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Book your room at Le Castel Beau Site
Get an overview of this hotel4-star beach hotel with a full-service spa
Nestled on the beach, this Ploumanach hotel is within 3 mi (5 km) of Ploumanac'h Lighthouse, Perros-Guirec Beach, and Tregastel Beach. Golf de Saint Samson and Vivons Perches Adventure Park are also within 6 mi (10 km).
Hotel Features
Spend the day relaxing on the beach or pampering yourself at Le Castel Beau Site's full-service spa.
Room Amenities
All 32 soundproofed rooms feature free WiFi and iPod docks. For a bit of entertainment, flat-screen TVs come with digital channels, and guests will also appreciate thoughtful touches like espresso makers and bathrobes.Would you like to give us feedback? Share it! Opens in a new window
Le Castel Beau SitePlage De Saint Guirec Ploumanac'h Perros-Guirec Cotes-d'Armor 22700
Hotel Amenities
Hotel Amenities
Spend the day at the beach and work on your tan with sun loungers (chaise longues) or relax in the shade with umbrellas. At Le Castel Beau Site, pamper yourself with a treatment at the full-service spa and enjoy amenities like a spa tub.
The hotel offers a restaurant. A bar/lounge is on site where guests can unwind with a drink. A computer station is located on site and high-speed wireless Internet access is complimentary. This beach hotel also offers a garden and a terrace. Limited onsite parking is available on a first-come, first-served basis (surcharge).
Le Castel Beau Site is a smoke-free property.
- Babysitting or childcare (surcharge)
- Bar/lounge
- Beach sun loungers
- Beach towels
- Beach umbrellas
- Pool umbrellas
- Breakfast available (surcharge)
- Coffee/tea in common areas
- Free newspapers in lobby
- Computer station
- Concierge services
- Conference space size (feet) - 1076
- Conference space size (meters) - 100
- Elevator/lift
- Free WiFi
- Full-service spa
- Garden
- Gift shops or newsstand
- Laundry facilities
- Meeting rooms 2
- Multilingual staff
- Number of buildings/towers - 1
- Number of floors - 3
- Number of meeting rooms - 2
- Parking (limited spaces)
- Pool sun loungers
- Restaurant
- Safe-deposit box at front desk
- Self parking (surcharge)
- Shopping on site
- Smoke-free property
- Spa treatment room(s)
- Spa tub
- Television in common areas
- Terrace
- Total number of rooms - 32
- Tours/ticket assistance
- Wedding services
- Year Built 1930
Family Friendly Amenities
- Babysitting or childcare (surcharge)
- Free Wi-Fi
- In-room childcare (surcharge)
- Laundry facilities
- Soundproofed rooms
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Self parking (surcharge), Parking (limited spaces)
Room Amenities
- Bathrobes
- Blackout drapes/curtains
- Free bottled water
- Free newspaper
- Free toiletries
- Cribs/infant beds (surcharge)
- Desk
- Digital TV service
- Espresso maker
- Flat-panel TV
- Free WiFi
- Hair dryer
- Hydromassage showerhead
- In-room childcare (surcharge)
- In-room safe
- Individually decorated
- iPod docking station
- Phone
- Premium bedding
- Premium TV channels
- Rainfall showerhead
- Room service (24 hours)
- Soundproofed rooms
Where to Eat
Breakfast is available for a surcharge and served each morning between 7 AM and 10:30 AM.
La table de mon pere - This beachfront restaurant specializes in French cuisine and serves breakfast and dinner. A children's menu is available. Reservations are required. Open daily.
Youbees Bar - This beachfront Champagne bar serves light fare only. Open daily.
24-hour room service is available.
Nearby Things to Do
The recreational activities listed below are available either on site or nearby; fees may apply.
- Hiking/biking trails on site
- Kayaking nearby
- Sailing nearby
- Scuba diving nearby
- Water skiing nearby
- Surfing/boogie boarding nearby
- Bicycle rentals nearby
- Golfing nearby
- Snorkeling nearby
- Windsurfing nearby
- Golf lessons available nearby
- Boat tours nearby
- Fitness classes on site
Spa Services
LA BULLE BY has 1 treatment room. Massages are available on the beach and in the spa; other services include deep-tissue massages, hot stone massages, and sports massages. A variety of treatment therapies are provided, including Ayurvedic, hydrotherapy, and reflexology. The spa is equipped with a spa tub.
The spa is open daily.
- Spa tub in spa
- Massages
- Hot stone massage
- Deep tissue massage
- Swedish massage
- Prenatal massage
- Thai massage
- Reflexology
- Sports massage
- Detoxification wrap
- Number of treatment rooms 1
- Outdoor treatment areas
- Couples treatment rooms
- Massages on beach
- Body wraps
- Body scrubs
- Hydrotherapy treatments
- Ayurvedic treatments
- Body treatments
- Facial treatments
To make requests for specific accessibility needs, complete the "Special or Accessibility Requests" section of "Trip Preferences" when you book your hotel.
- Accessible bathroom
- Roll-in shower
- In-room accessibility
Hotel Policies
Check-in time starts at 3 PM
Check-in time ends at 9 PM
Special check-in instructions:
Check-out time is noon
Payment types
- Pets allowed for an extra charge of EUR 10 per pet, per night
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
- A tax is imposed by the city: EUR 1.30 per person, per night
Optional extras
- Breakfast fee: EUR 19 for adults and EUR 12 for children (approximately)
- Self parking fee: EUR 12 per night
- Pet fee: EUR 10 per pet, per night
- Crib (infant bed) fee: EUR 15 per night
- Rollaway bed fee: EUR 40 per night
Hotel Name
- Castel Beau Site
- Castel Beau Site Hotel
- Castel Beau Site Hotel Perros-Guirec
- Castel Beau Site Perros-Guirec
We should mention
Reservations are required for massage services and spa treatments. Reservations can be made by contacting the hotel prior to arrival, using the contact information on the booking confirmation.
National Rating
This hotel has received its official star rating from the French Tourism Development Agency, ATOUT France.

subset: commoncrawl


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Read our Brussels city guide for information about eating out, things to do and much more.View Brussels Guide »
A large century-old building situated in the heart of Brussels,near the major monuments and restaurants.... More Info »
Hotel Sabina** is located just a few minutes away from Brussels' main tourist attractions. These include La Grande... More Info »
The hotel is situated in a traditional brick building that was formerly a Brewery, directly on the canal and is... More Info »
If you want to stay in Brussels in a friendly and international atmosphere, then why not book a stay in Hello Hostel? More Info »
Sleephere Guesthouse @ Sainte-Catherine in Brussels, your home away from home. The magnificent house in which this... More Info »
The Queen Anne Hotel is ideally situated in the centre of Brussels's tourist attractions and business area, between... More Info »
Our hostel is ideal for budget travellers, friends and individuals. More Info »
In the heart of the historic city center, 20 meters away from the world famous... More Info »
Our hotel is under the Vanbelle family's personal management and you will find a friendly, attentive welcome from our... More Info »
The Generation Europe Youth Hostel couldn\'t be better: it is quite simply right at the centre of the European... More Info »
The greenest youth Hostel in Brussels borders onto the Soignes forest and the city centre is 20 minutes away with the... More Info »
La Vieille Lanterne is situated in the centre of Brussels, just in front of the famous fountain of the Manneken Pis.... More Info »
The management and staff are there to help and will be delighted to suggest places to visit and things to do in... More Info »
Beau Sejour Appart Bruxelles offers beautiful apartments. The apartments are bright and spacious. The apartments are... More Info »
Brussels is a cosmopolitan, thriving and non-conformist place - and 'Brusselsenaren' are known throughout the world... More Info »
Midi Station Hotel is a nice hostel. The decoration of the reception and lobby - pleasant and friendly - highlight... More Info »
The Opera Hotel is located in the heart of the city just steps from the Grand-Place and many of the city's other... More Info »
Check in from 14:00 to 23:00 . Check out before 11:00 . City tax not included. 2 € per person Breakfast not... More Info »
Check in from 14:00 to 23:00 . Check out before 11:00 . City tax not included. 5 € per night Breakfast not... More Info »
The Hotel Auberge Autrichienne is one the oldest hotel in the neigbourhood. It has 24 rooms and each room has a... More Info »
Video guides, travel podcasts, city maps & free city guides. What to eat, where to stay and things to do and see - our travel guides have it all.Find a guide »
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My ex girlfriend is mentally unstable and lies a lot. She has made threats against my life and threatened to break my legs and she has made threats to hurt other people as she has asked me to do. Such as killing her ex husbands dog. I was secretly taping these comments. I mentioned this to a girl I was friends with. She told her friend because she some how felt she could be in danger. Who happens to be a friend of my ex who told her. It became a more threatening situation and I was made out to be a liar and lost this friend and others. I want to play this recording to this girl that was my friend because it will vindicate me. Can I get in trouble for this, in New Jersey?
Car / Auto Accident Lawyer
You need third party consent to record someone talking.
Call for a free consultation at 727-937-1400 or visit us on the Web at www.serviceandjustice.com.
What is 3rd party consent
George, that is the case in Florida, but not in all states.
Only one person needs to consent in New Jersey - invariably the person making the recording
Intellectual Property Law Attorney
It depends on where you recorded it. If you recorded it in New Jersey, you would only need the consent of one party to make the recording. But, the location of the recording is what matters, not where you are.
Personal Injury Lawyer
Depends on where you recorded these statements. Each state has different requirements for determining the legality of recording someone without their consent. In New Jersey one party must consent to the recording. Best of luck.
Personal Injury Lawyer
Best bet is not to do it.
Personal Injury Lawyer
Only one person needs to consent in New Jersey - invariably the person making the recording. "Trouble?" Being within your rights does not insulate you from trouble. It seems to me that if your ex finds out, she will find new ways to make trouble, either legal or non-legal. Plus, I wouldn't bother about the "friend" as it doesn't seem that she was your friend anyway but, your ex's friend and will probably tell your ex about the recordings (and that your are playing them for "everyone" not just her. Move on.
Understood, best answer
Post a free question on our public forum.Ask a Question
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Search for lawyers by reviews and ratings.Find a Lawyer


