text:
Predictors of cardiac hepatopathy in patients with right heart failure.
ABSTRACT Some patients with right heart failure develop cardiac hepatopathy (CH). The pathophysiology of CH is thought to be secondary to hepatic venous congestion and arterial ischemia. We sought to define the clinical and hemodynamic characteristics associated with CH.
A retrospective cross sectional analysis was performed in which subjects were identified from our institutional cardiology database if echocardiography showed either right ventricular (RV) hypokinesis or dilatation, and was performed within 30 days of right heart catheterization. A chart review was then performed to identify patient clinical characteristics and to determine if the patients had underlying liver disease. Subjects with non-cardiac causes for hepatopathy were excluded.
In 188 included subjects, etiology for right heart dysfunction included left heart failure (LHF), shunt, pulmonary hypertension, mitral- tricuspid- and pulmonic valvular disease. On multivariate analysis, higher RV diastolic pressure and etiology for RV dysfunction other than LHF were both associated with CH. Low cardiac output was associated with CH only amongst those without LHF.
CH is most often seen in subjects with elevated RV diastolic pressure suggesting a congestive cause in most cases. CH associated with low cardiac output in patients without LHF suggests that low flow may be contributing to the patophysiology in some cases.
- SourceAvailable from: europepmc.org
Article: Treatment of pulmonary hypertension.[Show abstract] [Hide abstract]
ABSTRACT: Pulmonary arterial hypertension (PAH) is a chronic progressive disease of the pulmonary vasculature characterized by elevated pulmonary arterial pressure and secondary right ventricular failure. PAH is considered a life-threatening condition unless treated. This article provides a comprehensive review of controlled and uncontrolled trials to define the risk-benefit for different therapeutic options of this clinical disorder. Relevant published articles were identified through searches of the National Center for Biotechnology PubMed database. All therapeutic measures for PAH were discussed. Six drugs have been approved in the United States for the treatment of PAH. Extensive medical advancement has been achieved in treatment of PAH. However, none of the approved therapies have shown ability to cure the disease. New research should be performed to develop promising new therapies.Medical science monitor: international medical journal of experimental and clinical research 04/2012; 18(4):RA31-9. · 1.22 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Neuroendocrine tumors (NET) encompass a heterogeneous group of tumors demonstrating varied clinical behavior. The field has recently witnessed several important developments stemming from improvements in histopathological classification schemes, advanced imaging techniques, and a deeper understanding of the molecular mechanisms underlying tumor progression (in both sporadic and hereditary cancers). Platinum-based chemotherapy remains the mainstay of therapy for high grade carcinomas. In contrast, the treatment of advanced well-differentiated NET depends on site of origin, underlying tumor biology, and whether or not the patient is symptomatic. Somatostatin analogs continue to play a key role in controlling hormone-mediated symptoms. In addition, octreotide has demonstrated anti-tumor activity in midgut carcinoids. Novel somatostatin analogs (for use alone or in the context of peptide receptor radiotherapy or imaging) are on the horizon. Agents targeting VEGF- and mTOR-pathway signaling have been approved for pancreatic neuroendocrine tumors. In addition, two RET inhibitors have been approved for medullary thyroid cancer, evidence for a fundamentally new treatment paradigm (based on the use of targeted agents). Despite the advances, there remains a serious unmet need for additional treatment options for refractory high-grade neuroendocrine carcinomas, paragangliomas/pheochromocytomas, adrenocortical carcinomas, and progressive carcinoid tumors. Furthermore, the role of liver-directed therapy in the context of available systemic approaches needs clarification. Steady progress is anticipated, however, given the unprecedented number of ongoing clinical trials related to NET (including studies focused on symptom control, genetics, imaging, and novel therapies).Seminars in Oncology 02/2013; 40(1):4-22. · 4.33 Impact Factor
Page 1
Predictors of cardiac hepatopathy in patients with
right heart failure
Sherry Megalla1ABCDEF, Dvorah Holtzman1ABCDEF, Wilbert S. Aronow2DEF,
Reza Nazari1ABCDEF, Svetlana Korenfeld1ABCDEF, Aron Schwarcz1ABCDEF,
Ythan Goldberg1ABCDEF, Daniel M. Spevack1ABCDEFG
1 Department of Medicine, Cardiology Division, Montefiore Medical Center, Albert Einstein College of Medicine,
Bronx, NY, U.S.A.
2 Department of Medicine, Cardiology Division, New York Medical College, Valhalla, NY, U.S.A.
Source of support: Departmental sources
Background: Some patients with right heart failure develop cardiac hepatopathy (CH). The pathophysiology of
CH is thought to be secondary to hepatic venous congestion and arterial ischemia. We sought to
define the clinical and hemodynamic characteristics associated with CH.
Material/Methods: A retrospective cross sectional analysis was performed in which subjects were identified from our
institutional cardiology database if echocardiography showed either right ventricular (RV) hypo-
kinesis or dilatation, and was performed within 30 days of right heart catheterization. A chart re-
view was then performed to identify patient clinical characteristics and to determine if the patients
had underlying liver disease. Subjects with non-cardiac causes for hepatopathy were excluded.
Results: In 188 included subjects, etiology for right heart dysfunction included left heart failure (LHF),
shunt, pulmonary hypertension, mitral- tricuspid- and pulmonic valvular disease. On multivariate
analysis, higher RV diastolic pressure and etiology for RV dysfunction other than LHF were both
associated with CH. Low cardiac output was associated with CH only amongst those without LHF.
Conclusions: CH is most often seen in subjects with elevated RV diastolic pressure suggesting a congestive cause
in most cases. CH associated with low cardiac output in patients without LHF suggests that low flow
may be contributing to the patophysiology in some cases.
key words:?cardiac?hepatopathy?•?right?heart?failure?•?congestive?heart?failure
Full-text PDF:
Word count:
Author's address: Wilbert S. Aronow, Cardiology Division, New York Medical College, Macy Pavilion, Room 138, Valhalla, NY 10595,
U.S.A., e-mail: firstname.lastname@example.com
Authors' Contribution:
A Study Design
B Data Collection
C Statistical Analysis
D Data Interpretation
E Manuscript Preparation
F Literature Search
G Funds Collection
Received: 2011.06.28
Accepted: 2011.07.28
Published: 2011.10.01
Clinical Research
© Med Sci Monit, 2011; 17(10): CR537-541
Current Contents/Clinical Medicine • IF(2010)=1.699 • Index Medicus/MEDLINE • EMBASE/Excerpta Medica • Chemical Abstracts • Index Copernicus
Page 2
Right heart failure causing cardiac hepatopathy (CH) is a
distinct clinical entity in which the clinical and hemody-
namic features are poorly defined [1–3]. Hepatocellular
necrosis and dysfunction in the setting of right heart fail-
ure have been attributed to both hepatic congestion and
hepatic ischemia [4]. The histopathologic appearance
of a congested "nutmeg" liver is distinctive and well de-
scribed. Microscopic examination shows sinusoidal con-
gestion in the early stages; with subsequent hemorrhagic
necrosis, hepatocyte degeneration, fatty changes and even-
tually fibrosis [2,4]. In hepatic ischemia, cardiac output
and hence oxygen delivery is impaired [5]. Histological
examination may reveal centrilobular fibrosis and subse-
quent portal fibrosis [4,6].
The finding of hepatopathy in patients with cardiac dysfunc-
tion has important clinical implications. Increased mortality
has been demonstrated when transaminitis or hyperbiliru-
binemia [7,8] are present in patients with cardiac dysfunc-
tion. Since most patients with right heart dysfunction do not
develop CH, we sought to define the clinical and hemody-
namic characteristics associated with this entity.
Material and Methods
A retrospective cross sectional analysis was performed. Our
hospital cardiology database was queried to identify all sub-
jects who had right ventricular (RV) hypokinesis or dilata-
tion on echocardiography. Patients were included if they
also had right heart catheterization performed within 30
days of their echocardiograms. Charts were reviewed for
demographic data, comorbid conditions, medications and
serologic assessment of hepatic function. Subjects were ex-
cluded from analysis if potential causes of hepatic dysfunc-
tion other than cardiac disease were identified on chart
review (Figure 1). Subjects with acute shock were exclud-
ed, namely those patients who presented with hypotension
and/or cardiac arrest. Thereby, this excluded severe acute
RV dysfunction and acute left ventricular (LV) dysfunction.
Furthermore, subjects with malignancy, autoimmune dis-
ease, complex congenital cardiac disease, human immu-
nodeficiency virus, substance abuse, and hemochromatosis
were also excluded and labeled as other in Figure 1. These
subjects were excluded because of the higher likelihood of
noncardiac causes of hepatic dysfunction.
CH was defined as an aspartate aminotransferase
>100 U/L, an alkaline phosphatase >200 U/L, or a se-
rum total bilirubin >2.0 mg/dL. These markers were cho-
sen because they are often abnormal in CH. [9,10]. The
cutoffs chosen represent values approximately twice the
upper limit of normal. The chosen cutoffs also corre-
sponded approximately with the 95th percentile observed
in our study sample.
The etiology of right heart dysfunction was classified by a
study cardiologist based on the clinical, echocardiograph-
ic, and hemodynamic data. This assessment was made while
blinded to CH status. Etiology was classified as being due to
one of the following: left heart failure, pulmonary arterial
hypertension, shunt, tricuspid regurgitation, pulmonic re-
gurgitation, or other etiology. Subjects were classified based
on their primary cardiac pathology that was most likely to
cause right heart dysfunction.
322 subjects in total
134 excluded
188 included subjects
Alcohol abuse (n=35)
Viral hepatitis (n=23)
Heart transplant (n=9)
Shock – including cardiogenic and
septic (n=27)
Other – including cancer,
autoimmune disease,
complex congenital cardiac disease,
HIV, substance abuse,
hemochromatosis (n=40)
Figure 1. Inclusions and exclusions.
Clinical ResearchMed Sci Monit, 2011; 17(10): CR537-541
Page 3
The study selection included patients who had evidence of
right ventricular dilatation or hypokinesis who had both a
cardiac catheterization and an echocardiogram within one
month of each other during the period of December, 2000
through July, 2006. The criteria for the study were justified.
Patients were included only with evidence of right heart dys-
function in our study population in order to evaluate the he-
patic derangements seen with this type of cardiomyopathy.
Statistical analysis was done using Stata software, version 9.1
(College Station, TX). Normally distributed data were pre-
sented as the mean ± standard deviation (SD). Non-normal
data were presented as the median [interquartile range (IR)].
Comparison of means was performed using the two-sample
t-test. Comparison of categorical data was performed using
c2. Comparison of medians was performed using the Mann-
Whitney or Kruskal Walllis tests as appropriate. Logistic re-
gression analysis was used to examine for clinical, echocar-
diographic and hemodynamic variables associated with CH.
From the study sample of 188 patients, 56 (30%) were found
to have CH. Demographics and clinical variables are dis-
played in Table 1. No difference was seen in age, sex, body
