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Your Greatest Weapon Against Temptation
Sermon Clip on the Power of the Spirit
Feb 27, 2017
Once you come to realize the gravity of the fact that the Holy Spirit of God lives in you, it will change everything in your life.
Ask Pastor John
Am I Really Ready for Heaven?
Feb 27, 2017
Receive Christ, the one who did all the doing that had to be done as the foundation of our acceptance with God.
Battle Hymns for the Fight of Faith
Feb 26, 2017
When death is near and your mind is fading, what songs will you wish you'd etched most deeply into your soul?
Jesus Is Precious Because He Removes Our Guilt
Feb 21, 1982
Turn away from all the intellectual, physical, and religious tactics the world uses to evade its guilt, and rest in Jesus.
Above God, there are no higher courts. If God justifies us, no charge against us can stand. https://t.co/ic1ZHZS1YQ
The Stone and the Snake
Feb 25, 2017
Ask, seek, and knock. God loves to hear our pleas for help and open heaven's stores.
God Shines Most in Our Messiness
Feb 25, 2017
God often does his clearest work in and through us as we serve each other, especially in our messiness.
What Is the Deepest Root of Your Joy?
Christian Hedonism in Two Minutes
Feb 24, 2017
The gospel is not a way to get people to heaven; it is a way to get people to God. If we don't want God above all things, we have not been truly converted.
How Well Do You Know Jesus?
Sermon Clip on the Supremacy of Christ
Feb 24, 2017
The supremacy of Christ is meant to be the sun at the center of our lives, keeping all the planets of our existence in orbit. Let us press on to know him.
The Key to Spiritual Breakthrough
Feb 24, 2017
We will only persevere in prayer when we realize what we are up against. Do not lose heart or give up until God grants the breakthrough you seek.
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Feb 24, 2017
God determines when everybody dies. He decided so before the world existed.
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Listen to John Piper answer tough theological, pastoral, and practical questions.
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Is Envy Bar 'n Disco incorrect or missing key business information? Update your Hotfrog listing today.
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Hotfrog Philippines provides information regarding Envy Bar 'n Disco in Manila Metro Manila. Envy Bar 'n Disco is located at 2/F, 1851-B R Hidalgo Lim Street, Manila Metro Manila and provides Food And Dining services.
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We specialise in personal injury claims in Donegal securing compensation for injured parties Read more
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Practice Focus
Maria has substantial patent prosecution knowledge in the area of life sciences, including pharmaceuticals and medical devices, and has prosecuted trademark applications and drafted documents filed with the Trademark Trial and Appeal Board. Maria has extensive experience in all stages of patent litigation, including drafting of complaints, managing fact and expert discovery, preparing witnesses for and conducting depositions, and drafting briefs and motions. Before joining McDonald Hopkins, Maria practiced law for nearly nine years at a Boston-area intellectual property firm.
Maria earned a J.D. from Washington University School of Law in 2005. She received an M.S. from Iowa State University in 2001 and a B.A. in biology, cum laude, from Macalester College in 1996.
Admissions - Court
- U.S. District Court for the District of Massachusetts
- U.S. Patent and Trademark Office
- U.S. Court of Appeals for the Federal Circuit
Admissions - State
- Massachusetts
- Washington University School of Law
- Iowa State University
- Macalester College
Professional Membership
- Boston Patent Law Association, Member
- American Bar Association, Member
Blog Posts
External Publications
- Cronn R, Cedroni M, Haskelkorn T, Grover C, and Wendel, JF (2002). PCR-mediated recombination and amplification products derived from polyploidy cotton. Theoretical and Applied Genetics. 104:482-489
- M.L. Cedroni, R.C. Cronn, K.L. Adams, T.A. Wilkins, and J.F. Wendel (2003) Evolution and expression of MYB genes in diploid and polyploidy cotton. Plant Molecular Biology. 51:313-325


