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Welcome to our annual list of upcoming North Carolina High School Football Jamborees and Scrimmages.
Our goal every year with this list is to help boost exposure, interest, and attendance at these fun events.
Coaches and fans, if you want us to add your Jamboree/Scrimmage or know of one taking place, please add it by using the link below, contact us via e-mail at firstname.lastname@example.com, or reach out to either Brian Barnes (t: @NCGridironNews) or Justin Jones (t: @NCGridiron) on Twitter.
We are constantly adding to this list, especially as we get closer to scrimmage week. So be sure to check back often.
Add your scrimmage or jamboree here.
Wednesday, August 9
Thursday, August 10
Friday, August 11
Saturday, August 12


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Major Attractions of Kerala
Kerala state in the Indian Union is located at the southern part of the Indian peninsula. Thiruvananthapuram is the capital. The principal spoken language is Malayalam. Kerala enjoys unique geographical features that have made it one of the most sought after tourist destinations in Asia. A long shoreline with serene beaches, tranquil stretches of backwaters, hill stations and exotic wildlife, waterfalls, plantations and paddy fields, ayurvedic health holidays, enchanting art forms, festivals, historic and cultural monuments, an exotic cuisine...
Places to Visit : Thiruvananthapuram, Kollam, Kottayam, Pathanamthitta, Alappuzha, Ernakulam, Thrissur, Palakkad, Kozhikode, Malappuram, Idukki, Kannur, Wayanad , Kasaragod.
Backwaters : Kumarakom, Kuttanad,Alleppey (Alappuzha), Cochin (Kochi), Quilon (Kollam), Veli & Akkulam (Trivandrum)
Beaches : Kovalam beach, Chowara beach, Shanghumugham beach, Varkala Papanasam, Alappuzha beach, Quilon beach, Cherayi Beach, Bekal beach, Kappad beach
Waterfalls : Vazhachal, Athirapally, Palaruvi,
Hills : Munnar, Agasthyarkoodam, Charalkunnu,Dhoni, Mattupetty
Hill Stations : Wayanad, Ponmudi, Nelliyampathy, Munnar, Idukki, Devikulam, Wagamon
Wildlife : Eravikulam National Park, Silent Valley National Park, Periyar Wildlife Sanctuary, Parambikulam Wildlife Sanctuary, Nagarhole Wildlife Sanctuary, Idukki Wildlife Sanctuary, Thattekad Bird Sanctuary
Monuments : Hill Palace Museum, Kanakakkunnu Palace, Padmanabhapuram Palace, Koyikkal Palace, Krishnapuram Palace, Mattancherry Palace, Bolghatty Palace, Alwaye Palace
Temples: Guruvayoor temple, Sabarimala temple, Vaikom Shiva temple, Ambalapuzha temple, Mannarasala Snake temple, Ananthapadmanabhaswami Temple at Tiruvananthapuram, Ettumanoor Mahadeva temple, Jain Temple at Palakkadu, Kodungalur Bhagawati temple, Kozhikkode Tali temple, Sri Rama Temple at Triprayar near Trissur,....
Miscellaneous : Gazelles ( Yacht),Alappuzha - Aquatourism, Amrithamedu (Kurisumala),Jewish Synagogue(Mattancherry), Attappady, Edakkal Cave (Wayanad), Napier Museum, Pazhassirajah Museum & Art Gallery, Shri Chitra Art Gallery, St. Francis Church (Kochi), Town Hall and Archaeological Museum (Trissur), Boys town, Lakkidi, Chandragiri
Other Attractions: Ayurveda Health Centres, Martial arts, Ritual arts, Performing arts, festivals, etc
More by this Author
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Kids, nowadays always comes up with some school projects and we have to sit with them or help them or at times, even do the project completely by ourselves. Well, this was a rather difficult project.
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Punarjani Guha is a natural tunnel which will be approximately150 meters long. It was in the Palakkad district of Kerala state. But now it comes under Trissur district. Punarjani Guha is located 2 kms from the...
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Here's a detailed description of the history of the famous Kachamkurissi Temple of Kollengode, Palakkad of Kerala State of India.
Comments 4 comments
Thanku very much in joining my fan club.I know Kerala.It is definitely a Gods own place.Im expecting more hubs from u.Regards
Kerala seems to be amazing... Thank you for informing us.
hai chettaaaa sugamano, happy x` mas

subset: commoncrawl


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Lansing 3, Dragons 2
Click here for the box score
Dayton, Ohio-Jason Leblebijian belted a tie-breaking home run with one out in the top of the ninth inning to lift the Lansing Lugnuts to a 3-2 victory over the Dayton Dragons on Wednesday at Fifth Third Field before a crowd of 7,979. The Lugnuts battled back from a first inning 2-0 deficit to win the first game of the series.
Despite the loss, the Dragons held onto a one-half game lead in the wildcard race as Great Lakes also lost. However, the race became much tighter as Bowling Green won to pull to within one-half game of the Dragons, and Fort Wayne also won to get to within a full game of Dayton. Lansing is only two games behind the Dragons, meaning the five teams in the race are separated by two games and the top four teams are separated by one game.
The Dragons hit back-to-back home runs in the first inning to jump out to a 2-0 lead. Alex Blandino hit his third home run of the year, and Robert Ramirez belted his fourth of the year. But the Dragons could not pick up another base hit the rest of the night.
Lansing scored one run in the second to pull to within one run at 2-1. Then in the seventh, the Lugnuts took advantage of two big defensive mistakes by the Dragons to tie the game. Dragons right fielder Jonathan Reynoso dropped a fly ball off the bat of Leblebijian with one out, and Leblebijian took second on the same play when Dragons relay man Ronald Bueno threw wildly into first base behind the runner. Daniel Klein's single to right moved Leblebijian to third, and Dickie Joe Thon's sacrifice fly tied the game.
The Dragons had a great chance to regain the lead in the eighth. Chad Tromp led off the inning with a fly ball to right field that was dropped by Derrick Loveless, allowing Tromp to get to second. But Bueno bunted back to the pitcher, who threw to third to get Tromp as Bueno reached first on the fielder's choice. After Jon Matthews walked to move Bueno to second, Blandino and Ramirez both struck out to end the threat. The Dragons were retired in order in the bottom of the ninth.
Dragons starting pitcher Nick Howard worked five innings, allowing five hits and one run with two walks and five strikeouts. Reliever Zack Weiss (2-4) went the final four innings and was charged with a hard-luck loss. He allowed just two hits and two runs (one earned) with no walks and six strikeouts.
The Dragons (30-35) host the Lugnuts (27-38) again on Thursday at 7:00 p.m. in the second game of the series. Amir Garrett (7-7, 3.58) will start for the Dragons against Brent Powers (4-6, 5.53).
All Dragons games can be heard on WONE Radio (980 AM) and via the internet at wone.com and through the Dragons Mobile App.
Top Stories on MiLB.com
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Separate names with a comma.
Discussion in 'Network: South' started by kels, Aug 30, 2003.
If anyone is using this in the memphis TN area, where do you get it?
You can order it directly through the web site: www.amsoil.com.
thanks randy, I was aware of that, I am trying to find out if there is a dealer here.


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We provide you with all the information you need in just one search. Plan and book every single step of your trip with just one click.
All prices include taxes and fees. There is not extra charge based on the payment method you decide to use.
Need help? Our support team is here to follow you from the very beginning to the moment you leave for your trip.
To get from Fondi to Bacoli there are many different options. Wanderio lets you compare flights, trains and buses from Fondi to Bacoli and book the itinerary that suits you best. The best way to get from Fondi to Bacoli is taking a train. Every day there are more than 7 trains from Fondi-Sperlonga to Bacoli and you can book your tickets directly on Wanderio. You can easily reach the city center and the trip lasts on average 1h 52m hours.
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LONDON, England / The Adam Smith Institute / Economy / April 23, 2011
Written by Eamonn Butler
Overall, the system has been a fantastic success. It gave people choice in how they saved, and incentives to do so. Personal savings in Chile are up from just a few hundred million dollars to tens of trillions of dollars today.
But no system is perfect. Self-employed people were not required to join the system, so many such people saved nothing or little. Young workers often did not bother to contribute, reckoning that retirement was a long way off. Low-paid, temporary workers had patchy saving records. The government guaranteed a minimum pension for those who contributed long-term – which, like the pension credit in the UK, gave many workers no incentive to save much at all. Some retired people drew down their pension benefits too rapidly, and ran out of money.
In 2008, Chile introduced a number of reforms to try to get round these problems. There were new supplements for people with little or nothing saved in their accounts. Wealthier people, and some self-employed persons, are now obliged to participate. Younger workers were given subsidy incentives to join. New rules were introduced to make sure that pensioners did not exhaust their accounts before they died. And there were new requirements on people to buy survivors' and disability insurance.
Will this work? My worry is that two-thirds of all pensioners will now receive some government pension support – which must reduce the incentive to save. Public benefits will comprise half the retirement income of the poorest households. The new survivors' and disability insurance will impose a new financial burden on families, which will eat into their savings. The public benefits will cost a noticeable fraction of the government budget – and paying for them will impose an effective tax, and quite a hefty one, on private pensions.
Dr. Eamonn Butler is director of the Adam Smith Institute, rated one of the world's leading policy think-tanks
Chile's pension system was a commonsense breakthrough that many other countries have copied. As a pioneering system, it is not surprising that it threw up some problems to solve. But the solutions, I believe, should have been more in the direction of extending market principles rather than extending government interventions. It will be interesting to see what happens – and it will provide a lesson for us all.
Copyright © 2005 - 2011 Adam Smith Institute


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This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
MIM-CD is the CD-ROM companion to the print and on-line versions of Mendelian Inheritance in Man (MIM), Victor McKusick's encyclopedia of medical genetics. The CD is based on the MIM database. First published in 1966, the printed work is currently in its 11th edition (1994) and exceeds 2500 pages. Evolving through the years into what is essentially a gene catalog, MIM now contains over 6600 separate review entries and 52000 references. The first computerized version, Online Mendelian Inheritance in Man (OMIM), was introduced in 1987 with free access provided through the Welch Medical Library of The Johns Hopkins University. Currently, OMIM is readily available via telephone lines and the Internet.