surface area, medication use, and prevalence of hyperten-
sion and diabetes between those with and without congestive
hepatopathy. Renal function was similar between those with
and without CH. Etiologies for RV dysfunction are shown in
Table 2, stratified by the presence or absence of CH. Having
left heart failure as the etiology for RV dysfunction was less
common in the CH group, p=0.002.
Echocardiographic and invasively measured data are shown
in Table 3. Those with CH had similar LV ejection fraction,
left atrial diameter, RV systolic pressure, and wedge pressure
compared to those without CH. Prevalence of severe tricus-
pid regurgitation, RV hypokinesis and dilated RV were also
similar in each group. Those with CH had a higher RV dia-
stolic pressure than those without CH, p<0.001.
In a multivariate logistic regression model, the only variables
found to be independent predictors of CH were etiology
for RV dysfunction other than left heart failure, odds ratio
(OR) 2.94 [95% confidence interval (CI): 1.51, 5.72] and in-
creased RV diastolic pressure, OR 2.47 [95% CI: 1.11, 5.51].
The relationship of cardiac output and congestive hepatop-
athy was complex. Overall, the cardiac output was similar
in those with CH compared to those without CH, p=0.08,
(Table 3). In the whole study sample, cardiac output was
not an independent predictor of CH (OR 1.44 [95% CI:
0.73, 2.83], p=0.3). However, within the group of subjects
whose RV dysfunction was not caused by left heart failure,
low cardiac output was a significant predictor of CH (OR
2.74 [95% CI: 1.08, 6.95]). Accordingly, the prevalence of
Patient demographicsAll
Cardiac hepatopathy
No cardiac hepatopathy
Age (years)62±17 0.97
Male (%) 55 50 57 0.39
Body surface area (m2)1.9±0.31.8±0.21.9±0.3 0.32
Hypertension (%)818679 0.26
Diabetes (%)413942 0.73
Creatinine1.1 [1, 1.5]1.2 [1, 1.7]1.1 [1, 1.5] 0.09
Statin use (%)342339 0.07
Anti-platelet use (%)444643 0.72
ACEI or ARB use (%)464645 0.90
Beta blocker use (%)616061 0.90
Loop diuretic use (%)615862 0.63
Amiodarone use (%)251 0.14
Warfarin use (%)241727 0.22
AST >100 mg/dL (%)13450 <0.001
Alk-phos >200 mg/dL (%)14480 <0.001
Total bilirubin >2.0 mg/dL (%)
Normal data are presented as the mean ± standard deviation. Non-normal data are presented as the median [interquartile range].
ACEI – angiotensin-converting enzyme inhibitor; ARB – angiotensin receptor blocker; AST – aspartate aminotransferase; Alk-phos – alkaline
18610 <0.001
Table 1. Patient demographics and clinical variables.
Med Sci Monit, 2011; 17(10): CR537-541Megalla S et al – Predictors of cardiac hepatopathy in patients with right heart failure
Page 4
CH in those with left heart failure was 21%, as compared to
42% in those without left heart failure with preserved cardi-
ac output and 56% in those without left heart failure with
reduced cardiac output (Figure 2).
The main findings of our study were that CH was associated
with increased RV diastolic pressure and with etiology for
RV dysfunction not secondary to left heart failure. Reduced
cardiac output was associated with CH only amongst those
without left heart failure. This in contrast to the findings
reported by Kubo, et al in which they found that patients
with a lower cardiac index from left heart failure had wors-
ening levels of liver function tests [9]. In their study, how-
ever, only patients with left heart failure were included. In
addition, their study cohort had lower cardiac output com-
pared with our study sample. This may account for the dif-
ferences seen in those patients with left heart failure [9].
Furthermore, the finding of increased RV diastolic pressure
in those with CH supports the hypothesized pathophysiolo-
gy of hepatic congestion suggested from histological series.
Increased RV diastolic pressure implies increased right atri-
al, central venous and hepatic venous pressure. This is sim-
ilar to findings reported by Van Deursun whereby higher
CVP was associated with liver function abnormalities [11].
Increased hepatic venous pressure is therefore a plausible
explanation for sinusoidal congestion often observed in his-
tological specimens of patients with CH [12].
It is not intuitively obvious that the etiology for RV dysfunc-
tion should be associated with CH. This finding was found
to be independent of RV diastolic pressure and cardiac out-
put on multivariate analysis. The cross-sectional nature of
our study makes it impossible to draw conclusions regard-
ing causality. We therefore cannot conclude that those with
RV dysfunction who do not have left heart failure are at in-
creased risk for developing CH independent of RV diastolic
pressure and cardiac output. Our snapshot, one-time mea-
surement of RV diastolic pressure may not reflect pressures
Patient demographics All
Cardiac hepatopathy
No cardiac hepatopathy
Left heart failure (%) 58 41650.002
Mitral valve disease (%)212718 0.18
Shunt (%) 55 5 0.99
Pulmonary hypertension (%)8 1350.09
Primary TR or PR (%)22 20.89
Other etiology (%)71350.05
Table 2. Etiology of right heart dysfunction.
TR – tricuspid regurgitation; PR – pulmonic regurgitation.
Patient demographicsAll
Cardiac hepatopathy
No cardiac hepatopathy
LV ejection fraction (%)
LA diameter (mm)
Severe TR (%)
RV hypokinesis (%)
RV dilated (%)
30 [25, 50]
48 ± 9
30 [25, 50]
30 [25, 50]
RV systolic pressure (mmHg)
RV diastolic pressure (mmHg)
Cardiac output (Liters/min)
Wedge pressure (mmHg)
Normal data are presented as the mean ± standard deviation. Non-normal data are presented as the median [interquartile range]. LV – left
ventricular; LA – left atrial; TR – tricuspid regurgitation; RV – right ventricular.
3.9 [3.1, 4.7]
22 [16, 28]
4.0 [3.3, 5.0]
24 [16, 28]
3.7 [3.0, 4.6]
22 [16, 28]
Table 3. Echocardiographic and catheterization variables.
Clinical ResearchMed Sci Monit, 2011; 17(10): CR537-541
Page 5
chronically. This association should therefore be investigated
further. Furthermore, the severity of tricuspid regurgitation
was not found to be associated with CH. This is in contrast to
previous reports by Lau showing an association between the
severity of TR and liver function abnormalities [10].
The finding that lower cardiac output is associated with CH
only in those without left heart failure is also intriguing. It is
sensible that the measured cardiac output more truly reflects
RV function when there is isolated RV dysfunction with nor-
mal LV output. When left heart dysfunction is also present, the
measured cardiac output reflects the joint pathology of both
chambers. Low cardiac output would be expected in those
with chronic hepatic ischemia. Lack of association between
low cardiac output and CH in both our whole cohort and in
the group with left heart failure argues that hepatic ischemia
was not often the cause of CH in our study. Since transient
ischemic insult with hypotension or shock prior to right heart
catheterization were excluded from this study, low cardiac out-
put probably reflected a more chronic process.
Patients with cirrhotic cardiomyopathy have both elevat-
ed levels of NT-proBNP and LV diastolic dysfunction [13].
Using a value of 1000 pg/ml, the sensitivity of serum NT-
proBNP in distinguishing ascites due to cirrhosis from asci-
tes due to heart failure was 100% [14]. Most patients with
acute decompensated heart failure have high liver stiffness
values which, like NT-proBNP levels tend to decrease with
clinical improvement [15]. Gamma-glutamyltransferase is
also independently associated with an adverse outcome in
patients with chronic heart failure [16].
Our study has some limitations. As previously mentioned,
the cross sectional and retrospective nature of our investiga-
tion, limit inferences about causal relationships. Therefore,
findings of associations between various parameters and CH
do not imply that the parameters are the cause or the ef-
fect of CH. Further investigation into such mechanisms is
warranted. It is also important to note that measurement of
parameters on catheterization, serology and echocardiog-
raphy were not simultaneous. This may have particular im-
portance in congestive heart failure patients whose hemo-
dynamics may vary substantially from day to day. Lastly, our
study sample excluded those with acute RV or LV dysfunction
and thereby limiting our analysis to chronic RV dysfunction.
Evolving technology in echocardiography has allowed for
more sophisticated measures of right heart function. RV
strain, strain rate and tricuspid annular plane systolic excur-
sion are measures of RV contractility. 3-dimensional echo-
cardiography may improve quantification of RV size, shape
and function. Association between these parameters and
CH may be an area for future investigation.
In conclusion, we found that CH was associated with higher
RV diastolic pressure and etiology for RV dysfunction oth-
er than left heart failure. Low cardiac output was associated
with CH only in those who did not have left heart failure.
These findings help us to better understand the relation-
ship between right heart dysfunction and CH.
Conflicts of interest
None of the authors have any conflicts of interest pertain-
ing to this article.
1. Felder L, Mund A, Parker JG: Liver function tests in chronic congestive
heart failure. Circulation, 1950; 2(2): 286–97
2. Myers RP, Cerini R, Sayegh R et al: Cardiac hepatopathy: clinical, hemo-
dynamic, and histologic characteristics and correlations. Hepatology,
2003; 37(2): 393–400
3. Richman SM, Delman AJ, Grob D: Alterations in indices of liver func-
tion in congestive heart failure with particular reference to serum en-
zymes. Am J Med, 1961; 30: 211–25
4. Sherlock S: The liver in heart failure; relation of anatomical, function-
al, and circulatory changes. Br Heart J, 1951; 13(3): 273–93
5. Dunn GD, Hayes P, Breen KJ, Schenker S: The liver in congestive heart
failure: a review. Am J Med Sci, 1973; 265(3): 174–89
6. Bynum TE, Boitnott JK, Maddrey WC: Ischemic hepatitis. Dig Dis Sci,
1979; 24(2): 129–35
7. Allen LA, Felker GM, Pocock S et al: Liver function abnormalities and out-
come in patients with chronic heart failure: data from the Candesartan
in Heart Failure: Assessment of Reduction in Mortality and Morbidity
(CHARM) program. Eur J Heart Fail, 2009; 11(2): 170–77
8. Batin P, Wickens M, McEntegart D et al: The importance of abnormal-
ities of liver function tests in predicting mortality in chronic heart fail-
ure. Eur Heart J, 1995; 16(11): 1613–18
9. Kubo SH, Walter BA, John DH et al: Liver function abnormalities in
chronic heart failure. Influence of systemic hemodynamics. Arch Intern
Med, 1987; 147(7): 1227–30
10. Lau GT, Tan HC, Kritharides L: Type of liver dysfunction in heart failure
and its relation to the severity of tricuspid regurgitation. Am J Cardiol,
2002; 90(12): 1405–9
11. van Deursen VM, Damman K, Hillege HL et al: Abnormal liver func-
tion in relation to hemodynamic profile in heart failure patients. J Card
Fail, 2010; 16(1): 84–90
12. Naschitz JE, Slobodin G, Lewis RJ et al: Heart diseases affecting the liver
and liver diseases affecting the heart. Am Heart J, 2000; 140(1): 111–20
13. Poliwczak AR, Bialkowska J, Broncel M et al: Heart rhythm turbulence
and NT-proBNP in decompensated liver cirrhosis – a pilot study. Med
Sci Monit, 2011; 17(6): PR5–11
14. Sheer TA, Joo E, Runyon BA: Usefulness of serum N-terminal-ProBNP
in distinguishing ascites due to cirrhosis from ascites due to heart fail-
ure. J Clin Gastroenterol, 2010; 44(1): e23–26
15. Colli A, Pozzoni P, Berzuini A et al: Decompensated chronic heart fail-
ure: increased liver stiffness measured by means of transient elastogra-
phy. Radiology, 2010; 257(3): 872–78
16. Ess M, Mussner-Seeber C, Mariacher S et al: Gamma-glutamyltransferase
rather than total bilirubin predicts outcome in chronic heart failure. J
Card Fail, 2011; 17(7): 577–84
Prevelance (%)
No LHF,
No LHF,
Figure 2. Prevalence of cardiac hepatopathy in those with and
without left heart failure (LHF) divided amongst different
cardiac output (CO) subgroups.
Med Sci Monit, 2011; 17(10): CR537-541Megalla S et al – Predictors of cardiac hepatopathy in patients with right heart failure