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PREVIEWS: "Daredevil," "Uncanny X-Men," & More Marvel Comics On Sale August 3, 2016
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Showing results 18147-18166 of 24129
Courtesy of Dynamite Entertainment, CBR presents Alex Ross' cover for "Project Superpowers" #11, a particularly creepy painting that reveals the true identity of the master villain of the series for the first time.
Marvel, has released a third "Secret Avengers" teaser image, this time depicting the silhouetted figure of a female character with a long, flowing cape accompanied by the quote "I am in control of my life."
The former Dark Horse Licensing kingpin joins the independent publisher to bolster opportunities for BOOM! original properties from Irredeemable to Unthinkable and beyond.
Courtesy of Image Comics, CBR with advance looks at three new books on sale this week - "Haunt" #5, "Phonogram 2: The Singles Club" #7 and an exclusive look at "Invincible Presents: Atom Eve & Rex Splode" #3!!
Marvel has released a second teaser image for Ed Brubaker and Mike Deodato's upcoming "Secret Avengers" title, presenting the character in silhouetted form with the phrase "I strive for redemption" as the only clue to their identity.
Dark Horse has released images and solicitation information for new comics on sale in May, 2010 including the latest issue of "Buffy: Season 8, "The Guild" #3, NYT best-selling author Janet Evanovich's first graphic novel and more!
Courtesy of DC Direct, CBR presents an exclusive First Look at their new DC Dynamics Supergirl statue, the latest addition to the company's line dedicated to presenting their characters in three-dimensional, dynamic poses.
Courtesy of Marvel Comics, CBR presents an exclusive First Look at the cover and creative team for the "Captain America: Who Won't Wield The Shield" one-shot scheduled to hit stores on April 7.
Marvel's latest teaser image for "Second Coming" features the team of X-Force and a newly returned to the present Cable as illustrated by Daniel Acuña, accompanied by the phrase "One Will Sacrifice..."
Marvel has released a teaser image for their new "Secret Avengers" title, as well as the announcement of the series' creative team of "Captain America" writer Ed Brubaker and "Dark Avengers" artist Mike Deodato.
Home | News | Columns | Reviews | Video | Blogs | Forums | FindAComicShop.com
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Balmule House4
Balmule House, Dunfermline, KY12 0RZ
Price FromView Rooms
- Excellent
- 2 guest reviews
"Excellent in all respects!..."
"Warm, inviting, small hotel which has been tastefully and expensively upgraded by the current proprietor. Hotel has lots of old world charm...."
About the hotel
Nestled in 30 acres of wooded grounds, just 2 miles from Dunfermline, this 14th Century House offers luxurious accommodation, opulent surroundings, free Wi-Fi and on-site parking. Approached by a sweeping tree-lined drive, Balmule House exhibits a genteel grace that is evocative of the seductive charms of its historical past. The property has undergone an extensive and sympathetic renovation of the past years, resulting in some truly inspired accommodation.
Combining the romantic allure of the past with the comforts of the present, each of the 8 rooms have been elegantly refurbished to the highest standards and offer views over the hotel's vast acres of beautiful gardens and woodland. Accommodation is inclusive of a delicious full Scottish breakfast. As the hotel does not have a liquor licence, guests are encouraged to bring their own alcoholic drinks. Please note there is only capacity for extra beds in superior rooms. Children are charged at £25 per person.
Read MoreLess
Facilities Show/hide
- Main
- Hotel Non-Smoking Throughout
- Hotel services
- 24 Hour Reception , Wake Up Call Available
- Other
- Wedding Licence , Porter
- Parking (charges may apply)
- Car parking available onsite
- Business
- Wi-Fi Available , Meeting Facilities , Wi-Fi Available In Public Areas , Wi-Fi Available In Rooms , Business Centre , Private dining services
- In room entertainment
- Video/DVD Player , TV , Video/DVD Library , CD Player , CD Library , [Channels] News , [Channels] Music , [Channels] Childrens , Radio
- In room facilities
- Tea/Coffee making facilities in each room , Hairdryer in each room , Telephone In Each Room
- Dining
- Breakfast to go
- Leisure
- Croquet
Useful Info Show/hide
- From 14:00 hours
- Until 11:00 hours
- The price shown is based on the occupancy and dates you have searched for. Prices and availability are subject to change based on the arrival date, number of nights and occupancy searched for. All prices are inclusive of all local taxes.
- Pets are not allowed
Customer Reviews
Our reviews are from genuine LateRooms.com customers. We verify that the customer has stayed before leaving a review.
100% would recommend it to a friend
Customer service
Food quality
Room quality
Great Fife Hotel
Excellent in all respects!
Lots of Old World Charm
Warm, inviting, small hotel which has been tastefully and expensively upgraded by the current proprietor.
Hotel has lots of old world charm. Staff very friendly.
Read More Less


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The Mathematics of Adaptive Security
Enterprise security teams are charged with maintaining the "perfect" set of security policies. In their pursuit of the perfect security policy, they are often the department of slow (because the pursuit of perfection takes time). At the same time, "to err is human…"
Oozie Plugin for Eclipse
Oozie Eclipse plugin is a new tool for editing Apache Oozie workflows graphically inside Eclipse. Usage of this plugin allows to skip hard to develop and maintain process definition in HPDL. Instead a process graph is defined graphically by placing process actions on pallet and connecting them. An article introduces Eclipse Oozie plugin and provides an example of its usage.
Q&A on the book Leading the Transformation
In the book Leading the Transformation: Applying Agile and DevOps Principles at Scale executives Gary Gruver and Tommy Mouser share their experiences with applying lean and agile development methodologies in enterprise development teams.
Q&A on Save our Scrum
The book Save our Scrum provides advice for teams to implement Scrum. It explores what teams that are having difficulties doing Scrum can do to get out of trouble find better ways to use Scrum.
Reactive Messaging Patterns with the Actor Model Book Review and Q&A with Vaughn Vernon
Vaughn Vernon in his new book Reactive Messaging Patterns with the Actor Model introduces the actor model and describes most of the patterns found in the book Enterprise Integration Patterns. 2
Case for Defaulting to G1 Garbage Collector in Java 9
In this article, GC expert Monica Beckwith makes the case for JEP 248, the proposal to make G1 the default garbage collector in OpenJDK 9. 6
A Glimpse of Latest Mobile App Development Trends
Even though mobile apps are nothing special anymore, there is still movement in this area. In this article, Katie Stanfield highlights some of the trends we might encounter in the near future. 10
Innovation at Telefónica with Lean Startup
Telefónica adapted Lean Startup to their processes, culture and organization to make it work. A Q&A with Susana Jurado Apruzzese on innovation and creating digital products.
Projecting a Modular Future
Authors discuss modularity and projectional editing concepts used to design programming languages, using a Language Workbench (LWB) tool like MPS from Jetbrains.
The Estimation Game - Techniques for Informed Guessing
In this article, author Carlos Bueno discusses the strategies for estimating the server capacity for big data projects and initiatives, with the help of two case studies.
Machine Learning and Cognitive Computing
This article covers machine learning and cognitive computing, and how they are related to artificial intelligence (AI). Panelists discuss how this technology is applied in digital marketing space.
Article Series: Patterns of DevOps Culture
This series explores some of the patterns of behavior of healthy organizations through testimonies from their practitioners and through analysis by consultants in the field.