The monumental effort required to produce such a work and its current availability in three formats attest to the worth of MIM's content. In addition to appreciating its value for teaching and research, users surveyed found the knowledge
Pratt GF. MIM-CD, Mendelian Inheritance in Man, Version 3.1. JAMA. 1995;273(9):755-756. doi:10.1001/jama.1995.03520330087051
© 2017


text: Days of talks between students and the Quebec government to resolve three months of protests over tuition fee hikes continued, ending hopes of a quick settlement. Talks had appeared to be moving forward earlier in the week but a student leader, Martine Desjardins, said late Wednesday during a break in negotiations she was "disappointed" the government had not responded to counter proposals she and colleagues submitted against government efforts to raise fees. Since February, hundreds of protesters have been arrested and clashes have erupted sporadically as more than 165,000 students refused to attend class and tens of thousands have protested the planned increase in school fees. A tentative deal was reached after marathon talks a month ago but soon fell apart, and nightly protests in Montreal and other cities resumed.Last week some 1,000 protesters were detained in some of the biggest mass arrests in the province's history. This week of talks between Education Minister Michelle Courchesne and student leaders have been touted as a "last chance" to resolve the conflict before the start of summer festivals and other major tourist draws. Courchesne was expected to put a new offer on the table, but will not likely budge on the start in September of the staggered increases in tuition fees at the province's universities.


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In order to improve customer satisfaction, NAR set up technical support team. Holding the post by the company core technology staff and senior engineers, NAR provide comprehensive, solid technical support to customer approval, supplier management, product standards improvement, production abnormal investigation, customer after-sales service, customer complaints analysis and other processes.
DOWNLOAD Technical specification for application
DOWNLOAD Product application case


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Base Salary
Base Salary
Total Compensation
Stock Bonus, Commission Sharing have not been reported for this role.
Base Salary
Total Compensation
Additional Compensation
How much does a Programmer Analyst at Cognizant Technology Solutions make in Hyderabad, India? The typical salary for a Cognizant Technology Solutions Hyderabad Programmer Analyst ranges from ₹127,800-₹589,988, with an average salary of ₹396,710. Salary estimates based on 174 salary report(s) submitted anonymously to Glassdoor by Cognizant Technology Solutions Programmer Analyst employees in Hyderabad, India or estimated based upon statistical methods.
"Little bit expensive when compared with product based organizations."
"unused vacation leaves will get lapsed after 2nd year."
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Several LSU players that exhausted their eligibility after the 2008 campaign hope to get a call this weekend that they have dreamed of receiving since they were a kid.
For most college football players the ultimate goal is reaching the National Football League, and the most popular route to take is getting picked in the NFL draft.
The draft will kick off on Saturday, but for a few former Tigers the likelihood of getting selected on that first day is slim.
For some, including Kirston Pittman, just the opportunity to get paid to play the game they love is all they care about.
"I just want the chance," Pittman said. "That's all I'm worried about."
There was a time when Pittman didn't think he would get the opportunity to step between the lines and continue playing when his days at LSU were done.
After playing in 13 games as a true freshman and 12 the following year, Pittman's career was in jeopardy. He suffered a foot injury that sidelined him during his junior campaign. As if that was not enough, the Garyville-native tore his Achilles tendon during an offseason workout less than a year later which put him on the shelf for another season.
Pittman returned for what appeared to be his senior year in 2007 and was a key ingredient to LSU's defense which helped the Tigers capture the 2007 BCS National Championship.
After mulling over his options which included taking his chances in the NFL or petitioning the NCAA for a sixth year of eligibility, Pittman opted for the latter and the NCAA granted him a medical redshirt.
With NFL scouts already questioning his durability, Pittman's thought process of returning for another year was two-fold. In the spring of 2008 he was the only active player in college football to be on two BCS National Championship teams and he wanted a third ring. He also wanted to prove that he was not damaged goods due to the injuries.
Pittman, who recorded 35 tackles last season, proved that he was durable, but the Tigers were out of the national title picture before November rolled around and went on to finish with a disappointing 8-5 record.
Though his quest for a third ring went down in flames, Pittman has no regrets about the decision he made.
"I'm definitely grateful that I was granted the opportunity to come back and play another year because I saw that sometimes things will go your way and other times it won't," he said. "Going into last season and the kind of year we had at LSU I grew a lot and became more mature.
"I grew as a man and then losing some of our games was something I had never been part of. For me, it matured me as a man and matured me as a ball player. Now, I have higher expectations for myself."
Those expectations include making an NFL roster even if it means learning how to play another position.
Pittman wasn't invited to the NFL Combine in Indianapolis so his only shot to impress the pro scouts aside from a personal workout was to strut his stuff at LSU's Pro Day in March.
With NFL personnel representing most of the teams in the league on hand at the LSU Indoor Practice Facility, Pittman put on a show. He measured out at 6-foot-2 ½, weighed in at 250 pounds and ran the 40-yard dash in 4.68 seconds. Pittman also posted a 4.53 time in the shuttle, which was very impressive considering that Demetrius Byrd ran it in 4.52 seconds, and Pittman's time of 7.43 seconds in the 3-Cone Drill was second only to Byrd's time of 7.08 seconds.
Pittman may be a little undersized to play defensive end at the pro level like he did at LSU, but the scouts were intrigued with his ability to play linebacker in a 3-4 scheme.
When all of the defensive linemen, including Pittman had finished the position drills at pro day, most headed for the showers. However, Pittman's day was not yet completed.
The NFL coaches and scouts worked Pittman out at linebacker to see how he performed in pass coverage drills, and they also wanted to see how he played in space.
According to the feedback that he received following pro day, the limited time spent at linebacker could pay dividends when this weekend rolls around.
"A lot of teams want me to play outside linebacker and some teams want me to play inside linebacker," Pittman said. "Working out at pro day was a big plus for me because it helped with the way people view me and my talent and my ability to play ball."
Those teams include Cleveland and Chicago, who according to Pittman have contacted him the most the last couple of weeks, along with Carolina, Denver, New England and Tampa Bay.
The interest, particularly from the Browns and Bears, has given Pittman an optimistic outlook for this weekend.
"Some teams call and touch base with me pretty much every week so that's one of the reasons I've been having a pretty good feeling about the situation," he said. "I'm not stressing or worrying about anything right now."
Surely when Saturday rolls around Pittman will be worrying about his future a little more as he will surround himself with family and friends for a draft day party at his parent's home in Garyville. He said that he hasn't thought about Sunday and what they will do if he's still waiting.
One reason for that according to Pittman is that he has reason to feel optimistic.
"Teams tell me I'm on their board then they ask me if I've been working out because they want me to be ready to come in and play," he said. "I don't know what round or what projection that means, but I've been getting some great feedback from scouts and coaches."


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1.0.8 / January 30, 2015
App Information Toy Kids Matching Game
- App NameToy Kids Matching Game
- Package Namecom.igost.toy.kids.memory.game
- UpdatedJanuary 30, 2015
- File Size8.5M
- Requires AndroidAndroid 2.3 and up
- Version1.0.8
- DeveloperIgost Technologies Pvt Ltd
- Installs5,000 - 10,000
- PriceFree
- CategoryBoard
- DeveloperVisit website Email email@example.com Technologies Pvt Ltd 2987, Manikkath Cross Road, Ravipuram, Kochi,Kerala, India - 682016
- Google Play Link
Igost Technologies Pvt Ltd Show More...
