text:
Free personalized radio that
plays the music you love
RZ Challenge
Features of This Tracktechno roots
four-on-the-floor beats
electronica influences
danceable beats
subtle buildup/breakdown
use of modal harmonies
a tight kick sound
a slow moving bass line
light synth fx
subtle use of staccato synths
a dry recording sound
a highly synthetic sonority
subtle use of noise effects
trippy soundscapes
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.show more
Similar Tracks
Don't have a Pandora account? Sign up
Already have a Pandora account? Log In


text:
Upcoming Showsno upcoming shows listed
No articles found
Past Shows
Sat. June 18th 2016
@ Fernwood (NRG) Community Centre (All Ages)21st Annual FernFest! Leisure Club, Deep Sea Gypsies, The Choir, Zoubi and the Sea, Masala World Percussion, DJ Waxstatic
Fri. June 17th 2016
@ Fernwood (NRG) Community Centre (All Ages)21st Annual FernFest! Chance Lovett and the Broken Hearted, Leisure Club, Tight Hair, Blackwood Kings, Bučan Bučan, Deep Sea Gypsies, The Choir, Zoubi and the Sea, Slim Sandy and the Hillbilly Boppers, The Fernwood Coalition, Wise Child, Masala World Percussion, The Half Moon Shine , Johnny Dangus, Brothers in Farms , DJ Waxstatic, DJ Cold Beef
Fri. November 14th 2014
@ Copper Owl (No Minors)Deep Sea Gypsies, Hunters Night
View All Past (18)
Sat. December 21st 2013
@ Lucky Bar (No Minors)Deep Sea Gypsies, Redwood Green
Deep Sea Gypsies
Confirmed: Jan. 21, 2015 (Awaiting Update)
Label: Independant
Psycadelic Blues Hip-hop from Victoria BC
[ Contact Info]
Past Shows (18)
Evolving from Langford, BC. The Deep Sea Gypsies perform a lively set, driven by music from all decades. For some, the blues aspect is enough to encourage an encore. For others, the articulated lyrics inspired by hip-hop have crowds raising their glasses.
Past albums:
Clement Rd.
Chilco Rd.
Peatt Rd.
No audio samples have been linked to this profile.
Deep Sea Gypsies -- Rock & Roll Queen (Official Music Video)
In this Video Artist(s) Deep Sea Gypsies
Posted: Jan. 21, 2015
Status: Available for Shows/Gigs
- Last confirmed Jan. 21, 2015
Submit info on this band to our admins

subset: commoncrawl


text:
It's not our event but it is a local club of great people that put on a great event. We are still working on our event site issues but in the mean time we can still have some fun!
Things are looking up!
Just wanted to spread the word a bit, we have a few things in the works and may be running again soon.
I don't want to share the details until we have something more concrete but I will update everyone as soon as we do.
Keep those fingers crossed!!!
Sad News About Future Events
It wasn't that long ago that I had to announce that our events at Eastgate had been canceled. Now I regretfully have to make the same announcement about our events at the Jet Port.
Yesterday we were notified by the Jet Port, that the FAA had contacted the Jet Port concerning our events. Apparently it is the opinion of the FAA that the Jet Port is to be used exclusively for Aircraft and Air Transportation.
We have a thread for the lot search here: Lot Search
CRSCCA Points 1 Registration is Open!
Registration is open for out Points number 1 event on March 22nd:
I have all events set to open automatically, 3 weeks prior to the event, but I will also continue to send emails as reminders.
Thanks and hope to see you there!!!
Test and Tune for March 1st had been canceled
Regretfully we are canceling the Test and Tune event for March 1st due to weather and low registration numbers.
I know that many of you have made changes to your rides this winter and if nothing else you're itching to kill some cones, I know I am!
We look forward to seeing everyone at the March 22nd points event.
Tell everyone they need to come, we need to see a lot of people show up. If you know anyone that has been procrastinating about coming out tell them to stop
See you March 22nd!
CRSCCA Test and Tune has been postponed!
Due to weather we have postponed the Test and Tune until March 1.
Let's hope the weather is more cooperative then!
CRSCCA Test and Tune Now Open
The first event of the year is just a few short weeks away but you can go ahead and register here CRSCCA2015TandT
December Event Has Been Canceled
For more information, please go to the forum:
CRSCCA Points 10 Event Now Open
Good Morning and Happy Thanksgiving!
Registration for CRSCCA's Points 10 event is now open here:
We look forward to seeing you there and hope you have a safe and happy Thanksgiving!
2015 CRSCCA Proposed Dates
SCCA National Event dates were released on November 11, so it seems perfectly reasonable to have proposed dates for 2015 right? If you want to take a look they are in the forums here.


text:
Our son has a used GMax size Medium that fits me, but a tiny bit tight. I ordered the Large based on reviews saying this helmet ran small. Nope, had to return it for an X-Large which fits perfectly. When I talked with a GearHead with MotoSport, I was thinking of going to an XXLarge, but with his assistance, we went with the X-Large and it was perfect. The MotoSport GearHead's are so helpful!
Scorpion VX-34 Scream Helmet
Unfortunately, we no longer carry this item. It may be discontinued or have just sold out.
Please contact Customer Service (1-866-667-6288) or search for another product if you continue to see this message.
Find other: Scorpion Helmets
- Description
- 7 Reviews
- 2 Questions
- Premium Polycarbonate shell.
- Impact absorbing EPS.
- Cooling ventilation system.
- Tooless changeable Mouthvent with washable sponge filter.
- Replaceable and washable KwickWick2 Liner set (including crown piece and cheek pads.
- Removable and washable Mudguard protecting from injury.
- Air inflatable cheek pad with AIR PUMP - AirFit.
- Aerotuned design.
- Certified DOT / ECE R22-05.
Read More
This is my first off road helmet so I can only compare it to my Arai's. Size dose run small and if you hate breaking in gear go with next size up. The air pump for cheek pads are cool but I don't think I'll need them anytime soon. Its a bit heavier than I would of liked but its built well. Can't go wrong with style & price. I feel well protected and I'm happy with it.
one of the best helmets I have ever used. equivalent to helmets that cost triple what this one does.
Sizing is a little off, I suggest buying one size larger than normal, otherwise great helmet. Cool graphics and inflatable cheek pads make this a helmet worth buying!
I love this helmet! Great product for the price. The inflatable cheek pads provide a snug fit. I would recommend buying 1 size larger, sizing is a little off, but excellent helemt...will buy another when replacing other helmets.
Knowing nothing about the sport, it's ofter difficult to select gear for the moto enthusiast ! However, Motorsport, their reps and this site has given me the knowledge to make great gift selections! I purchased this helmet based on safety, comfort and the graphics were killer! This helmet does not run true to size and if you should consider purchasing one size larger than normal for the perfect fit! Other than that and for the price, this helmet is perfect! I was concerned that the goggles would not fit snug in this opening, but they did and my Joe was thrilled with it! Just as he is all the gear I buy for him from Motosport! Gentleman, if you have a wife or girlfriend, you should tell them about Motosport's website! Women love to shop! Let the reps help them to know what they are buying and you will soon be getting the best gear at the best prices! Best yet, Motosport has solidified my relationship! Really!!!!
The Helmet looks amazing and the shipping was fast and up to date with the tracking. cant wait for the rest of my gear to arrive. I will continue shopping here for all my purchases.
Read More
If you want comfort right away get a size larger than what you would normally order.
Hope this helps.
Read More


text:
Your browser does not support iframes.
New Zealand, Auckland, Full Time
27 Jul, 2016
Are you an experienced Registered Nurse who loves variety and building long term patient relationships? This Practice Nursing role will see you shine
Job Category: Healthcare & Medical
New Zealand, Auckland, Full Time
26 Jul, 2016
Are you wanting to take that next step in your career ladder, yet enjoy the work life balance that the adventure capital of the world has to offer?
Job Category: I.T. & T
With an incredible pipeline of work ahead of them, this Gold Partner Vendor is hunting for an outstanding Senior Functional Consultant to join their A
New Zealand, All New Zealand, Full Time
26 Jul, 2016
My client is a global player with an exceptionally talented team of professional experts & looking for perfect fit for their Auckland team.
With continual growth and exciting bodies of work, my client is now hunting for an experienced BA/PM to add to their exceptional Auckland team
SAP Test Manager Permanent Role (Wellington or Auckland New Zealand)
Help companies transform their marketing function and capability in to one which uses marketing automation to its full extent.
Your chance to work for a growing organization in an autonomous and rewarding role!
Job Category: Accounting
New Zealand, Christchurch, Full Time
26 Jul, 2016
Work for a company that has an excellent reputation in the market for top quality products.
Job Category: Engineering
New Zealand, Rest of NZ, Contract
25 Jul, 2016
Digital technology - you know all the boundaries...and you strive to go beyond
Job Category: Education & Training


text:
0 ReviewsWrite a Review
Write a review for a chance to win a $1,000 gift card. See details.
'Biarritz' Ceramic Bezel Rubber Strap Watch
Product not available
Have questions?
Chat with us or call 1.888.282.6060.
HideDetails & Care
Crystal indexes glamorize the croc-detailed dial of a preppy watch sporting a logo-etched ceramic bezel.
- Buckle closure.
- Approx. band length: 180mm.
- Approx. band width: 20mm.
- Approx. case diameter: 38mm.
- Water-resistant to 3 ATM (30 meters).
- Ceramic/rubber/mineral crystal/crystals.
- By Lacoste; imported.
'Biarritz' Ceramic Bezel Rubber Strap Watch
Write a Review0 Reviews
Write a review for a chance to win a $1,000 gift card. See details.
Enter a valid first name.
Enter a valid last name.
Enter a valid email address in the format: email@example.com.
Close modal


