies.
The record label Lion's Den has the aim to promote proper Dub, Steppaz, Reggae, and other music in the same terrain on vinyl and digitally, including videos, art installations, merchandise, etc. Lion's Den is working with various vocalists, musicians and producers from all over the world to deliver the finest in conscious music and spread positive vibez – always on a musical mission…
As a sound system force they come in with a heavy weight selection… musical ambassador Ras Lion (selektah / engineer), mostly joined on lyrical duties by the multilingual MCs/singers Kali Green and konTa or guests.
On Saturday night, Lion's Den will be teaming up with the mighty Moonshine Recordings, bringing you an extra-heavy line up – from Poland, Hungary, France, Germany and the UK – to keep you stepping until the sun comes up!
Hailing from Bristol, UK – a city long known for it's open-minded attitude and forward-thinking bass music scene – we are joined by the mighty Peng Sound Records – who with their debut release in 2012, "Find Jah Way" (see the video below), created one of the biggest anthems of the year, and one of the most sought after records for dub/step enthusiasts to date! Since then they have followed up with a number of quality releases and remixes from some of Bristol's biggest names in futuristic dub and sound system scorchers!
On Saturday, January 13th, Peng Sound will be teaming up with the mighty Lion's Den Sound System to present one of the heaviest lineups Berlin has seen in a while (probably since the last Bass Odyssey!), with Dubkasm, Gorgon Sound & Ishan Sound, label managers Ossia & Wilfy Rootikal, as well as some special guests flying in from Bristol!
<< 45Seven is a 7″ imprint specialising in all things dubwise – from rootsy jungle to cosmic dub. Mastered and cut by the vinyl professor LXC and pressed on authentic 7″ with cut out hole these releases pack a punch – just like the original 45's that shook Jamaican sound systems to their foundations in the 70's! >>
We are very excited for this excursion into future roots music, featuring several of the artists who have been instrumental in the label's output over the past 5 years! Alongside label manager LXC and contributors Lowcut & Toni Wobble, we will be joined by a very special guest coming all the way from Istanbul: Flatliners (a.k.a. King Fifi)! Also, Phuture T will join us from Amsterdam, and Dub Across Borders will be driving down from Copenhagen! And as if that weren't enough, the one and only Beam Up will be dropping in to present one of his unique live sets!
The All Tribes Crew is made up of selectors Patch, Baba Roots & Joe Dub – known in the UK for their conscious works with the Bristol Reggae Society & Teachings in Dub. Situated in Berlin for a couple years now, they've wasted no time in furthering the education of the youth with their musical teachings!
In a classical sound system style, they will be joined by the talented horns-man Vale and one of Berlin's most iconic MCs Longfingah, to bring you the finest roots music – from ska and rocksteady to early reggae, rockers, dub and beyond, always with a conscious message!
The BUNS Soundsystem are a fairly new outfit hailing from the UK, now based in Berlin! They will once again be powering the second floor (45Seven) with their impressive, heavyweight (literally!) Sound System!


text:
Commercial Espresso Machine Brands - Coffee is normally prepared in two ways: espresso and drip brew. Drip brew coffee is prepared by pouring water over coffee, which can be comprised in a filter.
Espresso is powerful and has a strong flavor. Espresso coffee differs from another variety of coffee, drip-brewed coffee, by its thick and concentrated consistency. Espresso is usually served in tiny amounts with no additives or milk.
Espresso should be consumed immediately after preparation, since it is highly reactive with oxygen. There are several different kinds of espresso, such as cafe latte, cafe mocha and espresso. All these can be produced out of a single 'shot' of espresso.
An Espresso machine can be used to prepare the espresso coffee. The machine forces water in 195 F and 9 bars of strain through a puck of finely ground coffee. It takes about twenty seconds for 1.5 ounces of espresso to be prepared.
The time could be altered by raising the grinding quality - with finer or coarser coffee. {Espresso machines also have steam wands, which can be used to froth and steam milk for preparing milk-based espresso drinks like cappuccino and latte. The Commercial Espresso Machine Brands comes in its true part in the hands of a Barista.
