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WASHINGTON — Brian Carroll scored early in the first half and the Philadelphia Union held off D.C. United in a 1-1 draw on Sunday in a match that featured two disallowed goals and three ejections.
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Say I have the following class:
public class A
public string B { get; set; }
and the following method was used to serialize it:
public void Serialize()
BinaryFormatter b = new BinaryFormatter();
b.Serialize(new FileStream(@"C:\Temp\out.dat", FileMode.Create), new A());
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public class A // Same class
public string B { get; set; }
public string C { get; set; } // New property
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public void Deserialize()
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A deserialized = (A)b.Deserialize(new FileStream(@"C:\Temp\out.dat", FileMode.Open));
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I really dislike the idea of serialization as a persistence mechanism because it's so fragile. I would have dealt with this much earlier if I had been involved in the decision.
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Even if it's hacky "to the max", I was hoping I could do this, because I would hopefully only do it once (or until I could figure out how to fix the root of the problem).
There are dozens of these classes that have been serialized and then modified in my system already. It is not feasible to use version control to see exactly when and how each individual class changed.
I'm currently trying to figure out a way I can retain "old A"'s settings before the user tries to deserialize the object to the "new A" format and I have to 1) try, 2) catch, 3) swallow the error, and finally 4) recreate A with default values (based on the new object definition).