Mp3 Cutter & Merger 7.0.1 APK
Mp3 Cutter & Merger is an android application which is used forcutting and merging Mp3 files ."Are you a music lover ? if so you will love thisapplication""You can customize the songs as per your wish""do u have any favorite songs? just merge the couple of yourfavorite songs using Igost Mp3 Cutter & Merger "While playing a selected portion of the audio, you can see anindicator cursor and auto scrolling waveform. You can zoom thiswave and cut the song at the perfect position you want.IGOST Mp3 Cutter & Merger Contains:✓ Mp3 Cutter✓ Mp3 Merger ( Mp3 Fusion Maker)✓ Mp3 PlayerBy Using Mp3 Cutter & Merger You Can :✓ Cut mp3 songs and save it in the folder ../Igost/songs✓ Merge two mp3 files and make a fusion song.✓ Assign it as your device ring tone,contact ring tone,notification tones etc...Features include :✓You can make your own ringtones.✓you can cut and merge the mp3 files using Mp3 Cutter &Merger.✓you can create fusion songs.✓cutting and merging of the recorded song is possible.✓After merging a song you can hear the merged song in player✓The application can be moved to SD card.✓After saving the trimmed mp3 u will get options for using thetrimmed tone as alarm tone,ringtone,notification,assign to contactand option for opening the output folder.✓storage path of both trimmed and merged mp3 is mentionedseparately (sdcard/igost/music).✓You can access both the trimmed and merged mp3 from the home pagefolders (Trimmed tones & Merged tones) in the applicationitself.For any questions and suggestions contact us email@example.com
OpenERP 1.0.6 APK
Open ERP mobile is an android version of openERP which is a generic solution with selected modules. Open ERP isthe fastest growing Free & open-source business managementsolution. It is an integrated ERP architecture that optimizes workflow of an organization by bringing functions that were once housedwith their own database such as financial, manufacturing, sales,purchases and warehouse management into a unified database that onecan manage from a single point. Open ERP features includesAccounting & Financial, Sales & Services, Procurement andLogistics Execution, Inventory management, Human ResourceManagement, Product development and Manufacturing, Reporting andAnalytics, Corporate services. Its released under AGPL license.There are more than 350 modules available in OpenERP for variousbusiness verticals.For any questions and suggestions contact us email@example.com
Kids Memory Game 1.0.15 APK
★★★★★BEST Kids Memory Game In Google Play Store ★★★★Bird Kids Memory Game is a classic kids memory game. It willhelp to improve the memory skills of kids. Bird Kids Memory Game isan educational and entertaining game which keeps your kidsentertained. This is a game for children of all ages, babies,pre-schoolers, school children and teens. Everyone will love thisgame.Now Challenge with your Friends in Google + with Google PlayGame Services and Check your Position in the Leader board Worldwide .★★★★★★FEATURES★★★★★★✔ Three Difficulty Level : Easy, Medium and Hard .✔ In Easy we have given 6 tiles, in Medium we have given 12 tilesand in Hard we have given 20 tiles.✔ Separate Leader Board and high score for each difficultyLevels.✔ Bird Kids Memory Game will improve kids for memory recognition,concentration and motion skills.✔ Attractive birds design, so Kids will love it.✔ Simple Game play, Attractive user interface and sounds.✔ Challenge your friends in your circle of Google+ Using GooglePlay Game Services.✔ Remove the Ad by purchasing the in-app.✔ Offline High Score is also Available for All Difficulty levels.✔ Unlock the Achievements by getting a High score.✔ Settings is available for Turning off/on the timer andSounds.For the Success of Every Game we need your Feedback ,send yourFeedbacks firstname.lastname@example.com send the details about the Feature request .If you like playing Bird Kids Memory Game Please Support us byRatting and Comments .For Live Support visit our websitewww.igosttech.com
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Block Puzzle Pop is a simple puzzle game withno colour matching and time limits. Fill the row or column to breakthe blocks. It is an additive block puzzle game. The more blocksyou break the more points you will get.You will surely love thisblock puzzle mania game .Place the blocks in 10x10 row and column.This is a classic yetinnovative game!It is a perfect time passing game and best refreshment game foryour brain.Key Features► Round ,Simple and Elegant Design .► Day / Night Mode .► 3 Undo and 3 shuffle in each New Game. Undo will cancels yourlast move and shuffle will bring 3 new blocks .► Google Play Games Leaderboard and 15 Challenging Achievements.► Remove all pop up and banner ad by purchasing the Ad RemovalIn-app.► Save game option is available till you quit the game .Why are you waiting, just start playing and challenge yourfriends with your new high score.Your Feedbacks and Suggestions are valuable for us, connect withus on :https://www.facebook.com/blockpuzzlepophttps://twitter.com/blockpuzzlepop
Gold Live Price India 3.0.3 APK
Gold live price is an Android applicationwhich shows the real time gold and silver price in India.Gold Priceis in rupees per gm for 24 karat gold and 22 Carat .In Gold LivePrice India you can also calculate the gold and silver amount in kg/gm.Features includes:✓You will get Up to date price of Gold and Silver.✓You can calculate the real time pricing and values of Gold andSilver✓Easy and fast updation of database.✓Application can be moved to SD card.✓You will get the current price of gold (22ct &24ct).✓You will get the current & previous price of silver.✓Gold prices of :-1) Mumbai2) Banglore3) Hyderabad4) Kolkata5) Chennai6) Delhi7) Kerala8) Pune9)Vijayawada10) Ahmedabad11) Visakhapatnam✓Silver Price of :-1) Mumbai2) Banglore3) Hyderabad4) Kolkata5) Chennai6) Delhi7) Kerala8) Pune9)Vijayawada10) Ahmedabad11) VisakhapatnamFor any questions and suggestions contact us firstname.lastname@example.com
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Russian Translator ( русский переводчик ) will helps you totranslate from any language to Russian language . This applicationis fast and easy to use .Why to use IGOST Russian Translator :✓ Simple and attractive UI.✓ Voice recognition.✓ Default input language is English, you can also set your defaultinput language in the settings .✓ Reads loudly after translation, also the translated text is shownin English.For any questions and suggestions contact us email@example.com
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Hotel Finder will help you to find the nearest hotels. You cansearch the nearby hotels from your current location. Even you cansearch over 2, 00,000+ hotels worldwide. In Hotel Finder you cansee the Hotel name, Address and Ratting. If you are new to anunknown place, this android app will help you to find the rightplace to hang on.Features of Hotel Finder are:✓You can compare the hotel based on its ratting.✓Loading time is very less.✓You will get navigation details from the current location to theselected hotels.✓Searching can be done by entering the place and kilometer.✓Application can be transferred to SD card.
Toy Kids Matching Game 1.0.8 APK
Toy Kids Matching Game is a simple butinteresting gaming application that is sure to attract kids ofdifferent age groups.A Quick Google +1 will help us to get more users . YourRating and Reviews are our motivation for updating and creation ofnew GamesThe Game is remarkable in that it is easy to understand and fun toplay. In fact, children of different age groups can play the gameswith ease. In addition to being fun and exciting, these games helpimprove memory of kids. As such the games can be played acrossdifferent devices.★★★★★★FEATURES★★★★★★✔ Three Difficulty Level : Easy, Medium and Hard .✔ In Easy we have given 6 tiles, in Medium we have given 12 tilesand in Hard we have given 20 tiles.✔ Separate Leader Board and high score for each difficultyLevels.✔ Toy Kids Matching Game will improve kids for memory recognition,concentration and motion skills.✔ Attractive birds design, so Kids will love it.✔ Simple Game play, Attractive user interface and sounds.✔ Challenge your friends in your circle of Google+ Using GooglePlay Game Services.✔ Remove the Ad by purchasing the in-app.✔ Offline High Score is also Available for All Difficulty levels.✔ Unlock the Achievements by getting a High score.✔ Settings is available for Turning off/on the timer andSounds.✔Its a challenging and Fun Game .✔ 10 Toys Are included Toys Like Car, Elephant ,giraffe , Dolletc...The purpose of designing and developing Android gamingapplications for kids is to keep them interested and provideeducation on different matters. Toy Kids Matching Game has beendesigned and developed just to meet that objective. Teens, schoolchildren, preschoolers, babies of different age groups will surelylove it and will not hesitate in trying it out. The layout anddesign of the game is cool, contemporary and can relate withchildren easily.The interface of the game is simple and extremely easy to use.Different challenges in the games are presented to the user.Therefore, depending upon the level of difficulty required, theuser is free to choose between easy, medium and hard options in thegame. The gaming application also lets you compare your score withother players via the leaderboard. For kids, the application can beused as a tool to challenge friends and other users in Google+. Theavailability of different features in the game makes it interestingand fun to engage in.Each level in the game comes along with different number of tilesthat the user needs to match to score points. For example, when theuser chooses the Easy level, six tiles will be presented. The user,on his part, has to choose set of two matching tiles to score. Oncethe user selects three pairs of matching tiles, he or she wins thegame and scores the points.The way the game is played across the remaining levels is thesame, except for the change in the number of tiles available tomatch for the user. For example, in the Medium level, the user willbe presented with 12 tiles. Therefore, to cross this level and topass on to the higher level, he or she has to select 6 pairs ofmatching tiles. In the Hard level, the user has to match 10 pairsof tiles. Once the user has completed all the levels, he will begiven the choice of either quitting the game or continuing with thelevel of his or her choice.The user will also get to view his high scores across all levelsin the game – Easy, Medium and Hard.For the Success of Every Game we need your Feedback ,send yourFeedbacks firstname.lastname@example.com send the details about the Feature request .For Live Support visit our websitewww.igosttech.com
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Do you want to know if your Access Point isvulnerable at the WPS protocol?Wifi Wps Wpa Tester is the app that you need!With this app, you can test the connection to AP with WPSPIN.PINs are calculated with many algorithms:-Zhao-TrendNet-Dlink-ArrisAnd others default PIN of MANY Access Point.Then NOT ALL AP ARE COMPATIBLE WITH THIS APP.App needs root permissions for devices with Android version <5.0 ( LOLLIPOP ).For devices with Android >= 5.0 you can test the PINs with thisapp and you can connect, BUT YOU CANNOT SEE WPA ( OR WEP ) PASSWORDWITHOUT ROOT PERMISSIONS.Use this app only with your own AP for do not go against thelaw.Privacy Policy :https://www.iubenda.com/privacy-policy/8000344
WordPress APK
WordPress for Android puts the power ofpublishing in your hands, making it easy to create and consumecontent. Write, edit, and publish posts to your site, check stats,and get inspired with great posts in the Reader. What's more? It'sopen source.WordPress for Android supports WordPress.com and self-hostedWordPress.org sites running WordPress 3.5 or higher.Visit the forums to get help with the app:http://android.forums.wordpress.org
WPS Connect 1.3.4 APK
With this app you'll can connect to WiFinetworks which have WPS protocol enabled. This feature was onlyavailable in version 4.1.2 of Android.App developed with educational purposes. I am not responsiblefor any misuse.Released under license CC BY-NC-ND 4.0:https://creativecommons.org/licenses/by-nc-nd/4.0/WPS: http://es.wikipedia.org/wiki/Wi-Fi_Protected_SetupWPS Connect is focused on verifying if your router is vulnerableto a default PIN. Many routers that companies install ownvulnerabilities in this aspect. With this application you can checkif your router is vulnerable or not and act accordingly.Includes default PINs, as well as algorithms such Zhao Chesung(ComputePIN) or Stefan Viehböck (easyboxPIN).Tested on:- LG G2- Nexus 5- Samsung Galaxy S3IMPORTANT!!Prior to an assessment, understand that it serves theapplication.
XPOSED IMEI Changer 1.6 APK
ROOT REQUIREDXPOSED FRAMEWORK REQUIREDIF You dont know What is XPOSED Framework then do not try thisapplication (it wont work)Hi Guys,I read about the Xposed framework in xda and other websites.somewebsites have really good tutorials about it.So what I understandis that we can modify a function and its return values using theXposed Framework.I have created and Xposed Module For Changing (MASKING) the IMEINo of the PhoneChange Means How Other Application gets the IMEI No of the deviceusing below codeAs you all know,The Value is not permanent as it is an XposedModule :)XDA-Developers Threadhttp://forum.xda-developers.com/xposed/modules/xposed-imei-changer-t2847187Pro version :https://play.google.com/store/apps/details?id=com.vivek.imeichangerproStepsInstall appEnable module in xposed frameworkCome back to app and enter new valuePress ApplyGo to xposed moduleOpen framework pageDo a soft rebootOpen the appAnd you can see new valuecheck the value by dialing *#06#, you can see the new value
Blog 0.0.1 APK
Our blog posts include experiment resultsofonline marketing, how to articles, tools and tips for runningyourbusiness, business ideas, online selling, entrepreneurship,startups, success stories, interviews and reviews of relevantbooks.You can visit the web version of ourapp:http://technotip.orgFeatures1. Has a list of 8 recent articles on the homepage and usercannavigate to older blog posts.2. Clear reading experience with bigger fonts on articlepage.3. Facility to bookmark the article and read later frombookmarkssection.4. Cache the recently viewed article for offline reading.5. List of pages.6. Search facility.7. List posts based on Category.8. List posts by author/contributor.9. Invite others to our app via Social Sharing Apps.Option to rate the app.10. Facility to directly share the posts and pages with othersfrominside the app via popular social sharing applications.