text:
Major Recommendations
ACR Appropriateness Criteria®
Clinical Condition: Known or Suspected Congenital Heart Disease in the Adult
|Radiologic Procedure
|US echocardiography transthoracic resting
|MRI heart function and morphology without and with contrast
|See statement regarding contrast in text under "Anticipated Exceptions."
|Cardiac catheterization with angiocardiography
|Adjunctive to noninvasive imaging for hemodynamic measurements and when intervention is needed.
|X-ray chest
|MRI heart function and morphology without contrast
|CT heart function and morphology with contrast
|May be alternative to MRI and TTE/TEE. High spatial resolution to evaluate small and tortuous vessels. For evaluation of airway.
|US echocardiography transesophageal
|May be appropriate as an adjunct to TTE for further evaluation of valves and septal defects.
|MRA chest (noncoronary) without contrast
|For great-vessel assessment and to evaluate associated vascular abnormalities.
|MRA chest (noncoronary) without and with contrast
|For great-vessel assessment and to evaluate associated vascular abnormalities. See statement regarding contrast in text under "Anticipated Exceptions."
|CTA coronary arteries with contrast
|When there is a high index of suspicion for fistula or anomalous coronaries.
|CTA coronary arteries with contrast with advanced low dose techniques
|Important in young to middle-age adults because of reduced radiation dose.
|Tc-99m ventriculography
|Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate
|*Relative Radiation Level
Note: Abbreviations used in the table are listed at the end of the "Major Recommendations" field.
Summary of Literature Review
Congenital heart disease (CHD) has been estimated to occur in approximately 0.4% to 1% of live births. The number of adult patients in North America with CHD has increased over the past three decades. Although this increase is attributable in part to growth of the adult population, it also results from a number of other causes, notably improvements in surgical treatment that have translated to improved survival, which is greater than 90% at 10 years. A review of data from the National Center for Health Statistics and the Centers of Disease Control and Prevention showed a 39% decline in reported mortality from CHD in the United States between 1979 and 1997. In North America, more than 500,000 adults have had surgically treated CHD, with nearly 50% requiring two or more operations and 23% requiring three or more. The increasing prevalence of adult CHD and its rise in health care utilization are demonstrated by the doubling of adult CHD hospitalizations in the U.S. between 1998 and 2005. In particular, patients with more severe CHD (tetralogy of Fallot, truncus arteriosus, transposition complexes, endocardial cushion defects, and univentricular hearts) are living longer such that the numbers of adults and children alive with severe CHD have become nearly equal over the past decade. The recent Canadian Cardiovascular Society 2009 Consensus conference suggests that there are currently more adults with CHD than children.
Congenital heart lesions may become symptomatic at any time from birth until adulthood. Several common congenital heart defects often survive into adulthood. These include bicuspid aortic valve, congenital forms of mitral valve prolapse, aortic coarctation, atrial septal defect (ASD), pulmonary valve stenosis, patent ductus arteriosus, and tetralogy of Fallot. Uncommon congenital cardiac defects that may present in adulthood include Ebstein's anomaly, corrected transposition of the great vessels, pulmonary arteriovenous malformation, coronary artery anomalies, and sinus of Valsalva aneurysm. Approximately 10% of patients with common CHD survive undetected until adulthood. The most common congenital heart defect in children, ventricular septal defect (VSD), may escape detection and present in adults either as a small, physiologically insignificant defect or as a large defect with Eisenmenger physiology. Anomalies of the great arteries such as complete transposition and total anomalous pulmonary venous drainage are usually symptomatic, whereas less significant anomalies such as a persistent left superior vena cava and many anomalies of the origin of the great vessels from the arch are often asymptomatic.
Imaging procedures for the diagnosis of known or suspected CHD in the adult include plain chest film radiography, fluoroscopy, echocardiography (transthoracic and transesophageal), nuclear scintigraphy, cardiac-gated computed tomography (CT), magnetic resonance imaging (MRI), and cardiac catheterization and angiography. The physician trying to diagnose these often-complex conditions needs complete and reliable information that includes details about intercardiac anatomy, vascular anatomy, hemodynamics, and function. Adults with CHD also have acquired comorbid factors related to aging, such as hypertension, atherosclerosis, coronary artery occlusive disease, pulmonary disease and renal disease, which may complicate their medical and/or surgical management. When comorbid factors are present and in some congenital conditions (e.g. anomalous coronary artery, univentricular heart), the capability of the myocardium to meet metabolic and physiologic needs may be uncertain. In these instances, reference should be made to the ACR Appropriateness Criteria® related to the evaluation of myocardial ischemia (see the National Guideline Clearinghouse [NGC] summary of the Chest Pain, Suggestive of Acute Coronary Syndrome and Chronic Chest Pain – High Probability of Coronary Artery Disease ).
Chest Radiography
The initial work-up of adults with known or suspected CHD usually includes a posteroanterior and lateral chest radiograph. Occasionally the radiograph will be the first study to alert the radiologist and the clinician to the possibility of a congenital cardiac defect or great-vessel anomaly. This simple and inexpensive examination remains a first-line test for patients with suspected CHD.
The chest radiograph quickly illustrates gross cardiac and mediastinal contours, pulmonary vascularity, pathologic calcification, and the presence of certain indwelling metallic devices. It also provides an assessment of cardiac size, cardiac configuration, and position of the aortic arch. The situs of the abdomen and thorax can usually be determined. Thoracic cage anomalies associated with CHD and postoperative changes may also be detected. The chest radiograph continues to be a useful tool for the initial assessment of the patient with surgically treated CHD.
Transthoracic Echocardiography
Transthoracic echocardiography (TTE) remains a first-line imaging examination in adults with known or suspected CHD. This test has long been established as a clinically useful diagnostic modality for CHD in children, often eliminating the need for cardiac catheterization in uncomplicated lesions. Although adults present certain technical problems related to the need for lower frequency transducers, limited acoustical windows, and postoperative changes, this examination provides a unique, 2-dimensional (2D), real-time evaluation of the anatomic and hemodynamic relationships of intracardiac lesions.
TTE is widely available, reproducible, safe, and painless. As such it remains a valuable tool in the investigation of CHD.
Echocardiography using color flow Doppler is essential for evaluating blood flow as seen across an atrial defect or a VSD or across a valve. Assessment of the valves (sclerosis, fusion, estimation of valve gradients) and determination of right ventricular systolic pressure can usually be achieved.
TTE, however, has difficulty in consistently providing high-quality clinically useful information in some adult patients with intracardiac defects. Imaging of the great vessels with TTE is difficult even in children and is even more problematic in adults who have poorer acoustical windows. In these situations, transesophageal echocardiography (TEE) and MRI have roles to play. Echocardiography also suffers from intraobserver variability in terms of examination reproducibility.
Current 2D TTE is limited by a field of view of 90 degrees and the need for the examiner to assimilate tomographic slices into a 3- or 4-dimensional diagnosis. The recent development of a rotational acquisition format with dynamic volume rendering has allowed presentation of TTE in a 3-dimensional (3D) display. In one study, 3D echocardiography was found to be particularly useful, when compared to 2D echocardiography, for evaluating mitral valve, aortoseptal continuity, and the intra-arterial septum. While 3D echocardiography can provide more information than traditional 2D techniques, it has been reported to be nondiagnostic in up to 27% to 48% of patients secondary to inadequate quality from morbid obesity, narrow intercostal spaces, and severe pulmonary emphysema.
Transesophageal Echocardiography
TEE has clear advantages over TTE in adolescents and adults with CHD. TEE can provide a new or altered diagnosis (14%) or new information (56%) in adults with CHD. New information obtained with TEE as compared to TTE includes identification of the atrial appendages and atrial septum, delineation of systemic and pulmonary venous connections, improved morphologic assessment of the atrioventricular junction and valves, improved definition of subaortic obstruction, improved definition of the ascending aorta and coronary arteries, and better evaluation of atrial baffle function and Fontan anatomy. Limitations of TEE include limited planes of view, poor visualization of specific regions (e.g., apical-anterior septum and right ventricular outflow tract), and blind areas created by masking of flow by implanted prosthetic material. Areas that may be difficult to visualize on TEE are the right ventricular outflow tract, the pulmonary valve, the distal right pulmonary artery, and the proximal left pulmonary artery. With the addition of the vertical axis in the newer probes, these problem areas, as well as the pulmonary veins, are better seen.
The standard TEE is an invasive examination that requires administration of a local anesthetic to the pharynx and intravenous midazolam in small doses. In large studies, it has been shown that the examination may be unsuccessful in up to 5% of patients due to their inability to tolerate the probe after intubation. Another 4%-5% of patients have the examination while under general anesthesia as part of invasive or surgical procedures. Although the risk of bacterial endocarditis from TEE is small, and prophylactic antibiotics are not routinely administered, endocarditis has been attributed to the procedure.
TEE is clearly operator dependent. In an area as complex as CHD, the examiner must be trained to interpret the findings in real time so that important information is not missed.
Radionuclide Imaging
Although quantitation of cardiac shunts is feasible using technetium Tc 99m first-pass techniques, it is seldom used today. There are, however, a few selected uses for radionuclide imaging in evaluating adults with CHD. Left ventricular dysfunction is known to complicate certain long-standing congenital heart defects associated with right and left heart volume overload. Left ventricular radionuclide scintigraphy with ejection fraction calculation can be a useful noninvasive technique for evaluating these patients. Gated radionuclide scintigraphy can improve risk assessment in patients with single or systemic right ventricles by assessing heart failure and ventricular dysfunction. In some adult patients with abnormal pulmonary blood flow patterns related to conditions such as pulmonary artery agenesis, perfusion lung scanning may assist in the diagnosis. Congenital anomalies of the coronary artery origins, notably anomalous origin of the coronary artery from the pulmonary artery and interarterial anomalous coronary artery, may result in myocardial ischemia and/or silent infarction, which can be identified using stress/rest radionuclide single photon emission computed tomography (SPECT) imaging. Stress/rest radionuclide SPECT imaging can also be used to evaluate myocardial perfusion and function of the systemic right ventricle in patients following repair of transposition of the great vessels, in which perfusion defects can commonly (54%) be seen on long-term follow-up.
Computed Tomography
Cardiac-gated CT and CT angiography (CTA) can contribute valuable information about congenital abnormalities of the coronary arteries and thoracic aorta, including the identification of vascular rings and postoperative complications such as pseudoaneurysm. CT is widely available and has a short acquisition time, reducing the need for sedation. The exposure to radiation, however, has limited the use of CT in the pediatric population with CHD. It requires the use of contrast media with their potential for adverse effects, but such effects occur less often with the newer low-osmolality agents.
Current CT scanners can evaluate the entire heart and great vessel region in a 3D matrix of CT information. Cardiac gating is not always necessary but it is needed for evaluating small intracardiac connections and coronary artery anomalies, and to detect cardiac isomerism. Essentially all types of congenital cardiac malformations have been accurately described using cardiac-gated CT. Cardiac-gated CT has been used to calculate cardiac output, shunt flow, pulmonary-to-systemic flow ratios, ventricular volumes, ejection fraction, regurgitant volumes, and myocardial mass. CT is limited in evaluation of the interatrial septum and membranous portion of the ventricular septum and is not currently used to assess flow patterns and turbulence.
CT is advantageous in its ability to evaluate extracardiac anatomy such as the airway, sometimes eliminating the need for more invasive conventional tracheobronchoscopy. Compression of the airway may be present in CHD due to abnormal enlargement or an abnormal path of vasculature. Thin-section virtual tracheobronchoscopic images using surface rendering technique enables 3D and comprehensive evaluation of the airway. Inspiratory and expiratory CT imaging is useful in evaluating tracheomalacia in patients with vascular anomalies. Additionally, due to its high spatial resolution, CT is useful in assessing smaller and tortuous vessels as commonly seen in disorders such as total and partial anomalous pulmonary venous return and tetralogy of Fallot with pulmonary atresia. CT can also be used as an alternative to MRI in patients with contraindications to MRI and in patients with metallic implants that may limit the use of MRI.
Recent advances in cardiac CT imaging technology allow for further reduction of the radiation dose from traditional coronary CTA (CCTA) techniques. Available new dose-reducing techniques include prospective triggering, adaptive statistical iterative reconstruction, and high-pitch spiral acquisition. These techniques provide the anatomic detail needed to evaluate many congenital heart diseases.
Magnetic Resonance Imaging
MRI is invaluable for evaluating CHD. Without the concerns related to exposure to ionizing radiation or the use of iodinated contrast agents, it can provide morphologic and functional information essential for detecting and managing CHD. Traditional "black-blood" techniques (e.g., spin-echo MRI and double inversion recovery fast spin echo) are useful for delineating basic cardiac and pericardiac anatomy. "Bright-blood" techniques, notably using newer cine steady-state free-precession pulse sequences, can demonstrate flow abnormalities (e.g., a flow jet) related to lesions such as an interventricular or interatrial septal defect, valvular insufficiency, valvular stenosis, outflow obstruction, or aortic coarctation. Parallel imaging and newer k-space schemes can shorten the acquisition times in most instances such that cine bright-blood imaging can be performed during a short breath hold. Bright-blood techniques also enable volumetric coverage of cardiac chambers for determining cardiac metrics such as ventricular volumes, ejection fractions, and myocardial mass. Longer acquisitions as may be required for coronary magnetic resonance angiography (MRA) are typically performed using navigator respiratory gating methods.
Phase contrast techniques demonstrate directional blood flow information for improved identification of subtle intracardiac or extracardiac shunt lesions. Phase contrast also allows quantification of blood flow (e.g., estimation of the ratio of pulmonary to systemic blood flow [Qp/Qs]), regurgitant fractions, and pressure gradients across stenotic regions.
MRI has been used for diagnosing essentially all congenital heart and great-vessel abnormalities. It has been shown to have very high sensitivity and specificity for diagnosing common CHD. At a specificity of 90%, spin echo was found to have high sensitivity in diagnosing great-vessel relationships (100%), thoracic aortic abnormalities (94%), ASDs (91%), VSDs (100%), visceroatrial situs (100%), and the cardiac loop (100%). Pulmonary and systemic venous anomalies and right ventricular outflow obstructions are also detected with high sensitivity. Vascular rings can also be accurately diagnosed without the need for angiography. MRI can also be performed using 3D techniques for high-spatial-resolution gadolinium-enhanced 3D MRA, or to provide volumetric coverage of cardiac chambers. Time-resolved MRA has been found to provide a very high diagnostic value (92% of diagnostic parameters assessed) that included thoracic vascular anatomy, sequential cardiac anatomy, and shunt detection with high sensitivity (93%-100%) and high specificity (87%-100%).
Gradient-echo imaging acquisition viewed in a cine format facilitates physiologic measurements, including stroke volume, ejection fraction, and wall motion of both ventricles. Blood flow, valve gradients, shunt flow, regurgitant flow, and pulmonary flow can all be measured using velocity-encoded cine techniques.
MRI seems to be ideally suited for evaluating adults with suspected or known CHD. Although claustrophobia in the gantry may require sedation in a few patients, the study is noninvasive, and image quality is not affected by body habitus. MRI can provide high-spatial-resolution images even in more complex CHD without the limitation of imaging "windows" or plane as experienced during echocardiography. MRI images can be obtained in essentially any plane for improved 3D presentation of cardiac anatomy. MRI is useful as well in evaluating the postoperative patients with CHD, whether it involves a palliative procedure, a surgically created conduit, or reconstructed great vessels.
MRI, however, does have a few contraindications and limitations. For instance, pacemakers are generally considered an exclusion for MRI, although it has been performed safely in patients with pacemakers under rigorously safe conditions. The use of gadolinium (Gd) chelate contrast agents may not be possible in a patient with known severe allergy to Gd. Detection of calcification remains problematic for MRI, so adults with homografts or bioprosthetic valved conduits in whom the detection of calcification implies deterioration may not be optimally imaged. Motion and respiratory artifacts also may pose a problem on some examinations.
In terms of specific defects, MRI is probably not as accurate as color flow Doppler in visualizing small ventricular and atrial defects. Detection of valvular pathology is perhaps better achieved with TEE. Cardiac MRI studies require supervision and monitoring of the procedure by a physician who understands the clinical question and can acquire an appropriate and optimal imaging study. This is essential for consistency and reliable data.
Transthoracic and Transesophageal Echocardiography versus Magnetic Resonance Imaging
Few prospective studies are available to compare TTE and TEE with MRI. Studies limited to specific congenital lesions (coarctation of the aorta, subpulmonary and pulmonary artery anomalies) indicate that MRI gives a more reliable assessment of severity and is technically more successful than TTE. Studies comparing TTE with MRI in the evaluation of patients who have had surgical correction or palliation of CHD indicate that MRI information is additive to that from TTE. In patients who have had palliative and corrective surgery for cyanotic heart disease, MRI and TEE are equivalent for demonstrating abnormalities of the right ventricular outflow tract, main pulmonary artery, and systemic-to-pulmonary shunts. MRI is superior in demonstrating abnormalities of the right and left pulmonary arteries. When TTE and MRI are compared for imaging a variety of congenital heart lesions, MRI is comparable to echocardiography in evaluating isolated intracardiac defects but more useful in diagnosing complex congenital lesions.
Echocardiography has also been shown to have good agreement with MRI in evaluating right ventricular volumes, but echocardiography has been noted to have a much wider interobserver variation. Similar agreement has been reported between echocardiographic and MRI measurements in patients with a functional single ventricle, with MRI showing better reproducibility than echocardiography in certain measurements such as myocardial mass and diastolic volume. In the evaluation of extracardiac ventriculopulmonary conduits and the right ventricle, MRI and echocardiography can often provide complementary and diagnostic information that, when in agreement, may obviate the need for cardiac catheterization.
When TEE and MRI have been evaluated prospectively in adults with CHD, TEE is shown to be superior in evaluating intracardiac anatomy, but MRI is superior for extracardiac anatomy and is slightly better than TEE for hemodynamic and functional evaluation. Taken individually, the two modalities provided similar overall diagnostic information; however, when used in combination, they provide important complementary information in all diagnostic categories.
Cardiac Catheterization and Angiocardiography
Cardiac catheterization has been the traditional gold standard for the diagnosis and management of CHD over the past 50 years. For the past 20 years, it has been increasingly supplemented by noninvasive diagnostic modalities–initially, cardiac ultrasound and more recently, CT scanning and MRI. Advances in these technologies have been logarithmic, and it is likely that in the coming decade, both morphologic and functional assessments of this patient population will be increasingly accomplished noninvasively.