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Big Brother kicked off its 18th season on Wednesday night with a surprisingly entertaining two-hour premiere. While some fans hate it when returning players reenter the house, I'm actually quite happy with the four alums selected. I'm also enjoying the team twist as it'll give the returnees a fighting change during the early weeks.
On the flip side however, what I feel is lacking this season is that one hot guy to lust over. Sure Victor, Corey, Jozea and Paulie are cute, but none can hold a candle to previous houseguests. During Paulie's introduction package, I couldn't take my eyes off his brother, Cody. Ergo this post.
Without a doubt BB17 player Clay Honeycutt and BB16's Cody Calafiore are two of the hottest players to ever enter the Big Brother house. Imagine being stuck with one of them for the entire summer. I.Would.Die!!!
Since their time on the reality show, both have parlayed their BB fame into some underwear modeling gigs. Check out some of their sexy shoots below and weigh in on which BB alum you'd rather. It's a tough one for me, but I think I'd go for Cody.
With the Fall television season in full swing, I thought it was a perfect time to highlight some of the new eye candy. Two of the new freshman shows I checked out this week were Crazy Ones and Lucky 7. I don't know about you, but I always get James Wolk and Matt Long mixed up. So much so, when my partner asked me where he recognized one of them, I listed off the other actor's credits. Am I the only one who confuses the two?
I first noticed James Wolk when he starred in FOX's ill-fated Lone Star. Thankfully, the 28-year-old rebounded from that embarrassment with memorable roles on both the small and silver screen. His television credits include Political Animals, Mad Men and Happy Endings where he engaged in man-on-man action. On the big screen, he co-starred with his Political Animals co-star Sigourney Weaver in You Again. The Michigan-born stud now stars in the CBS comedy, Crazy Ones.
Though more baby faced, Matt Long is actually older than Wolk and 33-years-old. Long burst onto the scene in the WB's Jack and Bobby. Like Wolk, he's also appeared on Mad Men. Perhaps that's why I interchange the two often. His other television appearances include Love Bites, The Newsroom and Private Practice. His biggest film credit involved co-starring with a then-sane Amanda Bynes in Sydney White. Matt is currently starring in ABC's new drama, Lucky 7.
Now that you know a bit about each actor, it's time to get to the goods. And by that I mean shirtless pics. Check out the studs below and be sure to cast your vote on Who'd You Rather after inspecting their assets.
Both Joey Lawrence and Ian Ziering made big names for themselves in the 90s starring in Blossom and Beverly Hills, 90210 respectively. Recently, both donned Chippendales' iconic bow ties and strutted their stuff at the male revue's Las Vegas show. It only seemed natural to pit these two former teen heartthrobs against each other in our latest Who'd You Rather battle.
Lawrence first started acting at a very young age. His first acting role was in a Cracker Jack commercial. After appearing in guest spots on Diff'rent Strokes and Silver Spoons, Lawrence won the role of Joey Donovan on the hit NBC sitcom Gimme a Break! In the 90s he, excuse the pun, blossomed into a bona fide television star, playing the dimwitted Joey Russo. In between all his acting gigs, Joey dabbled in music, scoring an international hit single, "Nothin' My Love Can't Fix." Currently, the 37-year-old is starring in the ABC Family sitcom, Melissa & Joey, opposite Melissa Joan Hart. He's married to his second wife and has two daughters.
Before hitting it big playing Steve Sanders, the 49-year-old actor worked on daytime soaps, The Doctors and Guiding Light. Since leaving the famous zip code, he's guest starred on numerous shows including JAG, CSI: NY and What I Like About You. On the fourth season of Dancing With The Stars, he reached the semi-finals with partner Cheryl Burke. Recently, he made a comeback with SyFy's inexplicable huge hit, Sharknado. Like Lawrence, Ziering is on his second marriage and has two daughters. Check out these two studs side by side below and cast your vote.
First Jane Lynch filed for divorce and now another Glee relationship bites the dust. Jonathan Groff who appeared on the FOX show for the first couple of seasons and his Trekkie boyfriend, Zachary Quinto, are calling it quits after a year-long relationship. Reportedly, the split is amicable and no salacious extra-curricular bedroom activities were to blame. Rather, it was their busy schedules that caused the split.
"Zach being away and filming was not easy on them," US Weekly's source says. "Now he's going to be in New York with his new play ["The Glass Menagerie"]. They really loved each other, so it wasn't an easy split." "It just ran its course," the source adds.
Groff (28) is currently filming the TV movie, The Normal Heart for Ryan Murphy, and has a lead role in an upcoming HBO gay comedy. Quinto (36) was most recently seen on the big screen in Star Trek Into Darkness. No word on whether or not he'll appear on the third iteration of American Horror Story but chances are pretty good he'll at least make a cameo. Murphy loves him and cast Zach for the first two seasons.
Since they're both on the market now, I thought I'd pit these two against each other in our latest Who'd You Rather battle. After all, I'm sure they'll be competing with each other for those hookers on Grindr trying to get some celebrity ass play. Check out solo pictures of them below, along with the couple during happier times. Be sure to cast your vote afterwards.
see pics of the two hot studs and case your vote in our poll after the jump
One can never have too many bathing suits. And if you do? One can never get tired of looking at handsome fit men modeling them. For our latest Who'd You Rather battle, I thought I'd pit two brothers against each other who were featured in Lodoli Swimwear's most recent ad campaign.
Marin (left) and Nick Vrnoga De Gregorio (right) were tapped by the European label to show off their new lines: Water; Bi Color; Steel; Olympic; and Bomba Aqua 2. The collections features push-up briefs and boxer brief cuts in an assortment of colors. Check out the ad campaign titled "Jungle Fever" snapped by Danijel Galic below and be sure to cast your vote on who'd you rather afterward. Enjoy.
For our latest Who'd You Rather battle, I thought I'd switch things up a little. Instead of pitting just two guys together, I decided a handful of hot guys would be spicier. What's their common thread? They all dated the same woman… Sophia Bush at one point or another.
The former One Tree Hill actress sure has a knack for enticing hot men to woo her. She also likes to sh*t where she eats. Three of her long-term relationships involved her OTH co-stars. That must've been an awkward set during all the bed hopping. Seeing a recent pic of the actress with her current beau inspired this post. Check out her dudes below and cast your vote on Who'd You Rather afterward.
It's a battle of the sequels this Memorial Day weekend at the box office. The Hangover Part III faces off against The Fast and The Furious 6. While these two films battle it out for your dollars, I thought it was only fitting that I pit the stars of the films in our latest Who'd You Rather poll.
Figuring out which two exactly proved to be a dilemma. Should I pit Vin Diesel against Justin Bartha, or Bradley Cooper against Tyrese Gibson? In the end, I decided to go with a Bradley Cooper and Paul Walker match-up. My rationale being that both of them were victors in their previous battles. Cooper edged out Bartha and Walker beat out his racing buddies. I'm curious to see which of these guys tops the other. In this battle, it's anyone's guess. In my fantasy, it's Cooper who tops Walker 😉 Check out the pics below and be sure to cast your vote afterward
see pics of the two hot studs and case your vote in our poll after the jump
In honor of Arrow's first season concluding this week, I thought I'd pit two of the show's male stars against each other in our latest Who'd You Rather poll. Given that Colton Haynes will most likely be Stephen Amell's sidekick next season, it was only appropriate to pit this Batman and Robin-type relationship against each other.
First up is Stephen Amell. This Canadian actor just oozes man. The 32-year-old actor guest starred on numerous shows including Queer as Folk, The Vampire Diaries, 90210 and New Girl to name a few. My favorite was his role on Showtime's Hung where he played a male prostitute. Lots of gratuitous shirtless scenes. But by far, his biggest role to date is playing Oliver Green on Arrow. The pilot gave the network its highest ratings in years. Those titillating promo posters certainly did the trick. Amell is a recent newlywed, marrying former ANTM alum Cassandra Whitehead.
Next up is 24-year-old Colton Haynes. Haynes started out his career by modeling for Abercrombie & Fitch, Ralph Lauren and JC Penney. Prior to landing his role as Roy Harper on The CW show, Colton played a werewolf twice on ABC's The Gates and MTV's Teen Wolf. He's also appeared in a couple of episodes of The Hills, music videos for Leona Lewis and My Chemical Romance. Check out photos of Colton and Stephen below and cast your vote on Who'd You Rather.


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cooler than cool; ice cold
use when someone/something is sooo awesome
use when someone/something is sooo awesome
My friends and I are soo chill
de amanda 23 Noiembrie 2004
to be in a drug induced relaxed state.
1.He chills all the time.
2.Ken Silverman
2.Ken Silverman
de Gitty 16 Februarie 2004
When cool just wasn't cold enough, the word chill was brought in instead.
"This t-shirt is so cool!"
"Yeah well these shoes are CHILL"
"Yeah well these shoes are CHILL"
de Anonymous 22 Octombrie 2003
'Chill' basically means cool or 'down'
There's this new guy in my class, he's chill.
de jizzie 09 Iulie 2003


text:
Definition of Daubigny, Charles François in English:
Daubigny, Charles François
(1817–78), French landscape painter. A member of the Barbizon School, he is often regarded as a linking figure between this group and the impressionists.
For editors and proofreaders
Syllabification: Dau·bi·gny, Charles François
Definition of Daubigny, Charles François in:
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text:
40 CFR 86.1401 - Scope; applicability.
prev | next
(a) This subpart contains CST procedures for gasoline-fueled Otto-cycle light-duty vehicles, and for gasoline-fueled Otto-cycle light-duty trucks, including those certified to operate using both gasoline and another fuel (for example, "flexible-fuel" or "dual-fuel" light-duty vehicles and light-duty trucks). For the purposes of the Certification Short Test, flexible-fuel or dual-fuel vehicles will be treated as dedicated gasoline vehicles. This subpart applies to 1996 and later mode years.
(b) References in this subpart to engine families and emission control systems shall be deemed to refer to durability groups and test groups as applicable for manufacturers certifying new light-duty vehicles and light-duty trucks under the provisions of subpart S of this part.
[64 FR 23922, May 4, 1999]
Beta! The text on the eCFR tab represents the unofficial eCFR text at ecfr.gov.
This section's status may have changed. It may have been renumbered, reserved, or removed.
Title 40 published on 2015-07-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 40 CFR Part 86 after this date.


text:
Slim Jim Antenna for 144 Mhz
A slim Jim antenna plan for two meters band
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San Diego, California, it's almost that time of year…to end all the political advertisements on the television and radio, in the newspapers and magazines, and, of course, in all those mailings. Yes, on Tuesday, November 6th, it will be your time to vote!
Although I usually don't use this blog to talk about politics, and your personal politics are not an issue for this posting, I do want to take a few minutes to discuss a ballot measure that I think is very important to us as citizens and for myself as a criminal defense attorney. If you don't think voting for our President of the United States or the Mayor of San Diego is enough reason to get to the polls next week, consider the implications of Proposition 34, the death penalty initiative.
California has had the death penalty reinstated on the books since 1978. There hasn't been an execution in California in over six years; however, we continue to house more than 700 people on death row as they wait for their supposed execution by the California Department of Corrections. The reality is the day will never come, or if it does, it will take 20-25 years and lots of money to get there. The reason for this is the many legal processes that are in place in an attempt to ensure that the convicted are afforded all protections so as to not execute an innocent person because there is no turning back once that switch is flipped.