Administrator 1.3 APK
WiFi Master Key - by wifi.com 4.1.78 APK
With a hundreds of millions of free Wi-Fihotspots shared by our users globally, you can connect to freeWi-Fi with WiFi Master Key (by en.wifi.com - LinkSureSingapore)!Search & connect to shared WiFi hotspots indicated by a BlueKey. Easy and safe.THE WIFI MASTER KEY EXPERIENCE- Cost Savings: Save data costs by connecting to free shared WiFihotspots.- Easy and Fast: just search for the blue key and tap to connectWiFi!- Safe and Secured: All shared password are not revealed. It isencrypted to protect sharer's privacy and security.- Easy to understand in your own language: Available in 19languages across 223 countries and regions.English,Thai, Bahasa Indonesia, Malay, Vietnamese, SimplifiedChinese, Traditional Chinese TW,Traditional Chinese HK, Japanese,Korean, Portuguese, Spanish, Russian, Arabic,Turkish, Hindi,French, Italian, German...more languages coming soon.Disclaimer: WiFi Master Key is not a hacking tool. It does notassist in unlocking passwords of Wi-Fi hotspots that are not sharedby the users. Hacking is illegal.With our growing community of over 900 MILLION users (Chinese andGlobal version combined), we aim to build a trusted platform foreverybody to enjoy the Internet. So, come join the world's largestWiFi sharing community today! If you don't find shared hotspot yet,don't worry, give the community some time to grow. We are handlingover 4 BILLION connections daily and the number is growing rapidly.There will be more and more shared WiFi to help you get connectedonline and surf the Internet free!Rate us to show us your love! It means a lot to keep usgoing!Have a question? Wanna leave a feedback or suggestion? Sure, we'dlove to hear them— tell us here or on our Facebook page!https://www.facebook.com/wifimasterkey.Spread the word, and keep sharing WiFi!
Sing! Karaoke by Smule 4.2.1 APK
Sing your favorite hits with audio effects.Sing video duets with featured artists like Jessie J, Jason Derulo,and Linkin Park. Share your covers with our 50M+ global audienceand get fans!Featured by Google Play as Best Apps 2014.-----------Features- Self-recording option with video**- Sing like a star with audio effects!- Share on our global platform - get discovered!- Duet with featured pop artists - Jessie J, Jason Derulo, KylieMinogue, X Ambassadors, OMI, Carly Rae Jepsen, Charlie Puth,Silento and many more**Video availability on different Android devices will beincremental over several weeks. When available onyour device model, video option will appear with no additionalupdate required. Please see the Sing! Android FAQ for theinitial list of devices that offervideo. http://www.smule.com/support/sing#android-----------------------------------------------------New songs added every day. Current most popular on Sing!:** All of Me - John Legend** Flashlight - Jessie J (from Pitch Perfect 2)** I'm Not the Only One - Sam Smith** Like I'm Gonna Lose You - Meghan Trainor, ft. John Legend** All I Want For Christmas is You - Mariah Carey** I'm Yours - Jason Mraz** Thinking Out Loud - Ed Sheeran** Dear Future Husband - Meghan Trainor** When I Was Your Man - Bruno Mars** Let It Go - Idina Menzel (from Frozen by Disney)** Cups ("When I'm Gone") - Anna Kendrick** Stay - Rihanna ft. Mikky Ekko** Love me Like You Do - Ellie Goulding** The Way, Break Free - Ariana Grande** Anaconda, Pound the Alarm - Nicki Minaj** I Won't Give Up, I'm Yours – Jason Mraz** Happy - Pharrell Williams** Eye of the Tiger - SurvivorWant a song that's not yet available? Suggest songs on Smule'sFacebook page: www.facebook.com/smuleWant a song that's not yet available? Suggest songs on Smule'sFacebook page: www.facebook.com/smuleCONNECTING THE WORLD THROUGH MUSIC™ - JOIN THE KARAOKEPARTYFind and follow your friends in Sing!, and meet incredible singersfrom all over the world. Sing your heart out on Solo songs, or joinup with others in Duets or Group songs. Keep up with your friendsand favorite singers, and love and comment on performances to showyour support.BE DISCOVERED! GET FANS!Lots of talents get discovered through our Sing! Karaoke platform.Show off your talent in front of 50M+ global audience and getfansSOUND LIKE A STARSound amazing every time with Sing!'s voice enhancement technology.Use special voice filters to spice up your performance even more.Sing! is a supportive, joyful community where music-making at alllevels is encouraged and appreciated.http://www.smule.comhttp://plus.google.com/+smulehttp://www.facebook.com/smulehttp://www.youtube.com/smulehttp://www.twitter.com/smuleHave questions on a particular permission?http://www.smule.com/support/sing#android
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Dominoes Elite 5.4 APK
Mancala 5.2 APK
Mancala, one of the oldest African traditionalindoor game, is available for your mobile.This game is also famous by the name of "Congkak", "Sowing".Get this classic Mancala game with exclusive board to play withyour friends Offline as well as Online. Mancala will improve yourfun experience via available exciting boards.Mancala is available with very interactive self-learningtutorials. You can learn the best strategies via mini games.Features:• Exclusive multiplayer feature• Beautiful boards• Interactive Tutorials• Study different strategies.• Two Player offline modeGame play: - Collect maximum beans in your Mancala than youropponent to win the game.Now Mancala is available with special Christmas theme and newChristmas boards are available. Merry Christmas to you all!Review of Appgefahren:"Vor wenigen Tagen wurde Mancala (Download-Link) im Play Store zumkostenlosen Download veröffentlicht.Doch was bedeutete Mancala eigentlich? Wikipedia klärt auf:"Mancala (von arabisch ?? naqalah 'bewegen') ist derwissenschaftliche Oberbegriff für bestimmte Spiele, die, meist vonzwei Personen, vor allem in Afrika und Asien gespielt werden.Charakteristisch ist, dass bei ihnen Spielstücke, die in Muldenliegen, umverteilt werden".Auch hier müssen die kleinen Spielsteine so umverteilt werden, dassder Gegner am Ende keine Steine mehr besitzt. Eine In-App-Anleitungerklärt das Spielprinzip gut, auch wenn nur in englischer Sprache.Entweder man spielt alleine gegen den Computer oder fordert einenFreund heraus. Dass im Anschluss eingebundene Video zeigt einigeAusschnitte aus dem Spiel."
Matching Game for Kids 2.0 APK
Hello children! Prepare to be amazed by thebest matching game for kids and toddlers! Matching Game forKids is a brand new memory match game – train your brain withthis exciting memory tile game! Flip the cards, match all the pairsto complete the table, get the highest score! Compete with yourfriends and family to be the best in this cool "memory match shapesfor toddlers"! Boost up your brain power by matching pairs ofdifferent shapes and patterns! Download one of the best 2014"matching games for kids free" and prepare to have the time of yourlife!How to play:➤ Flip the pictures of colorful shapes and patterns.➤ Match the cards of the same type.➤ Difficulty levels: from easy to hard.➤ Single player and multiplayer mode.➤ Table sizes: 3x2, 4x3, 6x4, 7x4 and 8x4.➤ Simple and intuitive interface.➤ Colorful HD graphics.➤ Fun for the entire family!At first, all cards will be turned face down. Flip one of thecards and remember the picture on it. With the next tap try to findand the card with the same shape as the previous one. If thepictures on the both memory cards are the same, they will stay openand you can continue with the next pair. Otherwise both cards willflip back over and you will get another try. The objective of thismatching shapes game for toddlers is to find all of the pairs andto complete the entire table.Parents, if you are searching for a perfect "memory patterngame" for your kids and toddlers, download Matching Game forKids, a combination of educational games, great brain teasersand amusing mind puzzles for children! Kids flip the cards,memorize the places of different shapes and patterns and try tomatch all the pairs correctly. This fun mind training game enhancesthe cognitive capacity of kids, tests their short-termmemorization, improves their recognition and teaches them aboutbasic shapes, patterns and colors. The objective of the game issimple – children must find all the pairs as quickly as possible toget the highest score. Hours of fun are guaranteed with these "mindpuzzle games free" of charge – download now and see for yourselfwhy this matching pairs for kids is so popular these days! Enterour brain gym and start exercising your mind today!Download Matching Game for Kids today and start playingone of the best "mind games for your brain"! Kindergarteners andpreschoolers, kids and toddlers, boys and girls, even adults canenjoy this entertaining "memory brain trainer and matchup"! Improveyour attention and focus by matching the pictures of colorfulshapes and patterns. If you are willing to put your capacity ofmemorization to a test, then this is the right matching game foryou! Standing alongside popular brain teasers, crossword puzzles,problem solving apps and concentration games for kids, MatchingGame for Kids proves to be one of the best learning tools forchildren. With its simple and stylish design, bright colors andlovely drawn shapes and symbols, this free mind game for Android™is a must-have this year! Hurry to the market and get your new,best matching cards game for kids!*Android is a trademark of Google Inc.
Board Top Show More...