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Find records of Felix Mitchell
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not having a fifteen octave vocal range like marina is really problematic when i try to sing along to her in the shower
Gaga's literally getting all her hype promo inside cars and airports for this entire next era. Your fave would and could never.
Hey let's all agree on this right now: if we meet Gaga while she's playing new music we all shut the fuck up.
Me waiting for Gaga.
who told you can talk or even make any kind of noise while Gaga's playing her new song for you
From now on I require all little monsters to bring high quality studio microphones whenever waiting for her car or meeting her just in case


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Date: 1935 ca.
Description: Studio portrait of a Ho-Chunk man and woman, the former posed sitting and wearing a suit and hat, and the latter standing and wearing beads, earrings, and...
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Description: A cased image of George Fairfield in a military uniform.
Date: 1905-03
Description: Studio portrait of Ewi-Au (Sleepy Eyes), also named Billy McKay. Part of Shahaptian and Umatilla Tribes
Date: 1955 after
Description: Nelson Cruikshank, emphasizes a point with his left hand as he talks to someone.
Cruikshank worked for the American Federation of Labor-Congress of Indus...
Date: 1914-10-08
Description: Quarter-length studio portrait of George D. Mansfield, Milwaukee company president.
Description: Quarter-length studio portrait of postmaster general John Gronouski.
Date: 1915 ca.
Description: Studio portrait of a Ho-Chunk man and woman, the former posed sitting and the latter standing wearing a hat and shawl. She is holding his hat in front of h...
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Date: 1899-03
Description: Profile studio portrait of Winnebago man, Charkshepshutsker (Red Eagle), Head Chief. Part of Siouan (Sioux) and Winnebago Tribes.
Description: Formal portrait of Increase Lapham sitting in a chair.
Description: Quarter-length studio portrait of Charles R. Manville, Milwaukee company vice-president.
Date: 1921-05-10
Description: Quarter-length studio portrait of Joe J. Stehling, Milwaukee engineer and manufacturer.
Description: Studio portrait of Ho-Chunk girl posed standing next to a chair. She is wearing a long buckskin dress with fringe in front of a painted backdrop. Probably...
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Audrey Kitching's Video Stream
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Video Diary #5: Behind the Scenes of My Tokyolux Shoot with Kerli
Hey guys, my fifth video diary is finally up! This time I take you behind the scenes at my Tokyolux shoot with Kerli... Many more to come hopefully. They can be edited fast so I can catch you guys up on my crazy life!
You'll ♥
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The PV Q&A: Tom DeLonge On Angels & Airwaves' New Album: "This Is A Groundbreaking Record For This Band"
At the peak of Blink-182's fame, Tom DeLonge had a lot of ideas kicking through his head. At a tour stop in Paris, sitting his hotel room, the singer came up with the concept of a character named Poet Anderson. Now, nearly 15 years later, he's ready to incorporate that idea into a much larger and ambitious project with Angels & Airwaves than he's ever attempted before.