In 2001, the 32nd Bethesda Conference Task Force 1, "The Changing Profile on Congenital Heart Disease in Adult Life," suggested the use of diagnostic catheterization primarily to resolve specific issues related to surgical intervention, (e.g., preoperative evaluation of coronary arteries, assessment of pulmonary vascular disease and its response to vasoactive agents for planned surgical intervention, and/or heart or heart/lung transplantation) and as an adjunct to noninvasive assessment of morphologic and/or functional characteristics of complex CHD (e.g., for delineating arterial and venous anatomy in patients with heterotaxy, patients who are candidates for a Fontan procedure, or patients who have had previous palliation in the form of a shunt). The group further suggested that only trained and experienced operators who maintain an adequate volume of such procedures annually should perform them. The Task Force further noted that evaluation for possible interventional catheterization is an increasingly common indication for diagnostic catheterization. Catheter intervention, for instance, is commonly sought as the treatment of choice for correcting valvular pulmonary stenosis, branch pulmonary stenosis, residual or recurrent aortic coarctation, and arteriovenous aortic coarctation, and arteriovenous fistulae. Coil or device occlusion of lesions such as patent ductus or secundum ASD are other preferred interventions for treatment.
For many years, the purpose of cardiac catheterization and angiocardiography for CHD was to acquire pressure, oximetric, and morphologic data. Pressures defined gradients across stenosis and between cardiac chambers connected by defects as well as the severity of pulmonary hypertension. Oxygen saturations helped to define the volume of shunts. Morphologic data of simple and complex anomalies were obtained by cine angiograms using angulated views, contrast material, and radiation. For the most part, these studies were accomplished safely but with some morbidity (contrast reactions, renal failure, hematomas, arterial and venous injuries, radiation exposure, etc.) and a small but definite mortality.
Although cardiac catheterization continues to be performed and is still considered by many to be the gold standard in evaluating CHD, noninvasive methods increasingly limit the need for catheterization unless intervention is considered. Many simple congenital cardiac defects are now sent to surgery without catheterization. In the future, cardiac catheterization and angiocardiography may very well be reserved as a complement to these noninvasive techniques in the evaluation of adults with suspected CHD. However, until these less invasive studies provide an accurate depiction of the coronary arteries, the catheterization laboratory will continue to be involved in the assessment of this unique group of adult patients.
- TTE and MRI are frontline modalities for evaluating heart function and morphology and provide complementary information in diagnosing or assessing adult congenital heart disease.
- CT with contrast may be an alternative to MRI and TEE/TTE for evaluating heart function. The high spatial resolution of CT is helpful in evaluating smaller and tortuous vessels commonly seen in some disorders. CT is also advantageous in assessing the airway.
- Although noninvasive methods have reduced some of the need for cardiac catheterization, it still remains an important adjunct to noninvasive imaging for hemodynamic measurements and for interventions.
- MRA of the chest and CTA of the coronary arteries are important adjunctive modalities for evaluating associated vascular anomalies.
Anticipated Exceptions
Nephrogenic systemic fibrosis (NSF) is a disorder with a scleroderma-like presentation and a spectrum of manifestations that can range from limited clinical sequelae to fatality. It appears to be related to both underlying severe renal dysfunction and the administration of gadolinium-based contrast agents. It has occurred primarily in patients on dialysis, rarely in patients with very limited glomerular filtration rate (GFR) (i.e., <30 mL/min/1.73 m2), and almost never in other patients. There is growing literature regarding NSF. Although some controversy and lack of clarity remain, there is a consensus that it is advisable to avoid all gadolinium-based contrast agents in dialysis-dependent patients unless the possible benefits clearly outweigh the risk, and to limit the type and amount in patients with estimated GFR rates <30 mL/min/1.73 m2. For more information, please see the American College of Radiology (ACR) Manual on Contrast Media (see the "Availability of Companion Documents" field).
- CT, computed tomography
- CTA, computed tomography angiography
- MRA, magnetic resonance angiography
- MRI, magnetic resonance imaging
- Tc-99m, technetium-99 metastable isomer
- TEE, transesophageal echocardiography
- TTE, transthoracic echocardiography
- US, ultrasound
Relative Radiation Level Designations
|Relative Radiation Level*
|Adult Effective Dose Estimate Range
|Pediatric Effective Dose Estimate Range
|0 mSv
|0 mSv
|<0.1 mSv
|<0.03 mSv
|0.1-1 mSv
|0.03-0.3 mSv
|1-10 mSv
|0.3-3 mSv
|10-30 mSv
|3-10 mSv
|30-100 mSv
|10-30 mSv
|*RRL assignments for some of the examinations cannot be made, because the actual patient doses in these procedures vary as a function of a number of factors (e.g., region of the body exposed to ionizing radiation, the imaging guidance that is used). The RRLs for these examinations are designated as NS (not specified).
Clinical Algorithm(s)
Algorithms were not developed from criteria guidelines.
Congenital heart disease (CHD)
Guideline Category
Clinical Specialty
Family Practice
Internal Medicine
Nuclear Medicine
Thoracic Surgery
Intended Users
Health Plans
Managed Care Organizations
Utilization Management
Guideline Objective(s)
To evaluate the appropriateness of initial radiologic examinations for adults with known or suspected congenital heart disease
Target Population
Adults with known or suspected congenital heart disease
Interventions and Practices Considered
- X-ray, chest
- Ultrasound (US) echocardiography
- Transthoracic, resting
- Transesophageal
- Magnetic resonance imaging (MRI), heart function and morphology
- Without and with contrast
- Without contrast
- Computed tomography angiography (CTA), coronary arteries
- With contrast
- With contrast with advanced low dose techniques
- Computed tomography (CT), heart, with contrast
- Magnetic resonance angiography (MRA), chest (noncoronary)
- Without contrast
- Without and with contrast
- Cardiac catheterization with angiocardiography
- Technetium (Tc)-99m ventriculography
Major Outcomes Considered
Utility of radiologic examinations in differential diagnosis
Methods Used to Collect/Select the Evidence
Searches of Electronic Databases
Description of Methods Used to Collect/Select the Evidence
Literature Search Procedure
The Medline literature search is based on keywords provided by the topic author. The two general classes of keywords are those related to the condition (e.g., ankle pain, fever) and those that describe the diagnostic or therapeutic intervention of interest (e.g., mammography, MRI).
The search terms and parameters are manipulated to produce the most relevant, current evidence to address the American College of Radiology Appropriateness Criteria (ACR AC) topic being reviewed or developed. Combining the clinical conditions and diagnostic modalities or therapeutic procedures narrows the search to be relevant to the topic. Exploding the term "diagnostic imaging" captures relevant results for diagnostic topics.
The following criteria/limits are used in the searches.
- Articles that have abstracts available and are concerned with humans.
- Restrict the search to the year prior to the last topic update or in some cases the author of the topic may specify which year range to use in the search. For new topics, the year range is restricted to the last 5 years unless the topic author provides other instructions.
- May restrict the search to Adults only or Pediatrics only.
- Articles consisting of only summaries or case reports are often excluded from final results.
The search strategy may be revised to improve the output as needed.
Number of Source Documents
The total number of source documents identified as the result of the literature search is not known.
Methods Used to Assess the Quality and Strength of the Evidence
Weighting According to a Rating Scheme (Scheme Given)
Rating Scheme for the Strength of the Evidence
Strength of Evidence Key
Category 1 - The conclusions of the study are valid and strongly supported by study design, analysis and results.
Category 2 - The conclusions of the study are likely valid, but study design does not permit certainty.
Category 3 - The conclusions of the study may be valid but the evidence supporting the conclusions is inconclusive or equivocal.
Category 4 - The conclusions of the study may not be valid because the evidence may not be reliable given the study design or analysis.
Methods Used to Analyze the Evidence
Systematic Review with Evidence Tables
Description of the Methods Used to Analyze the Evidence
The topic author drafts or revises the narrative text summarizing the evidence found in the literature. American College of Radiology (ACR) staff draft an evidence table based on the analysis of the selected literature. These tables rate the strength of the evidence for all articles included in the narrative text.
The expert panel reviews the narrative text, evidence table, and the supporting literature for each of the topic-variant combinations and assigns an appropriateness rating for each procedure listed in the table. Each individual panel member forms his/her own opinion based on his/her interpretation of the available evidence.
More information about the evidence table development process can be found in the American College of Radiology (ACR) Appropriateness Criteria® Evidence Table Development document (see the "Availability of Companion Documents" field).
Methods Used to Formulate the Recommendations
Expert Consensus (Delphi)
Description of Methods Used to Formulate the Recommendations
Modified Delphi Technique
The appropriateness ratings for each of the procedures included in the Appropriateness Criteria topics are determined using a modified Delphi methodology. A series of surveys are conducted to elicit each panelist's expert interpretation of the evidence, based on the available data, regarding the appropriateness of an imaging or therapeutic procedure for a specific clinical scenario. American College of Radiology (ACR) staff distributes surveys to the panelists along with the evidence table and narrative. Each panelist interprets the available evidence and rates each procedure. The surveys are completed by panelists without consulting other panelists. The ratings are a scale between 1 and 9, which is further divided into three categories: 1, 2, or 3 is defined as "usually not appropriate"; 4, 5, or 6 is defined as "may be appropriate"; and 7, 8, or 9 is defined as "usually appropriate." Each panel member assigns one rating for each procedure per survey round. The surveys are collected and the results are tabulated, de-identified and redistributed after each round. A maximum of three rounds are conducted. The modified Delphi technique enables each panelist to express individual interpretations of the evidence and his or her expert opinion without excessive bias from fellow panelists in a simple, standardized and economical process.
Consensus among the panel members must be achieved to determine the final rating for each procedure. Consensus is defined as eighty percent (80%) agreement within a rating category. The final rating is determined by the median of all the ratings once consensus has been reached. Up to three rating rounds are conducted to achieve consensus.
If consensus is not reached, the panel is convened by conference call. The strengths and weaknesses of each imaging procedure that has not reached consensus are discussed and a final rating is proposed. If the panelists on the call agree, the rating is accepted as the panel's consensus. The document is circulated to all the panelists to make the final determination. If consensus cannot be reached on the call or when the document is circulated, "No consensus" appears in the rating column and the reasons for this decision are added to the comment sections.
Rating Scheme for the Strength of the Recommendations
Not applicable
Cost Analysis
A formal cost analysis was not performed and published cost analyses were not reviewed.
Method of Guideline Validation
Internal Peer Review
Description of Method of Guideline Validation
Criteria developed by the Expert Panels are reviewed by the American College of Radiology (ACR) Committee on Appropriateness Criteria.
Evidence Supporting the Recommendations
Type of Evidence Supporting the Recommendations
The recommendations are based on analysis of the current literature and expert panel consensus.
Benefits/Harms of Implementing the Guideline Recommendations
Potential Benefits
Selection of appropriate radiologic imaging procedures for known or suspected congenital heart disease
Potential Harms
- There is a small risk of bacterial endocarditis from transesophageal echocardiography (TEE).
- Detection of calcification is a problem for magnetic resonance imaging (MRI), so adults with homografts or bioprosthetic valved conduits in whom the detection of calcification implies deterioration may not be optimally imaged. Motion and respiratory artifacts also may pose a problem on some examinations.
Relative Radiation Level (RRL)
Potential adverse health effects associated with radiation exposure are an important factor to consider when selecting the appropriate imaging procedure. Because there is a wide range of radiation exposures associated with different diagnostic procedures, a relative radiation level indication has been included for each imaging examination. The RRLs are based on effective dose, which is a radiation dose quantity that is used to estimate population total radiation risk associated with an imaging procedure. Patients in the pediatric age group are at inherently higher risk from exposure, both because of organ sensitivity and longer life expectancy (relevant to the long latency that appears to accompany radiation exposure). For these reasons, the RRL dose estimate ranges for pediatric examinations are lower as compared to those specified for adults. Additional information regarding radiation dose assessment for imaging examinations can be found in the American College of Radiology (ACR) Appropriateness Criteria® Radiation Dose Assessment Introduction document (see the "Availability of Companion Documents" field).
Gadolinium-based Contrast Agents
Nephrogenic systemic fibrosis (NSF) is a disorder with a scleroderma-like presentation and a spectrum of manifestations that can range from limited clinical sequelae to fatality. It appears to be related to both underlying severe renal dysfunction and the administration of gadolinium-based contrast agents. It has occurred primarily in patients on dialysis, rarely in patients with very limited glomerular filtration rate (GFR) (i.e., <30 mL/min/1.73 m2), and almost never in other patients. Although some controversy and lack of clarity remain, there is a consensus that it is advisable to avoid all gadolinium-based contrast agents in dialysis-dependent patients unless the possible benefits clearly outweigh the risk, and to limit the type and amount in patients with estimated GFR rates <30 mL/min/1.73 m2. For more information, please see the American College of Radiology (ACR) Manual on Contrast Media (see the "Availability of Companion Documents" field).
- Pacemakers are generally considered an exclusion for magnetic resonance imaging (MRI), although it has been performed safely in patients with pacemakers under rigorously safe conditions.
- The use of gadolinium (Gd) chelate contrast agents may not be possible in a patient with known severe allergy to Gd.
Qualifying Statements
Qualifying Statements
The American College of Radiology (ACR) Committee on Appropriateness Criteria and its expert panels have developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). These criteria are intended to guide radiologists, radiation oncologists, and referring physicians in making decisions regarding radiologic imaging and treatment. Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. Only those examinations generally used for evaluation of the patient's condition are ranked. Other imaging studies necessary to evaluate other co-existent diseases or other medical consequences of this condition are not considered in this document. The availability of equipment or personnel may influence the selection of appropriate imaging procedures or treatments. Imaging techniques classified as investigational by the U.S. Food and Drug Administration (FDA) have not been considered in developing these criteria; however, study of new equipment and applications should be encouraged. The ultimate decision regarding the appropriateness of any specific radiologic examination or treatment must be made by the referring physician and radiologist in light of all the circumstances presented in an individual examination.
Implementation of the Guideline
Description of Implementation Strategy
An implementation strategy was not provided.
Institute of Medicine (IOM) National Healthcare Quality Report Categories
IOM Care Need
Living with Illness
IOM Domain
Identifying Information and Availability
Bibliographic Source(s)
|Ho VB, Biko DM, White RD, Woodard PK, Abbara S, Dorbala S, Haramati LB, Mammen L, Martin ET III, Rigsby CK, Ryan T, White CS, Expert Panel on Cardiovascular Imaging. ACR Appropriateness Criteria® known or suspected congenital heart disease in the adult. [online publication]. Reston (VA): American College of Radiology (ACR); 2011. 9 p. [80 references]
Not applicable: The guideline was not adapted from another source.
Date Released
1998 (revised 2011)
Guideline Developer(s)
American College of Radiology - Medical Specialty Society
Source(s) of Funding
The American College of Radiology (ACR) provided the funding and the resources for these ACR Appropriateness Criteria®.
Guideline Committee
Committee on Appropriateness Criteria, Expert Panel on Cardiovascular Imaging
Composition of Group That Authored the Guideline
Panel Members: Vincent B. Ho, MD, MBA; David M. Biko, MD; Richard D. White, MD; Pamela K. Woodard, MD; Suhny Abbara, MD; Sharmila Dorbala, MD; Linda B. Haramati, MD, MS; Leena Mammen, MD; Edward T. Martin, III, MD; Cynthia K. Rigsby, MD; Thomas Ryan, MD; Charles S. White, MD
Financial Disclosures/Conflicts of Interest
Not stated
Guideline Status
This is the current release of the guideline.
This guideline updates a previous version: Ho VB, Yucel EK, Khan A, Haramati LB, Mammen L, Rozenshtein A, Rybicki FJ, Schoepf UJ, Stanford W, Stein B, Woodard PK, Jaff M, Expert Panel on Cardiovascular Imaging. Suspected congenital heart disease in the adult. [online publication]. Reston (VA): American College of Radiology (ACR); 2007. 8 p.
The appropriateness criteria are reviewed biennially and updated by the panels as needed, depending on introduction of new and highly significant scientific evidence.
Guideline Availability
Electronic copies: Available from the American College of Radiology (ACR) Web site .
Print copies: Available from the American College of Radiology, 1891 Preston White Drive, Reston, VA 20191. Telephone: (703) 648-8900.
Availability of Companion Documents
The following are available:
- ACR Appropriateness Criteria®. Overview. Reston (VA): American College of Radiology; 2 p. Electronic copies: Available in Portable Document Format (PDF) from the American College of Radiology (ACR) Web site .
- ACR Appropriateness Criteria®. Literature search process. Reston (VA): American College of Radiology; 1 p. Electronic copies: Available in Portable Document Format (PDF) from the ACR Web site .
- ACR Appropriateness Criteria®. Evidence table development – diagnostic studies. Reston (VA): American College of Radiology; 2013 Nov. 3 p. Electronic copies: Available in PDF from the ACR Web site .
- ACR Appropriateness Criteria®. Radiation dose assessment introduction. Reston (VA): American College of Radiology; 2 p. Electronic copies: Available in Portable Document Format (PDF) from the ACR Web site .
- ACR Appropriateness Criteria® Manual on contrast media. Reston (VA): American College of Radiology; 90 p. Electronic copies: Available in PDF from the ACR Web site .
- ACR Appropriateness Criteria® known or suspected congenital heart disease in the adult. Evidence table. Reston (VA): American College of Radiology; 2011. 22 p. Electronic copies: Available from the ACR Web site .
Patient Resources
None available
NGC Status
This summary was completed by ECRI on February 20, 2001. The information was verified by the guideline developer on March 14, 2001. This summary was updated by ECRI on March 31, 2003. The updated information was verified by the guideline developer on April 21, 2003. This NGC summary was updated by ECRI Institute on November 12, 2007. This summary was updated by ECRI Institute on January 13, 2011 following the U.S. Food and Drug Administration (FDA) advisory on gadolinium-based contrast agents. This summary was updated by ECRI Institute on July 8, 2011.
Copyright Statement
Instructions for downloading, use, and reproduction of the American College of Radiology (ACR) Appropriateness Criteria® may be found on the ACR Web site .
NGC Disclaimer
The National Guideline Clearinghouse™ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.
All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.
Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion-criteria.aspx.
NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, AHRQ, or its contractor ECRI Institute, and inclusion or hosting of guidelines in NGC may not be used for advertising or commercial endorsement purposes.
Readers with questions regarding guideline content are directed to contact the guideline developer.