subset: commoncrawl


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You are here > Home > Hall of Merit > Discussion
Hall of Merit
— A Look at Baseball's All-Time Best
Sunday, April 17, 2005
Paul Waner
John (You Can Call Me Grandma) Murphy Posted: April 17, 2005 at 08:05 PM | 8 comment(s) Login to Bookmark
Related News:
Reader Comments and Retorts
Statements posted here are those of our readers and do not represent the BaseballThinkFactory. Names are provided by the poster and are not verified. We ask that posters follow our submission policy. Please report any inappropriate comments.1. John (You Can Call Me Grandma) Murphy Posted: April 17, 2005 at 08:11 PM (#1264846)
"Them Waners! It's always the little poison on thoid and the big poison on foist!"2. Dr. Chaleeko Posted: April 17, 2005 at 09:10 PM (#1264927)
...and two great nicknames were born!
Speaking of born, he's the only HOFer born on my birthday (April 16th), and will soon be the only HOMer on my birtday.3. Howie Menckel Posted: April 18, 2005 at 03:14 AM (#1265745)
wishing the belated Happy Birthday to Dr. Chaleeko, and these possibly exaggerated notes from baseballlibrary.com....4. Trevor P. Posted: April 18, 2005 at 08:17 PM (#1267568)
"Always a threat to break up a ball game but never a party, Waner had the sharpest bloodshot eyes in baseball. He hit doubles and triples during games and drank them after. Nonetheless, he amassed 3,152 hits with good power.
One year he announced he was on the wagon, but when his batting average hovered around .250, his manager personally shepherded him to his nearest watering hole. Within a few weeks, he was back over .300."
I just wanted to take this opportunity to thank Paul Waner for hitting something like .380 with 20 HRs for my Tony Larussa Baseball 2 team seven or eight years ago.5. Kelly in SD Posted: April 20, 2005 at 08:41 AM (#1272481)
It was mentioned how good his hitting was in the PCL. Here are the numbers from Daguerrotypes. These are his age 20-22 seasons.6. Howie Menckel Posted: April 14, 2007 at 03:35 PM (#2334801)
year Gms ABs Rns Hts 2B 3 HR RBI avg. slg.
1923 112 325 054 120 30 4 03 039 .369 .514
1924 160 587 113 209 46 5 08 097 .356 .492
1925 174 699 167 280 75 7 11 130 .401 .575
He led the league in avergae in 1925.
POs As Es Pct
230 16 12 .953
284 28 10 .969
744 36 18 .977 (I guess he switched to CF this year)
Pirates are finally retiring his number on July 21.7. Paul Wendt Posted: April 14, 2007 at 04:15 PM (#2334814)
This was an interesting anecdote from the mlb.com story:
Dick Groat received batting help from Waner as a rookie in 1952.
"Paul Waner had a batting cage out in Harmarville," Groat recalled. "And this was my rookie year and I was struggling. George Sisler was the hitting instructor with the Pirates and he helped me tremendously..... I got to know Waner and went out to his driving range and batting range in the morning before a night game, when we were home, probably two or three days a week.
"He was the greatest -- I loved him. He had to be 55 or 60 at that time and he could still hit. He'd get in the batting cage and show me this and show me that. In fact, he even held the bat differently than most of us. It was almost like he held it like a golf club. I mean 55 or 60 years old and still be able to hit line drives -- it was amazing."
He had to be 55 or 60 at that time and he could still hit.8. Howie Menckel Posted: April 14, 2007 at 08:45 PM (#2335039)
He celebrated his 49th birthday, April 6.
Groat to Wendt: "Hey, Paul, I'm on a roll here - work with me!"
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Our HistoryWestfield School was founded in 1960 by a group of enthusiastic parents who saw the need for a new type of girls' independent school with a broader curriculum than those offered at the time by other Newcastle schools.
They decided to establish a girls' school on the Gordonstoun model. Henry Brereton, a former Headmaster of Gordonstoun, was a founder trustee consultant and an adviser from the beginning. He remained a Governor of Westfield after retirement from Gordonstoun. Miss Ellen Bicknell's PNEU School, situated at 1 and 3 Westfield Grove, Gosforth, was purchased and became the Junior House. Demand for places grew rapidly. Within a year Oakfield House, the former home of Sir Cecil Cochrane, was purchased for the senior girls.
The original prospectus describes the aims of the school: This school will seek to develop latent qualities and aptitudes in the belief that every child has certain gifts and should be encouraged to use them, irrespective of whether they conform to a conventional pattern. We aim to provide a high standard of academic education while at the same time giving each girl a sense of individual worth, whatever her gifts.
Special attention would be paid to music, art and craft, drama and speech training as well as outdoor activities and emphasis would be placed on Christian principles.
During the past 50 years the school has not lost sight of the aims of its founders, placing great emphasis on combining academic excellence with educating the whole person. It was a natural step in 1991 for Westfield to be admitted into membership of Round Square, an international group of schools which share the same holistic view of education based on the thinking of Kurt Hahn, the founder of Gordonstoun. Since then Westfield has received The Schools Curriculum Award for combining academic excellence with a broad, balanced curriculum enriched from the local community and environment.
The school has flourished and grown in recent years: in 1996 the acquisition of Ashfield Towers on Kenton Road, adjacent to Senior House, led to the relocation of Junior House allowing Westfield to offer an all through education for girls from three to eighteen on a single six acre site in the heart of Gosforth.
In this Section
Live Feed
Happy Summer Holidays!
08 July 2016
We hope you all have a lovely Summer break. The Autumn term begins on Thursday 8th September 2016.
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Transport from Ponteland and the Coast
07 July 2016
We are pleased to announce that from September 2016 we will be arranging transport from Ponteland and the Coast to Westfield.
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Breakfast Club at Westfield
07 July 2016
We are pleased to announce that from September 2016 we will be introducing a Breakfast Club at Westfield.
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Junior and Senior places available for September 2016
09 June 2016
There are still places available in our Junior and Senior House for September 2016.
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Round Square Conference at Samworth Academy
09 June 2016
Today girls from Upper Three and Lower Four are on their way to the Round Square Regional Conference at Samworth Academy.
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Art and Design Show - 26.05.16
20 May 2016
On Thursday 26 May there will be an Art and Design Show showcasing work from Westfield's GCSE and A-Level students.
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May Open Mornings
10 May 2016
We are holding whole school Open Mornings on Friday 20th May and Monday 23rd May from 9:30am to 12:30pm. Come along to find out more about the Top Performing School for GCSE in Newcastle and Northumberland.
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Camellia Masquerade Ball 2016
25 April 2016
Tickets are available now for this year's Camellia Ball which will take place on Saturday 2nd July at the Marriott Hotel, Gosforth Park.
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Junior and Senior places available for September 2016
15 April 2016
We still have Junior and Senior places available for September 2016.
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Hotels near White Water
Search & Compare White Water Hotels
Deal of the day
Trending now in Branson
- Most bookedLodge Of The Ozarks
192 people looked at this hotel in the last hour
Most recent review
"The VALUE room was nice and clean BUT the bed was harder than the FLOOR... I went to the front desk and asked if the Premium room beds were different.. Front desk said they didn't think so. But I can check if I wanted to... I did and the beds were a HUGE improvement over our room... They GLADLY..."
A Traveller, Jun 2016, US
85 people looked at this hotel in the last hour
Most recent review
"Older building that needs upgraded. We were only using the rooms for showering and sleeping, and the shower was strong and clean and the bed was comfortable and sheets were clean. Beyond that, cobwebs in the corner, coffee pot still had coffee in it, light bulbs burnt out, door jam was busted and..."
A Traveller, Sep 2015, US
76 people looked at this hotel in the last hour
Most recent review
"Room was great and location was awesome. Free Breakfast and wi-fi was good. Service could have been improved by keeping extra towels and toiletries at the counter."
A Traveller, May 2016, US
58 people looked at this hotel in the last hour
53 people looked at this hotel in the last hour
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"Clean, quiet, it's nice that it's located behind the Duttons theater right off the strip. Great customer service and great price!"
A Traveller, May 2016, US
36 people looked at this hotel in the last hour
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"Hotel was right off the highway 76. Close to alot of events and restaurants. Hotel was clean and affordable. They had biscuits and gravy and waffles for breakfast. The hotel was a little older, but still had some charm. Staff was friendly. Check in and out was a breeze. I would stay again."
A Traveller, Jun 2016, US
33 people looked at this hotel in the last hour
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"We were there for 3 nights and 3 days.. It was really nice.."
A Traveller, Sep 2015, US
20 people looked at this hotel in the last hour
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"Weekend getaway. Price was fair Room was outdated, bed was uncomfortable. The bathroom was small and looks like it's on the dirty side. It's not dirty just the walls were beat up shower head was falling apart. The 2 pools were nice my son enjoyed them! Hotel was in a great location for anything a..."
A Traveller, Jun 2016, US
15 people looked at this hotel in the last hour
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"Good breakfast. Windsor was being remodeled so we had to stay next door."
A Traveller, Mar 2016, US
8 people looked at this hotel in the last hour
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"I wasn't sure what to expect but was pleasantly surprised. The mangers were so friendly and helpful. Ownership changed in the last 3 months and you can really tell theses managers care about their jobs. The room was very clean. The tub and shower were huge with great water pressure. The beds were..."
A Traveller, Dec 2015, US
Map of White Water hotels
- Silver Dollar City
- Branson Landing
- Table Rock Lake State Park
- Dixie Stampede Dinner Attraction
- Sight and Sound Theatres
- Tanger Outlets
- Branson Convention Center
- Moonshine Beach
- Titanic Museum
- Dogwood Canyon Nature Park
- Grand Country Indoor Mini Golf
- Ripley's Believe It or Not
- Andy Williams Moon River Theater
- Holiday Hills Golf Club
- College of the Ozarks
- Lawrence Welk Champagne Theater
- The Mansion
- Mansion America Theater
- Starlite Theatre
- Presley's Country Jubilee Theater
White Water hotels - Branson
Whether it's a cheap White Water hotel, a 5 star White Water hotel or a family friendly White Water hotel, Hotels.com has the best accommodation for your stay.
If visiting White Water is a must, then be sure to check out our detailed location mapping to find the best hotel closest to White Water, Missouri.
Our map based hotel search can be accessed from the above map image on this page (or via standard search results) and with the locations of each hotel shown clearly around White Water you're able to refine your search within Branson or Missouri based upon other nearby landmarks and neighbourhoods as well as transport options to help you get around. If you're driving be sure to also check the hotels for onsite parking.
To get the best hotel deals near White Water you can also filter by price/ average nightly rate and if you're concerned with quality, you can also filter by star rating and our own guest review rating.
As well as our Hotels.com guest reviews, we also display reviews from Expedia for White Water hotels and the TripAdvisor White Water hotels review score on each of our Branson hotel information pages.
If you're visiting White Water, Branson with the family or in a group, be sure to check out the room options and facilities we list for each hotel to ensure we help find the perfect hotel for you.
When you've made your booking for your hotel near White Water, in our confirmation email we'll also send you information on all nearby attractions as well as directions on how to get to your chosen hotel and the weather forecast, helping you to plan your trip.
To get yourself an even better deal on hotels near White Water, Branson why not sign up to our Welcome Rewards program? It's free and when you stay 10 nights at any eligible hotel you receive 1 night free*
We have White Water hotel deals, even White Water last minute deals and offers to get you the cheap est White Water hotel with our lowest price gaurantee.