Board Games 2.14 APK
With BOARD GAMES you can enjoy all-time gameswithin your android, with an accurate design and playability.Current boards available:-Backgammon-Parchis-Parchis for 3-Snakes and Ladders-Goose's GameMore games coming soon!!!There are many of options:-Different AI levels (none tricks)-Different variants-Three different ways to select pieces-Board zoom and auto zoom-Different playing speeds for pieces and dice-Landscape mode-...Permissions are used for add platforms, application doesn't useany personal information. If you prefer to doesn't have ads we havea pro version without ads and with some more surprises.Do you want 'Board Games' in your language? you can contributeto translate it or correct current translations, it will be veryappreciated:http://www.getlocalization.com/juegosdetablero/Please, notify bugs, error translations, ideas... tohttp://juegosdetablero.idea.informer.com/
모두의마블 for Kakao 1.9.80 APK
[설특집! 모마가 통크게 '3000다이아' 쏩니다!]▶최초! 3,000다이아 전원 100% 확정지급(1/25~2/10)◀접속만 하면 즉시 1,000다이아 지급!세계여행하면 1,000다이아 추가 지급!이벤트 미션하고 추가 1,000다이아까지!총 3,000다이아 챙겨가세요!▶재미보장! 누구나 즐길 수 있는 이벤트맵 3종(1/25~)◀1. 설날 한국맵에서는 우리 모두~다 금수저!스펙초월! 이벤트맵에서 오직 실력으로 승부해보세요!2. 인형뽑기 맵에서 지금까지 없던 대박 보상을 뽑아보세요!한정! 설날 기념 큐브를 뽑는 행운의 주인공은 누구?!3. 골먹골먹 업그레이드! 이제는 다이아가 쏟아진다!플레이중 획득한 다이아를 몽~땅 드리는 파격 이벤트에 지금 참여해보세요!이 밖에도 더 편리하고 더 재미있는 게임을 위해꽃단장한 모마를 만나러 컴온~yo!------전세계 2억명이 즐기는 모두의마블!장난감 세계, 신의 세계, 마법의 세계, 그리고 이제 수상도시에서도 투자왕이 되어보세요!주사위를 굴리기만 하면 누구나 즐길 수 있는 쉽고 재미있는 게임~친구들과 함께 모험하는 즐거움을 느껴보세요.이미, 주사위는 던져졌다! 지금 바로 모두의마블로 GO GO~~[게임특징]▶ 신규맵'수상도시'부터 한국, 전세계, 우주여행, 신의 손, 마법의정원까지! 총 12개의 맵 ◀모마에는 취향대로 골라먹는 재미가 듬뿍~대한민국의 다양한 명소부터 미국의 자유의 여신상까지! 곳곳의 랜드마크 건설하기!끝 없는 우주를 탐험하고 테마파크에서 나만의 멋진 놀이동산을 만들기!요새를 파괴하면 승리~ 요새섬멸전에서 진짜 전투하기!친구와 협동하여 좀비킹을 처치하는 신개념 좀비맵!신과 대결할 수 있는 차원이 다른 블록 전략 즐기기!신비로운 분위기의 마법의 정원에서 공간지배 마법 발동!아슬아슬 위험천만 얼음동굴에서 시원한 한방 파산승리!대박보상과 방해물이 가득한 인형뽑기에서 짜릿한 한판 승리!끝날때까지 끝난게 아니다! 수상도시에서 역전에 역전을 거듭해보세요!▶ 주사위와 카드로 즐기는 국민 캐주얼 보드 게임 ◀주사위를 굴려서 지역을 모두 소유하고 최고의 부자가 되어 보세요!지역을 뺏고 뺏기는 짜릿한 긴장감!▶ 각양각색 개성 만점 캐릭터들 ◀듀얼능력치를 가진 믹스프시케와 믹스미라쥬! 스쿨드, 울드, 베르단디! 신화속 여신 총출동!다채로운 개성과 능력을 가진 캐릭터들과 다함께 모험을 떠나보아요~▶ 게임을 더 유리하게 도와줄 행운아이템 ◀다양한 능력의 행운아이템으로 판도를 바꿔보세요!출발점에서 거꾸로 갈수도, 단숨에 세계여행으로도 갈 수 있는 강력한 기능들이 기다리고 있어요!▶30일간의 '세계여행'으로 S+신규캐릭터 획득!◀여행지마다 숨겨진 보물을 찾으러 세계여행 출~발!한달 간의 여행을 완료하고 대박 보상들을 마음껏 누려보세요!※ 네트워크 게임으로 WIFI, 3G 접속 상태에서 즐기실 수 있습니다.※ 유료 아이템 구매 시 별도의 요금이 부과됩니다.■ 상품 정보 및 이용 조건 안내 ■- 공급자 : 넷마블게임즈(주) 대표이사 권영식- 이용조건 및 기간 : 게임 내 별도 고지된 내용에 따름(사용기간이 표시되지 않은 경우, 서비스의 종료일까지를 사용기간으로 간주)- 결제금액 및 방법 : 상품 별 별도 고지된 결제금액 및 결제방법에 따름(외화 결제 시 환율 및 수수료 등으로 인해 실제 청구금액과 다를 수 있음)- 상품지급방식 : 게임 내 구매한 아이디(캐릭터)로 즉시 지급- 넷마블 고객센터 : 1588-3995 (평일 오전9시~오후6시 상담가능)- 최소사양 : CPU 듀얼코어 1.2GHz, Ram 1GB----개발자 연락처 :02-1588-3995서울시 구로구 디지털로 300 지밸리비즈플라자 20층사업자 번호 : 105-87-64746통신판매업 번호 : 제제2014-서울구로-1028호----개발자 연락처 :02-1588-3995서울특별시 구로구 디지털로 300사업자 번호 : 105-87-64746통신판매업 번호 : 제 2014-서울구로-1028 호
Domino QiuQiu 99(KiuKiu) 1.3.8 APK
# Domino QiuQiu TOPFUN yang terbaik diIndonesia #Domino 99 ialah permainan tradisional yang banyak dimainkan olehmasyarakat di Indonesia. Dengan jutaan pemain ikut bersaingkecerdasan dalam menganalisa kartu dan keberuntungan. Berikutnyaialah kelebihan yang dapat membuat pemain-pemain kami merasanyaman, senang dan bahagia dalam bermain:- GRATIS semua dan selamanya- Banyak sekali kegiatan dalam game dan pasti hadiahnymenarik- Berkenalan dan membentuk komunitas pertemanan dengan banyakorang- Tampilan game yang sangat keren dan bagus- Fitur emoticon dan interaktif yang lucu dan local-Login cepat tanpa registrasiJadi tunggu apalagi, segeralah download dan mainkannya, Anda akanmerasa hari hari luang anda akan terisi dgn kebahagiaan dankeseruan!Domino QiuQiu adalah permainan yg ditunjukan kpd orang dewasa utkpenghiburan aja. Permainan ini tidak pakai uang nyata, dan tidakjamin akan menang dalam perjudian nyata juga.# Domino Qiuqiu TOPFUNthe best in Indonesia #Domino 99 is the traditional game played by many people inIndonesia. With millions of players compete in analyzingintelligence and good luck cards. Next is the excess that can makeour players feel comfortable, happy and unhappy in the play:- FREE all and forever- Many activities in the game and definitely interestinghadiahny- Make friends and form a community of friendships with manypeople- Display game that is very cool and nice- Features interactive and funny emoticons and local-Login Quickly without registrationWhat are you waiting, quickly download and play it, you'll feel thespare time you will be filled with happiness and excitement!Domino Qiuqiu is a game which is shown kpd the adult to consolationwrote. These games do not use real money, and does not guaranteeyou'll win the real gambling as well.
Chess - Play & Learn 3.5.1 APK
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I'll be staying part of October and all of November in Ottawa for work, will be staying dowtown (Minto or Marriott probably, not sure yet), I prefer walking but will have a car most of the time.
I like everything (French, Italian, Japanese, Vietnamese, Thai, Lebanese, Indian...), but I'm not a big meat eater (small portions of good cuts is fine by me, forget sausages). I've never had an amazing restaurant experience in Ottawa (except for A'Roma, which I really liked the few times I went) but then again I haven't tried that many places either:-)...
Many thanks!
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Published byJohnathan Martin Modified over 2 years ago
John N. Hamaty, DO, FACC, FACOI Prosthetic Valves II
Question 1 For each of the following four images, the valve shown is: A. Bileaflet mechanical valve B. Mechanical valve, unknown type C. Stented prosthetic valve D. Stentless bioprosthetic valve E. Normal native valve
Answer – 1A Answer – 1B Stented bioprosthetic valve Mechanical Valve, Unknown Type This is a zoomed image of an aortic valve prosthesis in the parasternal short-axis view in an 82 year old woman who underwent valve replacement for severe aortic stenosis 4 years ago. Three struts of the valve are seen at the perimeter of the valve with thin leaflets between the struts, consistent with the typical appearance of a bioprosthetic stented aortic valve. This apical 4-chamber view shows a mechanical mitral valve with extensive reverberations and shadowing distal to the valve, obscuring the LA in an 85 year old woman who had undergone valve surgery 10 years ago. The exact valve type cannot be discerned on this still frame image, but it is most likely a low-profile valve (bileaflet or single tilting disc) rather than a ball and cage valve, which protrudes further into the LV cavity.
Answer – 1C Answer – 1D Bileaflet mechanical valve Stentless bioprosthetic valve This TEE image recorded in the 2-chamber plane (note the image plane rotation angle and the LA appendage) shows the typical appearance of a bileaflet mechanical valve. The disks are closed in systole, forming a tent-shaped closure within the sewing ring. Distal to the valve the LV is obscured by shadowing from the sewing ring and reverberations from the valve disks. The small dense echo on the atrial side of the medial aspect of the sewing ring most likely is a valve suture. This zoomed parasternal long-axis diastolic image of the aortic valve might be mistaken for a normal appearance of the aortic valve leaflets. However, there is increase echodensity in the paravalvular region, both anteriorly and posteriorly, consistent with the extra tissue of a stentless bioprosthetic valve. This image emphasizes the importance of complete and correct clinical information for interpretation of echocardiographic data, as this patient was known to have a stentless aortic bioprosthesis.
Question 2 This 44 year old male presented for evaluation of atypical chest pain. He had undergone aortic valve replacement for aortic regurgitation 8 years ago with placement of a 27 mm stented bioprosthetic valve. A post-operative echocardiogram demonstrated an aortic velocity of 2.4 m/s, mean transaortic gradient of 19 mmHg, and valve area of 1.5cm 2. Data from the current study are shown in the figure below. Measure the aortic valve velocity and calculate the maximum transaortic gradient and valve area.