There are a many elements on which the quality of espresso depends. There are various sorts of Espresso machines out there on the marketplace. The Many kinds are:
Stove Top Espresso Maker:
The stove top espresso maker is the easiest to use. It is made up of the foundation, brewing basket, basket screen as well as the collection room. It is small and easily transportable and can be one of the primary types of non-electrical espresso machines. The coffee is placed in the brewing basket, once the foundation is full of cold water.
Steam Espresso Maker:
Though the steam espresso maker is similar to the stove top, it is a steam unit and works on the pump-power principle. It also has a portafilter, which will be a filter holding/coffee dispensing unit.
Piston Driven Espresso Maker:
The piston driven espresso machine is the earliest type of espresso machines. They were first made when espresso was initially found. The modern espresso maker machine is an upgrade of this retro espresso maker. Founded in 1938, it is used extensively in Spartan parties or stores.
Pump Driven Espresso Machine:
The pump-driven espresso machine is the most popular type of espresso machine commercially. It is a variation/upgrade of the piston driven espresso maker, which has a pump rather than a piston.
Automatic Espresso Machine:
The automated espresso machine generates a more consistent amount of espresso, as compared to the other kinds of machines. Water flows into the flowmeter, until it reaches the previously programmed level and then the 'shut' is cut.
Super Automatic Espresso Machine:
This system automatically grinds the coffee. Some machines can adjust the shot temperature and water flow.
Espresso coffee machines come in many different styles There's the manual, semi-automatic, and super-automatic.
- {Manual Espresso Coffee Machine - This system is for the experts of espresso coffee makers. In order to create regular coffee, you have to add water and the coffee grinds, and if you're making cappuccinos or lattes, then you'll have to control the frother. Best Manual Espresso Machine is currently coming from your La Pavoni lineup. This brand you need to consider seriously. Pavoni EPC8 Europiccola is ideal for making espresso or other coffee beverages. La Pavoni Professional PBB16 Espresso Machine is not the only espresso machine, but also a piece of art.
- begin this system, you'll have to turn it on and then press on a button. You will have to turn the machine off when the espresso is created. You must make sure that the water reservoir is filled and that the beans are sufficient with the grinder. The Rancilio Silvia Espresso machine could incorporate the Rocky doser grinder as well as both stall Base or Doserless Rocky grinder. The Rancilio Silvia is considered by specialists to be one of the finest espresso machines.
- Super Automatic Espresso Coffee Machine - This is the best machine in making a great espresso coffee free of effort. These machines come with a water system and a coffee grinder. All you have to do is press a button! Once the beans are ground, you can take them out. One of the best espresso makers is your Saeco Vienna Plus. This machine is a tasteful espresso machine which creates a super automatic espresso in ease and with convenience. Single button brewing is your thought being the Saeco Vienna Plus's easy to understand control panel. All that is needed is to set the dial to the needed cup size and then press the boil.
All of this in less than a moment. The Saeco Vienna Plus, does your tamping, brewing, and dispensing all at one time. Along with also the brew group is removable, so with all the push of a button, then you can quick wash the brew group in the sink.
The Saeco Vienna Plus also has a flexible does attribute. This perk enables you to use less or more ground beans depends upon your likes. This, along with the adjustable burr grinder along with the water quantity adjustment, and you may earn a true custom-made espresso drink.
Other details include a large, removable water tank, a stainless steel-lined boiler, a dreg drawer which holds up to fifteen pucks, a flexible dispensing spout, and a plastic dip tray.


text:
Moondust Mercantile | Encinitas, CA
Writing and crafting a memoir is a wholly unique experience. While writing any kind of book can be a daunting endeavor, with memoir we're required to dive deep into our own life stories in order to provide the reader with a sensory experience of our memories, our feelings, and our perspectives. How do we show and not just tell? How do we write truthfully and compassionately? How do we break through the fears of upsetting potential readers or confronting our more difficult stories?
The purpose of this day-long workshop is to provide soulful support, intuitive inspiration, and practical tools to guide you along the journey of writing and crafting a memoir.
Registration opens soon. Want to be first in line? Let us know!