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Beautiful match set of bedroom furniture. Hardwood Queen bed with canopy frame. Beautiful scroll work on the bed and other pieces. The bed rails are made to be bolted to the posts and is very sturdy. Dresser and Chest of drawers have marble top. Dresser has a mirror (See ...
Oct 24 -
Nashville :
Solid pine natural finish Armoire---originally from Crate & Barrel 48" high,36" wide, inside 35' wide 24" opening.
Bonus TV in pictures included at this price !!
Oct 21 -
Atlanta :
Used Solid Cherry Armoire - 79" tall - 21" deep - 42" wide. The TV area is 32" wide x 33" tall.
You'll need a truck or trailer to pick up and a person or two to help carry out.
will consider reasonable cash offers.
Oct 14 -
Atlanta :
Final Price Reduction!!! Yes, I told the hubby, it has to go, so it has been marked down to $285! Gorgeous, HUGE, well made Henredon cream/light colored Armoire. We've used it as an Entertainment Center for a 50 inch television (Yes, ladies that's right, we didn't hang the ...
Oct 13 -
Macon :
Warner Robins
Thomasville solid cherry bedroom set. Moving and must sell by 10/17 Set includes headboard with light bridge, armoires, chest, triple dresser with mirror.
Cash and carry sales only!
Oct 8 -
Atlanta :
This was purchased at an antique store in Nolensville. I repainted it because it was hideous. The knobs on the cabinets are custom made and hand painted.
Its almost 6 ft tall and has two adjustable shelves inside. Holds a ton of stuff. Please make me an offer, as I am ...
Sep 26 -
Nashville :
Veru clean no scratches obo on price
Sep 26 -
Atlanta :
Sweet Dreams Mattress & Furniture Company
Located in COmmerce Crossing
Commerce GA 30529
We offer layaway and financing
C2012 pg 600
Description:900065 $260
A stylish addition to your ...
Aug 31 -
Atlanta :
This is EVERY GIRLS Dream!!! A Princess BED! This Poster bed comes in Twin or Full and has a matching set! The price listed is just for the Twin bed other items listed below!
Sweet Dreams Mattress & Furniture Company
This is an AMAZING COLLECTION!!! very detailed and very dramatic! The price is for the bed only but the other set pieces are listed below with prices and sizes!
Sweet Dreams Mattress & Furniture Company
Located in Commerce Crossing ...
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Tom Menino, Boston's longest-serving mayor, dies
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Accused cop killer and one of the FBI's most wanted fugitives, Eric Frein, has been captured alive, sources told ABC News tonight.
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Splashtop Drops Windows 8 Metro Testbed Onto Android
samzenpus posted more than 2 years ago | from the check-it-out dept.36
MojoKid writes "Want to try out the Windows 8 Metro interface on your Android tablet? Splashtop apparently has a solution. The company previously released a Windows 8 Metro testbed for the iPad back in April, and now it has one for Android devices, which is available in the Google Play Store. You'll need a PC with the Windows 8 Release Preview installed, but once you have that taken care of, you'll be able to poke around Microsoft's new touch interface on any Android tablet."


text:
i guess in the sense the trail are not on roads
Toronto News: Rush to build bike trails results in a major disconnect - thestar.com
wow some big bucks involved, i wonder how much $'s singletrack will see and where?
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Baylor Proud • 25 weeks ago
#Baylor Bears Green and Gold Chevron onesie by SweetPinspirations on Etsy
Related Pins
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funny baby onesie New Kids on the Block hand stenciled and spray painted tshirt by Rainbow Alternative on Etsy. $12.00, via Etsy.
Easter Egg Sports Themed Onesie - Football, Baseball, Basketball via Etsy
Take Home Outfit Layette Gown Baby Girl Clothes Flower Layette with Headband Gift Set on Etsy, $30.00


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i feel my american-bred sense of entitlement the most when i get annoyed that the 'united states' is sorted in alphabetical order on a drop down menu and not just listed at the top
(via alwaysatabonfire)
— Kurt Vonnegut (via rauldottumblr)
(Source: laviesepoursuit, via rauldottumblr)
A positive musing:
I'm always convinced that a more charmed life is just one pretty journal/planner away.
Currently crushing on:
Never mind that 2015 is several months away.
And just look at these notepads:
Type A
Really wish I was one of those Type A personalities. You know, those people who get the biggest thrill when they cross something off their to do list, even if it's pretty menial.
Somebody please help me care about work more.


text:
Anne Arundel
Md. Teen Pleads Guilty To Murder In Child's Death
Officials say an Annapolis teenager charged as an adult in the death of a 2-year-old girl last year has pleaded guilty to murder.
Man In Anne Arundel Co. Believed To Have Been Struck By Lightning
In Anne Arundel County, emergency crews believe a man was struck by lightning during Sunday night's storms.
40 Arrested In Sweep In Anne Arundel County
The Anne Arundel County Sherriff's Office says 40 people were arrested in a warrant sweep conducted in honor of a 14-year-old boy fatally beaten by gang members.
Shred-O-Rama 5 Fights Against Identity Theft
Hundreds lined up in Anne Arundel County to try to keep identity theft from happening to them.
Contractor Acquitted By Anne Arundel Judge
An Anne Arundel County judge has acquitted a contractor accused of stealing from his clients.
Md. Exhibit Is Lesson In School Integration
A new exhibit about the history of schools in the Maryland town of Shady Side is opening in Anne Arundel County.
Official: Suspicious Package Was Empty Briefcase
Fire officials say a suspicious package found near the Anne Arundel County health department building was just a briefcase someone may have tried to throw away.
Massive Adoption Effort For 51 Dogs Seized From Anne Arundel Co. Home
Fifty-one dogs seized from a home in Anne Arundel County are headed to new homes.
Lawyer: Police Want Immunity In Leopold Probe
An attorney for members of the security detail of Anne Arundel's county executive says he is negotiating an immunity deal that would let his clients provide information without the threat of prosecution in a probe of County Executive John R. Leopold.
Suspicious Device Found In Glen Burnie Home
Police are investigating a suspicious device found in Glen Burnie.
Police Arrest 3 In Armed Robbery Case
Anne Arundel County Police have arrested three people in an armed robbery case.
Ground Breaks At Maryland Live, Promising New Jobs
There has been a ceremonial step forward to the most lucrative slots casino in the state.


text: None of you need me to tell you about the high cost of food these days, since we as moms are probably the ones going to the grocery store every week to stock up on food for our families. I think that most families are feeling pinched in terms of their grocery budgets, since the same amount of money buys a significantly smaller amount of food right now. A recent article from the Boston Globe gives some interesting facts and figures regarding grocery costs, for example, milk costs have risen 26% over the past year, egg prices have risen 40%, beef prices 50%, and the list goes on and on. The author paints a grim picture, talking about the weak US dollar, the high price of commodities such as corn and soybeans, and the probability that these high prices will be sustained; basically, we won't be getting a break anytime soon.