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ERIC Number: EJ014564
Record Type: CIJE
Publication Date: 1969
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Reference Count: 0
The Relationship Between School District Expenditure Level and Certain University Background-Related High School Instructional Staff Characteristics: A Pilot Investigation
Wilbur, Thomas P.
IAR Res Bull, 9, 2, 5-7, 69 Feb
Using data collected from 30 high school districts within metropolitan New York, a direct positive relationship between the training of instructional staff at diversified, prestigious universities and per pupil expenditure was supported. On the basis of the small sample size this conclusion is considered exploratory. (LN)
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Louise (Prather) McGhee
- 76 years old
- Date of birth: Nov 15, 1935
- Date of passing: Sep 29, 2012
|Let the memory of Louise be with us forever
Louise (Prather) McGhee was born November 15, 1935 to the late Deacon Idus (Buddy) and Jennie Lee Prather in Meriwether County Georgia.
God called His child home early on the morning of September 29, 2012 at West Georgia Medical Center, LaGrange, Georgia.
Saturday, October 6, 2012, 12:00 Noon
506 Ware Street
LaGrange, Georgia 30241
Greenville, Georgia
Professional services provided by Sewell Funeral Homes. http://www.sewellfuneralhomes.com
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Dr. Robert Urban MD Video
- Family Medicine Manistique, MI
Take a minute to learn about Dr. Robert Urban in this video.
Meet Doctor Robert Urban. Here are his vitals: He specializes in Family Medicine. Doctor Urban is a highly experienced doctor, with 35 years of practice in the field Is affiliated with a top rated hospital. Graduated from Wayne State University. Doctor Urban accepts the following insurance plan. Use Vitals.com to examine Doctor Robert J Urban from Manistique, Michigan. See patient comments make an appointment or even let us help you to prepare for your visit. Vitals .com where doctors are examined.


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Women's Blue Low-rise Thong
$20 + $6.00 shipping From Bloomingdale's View shipping & returns info
A soft stretchy low-rise thong in great fashion colors. Threaded with ultra-thin elastic fibers that provide hip-hugging support. Cotton gusset. Allover stretch lace, cotton gusset. Please use the following size conversions when ordering this item: XXS = 00; XS = 0; OS = 212.Fabric Content: Body: nylon; trim: nylon/spandex; lining: cotton. Country Of Origin: Made in USA.Product Care: Hand wash. Color: blue


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Lot 897: Strebelle O., a three-tile panel, 38 x 12,5 cm
Fine Arts and Antiques Auctions October 2016 Day 3
by Carlo Bonte Auctions
October 27, 2016
Bruges, West Flanders, BelgiumLive Auction
Past Lot
Looking for the realized and estimated price?
Description: Strebelle O., a three-tile panel, 38 x 12,5 cm
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All new Episodes and Movies will now become available for free, with NO ADS on youWatch.pro, take a look!
New Girl S04E18
|Watch Online New Girl: Season 4 Episode 18 (S04E18) Stream
Walk of Shame
Plot: Jess and Cece have a walk of shame after a crazy night out.
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Custom iPhone App
This project received 28 bids from talented freelancers with an average bid price of $2439 USD.Get free quotes for a project like this
Project Budget$1500 - $3000 USD
Total Bids28
Project Description
Needed: Skilled iOS coder to create an intuitive, nice looking, iPhone app.
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30th death anniversary of Andy Warhol
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Today marks the 30th anniversary of death of pop art icon Andy Warhol.
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Physical Chemistry of Natural Waters
By (author) Frank J. Millero
Format: Hardback
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Physical Chemistry of Natural Waters by Frank J. Millero
Book DescriptionAn in-depth discussion of the thermodynamics and kinetics of natural waters Divided into three major parts-structure of matter, chemical thermodynamics, and chemical kinetics- physical chemistry is concerned with the measurement, description, and prediction of the characteristics of chemical systems and their interaction with each other with respect to the transfer of mass and energy. Physical Chemistry of Natural Waters explores how the basic concepts of physical chemistry can be used to understand the chemistry of natural waters, with most of the text confined to chemical thermodynamics and kinetics. The extensive material in this book is the result of a course in marine physical chemistry that the author has taught over the past decade. Dr. Millero incorporates his own personal interest in solution physical chemistry and his approach to understanding the physical chemistry of seawater with the text's vast coverage of the physical chemistry of liquid phases. In addition, detailed reviews of the basics of thermodynamics and kinetics provide a comprehensive overview for a clearer understanding of the topics covered. Environmental and physical chemists conducting research on water, seawater, rivers, lakes, and groundwater as well as graduate students studying environmental chemistry will find Physical Chemistry of Natural Waters a solid foundation on the subject of the physical chemistry of natural waters.
Buy Physical Chemistry of Natural Waters book by Frank J. Millero from Australia's Online Bookstore, Boomerang Books.
Book DetailsISBN: 9780471362784
(243mm x 167mm x 41mm)
Pages: 680
Imprint: John Wiley & Sons Inc
Publisher: John Wiley and Sons Ltd
Publish Date: 17-Jan-2001
Country of Publication: United States
Books By Author Frank J. Millero
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Author Biography - Frank J. Millero
FRANK J. MILLERO, PhD, is Professor of Marine and Physical Chemistry in the Division of Marine and Atmospheric Chemistry in the Rosentiel School of Marine and Atmospheric Science at the University of Miami in Florida.
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Hubby and I just returned from a weekend in San Fran, where a friend took us to House of Nanking. It was the best Chinese food we have ever had, period. Wondering if any AZ chowhound readers have been, and experience anything similar in the Phoenix/Scottsdale area?
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Technical FAQs
Start here for access to our Knowledge Base to get answers to over one hundred thousand questions online in seconds.Find Answers
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Access tailored services, 24/7 self-service and expert help. Anywhere, anytime, any project.Discover now
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Explore our global offerings or select your country from one of our five regions.Global
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Technical FAQs
How can I skip frequencies on an ATV212?
Product Line:
All serial numbers for ATV212
Drive should not run at certain frequencies
Set F270 as your midpoint and then set F271 as the bandwidth from the midpoint.
Example: You wants to skip from 30Hz to 41Hz
F270 is your midpoint - 36Hz
F271 is his bandwidth (before and after your midpoint) - 5Hz