Answer 2 Aortic Velocity m/s Maximum gradient36 mmHg Aortic valve area1.1cm 2 The aortic velocity shown is about 3.0 m/s, corresponding to a maximum transaortic pressure gradient of 4(3)2 or 36 mmHg. Calculation of mean gradient requires averaging the instantaneous pressure gradients over the systolic ejection period, so this maximum gradient cannot be compared directly with the baseline postoperative mean gradient. However, aortic velocity has increased from 2.4 to 3.0 m/s suggesting possible early prosthetic valve stenosis. This is a central flow orifice valve with anatomy similar to a native aortic valve so continuity equation valve area can be calculated. The measured LV outflow tract diameter (LVOT D ), not the implanted valve size, should be used in the valve area calculation. Thus, in this example, LV outflow tract cross-sectional area (CSA LVOT ) is: CSA LVOT = π r 2 = 3.14(2.3/2) 2 =4.15cm 2 Aortic valve area (AVA), then is: AVA = CSA LVOT x VTI LVOT / V Ao = 4.15CM 2 X (18CM/68CM) = 1.1CM 2
Answer 2 – Continued For a quicker valve area calculation, maximum LV outflow tract and aortic velocities can be substituted for velocity-time integrals: AVA = CSA LVOT x V LVOT / V Ao = 4.15CM 2 X (0.8M/S/3.0M/S) = 1.1CM 2 These findings suggest there has been a decrease in functional aortic valve area compared with the early postoperative study, which is consistent with early calcific degeneration of a 10 year old bioprosthetic valve in a young patient. However, this degree of stenosis is unlikely to account for symptoms of chest pain so that the evaluation for other causes is appropriate
Question 3 A 43 year old woman with aortic valve replacement 20 years ago for congenital aortic stenosis presents for routine follow-up. She is asymptomatic and physically active with no exercise limitation, but no previous echocardiogram are available. A systolic murmur is noted on examination and the echocardiogram shows the following doppler data. A.Exercise treadmill testing B.Transesophageal echocardiography C.Calculate continuity equation valve area D.Chest computed tomographic imaging E.LV strain rate imaging
Answer 3 3 – D This is a doppler recording of transaortic flow based on the presence of prominent valve opening and closing clicks, an ejection type velocity curve, and the time of flow relative to the QRS signal. The triangular shape of the signal suggests normal valve function because stenotic valves usually have a more rounded systolic curve with a late peaking maximum velocity. However, the velocity of 4.3 m/s is much greater than expected for this valve type. This high velocity most likely is due to low acceleration in the central slit-like orifice of the bileaflet valve with pressure recovery distally resulting in only a modest valve gradient. The denser signal within the aortic curve supports this possibility of valve thrombosis or pannus formation limited disk excursion must be excluded by direct visualization of leaflet motion. Simple fluoroscopy can be used to evaluate mechanical disk motion with careful adjustment of imaging angle to visualize the leaflets. However, chest computer tomographic imaging showed normal valve function in this patient. Exercise treadmill testing can be helpful to clarify symptoms status with native or prosthetic alve stenosis but is not needed in this asymptomatic patient. TEE might provide better images of the posterior aspects of the prosthetic valve, but shadowing and reverberations would now obscure the anterior valve structures, making it difficult6 to exclude prosthetic valve stenosis. The continuity equation valve area will be falsely reduced if the apparent aortic velocity is recorded from the small central flow orifice. LV strain rate imaging allows detection of early LV dysfunction when aortic valve disease is present but would not be helpful for evaluation of valve function in this patient
Question 4 This 88 year old woman presented with worsening heart failure and hemoptysis. She had undergone bioprosthetic mitral valve replacement 12 years ago for severe mitral stenosis with an early postoperative baseline echocardiogram that showed normal LV and RV size and function, normal prosthetic valve function, and a pulmonary systolic pressure of 40 mmHg. On exam now she has a blood pressure of 100/70 mmHg, heart rate of 74 bpm with an irregular pulse, jugular venous pressure of 20cm H 2 O, distant heart sounds and bilateral pulmonary rales. The following doppler tracings were recorded on the current study. The most likely cause of her current symptoms is: A.Pulmonary embolus B.LV systolic dysfunction C.Severe mitral regurgitation D.Rheumatic aortic valve disease E.Mitral stenosis
Answer 4 E – Mitral Stenosis These doppler recordings show a high velocity tricuspid regurgitant jet, consistent with pulmonary hypertension, and a transmitral flow signal consistent with an elevated transmitral gradient and small valve area. The tricuspid regurgitant signal is identified based on systolic flow with a long flow period relative to the QRS and with the typical rapid, followed by slow, rate of rise in velocity with a late peaking curve. The transmitral flow curve is in diastole with a typical passive flow pattern or an early diastolic peak and linear fall off in velocity through diastole. Atrial fibrillation is present with no discernable A-velocity. The slow diastolic decline in velocity is consistent with mitral stenosis. Pulmonary embolus might be associated with pulmonary hypertension, but transmitral flow would be normal. LV systolic dysfunction would result in a reduce dP/dt on the mitral regurgitant velocity signal, which is not shown here. Severe mitral regurgitation would result in an increased antegrade transmitral velocity, but the diastolic slope would be steep. Rheumatic aortic valve disease is present in about a third of patients with rheumatic valve disease, and the mitral stenosis signal appears similar in shape to aortic regurgitation. However, diastolic velocities are lower across the mitral valve compared with the aortic valve; with a diastolic blood pressure of 70 mmHg, the initial diastolic velocity for aortic regurgitation would be about 4 m/s.
Question 5 88 year old with worsening heart failure and hemoptysis. Bioprosthetic mitral valve replacement 12 years ago for severe mitral stenosis. Baseline echocardiogram that showed normal LV and RV size and function normal prosthetic valve function. Pulmonary systolic pressure of 40 mmHg Current Exam: Blood pressure of 100/70 mmHg Heart rate of 74 bpm with an irregular pulse Jugular venous pressure of 20cm H 2 O Distant heart sounds Bilateral pulmonary rales. Using the above data from question 4, calculate the following: 1.Pulmonary systolic pressure:_____________________________________ 2.Mitral valve area:_____________________________________________
Answer 5 Pulmonary systolic pressure79mmHg Mitral valve area0.6cm2 The tricuspid regurgitant velocity is 4.0 m/s, reflecting a RV-RA systolic pressure difference of 64 mmHg. Images of the inferior vena cava are not provided to estimate RA pressure; the central venous pressure was estimated to be about 20cm H 2 O (or 15mmhg) based on physical examination of the neck veins. The conversion factor for units of pressure is 1.36cm H 2 O for each mmHg. Thus, adding RA pressure to the RV-RA pressure difference, the estimated pulmonary systolic pressure is 79 mmHg. With this bioprosthetic valve, mitral valve area is calculated from the mitral pressure half-time (T ½ ), as for native mitral valve stenosis. One the first beat, the peak transmitral velocity is 2.3 m/s, corresponding to an instantaneous pressure gradient of 21 mmHg. The T ½ is measured on the time axis from this point to the point on the diastolic deceleration slope where the pressure drop is half the initial gradient. A pressure gradient of 11 mmHg corresponds to a velocity of 1.66 m/s. Finding this point on the doppler signal, drawing a vertical line to the time axis, and then measuring the time interval from peak velocity to this point, provides a T ½ of 370 ms. Mitral valve area is 220/ t ½ or 6.cm 2. These findings are consistent with severe prosthetic mitral stenosis. Although tissue valve durability usually is longer in older patients, at surgery the bioprosthetic valve was severely calcified with restricted leaflet motion.
Question 6 In the patient with this echocardiographic image which of the following clinical findings is most likely present? A.Elevated reticulocyte B.Diastolic murmur C.S4 gallop D.Thrombocytopenia
Answer 6 A – Elevated reticulocyte count This is a TEE 2-chamber view of a patient with a mechanical valve prosthesis showing an eccentric paravalvular mitral regurgitant jet. Paravalvular mitral regurgitation can cause hemolysis resulting in an elevated reticulocyte count. Most often, hemolysis is well tolerated and the patient is able to maintain a relatively normal red blood cell count, although sometimes vitamin and iron supplementation. Rarely is surgical or percutaneous intervention needed to close the paravalvular leak unless there also is a large volume regurgitant flow. This patient likely has a systolic (not diastolic) murmur. A wide pulse pressure is typical for aortic, not mitral regurgitation. An S4 gallop will not be present because the electrocardiogram shows atrial fibrillation. The platelet count should be normal, although blood clotting likely is abnormal due to warfarin anticoagulation for a mechanical valve and atrial fibrillation.
Question 7 This doppler tracing obtained in a patient with prior valve surgery is consistent with all of the following EXCEPT: A.Aortic stenosis B.Aortic regurgitation C.Mitral stenosis D.Mitral regurgitation
Answer 7 D – Mitral regurgitation This cw doppler tracing shows a systolic ejection fraction velocity below the baseline (recorded from the apex) with a maximum velocity about 3 m/s consistent with mild aortic stenosis or without a prosthetic aortic valve. In diastole, mild aortic regurgitation is seen with a signal that starts with aortic valve closure and extends to aortic valve opening, with a maximum early diastolic velocity about 3.5 m/s and passive diastolic deceleration with a flat slope. Overlapping with the aortic regurgitant signal is a denser diastolic signal; that has a time delay between aortic closure and onset of flow, consistent with isovolumic relaxation period, indicating that this is transmitral flow. The peak velocity over 2 m/s and slightly prolonged deceleration slope suggest mild mitral stenosis or q prosthetic mitral valve, as was the case in this patient. There should be a time interval between the end of transmitral flow and aortic ejection, but this finding is obscured by a poor signal-to-noise ration. There is no atrial contribution to LV diastolic filling because this is a ventricular paced rhythm (see electrocardiogram) and the atrial rhythm likely is atrial fibrillation. This tracing does not show evidence of mitral regurgitation; a different doppler beam is needed for better evaluation of mitral valve function.