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In what is arguably the best bowl game of the season outside of the national title game, Pac-12 champion No. 5 Stanford will take on Big Ten champion No. 4 Michigan State in the 100th Rose Bowl Game.
Although Michigan State is ranked higher than the Cardinal, there are lot of things going in Stanford's favor in the lead up to the game -- and not just the point spread (Stanford is about -3 in most sports books).
--Stanford will be making it's fourth consecutive BCS bowl appearance. The Cardinal blew out Virginia Tech in the 2011 Orange Bowl, lost in overtime to Oklahoma State in the 2012 Fiesta Bowl and defeated Wisconsin in last year's Rose Bowl. With a win, Stanford would win consecutive Rose Bowls for the first time since 1971 and 1972.
--While Stanford has a bevy of big-game experience, Michigan State last played in a Rose Bowl in 1988 -- a 20-17 win over USC.
--The Cardinal and Spartans last met in the 1996 Sun Bowl, when Stanford, led by Tyrone Willingham, defeated a Nick Saban-coached Michigan State squad 38-0.
--The Cardinal and the Spartans had one common opponent this season: Notre Dame. The Fighting Irish handed the Spartans their only loss of the season--a 17-13 defeat in South Bend back in September. Meanwhile, the Cardinal beat Notre Dame 27-20 at Stanford on Nov. 30
Story lines
--The biggest news out of either program in the lead up to Wednesday's game is the suspension of Michigan State's star linebacker, Max Bullough. Bullough is the leader of one of the best defenses in the nation and it is impossible to know how his surprising suspension will impact the Spartan defense.
--From the Stanford camp, no news is good news when it comes to head coach David Shaw, who has reiterated all week that he is not interested in any other coaching job, either in the NCAA or NFL. His name has been rumored as a possibility for a number of openings across the country.
--Another story line to watch is the Big Ten's bowl performance (or lack thereof) so far. Michigan State is supposed to be the class of the Big Ten -- can it save the conference from complete embarrassment this bowl season? So far, current Big Ten teams are 0-2 in bowls, which balloons to 0-4 if you include teams set to join the conference next year. With games left against three formidable SEC foes, Stanford and Clemson, it is shaping up to be another year with the B1G looking bad. A Spartan win in the Rose Bowl would go a long way to quell that. Meanwhile, the Pac 12, which was favored in all nine of its bowl games, is 3-1 so far, with the only loss coming on Washington State's choke job in the New Mexico Bowl.
--Who will have the crowd advantage? Both teams sold out their ticket allotments in minutes, and tickets are hard to come by and expensive on the secondary market. There are reports of more than 50,000 Michigan State fans traveling to Pasadena, and some Spartan fans reportedly put down deposit on Stanford season tickets next season to secure some of Stanford's allotment. Cardinal don't have to travel as far, but many made the trek last year. Will they return? (This Cardinal fan will, for what it's worth...)
Players to watch
Stanford running back Tyler Gaffney: Stanford uses a lot of smoke and mirrors (i.e. formations, personnel groupings and motion), but it is no secret what the Cardinal wants to do on offense: pound the football to set up play action. After a year away from the team playing minor league baseball, Gaffney is back with the Cardinal to try and win his first Rose Bowl (he watched and celebrated last season's win). In what is his last college game, and perhaps his last football game, expect Stanford to give it to their workhorse a lot. Gaffney had 45 carries in Stanford's upset of No. 3 Oregon this season, and for the year he has 306 carries for 1,618 yards and 20 TDs. Not bad for a guy who didn't play football last year. If you want to learn more about Tyler Gaffney, I suggest this feature from Grantland.
Michigan State running back Jeremy Langford: What Gaffney is to Stanford, Langford is to Michigan State. If the Spartans are to move the ball against Stanford's formidable front seven, Langford will need to do some tough running -- which is exactly what he has done this season. For the year 269 carries for 1,338 yards and 17 touchdowns. Most impressively though is how he finished the year. Langford has rushed for over 100 yards in eight straight games entering the Rose Bowl, and has scored touchdowns in seven of those eight games.
Stanford outside linebacker Trent Murphy: All Murphy did this season was lead the nation in sacks and yards lost on tackles for loss. Still, somehow, he was not on some First-Team All-America teams and was
not the Pac-12 Defensive Player of the Year. "The Yeti" as he is nicknamed, impacts the game in a number of ways. When he can't get to the passer he is deft at batting passes down, and sometimes he holds on to them (he has two pick-sixes in his career). Murphy is the best player on one of the best defenses in the nation.
Michigan State middle linebacker Kyler Ellsworth: Ellsworth will be thrown into the spotlight as the replacement starter for the suspended Bullough. While he doesn't have the star power of Bullough, Ellsworth is a fifth-year senior who has experience on the field and should be in the right place at the right time. Fortunately or unfortunately for Ellsworth, his play in his last collegiate game will be right under the microscope because of Bullough's suspension.
Prediction: I have already gone on record predicting Stanford to win (as know surprise, I am sure), and I am not changing that now. I think the Spartans will struggle to move the ball and the Cardinal will grind out enough drives to win. Stanford 24, Michigan State 7.
Rose Bowl previews: Stanford vs. Michigan State
12/30/13 in NCAAF | Dan_B | 1067 respect


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17 of 168 Items
Anne Wagner album, 1795-1834.
Autograph albums
Wagner, Anne
Libri Amicorum: Friendship and Autographs
Stephen A. Schwarzman Building / Carl H. Pforzheimer Collection of Shelley and His Circle
All Any
Image ID: 480071
To my aunt Anne. - Gwrych, 12th Dec. 1805. J. Henry Browne, Lieut. 23rd Reg., Royal Welsh Fusiliers.
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Gun Review: Lone Wolf G9 AR-15 Lower Receiver for GLOCK Magazines
As much as I have enjoyed shooting my 9mm-converted 5.56 lower, which uses a magazine well block insert to allow it to accept Colt-style 9mm stick mags, I definitely prefer normal pistol magazines and a lower designed specifically to accept them. Although, yes, this limits you to pistol calibers, it also reduces failure points, extra parts, and time spent tinkering and adjusting to get everything working properly. For much of this year I've casually kept my eye out for a dedicated 9mm AR-15 lower receiver that accepts GLOCK or other pistol magazines, and when Lone Wolf's G9 became available again I decided to pull the trigger and give it a shot.


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"Role-playing is my absolute favorite so dressing up is something I really like to do. I love to wear sexy outfits in the bedroom and play games. Wearing something hot-looking and tight and getting on all fours to get doggie from behind, and see it in a mirror, is something I love to do. You should see me around Halloween time."
You have seen Lolly fuck and get cream-pied so you know how flexible her body is. Lolly can stretch her legs wide and take the biggest dicks in her very tight pussy. She reminded some guys of currently-retired porn great Danielle Derek. Lolly looks ready to become just as popular. "I love showing off my flexibility in different sex positions," says Lolly. Thanks for putting yourself out there, Lolly.
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text: A 4 more photos The Claverley, Claremont, Wellington Rd, Bilston, Wolverhampton, WV14 3 Beds · 2 Baths · Mews · En suite · Grade II · New Build · Kitchen Help to Buy and Part Exchange are available at Claremont! Contact us for more information. Claverley The Claverley is a three bedroom mews home. Built over three floors to maximise space, the ground floor features a kitchen/dining area with separate utilty room and a cloakroom. On the first... »» first seen two weeks ago on SmartNewHomes > Morris Homes From £185,750