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Quick -- tick off the leadership traits that you often hear from conference speakers, read in leadership books or blogs, or study in training programs. I'm guessing your list includes these: inspiring, visionary, passionate, focused, disciplined, decisive, ethical.
Read Whole Story
How you deal with both positive and negative emotions could have big implications for your mental health. Emotional regulation -- whether you avoid yo...
It's time to strengthen ourselves and move from being fragile to being robust to being antifragile. As Nassim Taleb tells us: "Wind extinguishes a candle and energizes the fire."
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Why do some people embark on a news hunt the moment they open their eyelids in the morning, while others get the news only if it eventually gets them, when it dons the front page of virtually every media outlet available?
Get top stories and blog posts emailed to me each day. Newsletters may offer personalized content or advertisements. Learn more.


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- Growing Equipment Hot!
ALIEN HYDROPONICSVIEW NOWNext generation Hydroponics featuring innovative design and latest technology.
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100ml SMC Spidermite Control provides Safe, Pesticide Free and Effective Control of the home gardeners nemesis - the Spidermite.
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Lunch today: hwe dup bap
I prepared and brought all the ingredients from home, except for the fish. I got some sashimi from a market near my office. There's rice underneath it all, but a very small amount. Trying to limit my carb intake, hehe. This cost me about $6.25. Much cheaper and a much more manageable portion size than getting it from a restaurant.
I like Maangchi's easy hwe dup bap recipe:
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Needy people
Explore related topics
People aren't ignoring you. They are busy with their lives. And the way to stop feeling ignored is to get busy with yours.
Done with needy people. Stop always feeling sorry for yourself! Take responsibility for the situation you are in.
Needy people need not apply
If you keep telling people about your problem, you don't want help, you want attention.
Food for thought. We all need a reminder sometimes.
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How To Cut Controlling People Out Of Your Life Forever
Yes. I can be alone. Introvert
I'm pinning this in here. Mainly because I am doing my best to be less toxic. Due to my abandonment in my early life, and at times in my early 20's, I am prone to be needy with it being mostly emotional needs. I don't have a lot of physical contact with anyone (and when I say "physical" I really do mean touching, hugging, kissing, cuddling, etc.) and I think that it's very important to have on a daily basis.
Except for the weak. You can control the truly weak-minded and needy in a heartbeat. It must be a total thrill for the corrupted soul, but I imagine that it would get boring, even for psychopaths, after a while... ~ETS


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Excellent club hotel. Close to the beach. Fantastic service. Great pool. Beautiful beach. Popular among families.
Hotel Types
- Good resort hotel
Guest Review Highlights
- Great location
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My name is Tamami. Nice to meet you! ^^
I hope you enjoy this website as much as I enjoy creating it! Happy cookin' to you all! xx
© Coco&Me 2016
All writing & pictures remain the property of Coco&Me & cannot be used without permission