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The Thrilling Excruciations of Modern Dance
By APOLLINAIRE SCHERR
Published: September 16, 2001
IF you see a lot of dance, you've probably had the experience of inviting a thoughtful, sophisticated arts enthusiast to a completely awful show that was supposed to be wonderful and having him sigh, "I guess I just don't like dance."
All of it? The show may have been painful, but this reaction — imagine someone saying after a bad movie that he guesses he doesn't like film, or after a bad meal that food really isn't his thing — just kills you, especially when it involves the daredevil of the family: modern dance.
Your date could have been benumbed by a ballet, but the fact that he would have shared the evening with 3,000 other people, and they couldn't all be wrong, might have made him more forgiving. When the theater to which you've brought him is the size of a shoebox and there are still empty seats, when the performers constantly catch his eye, when he doesn't know how to convert feeling like a freak into feeling pride in his unusual taste, then he is likely to feel foolish. Duped. How is it, he thinks, that the other eight million New Yorkers knew to stay away but not his dumb friend?
Today's modern dance has demonstrated a willingness to entertain in exchange for a few more audience members. "Choreographers want to make dance fun to see again," said Wendy Perron, the New York editor of Dance Magazine. "There's the feeling, `We don't want modern dance to be like going to church anymore.' " As one seasoned choreographer, worn out by his itinerant lifestyle and underclass standard of living, put it: "I'd love to sell out. Just tell me how."
I couldn't. What is the logic in 75,000 New Yorkers turning out to the Gagosian Gallery in Chelsea to gawk at Damien Hirst's 20-foot anatomical model and not even a hundredth of that number curious about the live bodies — odd! awkward! nude! — of Boris Charmatz's troupe around the corner at the Kitchen?
Visual art movements and attitudes ranging from 50's expressionism to the anti- illusionism of 60's Minimalists and Conceptualists, the show-all-the-seams homeliness of the 70's and the identity art of the 80's and 90's all have had parallels in dance. Modern dance and visual art are still fellow travelers, with both lately indulging a clean, crisp, emotionally flat though occasionally outrageous, post-Minimalist kitsch.
But contemporary gallery and museum art glows with attention and lucre while modern dance, surviving on a diet of instant noodles and staticky sound systems, is as pale and wan as ever.
Now that they're willing, why don't choreographers get to be must-see sensations with big, hip followings? Why do you have to be a "dance lover" to love downtown modern dance?
I posed the question to some of the most committed dancegoers in New York — the curators, writers, educators, editors and presenters behind the annual New York Dance and Performance Awards, otherwise known as the Bessies after the meddlesome and much-loved teacher of choreography, Bessie Schönberg, who died in 1997.
The 17th annual Bessies, produced by Dance Theater Workshop and awarded to choreographers, dancers, performance artists and collaborators (set and costume designers, composers et al.), will take place on Friday at the Joyce Theater in Manhattan. They honor those who "spend a lot of time in studios and have a belief system like medieval armor to get them through the days and nights," said David White, the Bessies' founder and, with Laurie Uprichard of Danspace, their executive director.
"The awards celebrate significant acts or lives of imagination," he said, "so that they don't get lost." Not all of the awards go to modern dance — the Bessies' purview includes the whole gamut of performance art and dance. But whether the awardee was Susan Marshall, Savion Glover or Karen Finley, all honored early in their careers, the awards have been prescient.
Prestigious though they are, they haven't saved modern dance from its marginal status, which, committee members suggested, emerges from the intrinsic qualities of the art form. While modern dance adjusts to the times, it nurtures at its core an essential capacity to put people off.
Modern dance sprouts dialects each year, but still has no King's English. Even Merce Cunningham, who freed a generation of choreographers to explore the drama of movement-in-itself, seems to have lost whatever influence he once exerted to shape modern dance's future.
Regal power exercised to set and limit the terms of an art form can also poison it: we should be thankful modern dance has no Royal Academy to police its development and resist the play that keeps it alive. But even its insiders — choreographers, dancers, presenters — lack a taxonomy for the various dialects as well as an adequate nomenclature. "Modern dance," to take a prominent example, has come to mean anything from modernist dance to dance that updates the modernist tradition to present- day dance. Depending on who's talking and what troupe is being talked about, the term can serve as a synonym for "experimental dance" and "downtown dance," or not. So how is a neophyte to negotiate the field?
Piece by piece.


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Wild-haired Aussie comedian Tim Minchin will headline a night of all star comedy at Hyde Park next month.
The musical comedian will bring his band to British Summer Time at Hyde Park on Thursday, July 10.
The bill also includes oddball one-liner Milton Jones, Jonathan Creek actor and QI regular Alan Davies, ventriloquist superstar Nina Conti and outspoken Londoner Gina Yashere.
The legendary Jasper Carrot will be the special guest host.
Other headliners already announced for British Summer Time at Hyde Park include Arcade Fire on July 3, Black Sabbath on July 4, The Libertines on July 5, McBusted on July 6, Neil Young on July 12 and Sir Tom Jones on July 13.
Tickets for the comedy night on July 10 go on pre-sale for Barclaycard customers tomorrow at 9am at barclaycardunwind.com and general sale from 9am on Friday (June 6) at bst-hydepark.com and cost £29 for general admission or £35 for terrace seating.
- David Bowie musical heading for London
- PICTURED: Gangsta Granny raids Bromley jewellers
- Late-night spectacular Labirinto to bring Brazilian performance to Forest Hill before Rio Olympics
- Blue's Antony Costa and co-stars tell us why they can't wait to bring Save the Last Dance for Me to Bromley
- Get ready to find out the secrets of the movies as the Hollywood Special Effects Show blasts into Kingston and Bromley