Question 8 A 71 year old female presented for a second opinion regarding possible aortic patient-prosthesis mismatch. She had undergone a 19 mm pericardial bioprosthetic valve replacement 2 years ago but continued to have symptoms of atypical chest pain. On physical examination she is an older anxious woman with a blood pressure of 120/80mmHg, pulse of 72 bpm, body surface area of 1.9cm 2, and an aortic ejection murmur but no evidence of heart failure. Echocardiography shows a normal-appearing prosthetic valve with the following doppler data shown in the image below. The most likely diagnosis in this patient is: A.No prosthetic valve dysfunction B.Prosthetic valve stenosis C.Prosthetic valve regurgitation D.Patient-prosthesis mismatch
Answer 8 D – Patient prosthesis mismatch The doppler data show an aortic velocity of 3.0 m/s with an LV outflow tract diameter of only 1.5cm and LV outflow tract velocity of 1.4 m/s. The circular LV outflow tract cross-sectional area (CSA) is 1.77 cm2. Aortic valve area calculated with the continuity equation is: AVA = CSA LVOT x V LVOT / V Ao = 1.77CM 2 X (1.4M/S/3.0 M/S) = 0.8CM 2 When indexed for body size: AVA = 0.8 CM 2 / 1.9 M 2 = 0.42 CM 2 /M 2 These data are consistent with severe patient-prosthesis mismatch, defined as a prosthetic aortic valve indexed area less than 0.65 cm2/ m2. The reason for patient-prosthetic mismatch is the very small LVOT. Ideally, patient- prosthesis mismatch is avoided by calculating the expected valve area divided by body size before valve implantation if the expected valve area is too small, an alternate valve choice or an aortic root enlarging procedure can be considered. Once patient prosthesis mismatch is present, decision making is more difficult because correction would require another surgical procedure. Both short and long term outcomes are worse when patient-prosthesis is present, but the increase in late mortality is seen only in patients younger than age 70, patients with a body mass index less than 30 kg/m2, and those with LV systolic, dysfunction (ejection fraction < 50%).
Answer 8 – Continued This patient is older than 70, she has normal LV function and is not clear that her symptoms are related to her valve size. Her BMI is 26 kg/m2, so she may benefit from weight reduction. In addition, her transvalvular mean gradient is only 14mmHg and the LV outflow to aortic velocity ration is only 1.4/3.0=0.47, neither of which support a significant hemodynamic effect from the small valve prosthesis. Thus, although she clearly meets the definition for patient-prosthesis mismatch, there is no evidence for significant stenosis or regurgitation. In any case, this patient has declined further interventions and continues to do well with medical therapy.
Question 9 Match each of the following diagnostic issues with the most useful imaging modality 1.Prosthetic aortic valve function 2.Prosthetic mitral valve function 3.Aortic graft pseudoaneurysm 4.Aneurysm of the aortic-mitral intervavlular fibrosa 5.Aortic valve paravalvular abscess 6.Bioprosthetic tricuspid valve vegetation 7.LV function with a mechanical mitral valve A.Transthoracic 2D imaging B.Transthoracic Doppler C.TEE 2D imaging D.TEE Doppler E.Chest computed tomographic imaging
Answer 9 1.Prosthetic aortic valve function: B – Transthoracic doppler 2.Prosthetic mitral valve function: D – TEE Doppler 3.Aortic graft pseudoaneurysm: E – Cardiac CT imaging 4.Aneurysm of the aortic-mitral intervalvular fibrosa: C – TEE 2D imaging 5.Aortic valve paravalvular abscess: A – Transthoracic 2D imaging 6.Bioprosthetic tricuspid valve vegetation: A – Transthoracic 2D imaging 7.LV function with a mechanical mitral valve: A – Transthoracic 2D imaging Evaluation of a patient with suspected prosthetic valve dysfunction often requires both transthoracic and TEE imaging. Transthoracic imaging is optimal for measurement of LV volumes and ejection fraction because the LV often is foreshortened on TEE and may be shadowed by the mitral or aortic valve prosthesis. Transthoracic imaging usually is preferred for a bioprosthetic tricuspid valve because this valve is anterior in the chest and thus well seen from this approach. However, TEE imaging maybe needed is transthoracic images are suboptimal. Transthoracic doppler is the best approach for evaluation of prosthetic aortic valve function because the doppler beam can be aligned from an apical window parallel with transvalvular flow and aortic regurgitation can be evaluated in both parasternal and apical views. In contrast, on TEE, alignment of the doppler beam with transaortic flow is problematic and evaluation of regurgitation is limited by shadowing of the LV outflow tract by the prosthetic valve. In patients with a prosthetic mitral valve, the LA side of the prosthesis is shadowed on transthoracic imaging so that the TEE is recommended whenever prosthetic mitral regurgitation is suspected. Similarly, TEE is much more sensitive than paravalvular abscess because it allows imaging of the LA side of the aortic and mitral valve prosthesis. Of course, an anteriorly located aortic paravalvular abscess may be seen on transthoracic imagine, but absence of an anterior abscess does not exclude posterior annular infection. With involvement of structures outside the narrow window provided by echocardiographic imaging, such as an aortic root pseudoaneurysm, wide field imaging modalities, such as chest computed tomography, are recommended.
Question 10 The echocardiographic image below was obtained on the postoperative baseline study after bioprosthetic mitral valve replacement. Which is the most likely diagnosis for the structure indicated by the arrow: A.Vegetation B.Valve strut C.Mitral valve D.Ruptured papillary muscle E.LC thrombus
Answer 10 C – Mitral valve This image shows the native mitral valve chords and part of the mitral leaflet, which were retained at the time of mitral valve replacement. Maintenance of mitral annular– papillary muscle continuity helps prevent loss of LV systolic contractile function with surgical mitral valve replacement. Typically the prosthetic valve is inserted centrally and the posterior leaflets and chords are left connected to the papillary muscle behind the prosthetic valve sewing ring. The anterior leaflet may be partially retained or may be resected, leaving freely mobile chordal remnants. A mitral vegetation would be more likely on the LA side of the valve; infection of the sewing ring with annual abscess formation instead of a typical vegetation is common with a prosthetic valve. Valve struts are more uniform in appearance and do not protrude this far into the LV cavity. A ruptured papillary muscle results in a disrupted muscle head moving freely in the LV, attached to the mitral valve; normal attachments of the chords to the papillary muscle can be seen on this image. An LV thrombus usually occurs in an area of regional dysfunction, often the apex, and is adherent to the LV myocardium.
Question 11 This 75 year old man underwent surgical aortic valve repair 10 years ago for endocarditis resulting in prolapse of the noncoronary cusp. He has done well postoperatively and has been followed annually with echocardiograms showing mild to moderate residual aortic regurgitation. He now presents with a cough, fatigue, and a low grade fever. On exam his blood pressure is 158/40 mmHg, pulse is 113 bpm and irregular; bibasilar rales are present. The doppler flow tracing below was recorded. The most likely new diagnosis in this patient is: A.Acute mitral regurgitation B.Aortic to LA fistula C.Severe pulmonary hypertension D.Severe aortic stenosis E.Patent ductus arteriosis
Answer 11 A – Acute mitral regurgitation This doppler tracing shows a diastolic signal with a peak velocity and systolic slope consistent with known aortic regurgitation The diastolic flow is directed away from the transducer, so the probe position likely is parasternal with a posteriorly directed aortic regurgitant jet. In systole there is an ejection-type (rapid rise and fall with curved wave- form) signal with a peak velocity about 5.5 m/s. This is most consistent with mitral regurgitation, given a systolic blood pressure of 158 mmHg even with an LV pressure of 20mmHg., the Bernoulli equation indicates that velocity should be at least 6 m/s if the intercept angle between the jet and ulatrasound beam was parallel. In this example, a nonparallel intercept angle is most likely with the transducer in a parasternal position. The relatively rapid fall-off in velocity in late systole suggests acute regurgitation with an elevated LV pressure. This patient had a mitral valve vegetation with an adjacent leaflet perforation and blood cultures were positive for alpha-hemolytic Streptococcus. With an aortic-to-LA fistula, high velocity continuous flow in systole and diastole would be seen reflecting the high aortic-to-LV pressure difference. The typical valve velocity curves would not be seen. Pulmonary hypertension cannot de diagnosed from these data; a tricuspid regurgitant jet would be longer in duration and overlap with aortic regurgitation at the onset and end of flow. If the systolic signal were due to aortic stenosis, a slight time interval before and after aortic regurgitation would be seen corresponding to the isovolumic relaxation and contraction periods. A patent ductus arteriosis would show continuous flow in the pulmonary artery with a lower velocity, reflecting the pressure difference from the descending aorta to the pulmonary artery, and the distinct valve-type curves would not be seen.
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Saturday, July 13, 2013
The Columbia River Inter-Tribal Fish Commission has promoted 20-year CRITFC Enforcement veteran Sgt. Mitch Hicks to chief of enforcement.
Hicks is a member of the Shoshone-Bannock Tribes from the Fort Hall Reservation of Idaho. He will begin his chief of enforcement duties Aug. 1.
"I am honored to lead one of the best enforcement entities in the region," Hicks said. "I personally know how this work benefits Indian fishers along the Columbia River.
"My family, friends and I were subjected to harassment while exercising our tribal hunting and fishing rights. I remember having our salmon fishing camp shot at and being held at gunpoint while hunting in Idaho.
"My experiences have driven me to do what I can to prevent the harassment that I experienced as a boy from happening to anyone else."
As the chief of law enforcement, Hicks is responsible for the overall management of CRITFC's enforcement department. Based in Hood River, CRITFC Enforcement employs 17 patrol officers, dispatchers and administrative staff and is responsible for patrolling 147 miles of the Columbia River and 31 tribal fishing access sites.
"Mitch has a dedication to the tribal members that fish the Columbia River and the careful protection of their treaty fishing right that spans his entire career," said Paul Lumley, executive director for the Columbia River Inter-Tribal Fish Commission.
"Enforcement of tribal treaty fishing rights is the backbone of tribal sovereignty and Mitch's dedication will serve the tribes well."
Hicks graduated from Idaho State University and has spent his entire enforcement career with the Columbia River Inter-Tribal Fish Commission. He was originally hired in April 1993 as a patrol officer and was promoted to sergeant in August 2000. He is an avid outdoorsman that enjoys spending time with his wife, Tiffany, and two children, Jake and Melissa.