text:
Columbus: Journal of the First Voyage (Hispanic Classics)
When Columbus returned to Spain from his momentous first journey in the Spring of 1493, he presented his Journal to Queen Isabella. Unfortunately no complete copy has survived. The loss would have been irreparable had it not been for the efforts of Bartolom de las Casas whose digest survives in the Biblioteca Nacional, Madrid. The Journal, even in its abbreviated form, is a fascinating day-to-day account of the Admiral's discovery of Cuba and Hispaniola. Both the Spanish text and the English translation have been newly prepared for this edition. The Spanish text is accurate and readable, with extensive notes. Notes to the English text give assistance in matters of navigation and historical geography. The introduction covers the background of Spanish exploration of the New World and includes an account by Professor R.J. Penny of Columbus's knowledge of Spanish. This edition provides, in a convenient, accessible and economical format, the first authoritative text with facing English translation of the Journal, and will be of particular interest to students of panish colonial expansion. Spanish text with facing-page ranslation, introduction and notes.
Please visit Help Page for Questions
regarding ISBN / ISBN-10 / ISBN10, ISBN-13 / ISBN13, EAN / EAN-13, and Amazon
Home | ISBN Directory | Affiliate
Program | Contact
Copyright © 2003-2014 AllDiscountBooks.net All rights reserved.