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I obtained a Ph.D. in Applied Mathematics from the University of California, Berkeley, and a B.S. in Applied and Computational Mathematics from the California Institute of Technology.
My general mathematical interests include functional analysis, harmonic analysis, numerical analysis, differential and integral equations, numerical linear algebra, and mathematical and computational biology, chemistry, and physics.
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MARION, Ohio (AP) - The thousand-mile journey to the Texas border was supposed to bring the Guatemalan teenagers to a better life. Instead, it was the beginning of a terrible ordeal: Prosecutors say they were fraudulently plucked from U.S. custody by conspirators posing as friends or family who forced them to work as virtual slaves.
SEATTLE (AP) - Three gun rights groups, including the National Rifle Association, sued the city of Seattle on Monday over its adoption of a so-called "gun violence tax," a tax on firearms and ammunition designed to help offset the financial toll of gun violence.
WASHINGTON (AP) - Sign-up season for President Barack Obama's health care law doesn't start for another couple of months, but the next few days are crucial for hundreds of thousands of customers at risk of losing financial aid when they renew coverage for 2016.
RALEIGH, N.C. (AP) - As 12-year-old Bonnie Sanders Burney soared over a 40-foot ravine at her sleep-away camp in the Blue Ridge Mountains, the tether attaching her to a dual zip line snapped - plunging her to her death.
CUPERTINO (AP) - Apple shares helped lead the stock market on a steep dive Monday morning, but the tech giant made a partial recovery after CEO Tim Cook assured a popular Wall Street commentator that his company is still doing well in China.
GARDEN CITY, N.Y. (AP) - Giulia Pugliese is a typical teenager. She likes to look good, and she's particular about what she wears.
PLAINS, Ga. (AP) - The Sunday school lesson was familiar: When your burden grows heavy, ask God for strength. But the message carried a more powerful and personal meaning than usual because of who delivered it: Jimmy Carter.
ORLANDO, Fla. (AP) - The prosecutor who gained national attention as a key player in the unsuccessful murder prosecution of Casey Anthony said Sunday that he committed no crime and never followed through with an affair on the cheating website, Ashley Madison.
SAN ANTONIO (AP) - A federal judge in California has ordered the government to release immigrant children from family detention centers "without unnecessary delay," and with their mothers when possible, according to court papers.
BELEN, N.M. (AP) - A group of people in New Mexico say they cooked the world's longest tamale Saturday morning.
NEW YORK (AP) - Broadway put on a very different kind of matinee on Sunday: dozens of bare-chested women and men parading down the Great White Way to Times Square.
WASHINGTON (AP) - Many Americans, especially public-school parents, give low marks to rating a teacher based partly on how students perform on standardized tests, according to a survey.
RENO, Nev. (AP) - A Nevada sheriff is promising to crack down on any crime occurring in the Black Rock Desert at next week's Burning Man festival.
FORT BENNING, Ga. (AP) - The first two women to pass the Army's notoriously difficult Ranger School impressed male classmates left in their dust during road marches and proved their mettle as teammates by helping carry heavy weapons when others were too fatigued to lift another ounce.
NEW YORK (AP) - Did you know you can add a pronunciation guide to your name on Facebook? Overlay colorful text on the photos you post? How about mark the end of a relationship without your 500 closest friends getting notified?
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LOS ANGELES (AP) - Anthropologist Susan Phillips had spent a career examining the graffiti that covers urban walls, bridges and freeway overpasses.
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Green Day's Rock Opera American Idiot Comes to San Jose
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The last date listed for Green Day's American Idiot was Sunday June 9, 2013 / 6:30pm.
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The Phantom of the Opera: The Spectacular New Production
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Featured review from mei
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Great! But should've come with ear plugs, it was very loud!
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Excellent show. Lots of energy. Great seats.
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Picking up the tickets was fine. I loved the choreography but the music was way too loud for my taste. There were a couple of softer songs that I truly enjoyed. I knew going in about the show but I spent the evening with my late teenaged...continued
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From start to finish energetic performances by the cast. Seating is comfortable, but bring a sweater as it gets quite cool during the show. Music and singing was excellent with a surprise ending from the cast at the end of the play.


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BrightonUnited Kingdom
April 25, 2013
It's full of smiles !
I'm Ramsay, I run an online media channel that supports local and global visionary projects.
A brilliant initiative that I will continue to be involved in and support in any way possible
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Neal McDonough and Ruve McDonough have been married since 1st Dec 2003. [view couple]
Neal P. McDonough (born February 13, 1966) is an American film, television, actor and voice actor, known for his portrayal of Lieutenant Lynn "Buck" Compton in the HBO miniseries Band of Brothers (2001), Deputy District Attorney David McNor...ris on Boomtown (2002–2003), and Dave Williams on ABC's Desperate Housewives (2008–2009). He also appeared in films such as Walking Tall, RED 2, Traitor, and as Dum Dum Dugan in various Marvel Cinematic Universe films and TV series. He currently appears as Damien Darhk on Arrow.
Connect any celebrity with Neal McDonough to see how closely they are linked... romantically!
he looks awesome in tin man