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When it comes to Parkinson's disease, deep brain stimulation has been a successful option. But a new technique is changing the game for those with the disease, and it's helping thousands get the treatment they so desperately need.
Fifty-nine-year-old Toni Pais is a hands-on restaurant owner, often prepping for the dinner crowd by himself. But tremors from Parkinson's disease almost forced him to quit.
"It's very dangerous because you are dealing with fire with hot pans, sometimes you try to shake the pan, your brain wants to move, but your muscles don't," he explains.
Medication was losing its affect. Toni couldn't tolerate the traditional surgical method for implantation of deep brain stimulators - which would require him to be awake during surgery.
During DBS, surgeons implant thin electrodes at very specific targets in the brain to deliver electrical pulses. Doctors interact with the patient to ensure the electrodes are in the correct place.
"The problem is, there is a significant population of patients with Parkinson's who are too anxious, or too symptomatic, or both to undergo awake surgery in the frame," explained Dr. Mark Richardson, Director of Epilepsy and Movement Disorders Surgery at UPMC.
Now surgeons have begun performing the procedure on patients who stay under the whole time using customized software and an MRI machine. Surgeons attach an aiming device to the skull, and the surgeon maps the trajectory of the electrode-in real time.
More than one year after surgery, Pais says his tremors are minimal, so are his other symptoms.
"Now if I'm relaxing, sleeping, laying down, contemplating, I'm calm as calm can be."
Researchers say a preliminary analysis shows there is no difference in side effects or benefits from patients who were asleep during surgery.
BACKGROUND: Parkinson's disease is a condition of the brain affecting approximately six million people. It is most commonly characterized by slowness of movement, stiffness, shaking, and loss of balance. Parkinson's often develops after the age of 50. Although Parkinson's disease is one of the most common nervous system disorders for the elderly, it can affect young people too, usually because a form of the disease runs in their family. Nerve cells use a brain chemical called dopamine to control muscles. When the nerve cells in the brain that produce dopamine are destroyed as a result of Parkinson's, the nerve cells in that particular part of the brain will not properly send messages. The result is the loss of muscle control. The damage gets worse over time. (Source: www.ncbi.nlm.nih.gov)
SIGNS/SYMPTOMS: The first symptoms of Parkinson's disease can be hard to diagnose, especially in older patients, and often start out mild and worsen over time. The most common signs of Parkinson's disease are shaking, called tremors, and jerky, stiff movements. Some of the other possible signs include:
* Constipation
* Depression, anxiety, and memory loss
* Slowed movements, slow blinking, and slowed speech
* Difficulty swallowing and drooling
* Problems with balance and walking (www.mayoclinic.org)
NEW TECHNOLOGY: Deep brain stimulation is a technique that has been used for years now to treat conditions like Parkinson's, dystonia, and essential tremor. The procedure to put the electrode in place usually takes place with the patient awake, because brain mapping is easier when the patient isn't under anesthesia and so doctors can periodically check with the patient. However, now doctors can use MRI to place the electrodes needed for the neurostimulator. This means the patients can be put under general anesthesia for the surgery. The MRI helps doctors visualize in real time where the electrode needs to be placed. This is important for patients who are nervous, can't tolerate being awake, or too dystonic to be still during a surgery. (Source: www.upmc.org)
Anita Srikameswaran
Senior Manager, Media Relations, UPMC
If this story or any other Ivanhoe story has impacted your life or prompted you or someone you know to seek or change treatments, please let us know by contacting Marjorie Bekaert Thomas at firstname.lastname@example.com.


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Salomon Snowscape 8
0 reviews
5-star: 0
4-star: 0
3-star: 0
2-star: 0
1-star: 0
4-star: 0
3-star: 0
2-star: 0
1-star: 0
Where to Buy
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Manufacturer's Description
Visit Salomon's Snowscape 8 page.
Retailers' Descriptions
Here's what other sites are saying:
Overstock . Salomonand#39;s Snowscape 8 cross-country touring skis are efficient, stable and maneuverable fitness skis that feature a waxless G2 Syncro base, optimized camber and a lightweight Densolite 2000 foam core. Available Colors: SEE PHOTO. Sizes: M, L, XL.
- Sierra Trading Post
Comfortable and stable, the new Salomon Snowscape 8 skis provide the effortless kick and glide that make backcountry touring so much fun.
Salomon Snowscape 8
currently retails for:


text: Just a Couple Pics of the Snow By freeloader December 2, 2010 2:21 PM Share on Facebook Share on Twitter Image of Anyone remember Green Jell(o)y http://www.youtube.com/watch?v=aMpIzlwjrSA Filed Under: Buffalo, downtown, snow Category: Jack Around Town Share on Facebook Share on Twitter More Leave a comment Send to a friend! Print this page Pin it! Reddit This! Share on Tumblr! More From Jack FM Can Lane Kiffin Escape Knoxville? Big Questions for Week 9 in College Football (Incredibly Cooperative) Pets in Halloween Costumes Are Scary Cute Football For Breakfast & Other Things You Need To Know About NFL Week 8 This iPhone 6 Bent and Caught Fire, But, Hey, Technology Best of the Web


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"I'm not writing it down to remember it later, I'm writing it
down to remember it now." Field Notes Brand notebooks.
Fresh Signals
"...how exactly one goes about creating an apparently non-utilitarian mashup of art and writing on the typewriter." Artyping from 1939, including sweet examples. Via The Cartoonist. -jc.02.14.14 #
A post from the daily flow of linkage called Fresh Signals, at Coudal.com.


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Diddy Wah Diddy – Dizzy Gillespie w/ Mike Longo, George Davis, Patato Valdez, Jerry and Andy Gonzolez and Nicky Morrera
5 Star Review of "To My Surprise" from UK
A Piclure 0f Dorion Mode; Still Wofer; New Muse Blues; Limbo;
Alone Agoin; I Hadn'f Anyone 'Til You; OId Devil Moon; Mogic Bloze; To My Surprise; You've Chonged; Eye 0f The Hurricone; ln The Wee Smoll Hours (64 09)
Jimmy Owens (t); Lonce Bryont (ts); Mike Longo (p); Bob Cronshow (b); Lewis Nosh (d). Englewood. New Jersey, 1 Augusl, 201 t.
Pianist Mike Longo offers this quintet and trio menu with a life- time of musical experience, including a quarter of a century of feeding chords for maestro Dizzy Gillespie, under his belt. Read More…
Mike Longo Talks About Transcribing And Playing Licks
Food For Thought
As many of you probably know, there has been a raging discussion going on Face book about the group of young musicians who put out a recording of a note for note version of the Miles Davis classic Kind of Blue.
As a result, a few comments were made about transcribing in general with some saying they never transcribed solos and others swearing by it. I mentioned in a comment that I felt that transcribing was one of the best tools for ear training there is but that I question the practice of playing the transcription as a means of learning to play jazz. Read More…
5 StarReview of "The Mike Longo Trio Celebrates Oscar Peterson
Marlbank Review
The Mike Longo trio, Celebrates Oscar Peterson Live, Consolidated Artists Productions ***
The date: 25 June 2013. The place? An auditorium named after Dizzy Gillespie in the New York Baha'i Center, where Longo has now hosted a weekly Tuesday night gig for a decade often playing with his own groups. Read More…