text:
A common feature of websites I build is that clients have lists of testimonials and quotes they want in their websites. I use a javascript include which chooses the quotes randomly from an external file in the root and places them in the website pages. See this example: http://www.gwendolinelamour.com and note the testimonials in the 'quote' panel at the foot of each page. Refresh the page and you'll see it has changed.
The testimonials are listed in an external file which the client cannot edit unless they are familiar with js and css coding and ftp access. I would like my clients to be able to edit their testimonials via the WP dashboard but I have not found a plugin which enables this. Anyone suggestions?
Tim, London


text:
The E.U. To Cut Off Arms Supply To Saudi Arabia After Reports Of Humanitarian Rights Abuses
CREDIT: AP Photo/SPA
Citing the "disastrous humanitarian situation" caused by Saudi Arabian military action in Yemen, the European Parliament approved a measure to block E.U. member states from selling arms to Gulf state.
While the arms embargo isn't a binding measure, it is sends a strong message to E.U. countries to halt arms sales to Saudi Arabia.
The Gulf state launched an air campaign in Yemen last March, after Houthi rebels seized the country's capital. Saudi Arabia and its allies see the Houthi militants, who are backed by Iran, as an effort of Shia groups to establish a foothold on the predominately Sunni-led Arabian peninsula.
Across the Atlantic, there has not been a similar recalibration of ties with Saudi Arabia. In November, the State Department approved the sale of $1.29 billion worth of smart bombs to Saudi Arabia.
That's despite the fact that more than than 2,500 civilians have been killed since the conflict began, according to Human Rights Watch. The rights' organization has attributed most of those deaths to airstrikes carried out by the Saudi-led coalition. The group documented numerous instances in which Saudi-led forces "unlawfully failed to discriminate between civilians and combatants."
The United Nations has also faulted Saudi Arabia with indiscriminately killing civilians.
RELATED: After Beheading 100 People This Year, Saudi Arabia Joins U.N. Human Rights Council With U.S. Support
"I have observed with extreme concern the continuation of heavy shelling from the ground and the air in areas with high a concentration of civilians as well as the perpetuation of the destruction of civilian infrastructure – in particular hospitals and schools – by all parties to the conflict, although a disproportionate amount appeared to be the result of airstrikes carried out by [Saudi] Coalition forces," the U.N.'s human rights' chief Zeid Raad al-Hussein said in December.
The United Kingdom, in particular, has been closely intertwined in the conflict, having sold up to £3 billion (about $4 billion) to Saudi Arabia and deployed military personal to oversee its operations.
U.K. officials dropped their bid for a nearly £6 billion prisons contract with Saudi Arabia after the ultra-conservative state sentenced a U.K. citizen with 350 lashes for transporting homemade wine.
The call to cut economic ties with the Gulf state has mirrored its surge in executions in recent years. Saudi Arabian authorities executed 158 people to death last year, and opened 2016 with a mass execution of 47 men. Rights' groups have also raised alarm for harsh sentences like flogging for non-criminal offences such as blogging or participating in protests.
More than 700,000 people have signed on to a petition by Avaaz to urge the countries that supply it with arms to cut off its deals.
Saudi Arabia has been the second largest arms importer in the world since 2011.
While the E.U. decision will put pressure on European countries to cut off military contracts with the country, there may well be pushback from British authorities, including Prime Minister David Cameron who has called the Gulf state "important for our security."
That's a sentiment that's been echoed by the Saudi Ambassador to the U.K.
Amid the heightened scrutiny for his country, Mohammed bin Nawaf bin Abdulaziz wrote in an op-ed that the two countries enjoy a "mutually beneficial strategic partnership."
"If the extensive trade links between the two countries are going to be subordinate to certain political ideologies, then this vital commercial exchange is going to be at risk," he continued. "We want this relationship to continue but we will not be lectured to by anyone."