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Would more people adopt sick animals from animal shelters if there was a program in place offering them discounted veterinarian bills and medicine?
The Democrats gave Donald Trump Jr. an "F" for his speech at the Republican convention, and the Republicans gave him a "B+". How would you grade his speech?
States are suing over federal government rules requiring public schools to allow transgender students to use restrooms conforming to their gender identity. Do those state have a case?
Do you support Gloversville's new garbage law, which requires buildings with four or more apartments to provide their own garbage pickup service?
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text:
Presented in part at the EuroSIVA Annual Scientific Meeting, Vienna, May 2005.
Original articles
The effect of propofol on patient reaction time and its relationship with loss of verbal contact before induction of anaesthesia*
Version of Record online: 15 NOV 2012
DOI: 10.1111/anae.12035
Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland
Volume 68, Issue 2, pages 148–153, February 2013
Additional Information
How to Cite
Anderson, K. J., Allam, S., Chapman, R. and Kenny, G. N. C. (2013), The effect of propofol on patient reaction time and its relationship with loss of verbal contact before induction of anaesthesia. Anaesthesia, 68: 148–153. doi: 10.1111/anae.12035
- †
You can respond to this article at http://www.anaesthesiacorrespondence.com
Publication History
- Issue online: 9 JAN 2013
- Version of Record online: 15 NOV 2012
- Accepted: 9 September 2012
- Abstract
- Article
- References
- Cited By
Increasing the calculated plasma concentration of propofol has been shown to increase choice reaction time and visual and auditory response times. We studied the relationship of reaction to a vibrating handset as the effect-site target-controlled propofol concentration was incrementally increased in 20 patients during sedation, before induction of general anaesthesia. The reaction time increased, initially slowly and then more rapidly, as the calculated effect-site concentration of propofol increased, until the reaction to the vibrating handset was lost at a mean (SD) propofol effect-site concentration of 2.0 (0.6) μg.ml−1. The loss of response to verbal contact occurred at a propofol effect-site concentration of 2.4 (0.5) μg.ml−1. Reaction time may be of use clinically to warn of impending loss of verbal contact.
Patient-maintained sedation with propofol allows the patient to control a target-controlled infusion of propofol, and hence his/her level of sedation, using a hand-held demand button. We previously found this technique to be safe and effective in patients having oral surgery and it allowed more rapid titration of, and recovery from, sedation when compared with operator-administered midazolam [1–3]. In volunteer studies, however, some subjects were able to reach potentially unsafe levels of sedation (minor arterial oxygen desaturation or loss of verbal contact) when deliberately attempting to over-sedate themselves. This was despite altering the lockout time on a plasma concentration-driven patient-maintained sedation system [4, 5], or delivering propofol using a target effect-site (brain) concentration-driven system [6]. In that study, some volunteers were able to press the drug demand button successfully despite being over-sedated, suggesting that the inability to do so cannot be relied upon to prevent over-sedation.
Previous studies have shown that choice reaction time and visual and auditory response times all increase as the calculated plasma concentration of propofol increases [7–10]. The aim of this study was to examine the effect of incrementally increasing the calculated effect-site concentration of propofol on the patient's reaction time, particularly as the patient approaches loss of verbal contact and hence over-sedation. The primary objective of this study was to characterise the relationship between the predicted effect-site concentration of propofol, reaction time and the patient's level of sedation with particular reference to the point of loss of verbal contact. With this knowledge, reaction time might be useful in a feedback loop with the aim of preventing loss of verbal contact and improving the safety of a patient-maintained sedation system.
Patients of ASA physical status 1 or 2 and undergoing elective surgery under general anaesthesia were recruited following local Research Ethics Committee approval and informed written consent.
A target-controlled infusion system (Graseby 3500; Smiths Medical International Ltd, Ashford, UK) based on the Marsh pharmacokinetic model with a t½ ke0 (half-life of the equilibration constant) of 2.6 min [11] was used to increase the target effect-site concentration of propofol incrementally until the patient lost consciousness, after which a laryngeal mask airway (LMA) was inserted and anaesthesia and surgery continued as normal. Software and hardware modifications were made to enable reaction time monitoring. A push- button handset was connected to the infusion system, which in turn was connected to a laptop computer via a serial port. The handset was programmed to vibrate at intervals of 1 min and measurement of reaction time in milliseconds was recorded as the time taken to press the push-button on the handset once it had vibrated. The measured reaction times and the corresponding calculated effect-site concentrations were logged and displayed on a laptop computer in a spreadsheet.
Ethics Committee approval was initially obtained to recruit 20 patients. We planned to record two baseline reaction times before commencing the propofol infusion. The two times were to be averaged and used as that particular patient's baseline reaction time. However, after 10 patients, it became clear that there was some learning involved in responding to the handset vibration and that two baseline reaction times would be insufficient to obtain an accurate average individual baseline reaction time. In addition, the initial increases in target effect-site concentration of propofol were made in increments of 0.5 μg.ml−1. It became evident that these increments were too large to allow us to monitor events accurately in the important time window when loss of verbal contact occurred. Further local Research Ethics Committee approval was gained for an additional 10 patients and, thus, to recruit a total of 30 patients (10 using the original protocol and 20 with the new protocol using three baseline reaction time measurements, and smaller (0.2 μg.ml−1) incremental increases of the target effect-site concentration of propofol).
An intravenous cannula was sited and the patients were monitored throughout the study period using ECG, peripheral blood oxygen concentration, and non-invasive blood pressure measurements. These values and the respiratory rate were recorded before administration of propofol and every 5 min throughout the study and thereafter. Oxygen was administered using a Hudson mask at 4 l.min−1 until the point where verbal contact was lost, after which a standard anaesthesia facemask was used to provide oxygenation via a Bain system until the patient was ready for LMA insertion.
Before sedation, three baseline reaction times were recorded, of which the second and third were averaged and used as that patient's baseline reaction time. Propofol sedation was commenced at a target effect-site concentration (Ce) of 1 μg.ml−1 and the handset set to vibrate at intervals of 1 min to measure reaction time. The target effect-site concentration was then manually increased in increments of 0.2 μg.ml−1 every 2 min to allow equilibration at each increment of the plasma and the effect-site concentrations, and stabilisation of the clinical effect. The patient's sedation score (using the Observer's Assessment of Alertness/Sedation scale (OAAS) [12]) was also recorded along with each reaction time measurement. The increases in the target effect-site concentration continued, even if the patient could no longer respond to the handset vibration (defined as no response or reaction time > 6 s), until the patient reached an OAAS score of 1 (unresponsive) and was ready for LMA insertion, after which the study ended and the patient's surgery continued as planned.
This study was a pilot study and a power calculation was not performed. Descriptive data were calculated using Excel 2008 for Mac (v12.3.1 Microsoft Corporation Redmond, WA, USA). Statistical analyses were performed using SPSS (v 14.0; IBM Corporation, Armonk, NY, USA). The comparisons of reaction time baselines were performed using paired Student's t-tests. Probit analysis was undertaken using proportions of patients at each effect-site concentration to construct dose–response curves.
In the 10 patients who were initially studied (in whom Ce propofol increments of 0.5 μg.ml−1 were used), the increase in reaction time was extremely variable. The mean (SD) reaction time at the increment 0.5 μg.ml−1 before the increment at which there was loss of response to the vibrating handset was 188 (96) % of baseline. However, three out of 10 patients had a shorter reaction time than their measured baseline time. This suggested that there might be a learning effect when reacting to handset vibration. On closer analysis of the two baseline measurements, the second measurement was an average of 81% (95% CI 65–98%, p = 0.03) of the first, confirming a learning effect.
Using the revised protocol, 20 patients scheduled for minor surgery were studied: 13 men and seven women. The mean (SD) age was 35 (9) years; weight 82 (17) kg; baseline peripheral blood oxygen saturation 99 (0.7) %; heart rate 70 (11) beats.min−1; and mean arterial pressure 108 (14) mmHg. The mean (SD) second reaction time was 536 (161) ms and the third was 539 (187) ms, with an average baseline reaction time of 538 (162) ms. The third baseline measurement was an average of 102% of the second baseline measurement (95% CI 92–112%, p = 0.91). During the study period, the mean (SD) fall in peripheral blood oxygen saturation was 0.4 (1.1) %, the mean (SD) fall in heart rate was 1 (10) beats.min−1 and the mean (SD) fall in mean arterial pressure was 21 (12) mmHg. All patients completed the study period successfully without any adverse events.