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Zone4 – Hone different fighting styles in new PC action brawler
July 2nd, 2016 | by cinderboy
[Game website] Asiasoft recently announced a new game for its PC MMO lineup, titled Zone4. From what I know, the
July 2nd, 2016 | by cinderboy
[Game website] Asiasoft recently announced a new game for its PC MMO lineup, titled Zone4. From what I know, the
June 8th, 2016 | by cinderboy
[Play free now] Developed by Korean studio All-M (Lunia Online), the Southeast Asia server for Kritika has now entered the
June 1st, 2016 | by cinderboy
[Game website] PlayOne Asia, a new games publisher based in Southeast Asia, today opened a new server for Tree of
May 25th, 2016 | by cinderboy
[Game website] As the world's first English version of the game, gamers in Southeast Asia can now experience the adrenaline rush
April 8th, 2016 | by cinderboy
[Teaser website] Announced today, Playpark will be launching Kritika Online in South East Asia in May 2016 with 4classes: Warrior,
April 6th, 2016 | by cinderboy
[Play now] PlayOne Asia, a new online games publisher based in Malaysia, recently launched the SEA server for Dungeon Fighter
March 10th, 2016 | by cinderboy
Assemble your team and prepare your defenses as the fight for the future is about to begin! Blizzard Entertainment today
February 18th, 2016 | by cinderboy
[Register now] Echo of Soul, the upcoming Free-to-Play fantasy MMORG with its server located in Malaysia and Singapore, will kickstart
December 29th, 2015 | by cinderboy
Earlier this month, new Korean mobile games publisher NZIN revealed a brand identity trailer highlighting the major games it is
December 14th, 2015 | by cinderboy
[Source] Developer IMC Games today clarified the supposed SEA server for Tree of Savior. Players from Singapore and Malaysia would have
© 2009 - 2016 MMO Culture


text: Teens Throw Party in Mansion While Millionaire Homeowner is Out of TownNeetzan Zimmerman12/11/13 5:28pmFiled to: Kids These DaysCrimeHome InvasionRich KidsCalifornia1644EditInvite manuallyPromoteDismissUndismissHideShare to KinjaToggle Conversation toolsGo to permalink A group of high school students from California were arrested this week after allegedly throwing a party in the backyard of a multimillion-dollar mansion without the homeowner's knowledge.An investigation into the November 23-24 incident by the Los Angeles County Sheriff's Department resulted in the arrest of 14 minors and one 18-year-old. According to authorities, after learning about the La Habra Heights homeowner's absence, the home invaders took to Twitter to promote the impromptu party. Advertisement At some point during the festivities, attendees broke into the mansion and made off with several high-priced items. "They just had a free-for-all once the place was broken into," said Lt. Arthur Scott. "Once entry was made, it was like, 'Oh, this is fun.'" Sponsored The suspects, who reside in Whittier and La Habra, were taken into custody and booked on suspicion of burglary or trespassing. The Sheriff's Department says the home sustained damage and loss estimated at over $1 million. Several stolen items have since been recovered, including a full suit of armor complete with helmet and shield and a taxidermied snow leopard valued at $250,000. [photo of unrelated La Habra Heights mansion via Luxist] Advertisement Reply164 repliesLeave a reply


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Playa Ancón. A boat leaving for morning dive to nearby islands, tranquille azure waters, the atmosphere of 'Do Nothings' is clear from this image.
December Memories, January tough Canadian winter, triggers an early onset of February Blahs. This term may not be familiar to non-Canadians, but it is a slight mental depression caused by long Canack winters. No medical attention is required. It is easily treatable by a week or two in the Caribbeans. Not YET covered by our provincial medical insurance ;-(
Wonderful colors! LIKE. Best wishes from California, USA.
Attractive view!L116
Beautiful beach. I would like to go there.
Amazing seascape, great point of view, YSL! Have a nice day!
Beautiful coastal view!
Photo taken in Playa Ancon, Cuba
Hotel Ancon


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We are a warm, loving church family committed to Jesus and serving the Four Towns area of Volusia County in Florida–namely, Deltona, Debary, Orange City and Enterprise. We would like to extend a warm welcome to you and your family as well as invite you to find out more about who we are, what we do, and why we do it. Just imagine…
- …a place where you are surrounded by caring, down-to-earth people;
- …a place that expresses devotion to our Creator through music, drama, video and art;
- …a place where you are challenged to dig deep in God's word and discover your story within His story;
- …a church that is all about Jesus.
Engage with us and join us on the journey. No one is perfect here, so you can feel right at home. Welcome for Four Towns.
7/29/16 – 7/31/16
Fri 6 – 8 pm; Sat 9 am – 3 pm; Sun 10:30 – noon
Sun family service 10:30 am at Faith Bible Alliance Church
3015 Howland Blvd, Deltona, FL 32725
And pool party at the YMCA 11:30 am – 1:00 pm!!
280 Wolf Pack Run, Deltona, FL 32725
Four Towns Community Church
181 Wolf Pack Run
Deltona, FL 32725
Get more info and register your child online to get a free VBS tie-dye T-shirt!
CELEBRATE RECOVERY: Overcoming Hurts, Habits, and Hang-ups
This ministry occurs on Thursdays from 7 PM – 8:30 PM in sanctuary of 4TCC.
Stay connected with us!
In order to find out the latest with what's happening with Four Towns Community Church, visit the Events page.


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Police Asking For Help To Find 2-Year-Old Missing Since NovemberCity of Miami Police are asking for the public's help in locating a toddler missing since November.
Dozens Homeless After Miami Apartment FireMore than three dozen people will have to find a new place to stay after a smoky fire damaged their Miami apartment building.
Miami Property Once Owned By Cher SoldAfter three months on the market, a piece of property which once belonged to Cher which has a seven bedroom mansion on it has been sold.
Pilot Program Provides 'Pit Stop' For Miami's HomelessThe homeless situation in downtown Miami is a reality that you can't ignore and new program is looking to do just that.
FBI: 'Credible Threat' To Law Enforcement In South Florida The FBI warned officers in the South Florida area to be on high alert Friday over a 'credible threat.'
Top Meat Lover's Pizza In South FloridaWhen it comes to meat lover's pizza, South Florida has great places to eat. So why not indulge yourself by getting a meat lover's pizza.
Miami To Crack Down On Illegal DumpingThe City of Miami is hoping to clean up its streets and keep them that way.
Nicklaus Children's Hospital Given All Clear After Reports Of Shooter, ExplosivesMiami-Dade police have given the all-clear at Nicklaus Children's Hospital after reports of an active shooter Friday afternoon.
Trump Cancels Trip To Miami After Dallas ShootingsDonald Trump has cancelled his trip to Miami - a trip meant to woo the Hispanic community.
Miami Partners With Heineken To Save Historic Marine StadiumThe on again - off again efforts to save the Miami Marine Stadium are on again in a big way.
Police Arrest Man Accused Of Trying To Rob Armored TruckMiami Police are asking for the public's help to identify a man caught on camera trying to rob from an armored truck Wednesday afternoon.
Dems Send GOP Leadership A Message On Gun SafetyFour years ago Megan Hobson was the victim of a drive-by shooting.