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Quick Look
Property brokered by
Get more listing details on brokerage site
Presented By:
Maria Evangelista-Wade
(734) 845-6122
Email Agent
Maria Evangelista-Wade
(734) 845-6122
Email Agent
Property DetailsTo Be Built In Dexter Crossing - Lot 195. The Aston Ranch Floor Plan Built By Peters Building Co. Offers 1,408 S.f., Quality 2x6 Construction, Low-maintenance Double Hung Vinyl Windows, Siding And Brick Accents. Open Floor Plan Offers Spacious Great Room With Wall Of Windows. Kitchen Features 42 Wall Cabinets, Granite Countertops & Appliance Package. Flooring Options Include Hardwood In Foyer, Great Room, Kitchen, Breakfast Nook And Tile In All Baths & Laundry. Walkout Basement With 6' Doorwall, (2) Egress Windows And Rough-in Plumbing For Future Finish. Home And Finishes Shown May Vary From Home To Be Built. Now Is The Perfect Time To Start New Construction. Approximate Completion, 8-9 Months Build Time.
Area Recent Sales
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Mortgage Calculator
Additional Property InformationThis single family listing located at 511 Coventry Circle, Dexter, MI boasts three bedrooms and two bathrooms. A ranch style property, it is presently selling for $285,900.
This property is presented by Maria Evangelista-Wade of Real Estate One, Inc. located in Michigan.


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The Bonded: The Allseer Trilogy Book I
Hardcover, 408 Pages
List Price: $39.99
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The world has fallen into chaos, the lands ravaged by a taint known only as the Darkness. The remaining survivors are those blessed with the power of the mind. Known as the Bonded, they alone have the power to stop the corruption and reclaim the world for their kind. It is in this world that Kirheen finds herself. Born with powers she does not desire and cursed to remain in Sanctuary, she yearns for a life of freedom which may never exist for she is one of the Bonded. Matched with a young man named Garild, they are sworn to dedicate their lives and minds to each other, to strengthen their powers until they can join the fight against the Darkness. But curiosity is a powerful thing and Kirheen begins to wonder if the Darkness is truly as dangerous as they say or if it even exists at all.
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Product Details
- 9781329674028
- Copyright
- Kaitlyn Rouhier (Standard Copyright License)
- Edition
- First Edition Hardcover
- Publisher
- Kaitlyn Rouhier
- Published
- November 20, 2015
- Language
- English
- Pages
- 408
- Binding
- Hardcover (dust-jacket)
- Interior Ink
- Black & white
- Weight
- 1.37 lbs.
- Dimensions (inches)
- 6 wide x 9 tall
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The Missing Link
Event Management, Exhibitions, Stands
InfrastructureThe Missing Link exhibition booth provides exhibitors with a quality, up-to-date, standard exhibition solution. Specifically designed anodised aluminium extrusions frame rigid pvc coated plywood panels, with a silver-white sheen.The aluminium frames are compatible with extra features like shelves.A qualified electrician provides electrics which include:
Standard Package: 2 spotlights and a 15amp plug point Optional: DB Board, 3 Phase, Flourescent BlueEvent ManagementQualified staff will provide a turn-key solution to client which may include: Floorplan designVenue LiaisonExhibitor LiaisonSupplier management (draping, catering, security, porters, AV)BrandingPortable display solutions, pull-ups, flying banners, branded gazebos etc.BannersPrintingGraphic DesignFurniture HireCouchesStoolsTablesChairsPlasma screens etc.
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Is Tian Ann Trading incorrect or missing key business information? Update your Hotfrog listing today.
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Hotfrog Singapore provides information regarding Tian Ann Trading in Singapore. Tian Ann Trading is located at 86 Geylang Bahru #01-2702, Singapore 339694 and provides Wholesale services. Contact them on 6291 7018.
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Australian Sign Language (Auslan)Cambridge University Press 2007; US$ 44.00
The first comprehensive introduction to Auslan, exploring key aspects of its structure and use. more...
Earth AwakensTom Doherty Associates 2014; US$ 6.79
The story of The First Formic War continues in Earth Awakens . Nearly 100 years before the events of Orson Scott Card's bestselling novel Ender's Game , humans were just beginning to step off Earth and out into the Solar System. A thin web of ships in both asteroid belts; a few stations; a corporate settlement on Luna. No one had seen any sign... more...
Colter's WifePocket Books 2003; US$ 7.99
New York Times bestselling author Joan Johnston, who "writes brisk romance chock-full of compelling conflicts and strong local color" ( Publishers Weekly ), evokes the grandeur, excitement, and danger of the American frontier in this sweeping historical novel. When Kinyan Holloway's husband is killed in a range accident, she has no idea how she... more...
The PriceAtria Books 2003; US$ 7.99
New York Times bestselling author Joan Johnston has captivated millions of readers with her sprawling, sensuous novels about the two opposing dynasties of Bitter Creek, Texas -- the Blackthornes and the Creeds. Now in her highly anticipated hardcover debut, Johnston tells an impassioned story of love and danger, ambition and family, that features... more...
Housing Policy in the 1990sTaylor and Francis 2012; US$ 225.00
Housing Policy in the 1990s explores the deluge of Conservative legislation of the late 1980s and examines what its effects will be during this decade and into the next century. The contributors discuss and clarify the main aims of the government re-structuring of social strategy and assess its effects on British housing. more...
The New Mutualism in Public PolicyTaylor and Francis 2002; US$ 47.95
Mutuality has become a topic of debate recently for a whole range of academics and social commentators. The 'demutualisation' of banks and building societies has been partnered by the idea of a 'new mutualism' , forming a set of social values and beliefs, and this collection looks at the manifestations of these trends and the implications for the... more...
The Navigator of New YorkKnopf Doubleday Publishing Group 2003; US$ 15.95
Devlin Stead grows up a lonely orphan in late 19th century Newfoundland. When he begins receiving letters from the esteemed but mysterious explorer Dr. Frederick Cook, they entirely change his understanding of who he is and what he might become. Invited by Dr. Cook to become his apprentice, Dev eagerly heads for New York City, where he is introduced... more...
Roman Law in ContextCambridge University Press 1999; US$ 28.00
An explanation of Roman law in the light of the society and economy in which it operated. more...
No Longer a StrangerPocket Books 2005; US$ 9.99
Joan Johnston sweeps readers back to the untamed American West in a tale of powerful emotions and breathtaking action. 1865: The Civil War was over, but new dangers lay in wait across the open frontier. Disguised as a boy in buckskins, pretty Rebecca Hunter wasn't afraid of any enemy who might cross her path in the Rocky Mountains. She vowed never... more...
SIPArtech House 2003; US$ 96.00
This newly revised edition of the ground-breaking Artech House bestseller, SIP: Understanding the Session Initiation Protocol gives you a thorough and up-to-date understanding of this revolutionary protocol for call signaling and IP Telephony. The second edition includes brand new discussions on the use of SIP for wireless multimedia communications.... more...