The mean (SD) effect-site concentration of propofol at which the patients stopped responding to the vibrating handset was 2.0 (0.6) μg.ml−1. The relationship between effect-site concentration and reaction time for each individual is shown in Fig. 1. As the effect-site concentration of propofol increased, sedation scores for each individual patient reduced until they lost verbal contact. The mean (SD) effect-site concentration at which the patients lost verbal contact was 2.4 (0.5) μg.ml−1. Two patients had already lost verbal contact at the point at which they lost response to the vibrating handset. Probit analysis was used to analyse the proportion of patients not responding to the vibrating handset and verbal contact at each increment of propofol. The constructed dose–response curves are shown in Fig. 2. The effect-site concentration at which half of patients (Ce50) lost response to the vibrating handset was calculated as 1.6 (95% CI 1.5–1.7) μg.ml−1, and Ce50 for loss of verbal contact was calculated as 2.3 (95% CI 2.2–2.4) μg.ml−1.
Because there was a large variation in the effect-site concentration of propofol at which each patient stopped responding to the vibrating handset, we reanalysed our results using the effect-site concentration at this point (loss of response to vibrating handset, CeLOR) as the index point and plotted the relationship between the reaction time for all patients and the effect-site concentration for the five increments of 0.2 μg.ml−1 before the loss of response to the vibrating handset (that is from 1.0 to 0.2 μg.ml−1 less than this point for each patient) as shown in Fig. 3. The OAAS score at each of these sedation increments is shown in Fig. 4.
Increasing the calculated plasma concentration of propofol increases choice reaction time, and visual and auditory response times [7–10]. The aim of this study was to investigate the relationship between an increasing calculated effect-site propofol concentration, patient reaction time and sedation score more closely, in particular to ascertain if an individual patient's increasing reaction time during sedation could be used to monitor their sedation level.
In the initial phase of this study, we demonstrated a significant change in measured baseline reaction time between the first and second measurement. This is a well-recognised effect when studying reaction times where learning or practice improves performance [13], but makes averaging these two values unsuitable for use as a baseline. In the next phase of the study, we measured three baseline reaction time measurements; there was no significant change between the second and third measurements, suggesting a more stable baseline. We therefore averaged the second and third reaction times to give the baseline against which the subsequent effects of propofol were compared.
Notwithstanding the unstable reaction time baseline in the initial phase, increasing the effect-site concentration of propofol in increments of 0.5 μg.ml−1 also appeared too large to provide detailed information on the change in reaction time before the loss of response to verbal contact. Therefore, we also adjusted the incremental increases in propofol concentration to 0.2 μg.ml−1, allowing us to study this relationship in greater detail. We demonstrated that patient reaction time increases slowly with initial increases in the effect-site concentration, until a point, which is very variable between patients, where reaction time lengthens rapidly (Fig. 1). These results are strikingly similar to those demonstrated by another group looking at the effect of propofol on reaction time [8].
Due to this wide variability, we reanalysed the data to look at the mean change in patients' reaction time at the five incremental increases of effect-site concentration propofol leading up to concentration at which there was loss of response to the vibrating handset. This revealed a more constant relationship with reaction time initially lengthening slowly until one increment before the loss of response to the vibrating handset, at which the mean reaction time was 172% of baseline measurement (Fig. 3). Following this point, which appeared to indicate imminent loss of response, reaction time lengthened much more rapidly until there was no response to the handset. We hypothesise that within a patient-maintained propofol sedation system, a slowing from the baseline of less than this value of 172%, to allow for a margin of safety, could be fed back into the system to prevent any further increases in the effect-site concentration of propofol. Further studies would be required to evaluate the safety and utility of this observation in practice.
After constructing dose–response curves by probit analysis, we can estimate the likely therapeutic index of propofol for sedation. The Ce50 for loss of response to the vibrating handset and the Ce50 for loss of verbal contact are separated by 0.7 μg.ml−1. This is equivalent to more than three propofol increments of 0.2 μg.ml−1. This suggests that it should be possible to separate the clinical decrement of reaction time associated with sedation by propofol with loss of verbal contact by allowing small increments of propofol and checking the reaction time between these.
We also noted that in seven out of the 20 patients, the reaction time fell in the initial stages of sedation, especially up to an effect-site concentration of 1 μg.ml−1. This has not been previously reported to our knowledge [7, 8], and one explanation is that it could represent a learning effect on measuring reaction time after the initial baseline measurement (coincidental with propofol administration). More speculatively, it could represent improved performance process associated with anxiolysis. The relationship between psychomotor testing and anxiety/arousal appears complex [14, 15], may be U-shaped, and the interpretation of this phenomenon in the context of current knowledge is far from straight forward. A patient-maintained propofol sedation system may have to account for this, perhaps by resetting the baseline reaction time if subsequent reaction time measurements were less than 100% of baseline.
The main strength of this study is the association of the known slowing of reaction time with propofol administration to the transition from sedation to general anaesthesia, namely loss of verbal contact. The main limitation is the limited number of patients studied. A power calculation was not performed, because there were no similar studies available to use. However, a similar number of patients have been included in previous studies of this type [8]. Our results should, therefore, be considered a pilot study and the data interpreted with caution, or used to power a larger study to confirm our findings.
In summary, increasing the effect-site concentration of propofol causes a prolongation of the measured reaction time in a characteristic manner. This happens at a lower dose than that at which the patient loses verbal contact, suggesting that measuring the reaction time could be used as an individualised patient feedback method to avoid loss of verbal contact.
We thank Martyn Gray of Anaesthesia Technology Ltd for the modification to the target-controlled infusion system to enable reaction time monitoring.
Competing interests
No external funding and no competing interests declared.
- 1Patient-maintained sedation for oral surgery using a target controlled infusion of propofol – a pilot study. British Dental Journal2003; 194: 43–5., , .
- 2A partially blinded randomised controlled trial of patient maintained propofol sedation and operator controlled midazolam sedation in third molar extractions. Anaesthesia2004; 59: 853–60., , , et al.
- 3Evaluation of a new effect-site controlled, patient-maintained sedation system in dental patients. Anaesthesia2006; 61: 345–9., , , , , .
- 4Safety of patient-maintained sedation using a target controlled system in healthy volunteers. British Journal of Anaesthesia2000; 85: 299–301., , .
- 5Patient-maintained propofol sedation: a follow-up safety study using a modified system in volunteers. Anaesthesia2001; 57: 387–403., , .
- 6Effect-site controlled patient maintained sedation: a volunteer safety study. Anaesthesia2005; 60: 235–8., , , .
- 7Blood propofol concentration and psychomotor effects on driving skills. British Journal of Anaesthesia2000; 85: 396–400., , , .
- 8Evaluation of a new method of assessing depth of sedation using two-choice visual reaction time testing on a mobile phone. Anaesthesia2009; 64: 32–8., , , .
- 9Measuring depth of sedation with auditory evoked potentials during controlled infusion of propofol and remifentanil in healthy volunteers. Anesthesia and Analgesia2004; 99: 1728–66., , , et al.
- 10Changes in visual and auditory response time during conscious sedation with propofol. Acta Anaesthesiologica Scandinavica2004; 48: 1033–7., , , , , .
- 11Pharmacokinetic model driven infusion of propofol in children. British Journal of Anaesthesia1991; 67: 41–8., , , .
- 12Validity and reliability of the observer's assessment of alertness/sedation scale: study with intravenous midazolam. Journal of Clinical Psychopharmacology1990; 10: 244–51., , , et al.
- 13Elements of Human Performance: Reaction Processes and Attention in Human Skill. New Jersey: Psychology Press, 1998: 21..
- 14Choice Reaction Time: Basic Concepts. New York: Academic Press, 1980: 73–128..
- 15Two-dimensional anxiety: a confirmation using a computerized neuropsychological testing of attentional performance. European Psychiatry1996; 11: 344–52., , , .