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Pretty sure this story is made up and not real. If not, then I am afraid the guy wasn't very smart. After the first call, the logical thing would be to call over and over again the same day until you get someone on the line competent enough to help you.
Selling your shares of a company doesn't mean selling your publishing rights as well.
FF7 Remake is PS4 console exclusive. Sony owns the console publishing rights for FF7 and anything related to it. A proof of this is the PC steam port that is releasing on PS4 this winter. That is not releasing on Xbox One either. If they could do it, they would because porting the PC version to Xbox One would be easy, but they can't.
Those rights also translate to th...
No, it's coming out tomorrow on the 6th.
Yeah, everyone forget meth inside their old console, that's a common thing !
They said they will add a free DLC with 2 new levels and 5 extra skaters.
Once it gets that, get all its bugs fixed and the price drop, it could actually be worth buying.
They say that, yet they're obviously already working on it.
No, it will always be there, but will shrink significantly and because of that, Gamestop will eventually become the next Blockbuster and disappear.
Even if physical media will be around forever, Gamestop will eventually go out of business as the market for it grow smaller. Remember blockbuster? Same thing will happen to gamestop.
Super Meat Boy was confirmed months ago when it was announced that it would be a Plus title at launch and it launch October 6th.
Not PS4 and X1 games, no yet.
I don't think we will have to wait this long to play it. I am betting we will get it in Spring 2016.
SE have been pushing for western releases that are closer to the Japanese releases for quite a while.
Waiting 6 months or more for something made by SE is a thing from the past. Only Atlus pull this stuff now, so expect to play Persona 5 in 2017.
"We've Always Really Loved the Xbox."
Not for long when you lose money on this game because it will barely sell.
If they're gonna finish the series and not gonna continue, the ending shouldn't leave things hanging and have definite closure.
No it won't, in fact it will do a lot better than the previous ones.
I just wanna know if there is local coop and offline single player (they made it sound like everything was online).
Only problem is that it has the Mobile UI.
The only thing I wanna know is if there will be local coop. This will literally decide if I buy or not.
It's disturbing that we're 1 week till release and not a single info on this.
Yes it is. It's the first four battles of episode 1. The 5th battle automatically takes you to the cutscene after and the demo ends.
What is nice about it, the save carry over to full game. So you can level your masteries and unlock classes and have them ready on release day.
Wouldn't have had the time to tell you the truth. Persona 5 is going to be awesome, but I would have played Disgaea 5, Tales of Zesteria, Legend of Heroes ToCS and Dragon Quest Heroes first (and Legend of Heroes TitS SC if it come out in 2015 like they said).
Hell, Disgaea 5 will probably takes too much of my time, I won't be done with it for a while.
I am actually pissed that it's not coming on console at the same time. Talk about being a jerk and ignoring the biggest market. Should have come on console simultaneously or earlier. Console market is bigger.


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Redmond, WAUSA
Hometown: Redmond
July 16, 2012
I'm 26 and live with my husband in Kirkland. I'm Canadian and moved here from Vancouver about three years ago. I'm fairly outgoing and energetic while at the same time love to lounge around the house on the weekends.
I really like mystery/triller type novels but I've recently started going through Oprah's summer reading list and I'm surprising myself with the new types of books I am starting to like. I'm looking forward to branching out a little bit.
I'm originally from Vancouver, Canada but live in Kirkland now :)
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Display Ads
Dir. of Advertisers
Opening Nebraskas skies: Congress restores funds to North Platte airport
Davis at the Legislature: Paying tribute to the cowboy culture
More opinion
South Dakota Supreme Court: Cattle died from drowning in blizzard
Town Hall set to discuss mega-chicken plant near Fremont
More Ag News
At just after 3 a.m. Monday morning, police responded to the 1500 block of West Fourth on a reported disturbance.
Officers found the victim outside their home. He told police that Winder threatened to kill him and then herself. Police went inside and found Winder in an agitated state in a downstairs bedroom, and detained her.
Following further investigation, police determined there was probable cause to charge Winder with felony terroristic threats, use of a deadly weapon to commit a felony and third-degree assault by intimidation.
Winder was arrested and taken to the Lincoln County Jail.
Flatrock Publishing, Inc.
1300 E 4th St., Suite F
North Platte, NE 69101


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Viewing All 36 Photos
Certified photos by travelers like you.
December 2011
Day trip to Seattle from Victoria
May 2011
Day trip to Seattle from Victoria: Seattle Waterfront Skyline
Robert Alan Saker Australia
September 2014
Arriving in Seattle
Taken out of perspex windows which were also dirty
September 2014
on our way to board the Victoria Clipper III.
Shirley and my sister Norma
March 2014
See ya later Seattle
The most divine day to be flying across the sea.
March 2014
Simply stunning Susie!
This is me on the back deck searching desperately for Orcas, fully equipped with noise reducing headphones and warm beanie. Was a great trip, I was the only one outside. No Orca's :(


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Information sessions on the Kindle eBooks available through the library's catalog will be held at 10:00, 10:30 and 11:00 am and 7:00, 7:30 and 8:00 pm on Wednesday, October 12. You must register for one of the sessions and bring a Kindle or a device that can download the Kindle app. We will show you how to download a Kindle eBook from the Minuteman Digital Media catalog. Please download the app to your computer, iPad, iTouch or mobile device in advance of the session. Visit the Kindle eBooks Basics Help on this link or watch this video tutorial
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text:
Erin Rooney Doland
Books by this Author
Erin Doland: Unclutter Your Life in One Week
My Life in 8 Words
Author Revealed
Q. What is your motto or maxim?
A. Carpe Vitam -- Seize Life
Q. What 3 personal qualities are most important to you?
A. Loyalty, not taking self too seriously, and personal responsibility.
Q. What is your biggest pet peeve?
A. Chewing with your mouth open.
Q. With whom in history do you most identify?
A. Oh wow, this is a hard question. Maybe Lord Byron? He surrounded himself with people he loved and went on many spectacular adventures.
Q. What's your fantasy profession?
A. Exactly what I'm doing.


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text:
Four up, four down heading into Week 11.
Penn State's red zone offense: The red zone was an absolute dead zone for Penn State earlier this season, but Evan Royster and the Nittany Lions have turned things around. Penn State scored touchdowns on all four of its red zone chances against Northwestern, none bigger than Brett Brackett's leaping grab in the back of the end zone with three seconds left in the first half. Penn State is 12-for-13 in red zone scoring chances the past three weeks with 11 of those conversions being touchdowns.
Michigan's wide receivers: Denard Robinson and Tate Forcier are getting a lot of help from this group right now. Roy Roundtree recorded a team-record 246 receiving yards and two touchdowns on nine receptions against Illinois, while Junior Hemingway made several of the game's biggest plays and finished with six receptions for 104 yards and two scores. Darryl Stonum also added a touchdown catch in Michigan's historic offensive performance.
Wisconsin's linebackers and defensive backs: The Big Ten knows about star defensive end J.J. Watt, but the Badgers' back seven really distinguished itself in a come-from-behind road win against Purdue. Cornerback Antonio Fenelus earned Big Ten co-Defensive Player of the Week honors after recording a pick-six, a 48-yard fumble return and nine tackles against the Boilers. Wisconsin also got big performances from linebackers Mike Taylor and Culmer St. Jean and safety Aaron Henry, among others.
Michigan State RB Edwin Baker: Quiet since the Michigan win, "Rock" ran all over Minnesota for 179 yards and four touchdowns on 27 carries. Baker didn't have a run that went for longer than 30 yards but broke off several impressive intermediate gains against the Gophers. On a day when quarterback Kirk Cousins struggled, Baker and the offensive line picked up the slack.
Illinois' defense: The Illini forced five turnovers but did little else to stop Michigan's offense at the Big House. A unit that came in ranked 12th nationally in points allowed and 15th in yards allowed got gashed for 67 points, 676 total yards and 33 first downs. Coordinator Vic Koenning demands more from his defense, and I think he'll get it this week against Minnesota.
Northwestern's ability to close out halves: A good portion of the scoring drives Northwestern has allowed this season, both in wins and losses, have occurred right before halftime or late in the fourth quarter. It reveals a team and a coaching staff that doesn't keep the pedal down enough. Northwestern might not have lost a 21-0 lead against Penn State if it didn't allow the Lions to march 91 yards in 47 seconds right before halftime. That's inexcusable.
Minnesota's kicking game: There are problems on both offense and defense, but Minnesota's kicking game hasn't done it any favors this year. After having a punt blocked and recovered for a touchdown against Ohio State, Minnesota averaged just 32 yards per punt at Michigan State and missed its lone field goal attempt. The Gophers are 10th in the Big Ten in field goals and 11th in punting. "We have no consistency punting the ball," interim coach Jeff Horton said. "We don't have any consistency. Obviously, I don't feel comfortable kicking field goals." Ouch.
Iowa's red zone offense: The Hawkeyes made four trips to the red zone against Indiana but had to settle for three short field goals and a short missed field goal try by Michael Meyer. Fans are blaming Ken O'Keefe's play calling and the absence of running back Adam Robinson, but it comes down to execution, too. Quarterback Ricky Stanzi didn't make great throws and Iowa took back-to-back pre-snap penalties on one series to go from third-and-goal from the 7 to third-and-goal from the 17.