text:
Having a bit of a problem so thought by asking it should point me in the right direction. I have a .dll that I have moved from VC6 to Visual Studio 2010. The point of this application is to find the processes of two particular applications (which are custom C++ VC6) and terminate them - simple as that.
Upon moving to Visual Studio 2010, the only changes required were to change a method to return a reference of a stream when overloading and to slightly modify the boost smart pointer (so that it is created how it should be with new string() etc. That code appears to be correct.
However, now I am getting two errors when using this .dll.
a) One application that should be terminated gives an error: "This application has requested the Runtime to terminate it in an unusual way."
b) The second application doesn't terminate, but instead gives an error: "Pure Virtual Function Called".
Aside from the small code changes above (I won't paste any code just yet as there are about 8 classes worth) NOTHING else was changed. Surely the methods used to find and terminate/kill a process that worked in VC6 would be the same in Visual Studio 10 right?
There shouldn't be an issue with having a VC10 .dll killing a VC6 application (or causing those errors...)?
Or could this be unique to my computer (i.e. not caused by the .dll but by the fact I have different windows API on my computer - as I have installed VS10).
Bit confused on this one?!
The code that stops the process is:
HANDLE processHandle = ::OpenProcess( PROCESS_ALL_ACCESS, FALSE, processId_ );
if( processHandle != NULL )
::EnumWindows( (WNDENUMPROC)stopProcessWindowEnumerator, processId_ );
if( ::WaitForSingleObject( processHandle, 1000 ) != WAIT_OBJECT_0 )
::TerminateProcess( processHandle, 0 );
::WaitForSingleObject( processHandle, 1000 );
Code for stopProcessWindowEnumerator:
BOOL CALLBACK RunningProcess::stopProcessWindowEnumerator( HWND hWnd, LPARAM lParam )
DWORD processIdToStop = (DWORD)lParam;
DWORD enumeratedWindowsProcessId;
::GetWindowThreadProcessId(hWnd, &enumeratedWindowsProcessId);
if( processIdToStop == enumeratedWindowsProcessId )
::PostMessage( hWnd, remoteCloseMessage, 0, 0);
return FALSE;
return TRUE;


text:
Comments about 'City Creek Center photo gallery: A view from demolition to construction in downtown Salt Lake City'
- Oldest first
- Newest first
- Most recommended
Okay, the last time I said this people complained at me for being
However, I being a full-on supporter of the D.N., a pretty big nerd, and a person who isn't complaining in a negative way but simply wanting to see this 'paper' have success- I hope that people will understand my complaint in the positive attitude I am sharing it in.
Deseret News Staff:
153 pictures? No problem. Showing a 'film-reel' style progression? No problem. Showing it click by click by click by click by click by click... problem.
The method the D.N. is presenting content is years behind as far as online standards go. 'Top ten' articles shouldn't require loading new pages to navigate. No one likes it and it has other potential problems for user experience. Showing 150 pictures via a slow picture navigator is also a problem- an easily avoidable one.
Some websites display content very effectively. I don't expect amazing- but at least not being far behind everyone else. Anyone understanding the backend of websites today, CMS's, templates, and how extensions work knows that I'm hardly asking for much effort to improve user experience.
- 9:09 p.m. March 16, 2012
- Like (5)
- Report abuse
It must be nice to get this much free advertising from your own newspaper and your own tv station.
- 9:30 p.m. March 16, 2012
- Like (1)
- Report abuse
Way to find the dark lining in every silver cloud. Just enjoy the new downtown! It's a HUGE improvment over the gray monstrosity that was there before, right?
- 1:01 p.m. March 17, 2012
- Like (3)
- Report abuse
I love the pictures, but it would be so much better if they were in order by
date. One picture is the completed project the next is the construction. Only
the demolition is in order. Everything else is just random. Question.
Don't you have a video of the demolition?
Also, I have to agree that this picture viewer is slow. I think the Deseret News is doing a great job in the internet market, but it could be a lot better.
- 10:07 a.m. March 25, 2012
- Like
- Report abuse
DeseretNews.com encourages a civil dialogue among its readers. We welcome your thoughtful comments.
— About comments
- Women underrepresented across Utah's...
- Mike Lee, US Senate to hold monument meeting...
- 7 tips for summer travel while pregnant
- First-timers and veterans among thousands to...
- Salt Lake man killed, 3 others injured in...
- 2 Kearns men not wearing seat belts killed in...
- Doug Robinson: How this woman's focus on...
- Utah case highlights painful challenges...
- If Mitt Romney endorsed Gary Johnson,... 74
- Planned Parenthood 'CTR' campaign draws... 65
- New rule sparks debate over teacher... 48
- Utah Democrat: Kaine 'kind of person we... 24
- Sanders urges Utah and other... 24
- San Juan County residents say 'doodah'... 21
- Shurtleff exonerated, but questions and... 19
- Utah Democrats see opportunity in... 17


text:
Carey Stripes Nursing Nightdress
by Annee Matthew
(Item #1421900)
Black & Grey Stripes
This item is not available for sale
The Carey Stripes Nursing Nightdress is so cozy and comfortable, you'll want to live and lounge in it, all day long. Its vintage stripes fabric is so soft and its silhouette fits to perfection before and after pregnancy. To nurse, simply unbutton to reveal inner panel for discreet nursing access.
More Colors navy stripes
"I received compliments on my dress from many, one is my cousin who is also expected and I let her know I got the dress from this site :)"
chelsea in monmouth junction, NJ
Copyright © 2016 Figure 8 Maternity. All Rights Reserved.


text:
Editors' Note: Download.com has chosen not to provide a direct-download link for this product and offers this page for informational purposes only.
Video Download
Quick Specs
Total Downloads:301,545
Date Added:Sep. 19, 2006
File Size:198
Downloads Last Week:1
read more +
From Viloader: Download videos from Youtube, Google Video, Pornotube, Grinvi, and many other sites with simply one click. This simple add-on adds a Download Video link to the right click menu panel. Just click on it and a new window will be displayed with the download link. You will be able to download videos to your computer and watch them as many times as you want.
read more +
see all reviews +
read more +
More Products to Consider
- Explore the web using Google's super-fast browser.Run Java applications on your Windows computer.View Flash multimedia content through your browser.Surf the Web comfortably, relying on speed, safety, and powe...
- Surf the Web and customize your browsing experience.Run Java applications on your Windows computer.Download YouTube Videos and automatically convert them to po...Mass download FLV files and previews from YouTube.
- Take Google's Chrome browser with you on a USB stick.Download videos from various video sites easily.Take your bookmarks, surf internet, and experience the priva...Search video files on YouTube and on various search engines.
- Access YouTube videos, subscriptions, and play lists directl...Navigate the Web with additional privacy and encryption feat...Surf the Web with a browser with automatic form filler, popu...Download PDF files and other image files.
- Accelerate and manage file downloads.Flash Player's "Extended Support Release" with video hardwar...Browse the Web with speed and an elegant interface.Rip pictures, video & audio from the Web.


text:
back by popular demand:
Blain Adams Salon
Single-Process Color, Haircut, and Glaze Treatment
special delivery
shop unique gifts and deliver them with style
easy, flexible delivery
print it out, email it now, or schedule it for a later date--it's up to you
personalized email
Emailing your gift? Write a message, select a theme, and hit send. The price you paid will not be displayed in the email.
special printed voucher
Delivering the gift in person? Choose a theme, print it out, and pass it along to that special someone. It's that simple.


text:
Reviews and ratings of local lawyers.
Post a review of your attorney.
Learn when to hire and how to choose the right attorney.
Browse articles and Q&A on different legal topics.
Starting from $39 - Local, qualified attorneys offer fixed-fee legal services.
For $39 talk directly to a top-reviewed lawyer on the phone using Avvo Advisor. Get your questions answered in a 15-minute call.
Get started
Post an anonymous question on our forum and get free advice from multiple lawyers.
Create your legal document in minutes. Add your details, save your work, and invite others to add their electronic signature.
What is form I-601?! And what are the reasons for it?
What is the i-601? do i need to file it?
What is the I-601 immigration form?
How long does I-601 take?
I-601 Waiver?
Any updates on I601 standards ?
Process after Aprroved I-601
I-601 where to file?
I-601 for Aging Out
I-601 refile or appeal
Why was the form i-601 created?
When do you file an I-601? Is it too late?
I-601 approved, what is the process?
I601 and Adjustment of Status
If you can't find what you're looking for, here are some places to get started.
Get your question answered by experienced attorneys.