text:
Ready in 30 minutes
I knew I would end up loving this or hating it but either way I knew at least I would be making a beautiful salad.
23 people want to try | 39 have favorited
Put onions in a bowl and add the juice from 2 limes and let them sit for awhile, until the onions turn pink.
Cut up and the watermelon and remove the seeds. They should be rather large. Cut the feta into about the same size chunks. Put both in a large, shallow bowl. Add the chopped mint. Tear off sprigs of parsley and add to the mixture.
Pour the onions and their juices over the watermelon. Add the oil and olives. Gently toss the salad with your hands careful not to mush up the watermelon. Add pepper and taste to see if it needs more lime.
I also cut up a lime so that each person can add more to their serving if they want.
adamatomboy 5y agoExcellent use of watermelon
reeve 7y ago[I posted this recipe.]


text:
I didn't think Italy would have places like this. It was difficult to find and not exactly what you might imagine an Italian hotel to be. Thankfully we had a bottle of wine to drink so we could forget where we were. Couldn't get out of there soon enough in the morning. This place is supposed to be on the outskirts of Pisa. If you can find it you are a genius. It is located in a spot that is not easily accessible to any highway, so escape was painful. I can find no good reason to stay here unless you can't find anywhere else to stay.
Property: Hotel SextumAddress: Via Iacopo del Polta 51, 56031 Bientina, Italy
Location: Italy > Tuscany > Province of Pisa > Bientina
Bar / Lounge Business Center with Internet Access Free Breakfast Free High Speed Internet ( WiFi ) Free Parking Pets Allowed ( Dog / Pet Friendly ) Room Service Wheelchair access
Ranked #1 of 1 Hotels in Bientina
Price Range (Based on Average Rates): $
Hotel Class:3 star — Hotel Sextum 3*
Number of rooms: 19
- Official Description (provided by the hotel):
- Tailored for Your business travel, tourism and relax. Conveniently located just a few minutes ' drive from Pisa airport, the FI -PI -LI motorway and A11 Firenze Mare highway, Hotel Sextum is ideal for business travelers. The Reception is available to give a warm welcome 24 hours a day. Particularly cozy is the nice TV/reading room located on the ground floor where our Guests can have a relaxing break or take advantage of the bar / cafeteria for a snack or a cup of coffee. The 19 rooms are comfortable with modern furniture and all well lit by large windows overlooking the countryside and surrounding hills. Also part of the in-room amenities are free WI -FI connection, telephone, safe, mini bar, air conditioning and LCD flat-screen TV with satellite channels. The tidy breakfast room with a rich buffet will give the Guests the "Good Morning" everyday. For business appointments is also available a large meeting room. Other amenities include air conditioning in public areas , free parking (external, unattended) and a lift. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Expedia, Hotels.com, Booking.com, Travelocity, Hotwire and Priceline so you can book your Hotel Sextum reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- Sextum Hotel Bientina
- Hotel Sextum Province Of Pisa/Bientina, Italy


text:
I was very satisfied with my purchase from MisterArt.com. It certainly won't be my last -- the delivery was on time, and there were no mistakes made in my order. Very refreshing!
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ChromaTemp Artists' Tempera Paint Sets
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text:
dmdull1 on Feb 4, 2016
Everything is as advertised. A1 + for service and merchandise and knowledge of product. Very pleased with everything. Will probably do business again.
Anna Howe on Nov 7, 2015
Very nice piece. Excellent quality. Shipping time excellent.
Nicole Cotterell on Oct 9, 2015
Beautiful craftsmanship and detail. Lovely little dragon pendant. Thank you.
A Jewelry & Crafts Lifer
My husband & I started our business in our home soon after we were married. We originally offered Gemstones we had cut in our Fabricated Silver Settings then we added Karat Gold settings to the mix. We started our First Brick & Mortar Store in 1989.
A couple of years later we started offering Gemstone Bead Jewelery that i designed & made. As our son began to grow up he started to help around the shop, assisting customers and designing manufacturing jewelry. In the early 1990's we started to cast Sterling Silver, Karat Gold Jewelry & Bronze Figurines & Jewelry. Then in the mid 1990's, we began designing & Manufacturing our own line of Black Hills Gold & Gold on Silver Jewelry.
I started my Etsy Shop as away to help my/our in store clients purchase my/our goods without having to cross the country or oceans to shop for the Jewelry & Crafts that my Husband our Son & I have made.
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text:
The Clumsy Ghost
Alastair Jessiman
This book is available for download with iBooks on your Mac or iOS device, and with iTunes on your computer. Books can be read with iBooks on your Mac or iOS device.
In this entertaining anthology of seven new ghost stories, written especially for Naxos AudioBooks, we meet all kinds of phantoms in different situations: a kind-hearted but accident-prone spectre unwittingly upsetting a family home, as well as ghosts in ancient Egypt, on board a pirate ship, and in a Newcastle swimming pool. Engaging and slightly sinister, The Clumsy Ghost and Other Spooky Tales is a delightful shiver for all the family.
- £3.49
- Category: Ghost
- Published: 07 August 2012
- Publisher: Naxos Audiobooks
- Print Length: 200 Pages
- Language: English