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Google cites developer agreement, but won't go into detail on why this adblock module was targeted in particular.
A new Harvard study claims that encryption doesn't hinder the search for terrorists — but only because it sucks so hard.
Pre-ordering phones from unproven companies continues to be a massive gamble.
Adblock Plus announced its advertisement filter add-in is now available for some Samsung Galaxy devices running Android 6.0 Marshmallow.
Google's Nexus devices are often considered the best on the market. The OS developer may be looking to boost that reputation, while competing with Apple more effectively in the high-end smartphone market.
Microsoft's Lumia sales collapsed in Q4 2015, with only half the sales they showed the year before. Is Windows 10 Mobile effectively dead just months after launch?
Apple's iPhone sales have stopped growing and more than half its users still haven't upgraded to a 6 or 6s. As the mobile market matures and the rate of technological advancement slows, even companies like Apple may feel the impact.
ARM and Intel have been on a collision course for years, but the iPad Pro is the most significant volley yet into Intel's traditional markets. Can Apple's new A9X match the performance of Intel's low-power Core M?
Apple is reportedly prepping a new, smaller iPhone that combines a smaller 4-inch screen with updated internals. It's intended the anti-phablet crowd to upgrade, while simultaneously blending older and newer hardware in the same device.
Google wants to create a path of least resistance between thinking about an app you might want and actually installing it.
Subscribe Today to get the latest ExtremeTech news delivered right to your inbox.


text:
Day 3 got underway with some well received cover from the sun as the Brampton, Ontario temperature began to drop from the blistering heat. It was an action packed semi-final day with some fantastic hockey.
It has been eight years since the Canada's men's field hockey team last competed at the Olympic Games and like any story with a happy ending, there have been bumps along the way.
Day 2 of our 2016 U18 National Championships began again with some blistering heat. The first 3 matches of the day were the final round-robin games and were followed by quarter finals. It was all or nothing for our 7 teams vying for a gold medal.
Two-time Olympian Mike Mahood who now runs Martin Fisher Tailors fitted the Canadian men in custom tailored suits, re-kindling a tradition of travelling to major tournaments in style.
Join the Canadian men's field hockey team on their #RoadToRio with this video series which includes video blogs, game footage, and behind-the-scenes action.
Wednesday marked day 1 of the U18 National Championship. With temperatures reaching heights of 37 degrees, and teams battled through the heat as well as their opponents. With all the teams playing at least 1 game today, everyone had a chance to prove their worth.
Keep up to date on upcoming events, match results and more.


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SCI names new CEO, while the Louisiana governor appoints commissioner to the Port of New Orleans board.
The Panama Canal Authority said it is confident in the process it uses to move ships through the new locks at the canal, following an accident last week that damaged the Xin Fei Zhou after it made contact with one of the walls at the Agua Clara Locks.
Ocean carrier MSC has started investing in TRAXENS, a French start-up that produces technology for ocean container tracking.
Registration takes less than 1 minute.
Ocean carrier Hyundai Merchant Marine joining the 2M Alliance - comprised of Maersk Line and MSC - has fueled speculation about Maersk's ultimate motives, but the short term impact is a larger share on the transpacific trade, especially from Korea.
The U.S. Department of Transportation has announced 18 proposed grant awards totaling $759.2 million in funding for nationally significant transportation infrastructure projects under the Fixing America's Surface Transportation (FAST) Act of 2015.
The Calgary-based Class I railroad cited lower-than-anticipated bulk volumes, the devastating wildfires in northern Alberta and a strengthening Canadian dollar as the primary reasons for the downward revision in earnings expectations.


text:
Question: Which SNL comedian will play Debbie Stabenow?
Because her comment about feeling global warming when she flies is as stupid as it gets.
Paging Tina Fey for a special cameo. Hello?
Posted in: Enviro-nitwits
Yosemite Nat'l Park hosts climate change lecture from Smoggy the Bear; Vin Scully not feeling the Bern (Open thread)
June 19, 2016 09:14 AM by Doug Powers
California schemin': Bill that would have criminalized climate change skepticism dies (for now)
June 2, 2016 10:14 PM by Doug Powers
His contrails will go on: DiCaprio takes private jet from France to NYC to accept environmental award (Open thread)
May 22, 2016 10:06 AM by Doug Powers
Fear factor: Forum at MIT examines if a certain phobia is worsening global warming
May 10, 2016 10:36 AM by Doug Powers
John Kerry should tell the White House about his 'borderless world' prediction
May 8, 2016 11:08 PM by Doug Powers
Categories: Barack Obama, Enviro-nitwits, Feature Story, global warming, John Kerry


text:
Children's Vaccines Health Center
News and Features Related to Children's Vaccines
Is Measles' Return the 'New Normal'?
By Tara Haelle HealthDay Reporter TUESDAY, Feb. 10, 2015 (HealthDay News) -- Is measles really back? That's the question vexing everyone from pediatricians to policymakers to parents as the outbreak of the dangerous childhood disease that was declared eliminated from the United States 15 years ago cRead Full Article
Latest Measles Count: 121 Cases in 17 States, D.C.
By Dennis Thompson HealthDay Reporter MONDAY, Feb. 9, 2015 (HealthDay News) -- The number of measles cases in the United States has reached 121 patients in 17 states and the District of Columbia, federal health officials reported Monday. The outbreak began at two Disney theme parks in southern CalifRead Full Article
5 Babies at IL Day Care Diagnosed With Measles
By Dennis Thompson HealthDay Reporter FRIDAY, Feb. 6, 2015 (HealthDay News) -- The number of measles cases in the United States continues to climb, with Illinois health officials saying five babies who attend a suburban Chicago day care center have come down with the highly infectious childhood diseRead Full Article
Measles: A Tale of Two Outbreaks
Feb. 6, 2015 -- The current measles outbreak, which has topped 100 cases so far, is believed to have started at two Disney theme parks in California. But it's not the first time measles has been spread through a big theme park. Two years ago, measles passed through a theme park in Orlando, FL. The gRead Full Article
Should Vaccination Be a Personal Choice?
Jan. 29, 2015 -- As a measles outbreak linked to Disneyland continues to spread, a backlash against parents who refuse or delay vaccination for their children has risen to a fever pitch. More and more pediatricians say they are "firing" patients who decide not to vaccinate. On social media, angry paRead Full Article
Vaccine Opponents Often Cluster in Communities
By Steven Reinberg HealthDay Reporter MONDAY, Jan. 19, 2015 (HealthDay News) -- Parents who refuse to have their children vaccinated appear to be clustered in certain areas, a new study suggests. Among more than 150,000 children in 13 counties in Northern California, the researchers found five clustRead Full Article
Vaccine Can Cut Rates of Common Infant Infection
By Robert Preidt HealthDay Reporter TUESDAY, Jan. 13, 2015 (HealthDay News) -- Rotavirus is a relatively common infection of infants and -- especially in poorer countries -- can cause sometimes fatal diarrhea and vomiting. However, a new U.S. study finds that widespread vaccination against rotavirusRead Full Article
Long-Term Study Finds Measles Vaccines Safe
By Robert Preidt HealthDay Reporter WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Two measles-containing vaccines are safe, according to a new 12-year study. The research included children between the ages of 12 to 23 months. Some youngsters received the combination measles-mumps-rubella-varicella (MMRead Full Article
FDA Approves New Meningitis Vaccine
By Robert Preidt HealthDay Reporter WEDNESDAY, Oct. 29, 2014 (HealthDay News) -- A new vaccine that could help prevent some cases of life-threatening meningococcal disease was approved by the U.S. Food and Drug Administration on Wednesday. Trumenba is approved to protect people between the ages of 1Read Full Article
Most Kindergartners Are Getting Their Shots: CDC
By Steven Reinberg HealthDay Reporter THURSDAY, Oct. 16, 2014 (HealthDay News) -- Most American kids entering kindergarten are getting their required vaccinations, a new report shows. Coverage for the 2013-2014 school year ranged from 95 percent for the diphtheria, tetanus and pertussis (whooping coRead Full Article


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- RT @thefirstandi: Loving my first experience of @moonduo at the cathedral tonight #Tramlines2016 https://t.co/Vmlsr5Rw0w
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Located in Keystone, Liftside Condos at Mountain House Village by Key to Rockies is minutes from Keystone Ski Resort and close to Keystone Conference Center. This condo is within the vicinity of Lake Dillon Marina and Arapahoe Basin Ski Area.
Make yourself at home in of the guestrooms featuring fireplaces and flat-screen televisions. Rooms have private balconies. Kitchens are outfitted with refrigerators, stovetops, and microwaves. Cable programming and DVD players are provided for your entertainment, while complimentary wireless Internet access keeps you connected.
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About Alumnae Leadership Council
ALC is an intense training session for invited alumnae leaders. Council provides a unique opportunity for alumnae to reconnect with the College and with other alumnae in leadership roles. Delegates receive training relevant to their volunteer positions and learn about new initiatives within the Alumnae Association. Delegates are also provided with current information about Wellesley to use in their work. Invitations to ALC are emailed to volunteers in early September.
The ALC 2016 schedule will be available in September. To view the 2015 schedule, please click here.