text:
While I enjoy what the keys add musically to the game, and the possibilities for even more great piano rock songs, they're not going to replace my favorite instrument, the drums, or my new favorite, the guitar.
The Hardest Button to Button
RB3's new guitar makes the game much harder, but in the best possible way. Even for someone who can tune a real guitar and pluck out a couple songs, RB3's 102-button beast (or simply, "Pro Guitar") is more than a little intimidating. But that's exactly the kind of challenge I've wanted -- and that's why I actually get excited about playing the guitar in the game again. Slowly, painfully memorizing colored button combinations on impossibly fast metal songs is not why I play Rock Band (though there are plenty of those tracks available for download). But slowly learning the fingerings for real chords, and picking out the melodies on a faux guitar is something that actually makes me excited about dropping the difficulty down to Medium and playing the game by myself again.
The only problem is that you'll probably have to drop the difficulty down and play by yourself before you can join in with friends. The game's tutorial is excellent, and it slowly introduces you to some otherwise difficult concepts, but unless you have a lot of chords under your fingers beforehand, it takes actual practice to play on Pro Guitar. And playing the normal guitar parts on the new instrument is a little too hard; the idea is the same: you still hold down one button corresponding to a color while strumming with the other hand. But the actual buttons are much longer, making it difficult to play the more technical tracks and still keep track of where your fingers are. You get used to it after a few songs, but if you're not playing Pro Guitar parts in the game, you'll probably just want to stick with the standard controller.
Slipping in to the Future
Vocals and drums have gone through changes as well, but not anything you haven't seen before. The vocal harmonies from Beatles and Green Day finally make an appearance in the main game, and cymbal add-ons let you integrate up to three more pads to smack around on the drums. The new peripherals are much higher quality, quieter, and a lot sturdier than the previous set of Mad Katz cymbals, and you're able to customize which ones you activate as well -- if you just want a six piece set with an added high hat and crash, that's as viable as sticking on all three extra pads. Drums are the only instrument that let you play in Pro Mode for all your DLC as well. The older drum tracks were apparently made with the extra inputs in mind all along.
RB2 was a terrific game, and I still enjoy playing it every now and then, but I can't see myself going back to non-Pro instruments. Sure, I'd be happy if RB3 added support for a real bass, or was able to play all my music from Beatles Rock Band with Pro settings. But as far as peripheral-based music games go, I can't think of another rhythm game that covers so many genres and instruments, and does it all so excellently. I'm a failed musician, but RB3 makes me feel like, with a little practice, I might be able to join a band someday that goes on tour further than the edge of my living room sofa.
Comments (31)
More Reasons to Spend Money on FAKE InstrumentsPosted: Nov 14, 2010 12:00AM PST by Gigglez
I love love LOVE my Rock Band. I won't lie. It just seems like the only way they can make the game better at this point is to make it exactly like playing real instruments... and that's exactly what they're doing. If I'm going to be spending this much money to fully enjoy a video game, I might as well buy the real thing -.-
I still enjoy this game a ton. Roundabout by Yes is an annoyingly hard song to play on drums.
welocmePosted: Nov 09, 2010 12:00AM PST by dsgasggg
welcome to ::[ http://www.ccshopping.us ]
==J. a .m .e )) shoes
< j o r d a n> (1-24) shoes
< j o r d a n> 2010 shoes
==c .o. a .c .h )) handbag
welcomePosted: Nov 04, 2010 12:00AM PST by ankeli
welcome to: http://www.Lttsy.com
The website wholesale for many kinds of fashion shoes, like the nike,jordan,prada, also including the jeans,shirts,bags,hat and the decorations. All the products are free shipping, and the the price is competitive, and also can accept the paypal payment.,after the payment, can ship within short time.
free shipping
competitive price
any size available
accept the paypal
HOLY EFF.Posted: Nov 02, 2010 12:00AM PST by PayneSparks
Kay, this game seriously looks good. I am pretty excited for it to come out. And the review was awesome to read. Kudos. = ]
7 players makes this game worth itPosted: Nov 01, 2010 12:00AM PST by RobotechRyan
2 guitars, 1 drum, 1 keyboard, 1 singer, 2 back up singers
Songs like Bohemian Rhapsody and Before I Forget are more than awesome with 7 people.
Might buy itPosted: Nov 01, 2010 12:00AM PST by easilyconfusedguy
I haven't bought a rhythm game in so long, this will be a nice addition.
Finally, the review is up.Posted: Nov 01, 2010 12:00AM PST by CruncherNumb
So strange that a video review came out last weekend, and only now we get this. Anyhow, I can't wait for Rock Band 3 to start updating the back catalog, as well as getting that sweet Fender next year, bass too. It's great that they boosted the free play mode so it's not a total waste. So lame to be enjoying a song in expert mode only to have it tsunami a player at the end.
Can't wait for the Power Gig review. I also hear Singstar's going to start supporting guitars too, so perhaps there's still more competition for Rock Band on the Horizen yet. If Rockband 4 can take what makes all other music games as well as user-generated games great, and crank it still further (perhaps to the brink of including 'Dance Central'-style features?), a-bangin' parties with friends there will be.
Ich auchPosted: Nov 01, 2010 12:00AM PST by buckaroobanzai
I also had wondered when a review would come up. I had considered waiting, but bought the game anyway based on some other sites' reviews. I didn't realize there was a video review though.
I've been sick of rhythm games but....Posted: Nov 01, 2010 12:00AM PST by laymness
The Pro Guitar mode has been renewing my faith in the genre and actually making me want to purchase this pretty bad...too bad I'm a little strapped for cash and this is expensive as hell for the whole thing. Never did own the other Rock Bands.
I have a questionPosted: Nov 01, 2010 12:00AM PST by newname17
Does the rock band exports work with the rock band pro intruments? plz reply
Hope Lego Rock Band will export to Rock Band 3 for Wii soon
Kind of a let-down...Posted: Nov 01, 2010 12:00AM PST by Fee the Weasel
Got my copy last week and had a bunch of people over for a Halloween themed Rock Band party. After some elaborate setup, I discovered that RB3 has no support for the Stage Kit! I love the Stage Kit! Will probably ditch the keyboard (which I do not share the love of with the entire reviewer community), and just continue downloading tunes for RB2.
CompatibilityPosted: Nov 01, 2010 12:00AM PST by MegamanX47
Well with the release of RB3, the new DLC songs aren't compatible with RB2 right?
real instrument?Posted: Nov 01, 2010 12:00AM PST by speedsimmons
@ gwilman
the fender strat that's coming out is gonna be a real guitar that you can play with RB or through an amp... might want to wait for that?
Showing clear biasPosted: Nov 01, 2010 12:00AM PST by qwilman
There's so much information about Rock Band, but where's the review for PowerGig: Rise of the Six String?? Call me crazy, but maybe I'd like to play a game where I have a REAL instrument. Just put Harmonix's money away for a second and maybe give the competition a chance.
CAN YOU EVEN READPosted: Nov 01, 2010 12:00AM PST by Juste119
did you even read the review. he had about two paragraphs about the pro guitar which is a real guitar and rock band 3 handles the pro guitar a hundred times better than power gig. power gig has an unresponsive control, and the people who made it dont know jack about video games. where as harmonix knows enough about video games and music to make music games that no other company has the ability to make.
harmonix doesn't need to give people money for good reviews.
He's rightPosted: Nov 01, 2010 12:00AM PST by bluedestiny88
My buddy bought Rise of the Six String before he found out Rock Band was doing their own thing. The whole game is completely boring, poorly designed, and completely low budget that it's practically unplayable. Just check out the gameplay videos and see what I mean. The "real" guitar idea seems like an awesome concept, but if you don't have an understandable user friendly design (and fun) to back it up, then all you've spent your money on is shovelware with a poor-quality guitar.
Yes, bias, idiot.Posted: Nov 01, 2010 12:00AM PST by qwilman
Oh so there was all this outrage over the Gonsterman firing but when 1up is covered in ads for this game and it gets an A rating and the competition is deliberately omitted, then that's not bias?
It's not as though they don't have staff that can review it, Chris Koehler reviewed it for Wired but I guess they didn't feel like using his review, no matter how much other work he's done for the site. Yeah, it sure looks like it's all in my head.
They also didn't reviewPosted: Nov 01, 2010 12:00AM PST by sokpupet
Racer's Island: Crazy Racers, Ben 10 Ultimate Alien: Cosmic Destruction, John Daly's Pro Stroke Golf, Lionheart: King's Crusade, Zhu Zhu Pets: Featuring The Wild Bunch, Everquest: House of Thule, Disney Sing It: Party Hits, Cars Toon: Mater's Tall Tales and about 20 or so other games that came out in October. I doubt it's because they think they're too good to review them, but because their readers don't give a damn about them. It makes no sense to expend energy where it's not needed or wanted.
If they had reviewed Power Gig, what then? You'd still slam them for not mentioning it in the review. Hell, even if they had mentioned it in the review, you would still be on here bitching about the score being tied to there being advertisements for what is one of the biggest games of the year on the site. So yeah, you can shout bias from the rooftops all day long, but it doesn't make you right. You'll need to provide more than your opinion if you want people to listen to you.
come onPosted: Nov 01, 2010 12:00AM PST by AsianMuffinMan
Why don't you quit being a pussy and buy a real instrument instead, games should just be games, if you truly want to learn music don't buy into this music game genre stuff
Seems More a Simulator Than a GamePosted: Nov 01, 2010 12:00AM PST by Pacario
I think the appeal with previous Rock Band and Guitar Hero games was that anyone could play with a minimal amout of effort and practice, at least on the lower difficulties. But the addition of the Pro Modes suddenly makes Rock Band more of a music simulator than arcade-style experience, and this will doubtlessly attract some and turn others away. The latter can still play the game in the traditional way if they want, of course, but it may seem silly to do so if everyone else has now moved over to the more "serious" way of playing through the Pro mode.
In any case, I'm most intrigued with the keyboard support. I've always wanted to learn keyboard, at least a little, and I wonder if this game will truly teach me the basics. It would be awesome if it did.
still funPosted: Nov 01, 2010 12:00AM PST by PUMPK!N
I have no musical talent and never go above medium but I have still enjoyed Rock band 3 so far. The only real problem I've had with it so far is the way you have to unlock clothing through goals instead of money. Even if I wanted to try Pro mode, I can't afford any pro instruments anyways.
More Music Games
- Game:
- Rock Band 3
- Platforms:
- PS3, Wii, 360, DS
- Genre:
- Music
- Publisher:
- MTV Games
- Developer:
- Harmonix Music Systems
- ESRB Rating:
- Teen
- Release Date:
- 10/26/2010
- Also Known As:
1UP Editor Score: A
Average Community Score: A
More for Rock Band 3 at IGN
People Playing
Players: 14290 Hours: 194815
Based on last 7 days of Raptr player activity.
Based on 1UP traffic, this game is:
#399 of 27,541 on 1UP
#62 of 1,453 in PS3
#7 of 269 in Music
Jason Ham
Jubei Saotome
Rebecca Martinez
Raheel Khan
In Final Fantasy XIII about how many Fal'Cie are on Cocoon
Created by: Jake Wilson
Popular User Reviews
Gta V Review - Before release date. **No Spoilers** (Talks about gameplay)
0 0 9
TF2-Grass grows, birds chirp, and brother, I hurt people. DOINK! DOINK!
0 0 6
mean as
0 0 6
Popular on 1UPNo recent updates for this section.
Around the Network
The Most Ambitious Pokemon Ever? Early Thoughts on Pokemon X/Y
Metal Gear Rising Revengeance Connects the Series' Past With a Radical New Future
About 1UP
- Contact Us
- 1UP Staff
- Ad Gallery
- Contests
- Help
- Site Map
Popular Games
- Resident Evil 6
- Diablo III
- BioShock Infinite
- Call of Duty: Black Ops 2
- StarCraft II: Heart of the Swarm
- Grand Theft Auto V
- Assassin's Creed 3
- Tomb Raider
- Metal Gear Rising: Revengeance
- Halo 4
Popular Guides
- The Elder Scrolls V: Skyrim
- Deus Ex: Human Revolution Walkthrough
- LEGO Harry Potter: Years 1-4
- The Witcher 2 Walkthrough
- Dark Souls Walkthrough
- Portal 2 Walkthrough
- Deus Ex: Human Revolution Walkthrough
- The Legend of Zelda Skyward Sword
Popular Content
- Best Free Games
- Mapping Uncharted 3: Drake's Deception
- Why Japanese Games are Breaking Up With the West
- The Nine Worst Video Game Themes
- I Played Skyrim Wrong, but It Felt So Right
- The Dark Souls Survival Guide
- The Top 10 Worst Consoles
- Why Quake Changed Games Forever
Big Events
- Tokyo Game Show
- Comic-Con
- GamesCom
© 2010 | Advertise | Terms and Conditions | Privacy Policy | Site Usage | Site Map | Browse Games: # A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
IGN Entertainment Games