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Blobs 2.05a
Blobs is our own rendition of Peg Solitaire and HiQ - popular thinking games similar to Chinese Checkers. The object is simple ... as you jump Blobs over each other, the Blob that you jumped disappears. To complete a level and advance, just end up with only 1 Blob left on the board. Sounds simple enough, but there's a catch. You can only jump a Blob directly over another that is within an adjacent position. Still sound easy? Give it a go!
See also: solitaire, puzzles, peg solitaire, board games, peg games, solitaire puzzles, blobs, ncbuy, entertainment network
Multiplayer Five in a Row 1.4.0
Will you try to advance by furious attacks, or step back with strong defense? Your goal in this game is to use at least 5 of your pieces to form an unbroken line in horizontal, vertical or diagonal direction. When the game starts, you will be given a board with 19x19 intersections. You and your opponent will be using black and white pieces respectively, and black always moves first. During your turn, you can click to place a piece onto an empty i
See also: str, multi player games, multiplayer games, board games, abstract strategy games, row, peg, multiplayer five in a row, multiplayer, white, vertical, strategy, stone, piece, horizontal, gomoku, gobang, five in a row, diagonal, board game, board, black
Peg Solitaire 1.5.1
You'll understand why games on the chessboard are so irresistibly engaging. In Peg Solitaire, your goal is to remove pegs from the board until only one peg is left. You will be given a cross-shaped board with multiple pegs, while the hole at the center is left empty. You may click and drag a peg to jump over a horizontally or vertically adjacent peg and move to the empty space next to it, so that the peg being jumped over can be removed from the
See also: puzzle games, pegs, peg solitaire, patience, mind games, logic games, brainvita, solitaire, puzzle, piece, peg, marble, jump, hole, cross, chessboard, board game, board
123 Free Memory - Card Games Collection 3.1
123 FREE Memory Card Games 2003 is a collection of five great Memory games: Ace-To-King, Concentration, Forget-Me-Not, Memory-Up (6x4) and Memory Up (8x5).
123 FREE Memory Card Games 2003 features a winning layout, fast game play, rich sounds, extensive options, and quality help.
Each game has more than nine trillion (9,999,999,999,999) possible games to play, so the game remains fresh no matter how many times you play.
See also: canfield, spider, freecell, klondike, card games, patience, solitaire
Trees On The Rocks 1.0
Are you bored with the same old classical puzzles ? Try our FREE "Trees On The Rocks" puzzles !! You can choose to play for points, or time. Difficulty levels allow to test skills of a child or the most advanced player.
See also: game, games, kids, puzzle, download, cool, hot
Colorful Fish 1.0
Are you bored with the same old classical puzzles ? Try our FREE "Colorful Fish" puzzles !! You can choose to play for points, or time. Difficulty levels allow to test skills of a child or the most advanced player.
Pengapop 1.00
Welcome to Pengapop, a crazy game where you control Frank, the leader of a Platoon of Penguin Pengapoppers in their quest for tasty treasures. Blast through colorful �Ball Walls� to clear a path to a variety of preferred Penguin Treats. Blue Bear Polar Cheese, Frozen Pizzas, and Wholly Mackerel Coins await you and your troops. Experience maximum popping fun as you explore over 200 awesome frosty levels.
See also: web, games, free web games, arcade, game
Bowling Blast 1.0
Cool 3D ten pin bowling game. Features different lane sizes and you can choose what type of ball to throw!
This Game is Freeware and screened for maximum quality by Illusion Software!
Feel free to distribute this Game on your own website.
See also: game, games, action, sport, simulation, illusion, bowling, ten, pin, bowing, blast, bowl
Liquid 2
Lightning fast animation tool.
Create animations for the web in no time flat, using XML.
See also: xml, animation, fun, games, web
AlterJig 8.303
AlterJig is a tile jigsaw puzzle game. You select graphics supplied with the game or create your own puzzles from any bitmaps. When you start the game, it scrambles the puzzle and challenges you to restore the picture by rotating groups of four tiles to get the tiles back to their proper position. Tile rotation is controlled by left and right mouse buttons. It sounds easier to solve than it is.
See also: free downloads, jigsaw puzzles, jigsaw, free games, puzzles, games, AlterJig


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The fructose syrup has a very high concentration of fructose and glucose, similar to honey, and can crystallize in the same manner. Refrigeration will promote the crystallization. Heating to about 120° F will put the crystals back in solution. This is more common with the samples than the drums or totes as the samples often develop seed crystals from the transfer to smaller containers. The totes of the syrup have heaters that can bring the temperature to 120° F and cure any crystallization that may occur.
Will DE 95 tapioca syrup crystallize?
Upcoming Events
10/28/2014 - 1:00pm
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Sword Art Online - Part 4 (DVD/R2)
Title: Sword Art Online - Part 4
Volume: DVD/R2
Running time: 138
Distributor: Manga Entertainment
Release date: 2014-03-31
Suggested retail price: $19.99
Age rating: 15
Kirito and Leafa have finally reached Central Arun, the largest city in Alfheim by the foot of the World Tree. Kirito is determined to face the dangers of the Grand Quest to rescue Asuna. With the support of the Sylphs and the Cat Sídhes, Kirito will face the dangerous Grand Quest. Will Kirito save Asuna in time or will he be crushed by Oberon's evil plans?!
(added on 2013-11-28, modified on 2013-11-28)
- Encyclopedia information about Sword Art Online (TV)


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Extended interview: Sandra Leung, GC of Bristol-Myers Squibb
Leung talks in-depth about her position at the biopharmaceutical company.
Woman sues birth control pill maker for unintended pregnancy
Qualitest Products is slapped with a lawsuit after a manufacturing error and recall.
GC Sandra Leung forms connections within the Bristol-Myers Squibb legal department
Leung is proudest of working with management to guide the company through past crises.
20 top news stories of 2011
A slideshow of the events, people and stories that affected the in-house bar this year.
IP: Just, speedy and inexpensive determination of a copyright case
A recent 2nd Circuit case may help companies achieve dismissal without discovery.
Identity theft ring discovered among waiters
Last week, authorities busted an identity theft ring that scammed patrons of some of New York's top steakhouses.
7 banks targeted over MF Global collapse
Ripples from the collapse of MF Global are reaching the courtroom, as investors begin the effort to recover their money. A pair of pension funds filed a lawsuit Friday against seven banks that helped the futures brokerage sell bonds, claiming the bonds' offering prospectuses hid significant problems.
Hot topics in pre-employment screening: Part II
As discussed in part I, an increasing number of employers are conducting some form of pre-employment screening on job applicants. Employers are researching not only a candidate's educational qualifications and prior job history, but also a candidate's criminal history, credit history and online presence. At the same time, the Equal...
Hot topics in pre-employment screening: Part I
Employers should be aware of numerous issues when conducting background checks.
States, pharmacists scrutinize Express Scripts-Medco merger
More than 25 states and pharmacy groups are analyzing a proposed $22 billion merger between pharmacy benefit managers (PBMs) Express Scripts and Medco Health Solutions that they say could increase the companies' dominance and aggression in the prescription drug market.


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Latest News
New Mom Jessica Alba Shows Off Bikini Bod In Cabo
Jessica Alba, less than six months from delivering baby daughter Haven Garner, showed off her impeccable bikini body vacationing in Cabo Sa… READ MORE
Is Beyonce About To Have Her Baby?
Is destiny's child almost here?
A pair of nurses at New York City's St. Luke's Roosevelt have told staffers to prepare fo… READ MORE
Supermodel Alessandra Ambrosio Expecting Second Child!
Victoria's Secret stunner Alessandra Ambrosio and fiance Jamie Mazur are expecting their second child.
The wiry 30-year-old Brazi… READ MORE
Rachel Uchitel Is Pregnant, Tweets Pics Of Baby Bump!
Former Tiger Woods' mistress Rachel Uchitel announced Tuesday she's five months pregnant, tweeting pics of she and new hubby Matt Hahn embr… READ MORE
Owen Wilson's Little Boy Takes First Steps!
Actor Owen Wilson proudly watched as his son Robert Ford took his first steps in Santa Monica, California on Tuesday.
The Midnight In Paris st… READ MORE
Hilary Duff's Baby Bump In The Buff: Happy Holidays!
Expecting first-time mother Hilary Duff showed off her little bun — or should we say, Gingerbread man? — in the oven in a creativ… READ MORE
Bah Humbug! Rod Stewart Is A Holiday Grinch, Flips Off Cameraman
Rod Stewart's hair isn't the only thing sticking straight up.
The raspy-voiced musical legend wasn't in the holiday sp… READ MORE
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Mariah Carey's adorable 7-month-old twins Moroccan and Monroe have made their MTV debut, appearing alongside their A-lister mom an… READ MORE
It's A Boy! Fantasia Welcomes Her First Son
By Debbie Emery – Radar Reporter
Former American Idol winner Fantasia Barrino has given birth to a baby boy!
Dallas Xavier Barrino was born on Tuesd… READ MORE
Katherine Heigl Tells Ellen: I Want More Kids!
By Amber Goodhand – Radar Reporter
Katherine Heigl sits down with daytime talk show queen Ellen DeGeneres on Wednesday and revealed that she wants m… READ MORE
Expectant Dad Robert Downey Jr. Says He's Having A …
It looks like Robert Downey Jr. will be buying blue.
The A-lister, appearing on the Tonight Show with Jay Leno Monday, said he's expecting a so… READ MORE
Angels Grace The Runway For Victoria's Secret Fashion Show!
by Radar Staff
The annual Victoria's Secret Fashion Show aired Tuesday night on CBS, and viewers got enough eye candy to cause a bellyache with 38 of t… READ MORE
Kourtney Kardashian: 'I'm Pregnant!'
by Radar Staff
Just as Star Magazine reported last week, Kourtney Kardashian has confirmed she's expecting her second child with partner Scott Disick.
Guy Ritchie On Marrying Madonna: 'I Stepped Into A Soap Opera'...
Sherlock Holmes director Guy Ritchie unveils some of the mystery behind his 8-year union with Madonna, telling the new issue of Details maga… READ MORE
Miranda Kerr Dishes On $2.5 Mil Bra, Natural Childbirth, & Orland...
A-list husbands, $2.5 million bras, pap-friendly toddlers — it's all a day in the life of supermodel Miranda Kerr.
The 28-year… READ MORE
Lindsay Price & Curtis Stone Welcome Baby Boy!
Top Chef Masters star Curtis Stone and Eastwick beauty Lindsay Price are the proud parents of a baby boy, RadarOnline.com has learned.
Jessica Simpson Shows Off Growing Baby Bump At Bronx's Birthday Party...
A casually dressed Jessica Simpson — and her baby bump — were on full display on a chilly Los Angeles Monday, as the multi-talent… READ MORE
Nick Cannon: 'I Get Pulled Over Like Once A Week…Because I'...
Nick Cannon was snapped Wednesday on the red carpet of the Google Music Launch party at Mr. Brainwash Studio in Los Angeles, though it was what … READ MORE
Rachel Zoe Takes Adorable Baby Skyler Morrison Shopping For New Clothe...
By Leah Ornstein – Radar Style & Beauty Editor
Watch out Harper Beckham – you aren't the only baby rocking designer duds around town!
Stylist-to… READ MORE
Victoria Beckham And Baby Harper Are High-Flying Fashionistas!
By Leah Ornstein – Radar Style & Beauty Editor
Baby Harper is rapidly racking up her frequent flier points!
Victoria Beckham and her adorable bu… READ MORE