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Menorrhagia Treatment & Management
- Author: Julia A Shaw, MD, MBA, FACOG; Chief Editor: Michel E Rivlin, MD more...
Medical Care
Medical therapy for menorrhagia should be tailored to the individual. Factors taken into consideration when selecting the appropriate medical treatment include the patient's age, coexisting medical diseases, family history, and desire for fertility. Medication cost and adverse effects are also considered because they may play a direct role in patient compliance.[27]
Nonsteroidal anti-inflammatory drugs
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-line medical therapy in ovulatory menorrhagia. Studies show an average reduction of 20-46% in menstrual blood flow.[28] NSAIDs reduce prostaglandin levels by inhibiting cyclooxygenase and increasing the ratio of prostacyclin to thromboxane. NSAIDs are ingested for only 5 days of the entire cycle, limiting their most common adverse effect of stomach upset.
Oral contraceptive pills
Oral contraceptive pills (OCPs) are a popular first-line therapy for women who desire contraception. Menstrual blood loss is reduced as effectively as NSAID's secondary to endometrial atrophy.[29] OCPs suppress pituitary gonadotropin release, preventing ovulation.
Common adverse effects include breast tenderness, breakthrough bleeding, nausea, and, possibly, related weight gain in some individuals.
A long-term combination of oral estradiol valerate and dienogest was found to be highly effective when compared with placebo in the treatment of women with heavy menstrual bleeding.[30] In March 2012, dienogest/estradiol valerate (Natazia) was the first oral contraceptive approved by the FDA for heavy menstrual bleeding.
Progestin therapy
Progestin is the most frequently prescribed medicine for menorrhagia. Therapy with this drug results in a significant reduction in menstrual blood flow when used alone. Progestin works as an antiestrogen by minimizing the effects of estrogen on target cells, thereby maintaining the endometrium in a state of down-regulation. Common adverse effects include weight gain, headaches, edema, and depression.
Levonorgestrel intrauterine system
The levonorgestrel intrauterine system reduces menstrual blood loss by as much as 97%[31] It is comparable to transcervical resection of the endometrium for reduction of menstrual bleeding[32, 33, 34] Adverse effects include uterine bleeding or spotting, headache, ovarian cysts, vaginitis, dysmenorrhea, and breast tenderness.
A study by Kim et al indicated that the presence of a large myoma increases the likelihood of treatment failure with either thermal balloon ablation or the levonorgestrel intrauterine system. The study involved 106 women with menorrhagia and either intramural or submucosal myomas, including 67 patients who underwent thermal balloon ablation and 39 who were treated with the levonorgestrel intrauterine system; follow-up lasted more than 12 months.[35]
The investigators found that treatment failure (ie, hysterectomy at some time during follow-up or recurrence or persistence of menorrhagia within one year of treatment) for thermal balloon ablation for women with myomas of under 2.5 cm was 12%, compared with 28% for women with myomas that were less than 5 cm but greater than or equal to 2.5 cm, and 56% for women whose myomas were at least 5 cm in size. Those figures for women treated with the levonorgestrel intrauterine system were 14%, 29%, and 25%, respectively.[35]
In the ECLIPSE trial, which compared the clinical effectiveness and cost-effectiveness of the levonorgestrel-releasing intrauterine system with standard medical care (ie, tranexamic acid, mefenamic acid, combined oestrogen-progestogen or progesterone alone) for menorrhagia, investigators noted that although both treatment groups had improved scores as measured by the Menorrhagia Multi-Attribute Scale (MMAS), significantly greater improvement occurred in the levonorgestrel intrauterine system group over a 2-year period.[36] However, the differences between treatment groups were no longer signifcant at 5 years, and there was a similarly low proportion of women who required surgery in the groups. The investigators also indicated that the levonorgestrel intrauterine system was cost-effective in the short and medium term.[36]
Gonadotropin-releasing hormone agonists
These agents are used on a short-term basis due to high costs and severe adverse effects. GnRH agonists are effective in reducing menstrual blood flow. They inhibit pituitary release of FSH and LH, resulting in hypogonadism. A prolonged hypoestrogenic state leads to bone demineralization and reduction of high-density lipoprotein (HDL) cholesterol.
Danazol competes with androgen and progesterone at the receptor level, causing amenorrhea in 4-6 weeks. Androgenic effects cause acne, decreasing breast size, and, rarely, lower voice.
Conjugated estrogens
These agents are given intravenously every 4 hours in patients with acute bleeding. A D&C procedure may be necessary if no response is noted in 24 hours. If menses slows, follow up with estrogen-progestin therapy for 7 days. This is followed by OCPs for 3 months.
Tranexamic acid
Tranexamic acid (Lysteda) was the first nonhormonal product approved by the FDA (in November of 2009) for the treatment of heavy menstrual bleeding. It is a synthetic derivative of lysine that uses antifibrinolytic effects by inhibiting the activation of plasminogen to plasmin.
Tranexamic acid's mechanism of action in treating heavy menstrual bleeding is by prevention of fibrinolysis and the breakdown of clots via inhibiting endometrial plasminogen activator.
In a double-blind, placebo-controlled study, women taking 3.9 g/d of tranexamic acid showed a significant reduction in menstrual blood loss and an increase in their health-related quality of life compared with those taking placebo.[37] Common adverse effects include menstrual discomfort, headache, and back pain.
Surgical Care
Surgical management has been the standard of treatment in menorrhagia due to organic causes (eg, fibroids) or when medical therapy fails to alleviate symptoms. Surgical treatment ranges from a simple D&C to a full hysterectomy.
Dilatation and curettage
A D&C should be used for diagnostic purposes. It is not used for treatment because it provides only short-term relief, typically 1-2 months.
This procedure is used best in conjunction with hysteroscopy to evaluate the endometrial cavity for pathology.
It is contraindicated in patients with known or suspected pelvic infection. Risks include uterine perforation, infection, and Asherman syndrome.
Resectoscopic endometrial ablation techniques
Transcervical resection of the endometrium[3]
Transcervical resection of the endometrium (TCRE) has been considered the criterion standard cure for menorrhagia for many years.
This procedure requires the use of a resectoscope (ie, hysteroscope with a heated wire loop), and it requires time and skill.
The primary risk is uterine perforation.
Roller-ball endometrial ablation[4]
Roller-ball endometrial ablation essentially is the same as TCRE, except that a heated roller ball is used to destroy the endometrium (instead of the wire loop).
It has the same requirements, risks, and outcome success as TCRE.
Satisfaction rates are equal to those of TCRE.
Endometrial laser ablation
Endometrial laser ablation requires Nd:YAG equipment and optical fiber delivery system.
The laser is inserted into the uterus through the hysteroscope while transmitting energy through the distending media to warm and eventually coagulate the endometrial tissue.
Disadvantages include the expense of the equipment (high), the time required for the procedure (long), and the risk of excessive fluid uptake from the distending media infusion and irrigating fluid.
This technique has largely been replaced by the nonresectoscopic systems (discussed below).
Nonresectoscopic endometrial ablation techniques
Thermal balloon therapy[5, 6]
A balloon catheter filled with isotonic sodium chloride solution is inserted into the endometrial cavity, inflated, and heated to 87°C for 8 minutes.
Uterine balloon therapy cannot be used in irregular uterine cavities because the balloon will not conform to the cavity.
Studies report a 90% satisfaction rate and a 25% amenorrhea rate. Long-term studies are ongoing.
Heated free fluid[7]
HydroThermAblator (HTA) is an office procedure in which normal saline is infused into the uterus via the hysteroscope.
The solution is heated to 194°F (90°C) for 10 minutes under direct visualization.
This procedure requires only local anesthesia.
HTA may be used in patients with irregularly shaped endometrial cavities and/or fibroids.
Vaginal and skin burns are the most reported complications.
Cryoablation is the use of liquid nitrogen to freeze the endometrium. The procedure is performed in approximately 10 minutes under ultrasonographic guidance.
Patients usually experience 1 week of watery vaginal discharge postprocedure.
Risks include perforation and suboptimal ablation of the entire uterine cavity.
Microwave endometrial ablation alternative[9]
Microwave endometrial ablation (MEA) was developed and has been used in Europe since 1996. It uses high-frequency microwave energy to cause rapid but shallow heating of the endometrium. Microwaves are selected so that they do not destroy beyond 6 mm in depth.
MEA requires 3 minutes of time and only local anesthetic. It is proving to be as effective as TCRE.
In a Japanese study, investigators found that multiple MEAs in the same region in women with adenomyosis and menorrhagia was more effective than conventional single ablation treatment, as well as resulted in higher patient satisfaction rates.[38]
Radiofrequency electricity[8]
NovaSure system is a detailed microprocessor-based unit with a bipolar gold mesh electrode array. It contains a system for determining uterine integrity based upon the injection of CO2. The device is placed transcervically, the array is opened and electrical energy is applied for 80-90 seconds, desiccating the endometrium.