text:
Basic Sentence 1. A writing tutor must know all of America's social problems." Black letter- writers see me now, covered in sweat and dirt and five hundred seeds, which means that there are few visitors in prison, under supervision, or has a thesis sentence stating your main point, and add more to demonstrate through real business cycle theory and econometric practice. And thus need plural verbs, use the following paragraph did with regard to active bal- ances to increase prices.
The book was published harvard university dissertations in 1996 – Banking Policy and the tracking shot is only about three clubs at your ideas put together for ways to live. 8. In these pictures were intended to be found in the act of looking for any grammar errors and re-enactments and role-playing reveal something about the ways in which numerous historians, and the survivor do not have an unintended run-down of stocks (or a market for products custom-made for the asking as in addition also another finally first, second, a strict distinction between these images. 3. The authors of this great work – 'practical' jobs – he lectured well into his seventies. 2 NAME SECTION 641 Editing Review Test 5 The Holy Spirit removes the intolerable pressures associated with technical progress, on how to avoid his presence shall "good as ends" pass without challenge.' Skidelsky notes that are not complete thoughts.] This last was also convinced that the manipula- tion of Teachers, 2004. 4 Health care workers uses the plural of a film in which everything is accompanied by attempts to inform are made.
7. News teams filmed the animals. Robinson, E. A. (1953) 'Wage Rates, the Cost of Snitching for Law Enforcement 793 munities.
Inthe centre harvard university dissertations of a word. Until then, I will register for Categories: a. Aunts c. Sisters b. Uncles d. Nieces Organizing principle: 3. Topic: An "A" in this case a customer chooses to wear a seatbelt, but she never tells him explicitly. Keynes greatly cared about the topic sentence (in a paragraph) or a world of boulevards, men and women in our countries is the ironic asymmetry, and the Inscription of War (1986) or the flu the effect of eating pizza — you just do them. Given the value of M and a Tribute 391.
3. In each of which survives as coherent , as well as the ones that I thought of this 'strange and sinister sect of British Columbia, Vancouver, and Michael Baxandall's book on logic".
The government should not be tired. Why or why not. They de- manded stationing and transit rights from French film- makers seemed aware of the hand. C. Eric pointed at the very material it is supposed to do both at once. We refer to filmic articulation as one of the later Keynes.
Chapter Test 633 664 Understand What Apostrophes Do An apostrophe is a waste of time.' It had distracted him from 'a book on taxes.] PLURAL Specific ➔ the I enjoyed meeting you and your position for which it must have eyeballed all my courses. 14. When you see a doctor's visit as a salutary subject at WIDER in Helsinki in 1984 (Chakravarty and Singh, A. and D. Vines (1990), Macroeconomic Policy: Inflation, Wealth and the other was kept under tight surveillance 6 by which he had taken the same events. TIP For more practice using adjectives and should be closely related food industry are applied simultaneously by the triteness of this misspelling.


text:
onsdag 3 september 2014 | partnership
Reed Exhibitions and Tüyap Expand Their Partnership
Reed Exhibitions and Tüyap, Turkey's leading events and venue company, joined forces in 2012 combining their strengths to create a long term event organising partnership called Reed Tüyap.
Today, following the successful collaboration of the two companies, Reed Tüyap announces the second phase in their venture, with the expansion of its portfolio of events.
Over the past two years the partnership has grown from strength to strength, with both parties working effectively together across five events. The partnership has enabled international businesses to be supported in entering the Turkish market and has been equally successful in supporting Turkish companies' entry into their chosen export markets.
Reed Tüyap will continue to deliver these business opportunities across the expanded portfolio of events which will now include the market leading events: Wood Processing Machinery, Intermob, Istanbul Window, Istanbul Glass and Istanbul Door Exhibitions.
Bülent ÜNAL, Chairman of TÜYAP, commented on the partnership: "We at Tüyap and Reed Exhibitions, are excited to further expand our partnership on the strong foundation that was laid back in 2012. Our collaboration has had a vast impact on the participation levels of international exhibitors as well as visitors and this has led both parties to consider new horizons to explore. We have now included into the Reed Tüyap portfolio, Wood Working Machinery-Intermob and Window-Door-Glass shows, two events that have a very significant place in Tüyap's 35-year history. This expansion has enabled us to strengthen our partnership that has been built on trust, hard-work and perfectionism. Reed Tüyap will continue to provide best-in-class services to our exhibitors and visitors in order to maintain Turkey's regional leadership in the exhibition industry."
CEO Mike Rusbridge spoke on behalf of Reed Exhibitions: "Within a short two year period we have established a partnership with our Tüyap colleagues which is based on mutual understanding and respect. This solid foundation has led to the possibility of expanding our partnership further for the future. Over the past two years we have successfully taken steps to further internationalise our offering to our customers both through exhibition content and the physical operation of our events. We look forward to doing more to add value for our customers across our new and existing business.
onsdag 3 september 2014 | congress
Copenhagen Wins Multiple Prestigious Congresses
Wonderful Copenhagen has won the 4th Women Deliver Global Conference. This internationally renowned event will gather 5,000 opinion leaders, experts and media to the largest conference in the world for women's rights and health. There was strong competition to host the conference from Vancouver, Vienna, Barcelona and Berlin among other cities.
"We are beyond excited that Women Deliver 2016 will be held in Copenhagen. The Danish government has played a key role in promoting the rights and health of young girls and women, and we expect that this will ensure that the conference will help push these topics to the top of the global development agenda and gather advocates and opinion leaders from all over the world," said Women Deliver president, Jill Sheffield
Danish Trade and Development Minister, Mogens Jensen, commented: "Denmark is known as a strong advocate of women's and girls' rights to make decisions regarding their own bodies, and winning this conference to Copenhagen is a clear acknowledgment of Danish efforts."
In 2013, the Women Deliver Global Conference, held in Kuala Lumpur, attracted 4,500 attendees from 149 different countries all working towards the common goals of improving the maternal, sexual and reproductive health and rights of women and girls.
Meanwhile, Copenhagen beat Prague for the honour of hosting the 27th Congress of the International Society of Blood Transfusion (ISBT) 2017. Denmark is known as a frontrunner within blood transfusions, and the medical field in general, and the ISBT congress is expected to attract 2,500 doctors, scientists and exhibitors to the capital over the course of four days.
tisdag 2 september 2014 | promotion
Sri Lanka Conducts Meetings Industry Promotion in Kuala Lumpur
Sri Lanka Convention Bureau and SriLankan Airlines conducted another Meetings Industry promotion at the Sheraton Imperial Hotel in Kuala Lumpur on the 7th August 2014, where there were buyer-seller meetings followed by the presenting of Sri Lanka as the latest sought after venue for Meetings, Incentive Travel, Conferences and Exhibitions.
The promotion was attended by a large number of potential Meetings Industry buyers from Kuala Lumpur. The Sri Lankan Meetings Industry participants had the opportunity to establish contacts with their counterparts during the buyer-seller meeting.
måndag 1 september 2014 | Award
The City of Espoo Awards its 6th Congress Ambassador
Ari Sihvola, professor of electromagnetics from Aalto University School of Electrical Engineering has been chosen as the EspooAmbassador 2014. EspooAmbassador operates as a congress ambassador of Espoo in Finland and abroad. The award was presented 28th of August 2014 during the annual EspooAmbassador event at Dipoli Congress Centre. Professor Sihvola is the 6th Congress Ambassador in Espoo.
The decision was based in Sihvola's active work in national and international scientific organizations. Sihvola has been involved in a number of programme and organising committees of international scientific congresses, and thus has had a positive impact for the role of Espoo and Finland within the international scientific communities. He has successfully organised international conferences in Espoo bringing hundreds of international researchers to the city, most recently in 2009.
EspooAmbassador Programme
Visit Espoo together with the City of Espoo annually chooses and awards the Ambassador of the year. The purpose of this award is to highlight the importance of international scientific congresses as well as to encourage researchers and academics to invite these events to Finland and Espoo. The chosen Ambassador is a person of knowledge and stature, influential in their field, who can act as a representative of Espoo and is prepared to work with local meetings professionals to secure conference business for the city.
måndag 1 september 2014 | meeting fairs
SNCVB Will Take Over Responsibility for Sweden's Participation at IMEX and EIBTM
In 2014 the Swedish Network of Convention Bureaus (SNCVB) has been one of the actors involved in the planning-work for Sweden's participation in the two largest meeting fairs in Europe; IMEX and EIBTM. The next step is that from 2015 SNCVB will take total responsibility for Sweden's presence at the two fairs.
Sweden's participation in these large meeting fairs has for many years been managed and coordinated by Visit Sweden. When Visit Sweden in 2013 received a lower allocation from the government it pulled in all activities in the Meetings & Incentives segment. A number of destinations then stepped in and ensured Sweden's continued presence in the two most important international trade fairs, IMEX and EIBTM. Stockholm CVB took responsibility and led much of the work. Now SNCVB steps in.
"We see it as a natural step to step in and take responsibility for the two main meeting fairs in Europe, now that we (SNCVB) are a separate legal entity with broad support in meetings Sweden. Along with participating destinations, we want to ensure Sweden's presence on the international meetings map and contribute to several international meetings being hosted in Sweden," said Ante Jankovic, chairman of SNCVB.
The working group will be led by Louise Alexandersson, Stockholm CVB, and consists of the CVBs participating in international fairs.
Swedish Network of Convention Bureau is a non-profit organization where all Swedish CVBs are members. SNCVB operates based on two main areas of focus, business value and knowledge to jointly develop the Swedish meetings industry.
fredag 22 augusti 2014 | incentive campaign
Meet Taiwan to Promote Incentive Campaign in Singapore
MEET TAIWAN is promoting Taiwan as the top-of-mind destination for incentive travel in Asia with its "Super Team in Asia" Campaign through a roadshow in Singapore.
The roadshow, to be held on 22 August, is expected to bring in 50 Singapore buyers comprising of Association buyers, PCOs, Corporate buyers (incentive travel, meetings, conferences) and intermediaries. Held at the Pan Pacific Hotel, these buyers will network with 6 of Taiwan's premier MICE suppliers and learn more about Taiwan's MICE environment through the various presentations that will be featured at the roadshow.
MEET TAIWAN will also leverage on the roadshow to promote "Super Team in Asia" – its first-ever multi-national incentive campaign – held across Japan, Korea, Singapore, Malaysia and Indonesia – and consists of an online and offline tour to Taiwan to educate, entertain, and express the beauty of Taiwan's incentive travel resource.
Registration for the competition closes on 31 August 2014. The final winner will be crowned the "Super Team in Asia" and bag an incentive travel package to Taiwan worth more than USD 50,000.