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Press release from Business Wire
Macy's and Paramount Pictures Join in a Special Nationwide Promotion for the Release of "KATY PERRY: PART OF ME" in Theatres July 5

 Retail Powerhouse Offers Fans Free Movie Tickets to New Film,
Katy Perry to Perform on Macy's 4th of July Fireworks® TV Special

Friday, June 29, 2012
Macy's and Paramount Pictures Join in a Special Nationwide Promotion for the Release of "KATY PERRY: PART OF ME" in Theatres July 509:00 EDT Friday, June 29, 2012 NEW YORK (Business Wire) -- To celebrate the release of the new film "KATY PERRY: PART OF ME" Macy's (NYSE:M) and Paramount Pictures have partnered to bring fans nationwide the opportunity to score free tickets to the must-see film event of the summer! On Saturday, June 30, at more than 650 Macy's locations nationwide, with any purchase of $50 or more in the Macy's MSTYLELAB departments customers will receive one ticket to the film. "We are very excited to partner with Paramount Pictures to bring our customers this amazing opportunity to experience 'KATY PERRY: PART OF ME' this summer," said Amy Kule, group vice president, National Events and Partnership Marketing for Macy's. "Our stores are not only destinations for the best fashions, they are also a hub for incredible entertainment experiences, where the public can discover and celebrate the very best of pop culture. This partnership is emblematic of this special role we play in the lives of our customers, along with the best partners in the business." As part of this special partnership, Katy Perry will kick-off the film's launch with special performances on the national broadcast of Macy's 4th of July Fireworks Spectacular on NBC, Wednesday, July 4 at 9 p.m. ET/PT, 8 p.m. PT/MT. "Macy's annual 4th of July celebration, both in stores and on television, is the perfect opportunity for us to reach a huge audience the night before Katy's new film opens," commented LeeAnne Stables, Executive Vice President of Worldwide Marketing Partnerships for Paramount Pictures. "Fans will love her performance on the Macy's show, and the very next day have an opportunity to get to know Katy even better by seeing this incredibly inspiring movie." The 3D movie music event of the summer, "KATY PERRY: PART OF ME" is a backstage pass, front row seat and intimate look at the fun, glamorous, heartbreaking, inspiring, crazy, magical, passionate, and honest mad diary of Katy. On Saturday, June 30 only, customers who purchase $50 or more at the Macy's MSTYLELAB young women and men's departments can receive one ticket worth up to $13.00 to the film. Ticket supplies are limited and will be distributed with the qualifying purchase on a first-come, first-served basis, while supplies last. Ticket vouchers offer one admission only and expire on July 13, 2012 at 11:59 p.m. ET, or when "Katy Perry: Part of Me" 3D is no longer in theaters, whichever comes first. Certificate is valid at any showing, including those designated as "no coupons, no passes" in local theater listing guides. For theater locations, please visit www.hollywoodmoviemoney.com. Katy Perry is a global superstar whose albums have generated a string of #1 hit singles and multi-platinum sales during the past four years. The special edition Teenage Dream: The Complete Confection, available now, features 3 new songs including "Part of Me," her 7th Hot 100 #1, and "Wide Awake," written for the new 3D film. About Macy'sMacy's, the largest retail brand of Macy's, Inc., delivers fashion and affordable luxury to customers at more than 800 locations in 45 states, the District of Columbia, Puerto Rico and Guam. Macy's stores and macys.com offer distinctive assortments including the most desired family of exclusive and fashion brands for him, her and home. Macy's is known for such epic events as Macy's 4th of July Fireworks® and the Macy's Thanksgiving Day Parade®, as well as spectacular fashion shows, culinary events, flower shows and celebrity appearances. Building on a 150-year tradition, Macy's helps strengthen communities by supporting local and national charities that make a difference in the lives of our customers. For Macy's media materials, images and contacts, please visit our online pressroom at www.macys.com/pressroom. About the FilmA 3D motion picture event movie, KATY PERRY: PART OF ME is a backstage pass, front row seat and intimate look at the fun, glamorous, heartbreaking, inspiring, crazy, magical, passionate, and honest mad diary of Katy. Directed by the Magical Elves team of Dan Cutforth and Jane Lipsitz (JUSTIN BIEBER: NEVER SAY NEVER), KATY PERRY: PART OF ME is produced by Academy Award®-winner Brian Grazer (8 MILE, A BEAUTIFUL MIND) of Imagine Entertainment and Katy, along with Martin Kirkup, Bradford Cobb, and Steven Jensen of Direct Management. The film's executive producers include Craig Brewer (FOOTLOOSE, HUSTLE & FLOW), Randy Phillips of AEG, Michael Rosenberg and Erica Huggins of Imagine Entertainment, and Edward Lovelace and James Hall of Pulse Films. Lukasz "Dr. Luke" Gottwald and Max Martin, who co-wrote the title song with Perry, will serve as co-producers, along with Nanette Bernstein (AMERICAN TEEN), Thomas Benski and Dan Bowen of Pulse Films, Anna Culp of Imagine Entertainment, and Archie Gips of Magical Elves.An EMI artist, Katy is represented by Direct Management Group, Inc. For more information, go to KatyPerryPartOfMe.com or follow Katy Perry on Twitter at www.Twitter.com/KatyPerry. #KP3D About Paramount Pictures CorporationParamount Pictures Corporation (PPC), a global producer and distributor of filmed entertainment, is a unit of Viacom (NASDAQ: VIA, VIAB), a leading content company with prominent and respected film, television and digital entertainment brands. Paramount controls a collection of some of the most powerful brands in filmed entertainment, including Paramount Pictures, Paramount Animation, Paramount Vantage, Paramount Classics, Insurge Pictures, MTV Films, and Nickelodeon Movies. PPC operations also include Paramount Famous Productions, Paramount Home Media Distribution, Paramount Pictures International, Paramount Licensing Inc., and Paramount Studio Group. Photos/Multimedia Gallery Available: http://www.businesswire.com/cgi-bin/mmg.cgi?eid=50327493&lang=en Macy?sOrlando Veras, email@example.com PicturesAshley Bodul, email@example.com


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Vintage Prison 3 N15
Shower scene from. Prison Girls, vintage
Prison Girls 2
Prison Bad Girls 2
prison girls escape 2
2 Crazy Prison bitch
2 Guys Abuse The Prison Guard
Prison Bad Girls 2: Drop The Soap
Prison guard Lea Lexis getting fucked by 2 inmates
Female prison punishment! Dont break the rules in this hardcore bondage female prison
horny girl's first night out of prison in 2 years
Vintage 2
vintage monique 2
Vintage Leilani 2
vintage lady 2
Vintage BBW #2
danish vintage.2
Vintage Eros 2
Geiler Vintage 2
Vintage Virgin 2 N15
Vintage german bdsm 2
Vintage tribbing glories 2
Vintage Indecent 2 N15
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