text:
Kinetic Energy Penetrator Payload for EX 172 Cargo Round
Award Information
Small Business Information
4845 Millersport Highway P.O. Box 305, East Amherst, NY, 14051
Principal Investigator:
Randy Salizzoni
Principal Engineer
(716) 689-0177
Principal Engineer
(716) 689-0177
Business Contact:
James Barnes
(716) 689-0177
(716) 689-0177
Research Institution:
AbstractVeritay proposes to continue development of an expulsion system for a 5-inch gun round that dispenses numerous kinetic energy penetrators as the round approaches the target. One of the most important aspects of the design involves devising a system for effectively dispensing the payload from inside the round to create a uniform penetrator pattern over a large footprint. Additionally, they must be dispersed at a high-velocity in a controlled manner to ensure maximum penetration and lethality. An existing round, the MK-182 Kinetic-Energy Electronic-Timed round, dispenses tungsten alloy BBs out the rear of the projectile at a velocity of 150 ft/sec. The objective of the proposed Phase II effort is to develop a system that will deploy the non-energetic payload in the forward direction rather than the rearward direction. In so doing, the payload kinetic energy can be increased by 2-5 times, thereby substantially increasing the lethality of the round. The specific objectives of the Phase II effort are to refine the Phase I design to maximize the forward payload expulsion velocity and improve the penetrator dispersion characteristics. The development effort will focus on component development and integration with a full-scale functional demonstration at the conclusion of the Phase II program.
* information listed above is at the time of submission.
An Official Website of the United States Government


text:
Xbox 360
Xbox 360
Nov 26, 2005 2:10AM PST
I didnt get one, and never will (well maybe someday). Too expensive. But I'm wondering, WHO GOT IT, AND HOW DO YOU LIKE IT?
Comments (3)
xbox 360Posted: Nov 29, 2005 12:00AM PST by homer_i_am.1up.com
what up? I dont have one but some of the people that i work with have it and they say that it is a big dissapointment the games arent good at all and the only one they say is good is call of duty 2 but they say it isnt even a good war game medal of honor is better.


text:
Lladro Sad Sax # 5471 Clown Playing Saxophone Figurine Mint In Box 1988
This item has been shown times.
Lladro Sad Sax # 5471 Clown Playing Saxophone Figurine Mint In Box 1988 :
- Great Lladro Clown playing the saxophone figurine titled Sad Sax # 5471
- Glossy finish
- Made in Spain
- Sculptured by Francisco Catala in 1988
- Sad Sax stands 9.25" tall
- Marked on bottom as shown
- Mint condition in original box
- Please view all of the photos as they are part of the description and intended to help you determine age, condition and authenticity
- Please see payment details below before offerding
- This be shipped USPS priority
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Import duties, taxes, and charges are not included in the item price or shipping cost. These charges are the buyer's responsibility.
Please check with your country's customs office to determine what these additional costs will be prior to offerding or buying.
Lladro Sad Sax # 5471 Clown Playing Saxophone Figurine Mint In Box 1988 :
Nadal Porcelain Figurine/young Girl With Blue Teddy Bear
Lladro Figurine - "treasures Of The Earth" In Original Box
Llardo 06141 Kitty Cart Figurine Collectable 1994 Nib Collectable Figurine
Nadal Porcelain Fugurine Boy With Dog & Tree Trunk Nwt
Lladro Nao Figurine "man's Best Friend" Fulgencia Gracia 10" Tall
Lladro-"butterfly Treasures " In Original Box


text:
Hi all,
I am a beginner. Here is the problem I encounter:
When I first got my hosting service, I used the Weebly Drag to test out some pages in my website. Then, I downloaded and installed WordPress from the cPanel of my hosting server. Now I have created my pages through WordPress and published them. However, when I load my website, the home page is still the test pages I created via Weebly Drag, although I can somehow see my WordPress pages. Apparently, the pages I created with WordPress does not erase the old pages. These two system coexist. From my WordPress pages, I can go to the Weebly pages when I hit "HOME" in the menu bar; from my Weebly pages, there is no way I can return to the WordPress pages.
My question is: 1) how do I get rid of the Weebly pages completely; 2) if I want to keep these Weebly pages, how can I load my WordPress pages as my home page.
I hope I make myself clear. Sorry for my lack of terminologies. Please help.


text:
When one drops a girl, or boy, on their head and the has sex with them when they are unconscious.
Yo I totally gave this girl Annie a headbanger last night at my party. And then I motorboated her. She loved it.
by Glen Coco March 13, 2007
The funniest sexual position ever. Involves...the girls head banging on the ground. Amazing.
"I tried the headbanger last night. Yea, the doctor says she has a mild concussion, but she says she wants to do it again. So what the hell.
by K-rizzle November 29, 2004
bitches that are down to give head deeptroating trics
that bang there head
that bang there head
she gives good head she is a good head banger
by johnnie mack brown April 02, 2008
a headbanger is someone who bangs the head of the penis into the back of thier throat or down the throat while giving head.
last night i headbanged my boyfriends large cock, until i started to choke.
by brittanylynn May 02, 2005
When a girl takes her man's penis and looks it dead in the eye, says "come here yah little guy" and bangs it repetedly against her forehead.
1st rule... NEVER put it in your mouth. thats so 80's.
1st rule... NEVER put it in your mouth. thats so 80's.
DAMN! THAT BITCH GAVE ME AN AMAZING HEADBANGER LAST NIGHT... and it made me sore.
by Bob Saggot April 04, 2005
A sociopath , who when left alown in a room with a tea cosy , will try it on ! alternately a masochist who needs a good whipping every now and then .
look at that hairy nude dude with the funny hat , he must be a real ´HeadBanger´
by zombie November 19, 2004
someone who earns respect
Someone who can fight.
someone associated with gangs and murder.
Someone who can fight.
someone associated with gangs and murder.
head banger by R.A.R.E
by CERTiFiEDSHAWTY February 12, 2005