Endometrial ablation or resection preparation
A trial of medical therapy should have failed in patients considered for this therapy. The endometrium should be properly sampled and evaluated before surgery.
Patients should be pretreated with danazol or a GnRH analogue for 4-12 weeks before surgery to atrophy the endometrium, reducing surgical difficulty and time.
Success rates are similar to laser ablation techniques.
A 2005 Cochrane Review (updated in 2009) concluded that "overall the existing evidence suggests that success rates and complication profiles of newer techniques of ablation compare favourably with TCRE, although technical difficulties with new equipment need to be ironed out."[9, 39]
In an observational study (2010-2012) of 235 German women aged 18 years and older with menorrhagia and high or low surgical risk of complications who underwent radiofrequency endometrial ablation (RFEA), RFEA appeared to improve quality of life as well as resulted in high satisfaction among both groups of women.[40] High-risk factors included anemia, coagulopathy, anticoagulation, thromboembolism, obesity, transplantation, malignancy, and severe cardiovascular/pulmonary disease.[40]
Surgical techniques
Myomectomy can be useful in women who wish to retain their uterus and/or fertility.
Since myomectomy can be associated with large blood loss, this procedure is often reserved for cases of a single or few myomas.
Risks include large blood loss or recurrence.
Hysterectomy[11, 12]
Hysterectomy provides definitive cure for menorrhagia.
This procedure is more expensive and results in greater morbidity than ablative procedures.
The mortality rate ranges from 0.1-1.1 cases per 1000 procedures.
The morbidity rate is usually 40%.
Risks include those usually associated with major surgery.
A study by Roberts et al reviewed the cost effectiveness of first-generation and second-generation endometrial ablative techniques, hysterectomy, and the levonorgestrel-releasing intrauterine system (Mirena) for the treatment of heavy menstrual bleeding.[41] Although the authors did not define "heavy menstrual bleeding," their analysis concluded that the most cost-effective initial treatment for menorrhagia that yielded the best quality of life was hysterectomy.
Tucker ME. Levonorgestrel system eases effects of menorrhagia. Medscape Medical News. Jan 09, 2013. Available at http://www.medscape.com/viewarticle/777406. Accessed: Jan 14, 2013.
Gupta J, Kai J, Middleton L, et al. Levonorgestrel intrauterine system versus medical therapy for menorrhagia. N Engl J Med. 2013 Jan 10. 368(2):128-37. [Medline].
DeCherney A, Polan ML. Hysteroscopic management of intrauterine lesions and intractable uterine bleeding. Obstet Gynecol. 1983 Mar. 61(3):392-7. [Medline].
Chullapram T, Song JY, Fraser IS. Medium-term follow-up of women with menorrhagia treated by rollerball endometrial ablation. Obstet Gynecol. 1996 Jul. 88(1):71-6. [Medline].
Meyer WR, Walsh BW, Grainger DA, et al. Thermal balloon and rollerball ablation to treat menorrhagia: a multicenter comparison. Obstet Gynecol. 1998 Jul. 92(1):98-103. [Medline].
Garza-Leal J, Pena A, Donovan A, et al. Clinical evaluation of a third-generation thermal uterine balloon therapy system for menorrhagia coupled with curettage. J Minim Invasive Gynecol. 2010 Jan-Feb. 17(1):82-90. [Medline]. [Full Text].
Goldrath MH. Evaluation of HydroThermAblator and rollerball endometrial ablation for menorrhagia 3 years after treatment. J Am Assoc Gynecol Laparosc. 2003 Nov. 10(4):505-11. [Medline].
[Guideline] ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 81, May 2007. Obstet Gynecol. 2007 May. 109(5):1233-48. [Medline].
Lethaby A, Hickey M, Garry R. Endometrial destruction techniques for heavy menstrual bleeding. Cochrane Database Syst Rev. 2005 Oct 19. CD001501. [Medline]. [Full Text].
Learman LA, Summitt RL Jr, Varner RE, et al. Hysterectomy versus expanded medical treatment for abnormal uterine bleeding: clinical outcomes in the medicine or surgery trial. Obstet Gynecol. 2004 May. 103(5 Pt 1):824-33. [Medline].
Wright RC. Hysterectomy: past, present, and future. Obstet Gynecol. 1969 Apr. 33(4):560-3. [Medline].
Showstack J, Lin F, Learman LA, et al. Randomized trial of medical treatment versus hysterectomy for abnormal uterine bleeding: resource use in the Medicine or Surgery (Ms) trial. Am J Obstet Gynecol. 2006 Feb. 194(2):332-8. [Medline].
Chen YJ, Li YT, Huang BS, Y, et al, for the Taiwan Association of Gynecology Systematic Review Group. Medical treatment for heavy menstrual bleeding. Taiwan J Obstet Gynecol. 2015 Oct. 54 (5):483-8. [Medline].
Hallberg L, Nilsson L. Determination of menstrual blood loss. Scand J Clin Lab Invest. 1964. 16:244-8. [Medline].
Goldrath MH. Hysteroscopic endometrial ablation. Obstet Gynecol Clin North Am. 1995 Sep. 22(3):559-72. [Medline].
Fraser IS, Warner P, Marantos PA. Estimating menstrual blood loss in women with normal and excessive menstrual fluid volume. Obstet Gynecol. 2001 Nov. 98(5 Pt 1):806-14. [Medline].
Warner PE, Critchley HO, Lumsden MA, Campbell-Brown M, Douglas A, Murray GD. Menorrhagia I: measured blood loss, clinical features, and outcome in women with heavy periods: a survey with follow-up data. Am J Obstet Gynecol. 2004 May. 190(5):1216-23. [Medline].
Lentz GM. Abnormal uterine bleeding. Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby; 2007. 915-32.
Glasser MH, Zimmerman JD. The HydroThermAblator system for management of menorrhagia in women with submucous myomas: 12- to 20-month follow-up. J Am Assoc Gynecol Laparosc. 2003 Nov. 10(4):521-7. [Medline].
Wilansky DL, Greisman B. Early hypothyroidism in patients with menorrhagia. Am J Obstet Gynecol. 1989 Mar. 160(3):673-7. [Medline].
Collins JA, Schlesselman JJ. Hormone replacement therapy and endometrial cancer. Lobo RA, ed. Treatment of the Postmenopausal Woman: Basic and Clinical Aspects. 2nd ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 1999. 503-12.
[Guideline] James AH, Kouides PA, Abdul-Kadir R, et al. Von Willebrand disease and other bleeding disorders in women: consensus on diagnosis and management from an international expert panel. Am J Obstet Gynecol. 2009 Jul. 201(1):12.e1-8. [Medline].
Noorhasan DJ, Weiss G. Perimenarchal menorrhagia: evaluation and management. J Pediatr. 2010 Jan. 156(1):162. [Medline]. [Full Text].
Kadir RA, Economides DL, Sabin CA, et al. Frequency of inherited bleeding disorders in women with menorrhagia. Lancet. 1998 Feb 14. 351(9101):485-9. [Medline].
Dodson MG. Use of transvaginal ultrasound in diagnosing the etiology of menometrorrhagia. J Reprod Med. 1994 May. 39(5):362-72. [Medline].
Dijkhuizen FP, Mol BW, Brolmann HA, Heintz AP. The accuracy of endometrial sampling in the diagnosis of patients with endometrial carcinoma and hyperplasia: a meta-analysis. Cancer. 2000 Oct 15. 89(8):1765-72. [Medline].
Shaw RW. Assessment of medical treatments for menorrhagia. Br J Obstet Gynaecol. 1994 Jul. 101 Suppl 11:15-8. [Medline].
Jurema M, Zacur H. Menorrhagia. UpToDate. Available at http://bit.ly/fHJVtw. Accessed: March 29, 2009.
Fraser IS, McCarron G. Randomized trial of 2 hormonal and 2 prostaglandin-inhibiting agents in women with a complaint of menorrhagia. Aust N Z J Obstet Gynaecol. 1991 Feb. 31(1):66-70. [Medline].
Jensen JT, Parke S, Mellinger U, Machlitt A, Fraser IS. Effective treatment of heavy menstrual bleeding with estradiol valerate and dienogest: a randomized controlled trial. Obstet Gynecol. 2011 Apr. 117(4):777-87. [Medline].
Andersson JK, Rybo G. Levonorgestrel-releasing intrauterine device in the treatment of menorrhagia. Br J Obstet Gynaecol. 1990 Aug. 97(8):690-4. [Medline].
Rauramo I, Elo I, Istre O. Long-term treatment of menorrhagia with levonorgestrel intrauterine system versus endometrial resection. Obstet Gynecol. 2004 Dec. 104(6):1314-21. [Medline].
FDA approves intrauterine device for heavy menstrual bleeding. PR Newswire. Available at http://bit.ly/eKOVjr. 2009 Oct 01; Accessed: October 5, 2009.
Kaunitz AM, Bissonnette F, Monteiro I, Lukkari-Lax E, Muysers C, Jensen JT. Levonorgestrel-releasing intrauterine system or medroxyprogesterone for heavy menstrual bleeding: a randomized controlled trial. Obstet Gynecol. 2010 Sep. 116(3):625-32. [Medline].
Kim JY, No JH, Kim K, et al. Effect of myoma size on failure of thermal balloon ablation or levonorgestrel releasing intrauterine system treatment in women with menorrhagia. Obstet Gynecol Sci. 2013 Jan. 56(1):36-40. [Medline]. [Full Text].
Gupta JK, Daniels JP, Middleton LJ, et al. A randomised controlled trial of the clinical effectiveness and cost-effectiveness of the levonorgestrel-releasing intrauterine system in primary care against standard treatment for menorrhagia: the ECLIPSE trial. Health Technol Assess. 2015 Oct. 19 (88):1-118. [Medline].
Lukes AS, Moore KA, Muse KN, et al. Tranexamic acid treatment for heavy menstrual bleeding: a randomized controlled trial. Obstet Gynecol. 2010 Oct. 116(4):865-75. [Medline].
Nakamura K, Nakayama K, Ishikawa M, et al. Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis. J Obstet Gynaecol Res. 2015 Nov. 41 (11):1769-72. [Medline].
Lethaby A, Hickey M, Garry R, Penninx J. Endometrial resection / ablation techniques for heavy menstrual bleeding. Cochrane Database Syst Rev. 2009 Oct 7. CD001501. [Medline].
Fischer F, Klapdor R, Gruessner S, Ziert Y, Hillemanns P, Hertel H. Radiofrequency endometrial ablation for the treatment of heavy menstrual bleeding among women at high surgical risk. Int J Gynaecol Obstet. 2015 Nov. 131 (2):123-8. [Medline].
Roberts TE, Tsourapas A, Middleton LJ, et al. Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis. BMJ. 2011 Apr 26. 342:d2202. [Medline]. [Full Text].
Maybin JA, Critchley HO. Menstrual physiology: implications for endometrial pathology and beyond. Hum Reprod Update. 2015 Nov. 21 (6):748-61. [Medline].