Hicks takes over for Davis Washines, who retired from CRITFC's chief of enforcement position after three years of service. Washines remains with CRITFC as a policy analyst.
Columbia River Inter-Tribal Fish Commission is the technical support and coordinating agency for fishery management policies of the Columbia River Basin's four treaty tribes: the Confederated Tribes of the Umatilla Indian Reservation, the Confederated Tribes of the Warm Springs Reservation of Oregon, the Confederated Tribes and Bands of the Yakama Nation and the Nez Perce Tribe. CRITFC website: www.critfc.org.
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Welcome to your sing-able Christmas gift list. What follows is an emergency rendition of "12 Days of Christmas" – for outfitting your home or car in case of snow storm, earthquake, flood or other emergency. Read it as a simple list, or sing it to the tune of "12 Days" – you know, as in " … and a partridge in a pear tree…" Not to make light of it, but the song is a familiar framework for a set of gift ideas that you could consider gathering together, even if the recipient already owns items such as a bunch of coats, tire chains and flashlights. Stores throughout the Gorge are stocked up on all these items. Buying all 12 days might be prohibitive, but here are three ideas for checking any of the dozen off your list (notations follow, 1-12.) The gift items needed to stay warm, dry and safe are also coded to suggest items in your abode (A) in your car (C) or both (B). 12 Gallons of Water (A) 11 Family meals (B) 10 Cans of propane (A) 9 Hygiene bags (B) 8 Packs of batteries (A) 7 Spare coats (B) 6 Bright red flares (C) 5 Cozy blankets (B) 4 Tire chains (C) 3 Flashlights (B) 2 cell phone chargers (B) 1 And a crush-proof first aid kit (B) Price ranges? Here's a few quotes for days Three, Two, Four and Nine: n A family gift of flashlights (three will run $15-30, Hood River Supply, Tum-A-Lum) n Cell phone chargers (two will run $30-60) n Tire chains (basic set, $30, Les Schwab, returnable if unused for the winter) n Family meals ($100 or so should cover the basics for three or four reasonably well-fed days) n The home kit should be kept in a handy place near an exit, and remember that water needs to be replenished every few months. If you have a solid first aid kit already, switch out the gift idea with "and-a-sto-o-u-t- tub-for it-all …" Otherwise, it's a case of assembling your home or car kits and making sure all members of the family know what the resources are and how to use them (ie flares and propane). Emergency situations are at worst life-threatening, at best deeply uncomfortable if you and your family are left without power for an extended period, or traveling and find yourself in a situation where you need to wait out a storm, lengthy traffic delay, or other crisis. Notes on the 12 gift ideas: 12 – Gallons of water: that's one per person in a four-member family to last for three days, the recommended minimum to be prepared for utility outages. 11 – Easy-open packaged goods, energy bars, dried food and nuts are good things to include for nutrition. Think of what your family of four needs for three days to stay fortified and hydrated (see number 12). Can-opener also recommended 10 – If you have a propane camping stove, keep extra fuel handy. 9 – Hygiene bags: put packaged moistened towelettes, toilet paper, and plastic ties in large garbage bags (for personal sanitation) Resource list courtesy of Hood River County Emergency Management, Barbara Ayers, manager/ 541-386-1213. The county also reminds residents to Get a Kit, Make A Plan to connect your family if separated, and Stay Informed. See www.co.hood-river.or.us to opt-in for citizen alerts. Enlarge


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Frequent use of ipill
My wife took one emergency contraception pill around 20th February, then she took it on 4th March. Is it safe to use a contraception pill again on 8th march, i.e. around thrice in a month ? If not, what are the safe alternatives that can be used after unprotected sex ?
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Doctor Answers (1) on Frequent use of ipill
Dr. Anil Kumar Jain
Bangalore | General Physician
INR 150 for 24 hrsCHAT NOW
Hello there. See, the first thing is to avoid unprotected sex altogether. Using a condom would be the best alternative to popping a pill every time. But it's not that you should never indulge in unprotected sex, I'm not saying that. You can of course indulge in it during the safe period. You see, during the first 7 days and the last 7 days the chances of becoming pregnant are very less, you can have unprotected sex during those days. Read more about safe period and you will know. Best regards
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International Business Geography
Case Studies of Corporate Firms
By (author) Piet Pellenbarg Egbert Wever
Format: Hardback
Normal Price: $235.00
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International Business Geography by Piet Pellenbarg
Book DescriptionWritten by eminent scholars who are well known within their fields across Europe, this book explores changes in the international economic environment, their impacts on the strategy of firms and the spatial consequences of these changes in strategy. The economic environment in which major companies operate is subject to rapid and important changes. Such changes have their impact on the strategy of major and even smaller companies and changes in these firm's strategies often have important implications for the location choice of their activities, be it production, outsourcing, R&D or administrative activities. Addressing these issues in a clear yet rigorous manner, this book is an excellent resource for students and researchers working and studying in the areas of international business, corporations, business strategy, economic geography and business geography.
Buy International Business Geography book by Piet Pellenbarg from Australia's Online Bookstore, Boomerang Books.
Book DetailsISBN: 9780415429191
(234mm x 156mm x mm)
Pages: 304
Imprint: Routledge
Publisher: Taylor & Francis Ltd
Publish Date: 4-Oct-2007
Country of Publication: United Kingdom
Other Editions...
Books By Author Piet Pellenbarg
International Business Geography, Paperback (November 2011)» View all books by Piet Pellenbarg
Of interest to a range of disciplines within business and management, economics and geography, this book, written by eminent scholars, explores changes in the international economic environment, their impacts on the strategy of firms and the spatial consequences of these changes in strategy.
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I'm in!
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Et moi!
Sent from my SM-N910G using The Bub Hub mobile app
Will seriously think about it.
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Me too! Has to be better than MKR this year, right?
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The Windows XP Product Key is a 25-character string of numbers and letters that is unique to each installation of the operating system. Periodic checks are done on this key to ensure that it is legitimate. If you have lost your product key or need to check it against what you think it is, you can find it in your Windows Registry by using the Registry Editor.
- Skill level:
- Moderately Easy
Other People Are Reading
- 1
Start the Registry Editor by clicking the "Start" button, clicking "Run," typing "regedit" into the Run window and then hitting the "Enter" key.
- 2
Use the navigation pane on the left side of the Registry Editor to go to the following location: "HKEY_LOCAL_MACHINE\SOFTWARE\Microsoft\Windows\CurrentVersion"
- 3
Look for the subkey labelled "ProductId," as this will list the XP Product key.
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See the flyer below:
Presidents' Day, February 20, 2017 - No School for Students and Staff
See the flyer below:
An Indianapolis Colts Big Blue Football Camp was held here at Eastridge. The students were elated and you can see the joy on their faces! Check out the photo gallery>>>
Due to a power outage, for those parents of students participating in the YMCA after school childcare, it is requested you pick up your child as soon as possible. The Back to School Night is postponed until 8/4.
Does your child ever take too much time to do homework… need an extra boost of self-esteem…use social media…or choose not to follow your directions? As a parent, do you ever feel like you could use some support from other parents who have the same concerns with their children as you? If so, you are encouraged to register for our PAC (Parents are the Core) sessions.
Keep in touch with Mrs. LeClaire, principals, and Mrs. Johnson, Dean, this year by receiving text alerts. Follow these steps:
Mrs. LeClaire: Text 81010 Message: @06a78
Mrs. Johnson: Text #317-899-9441; Message: @ed3064
For students, one of the College and Career Ready standards' most important new requirements is that correct answers alone will not be enough. Correct answers are very important, but along with them there is a new set of "mathematical practices" that teachers will expect from students. This is part of their preparation for 21st century jobs. More information>>>.
Eastridge is collecting pop tabs for The Ronald McDonald House. The Ronald McDonald House serves families whose children require care at an Indianapolis-area hospital. Money generated from recycling pop tabs helps cover expenses.
Warren Township takes the safety and security of our students very seriously. You can report an incident to any Warren administrator or use the options below.
Reports will be investigated by Warren Township administrators. Please note, these reporting devices are not monitored 24/7 so contact 911 if this is an emergency.
Welcome to Kindergarten!!! Linked is our newly updated and technology-friendly Kindergarten Camp (K Camp) video book. This will allow your kindergarten student(s) to become familiar with the school prior to school starting. Please read and view this with your child as often as you would like. We look forward to seeing you!


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|$ 5.00
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|$ 3.05
This aluminum compression ring fits Campagnolo (Campy 45/45) compatible integrated pro scooter headsets such as the FSA Orbit C, Impact, and Tilt headsets. For pro scooter forks with outside diameter of 1 1/8 inch.
Tools: No special tools required.
30 days warranty against manufacturing defects.


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published by Aksys Games
A horror game for DS where players will take on the roles of two different characters trying to understand out their past, present, and intertwined destiny.
Hi there! I'm Buritta<3 I'm a neko! =^● ⋏ ●^=
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Category Archives: problems and puzzles
A Tantonalizing Problem
In times like these one craves distraction, or maybe anaesthesia. On the whole, mathematics is better for you than ethanol, and you can even do it while driving. So in spare moments I've been noodling away at the following problem, … Continue reading
Lost in Translation
J. E. Littlewood told a cute story about a paper he supposedly published in the Comptes Rendus de l'Académie des sciences de Paris. The paper had three footnotes, which read, in French: I am greatly indebted to Prof. Riesz for … Continue reading
17 x 17 = $289.00
This just in from Bill Gasarch: The quest for a rectangle-free four-coloring of the 17-by-17 grid is over. If you don't know what that's all about, and you'd like to find out, see Bill's blog post from 2009 or my … Continue reading
Divisive diversions
The ever-puzzling Peter Winkler offered three problems in the August Communications of the ACM: Does every positive integer divide some number of the form 1{0,1}*—that is, a positive integer whose decimal representation includes no digits other than 0 and 1? … Continue reading
Don't try to read this proof!
On the subject of the Collatz conjecture (also known as the 3x+1 problem), Paul Erdos remarked: "Mathematics is not yet ready for such problems." Shizuo Kakutani joked that the problem was a Cold War invention of the Russians meant to … Continue reading