text:
Use Cinnamon for Menstrual Cramps and Fertility
Edited by Eng
Questions and Answers
How true is that, is it going to work for me?
I don't have any questions, I was told by my friend about cinnamon honey and ovulation, so I just started today, hoping for the best because I have been straggling to have a baby
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Article Info
Categories : Cinnamon Usage & Benefits


text:
Publisher's Description+
From Bora Studio: Contact Map+ is a cool app that is to let you find location of your contacts or places on a map based on your ContactsContact Map+ is great for business/sales men and women who want to plan to visit customer Contact Map+ is great for people who want to remember and find places like restaurants in your address book, not into public web. You can make your own trip map, restaurant map, good place map to visit Contact Map+ allows you to view location of your contacts on a map view contacts by photo/pin on a map (can select options) view all names on map and turn on/off view contacts how far away from your current location and can select unit by Km/Mile/Yard (Distance is calculated and shown automatically while device is moving) filter contacts by group filter contacts by home/work/other can select pin type on map as contact photo or pin and color also can search contacts by name, company, address can insert/edit/delete contact information can call, email, or send text message from app support multiple addresses for a single contacts can select to display/hide Company Name on List and Map can select to display/Hide Contact Photo on List and Map can select to display Address Label Icon(work/home/other) on List can see screen vertical or landscape remember and apply map display option (may type, address label, show label) can see traffic on map can see 3D map
What's new in this version:
Thanks for suggestions. Add 'Edit' feature of Contact view screen on the iPad Add 'Create Event" for the location of a contact Add 'Direction' for the location of a contact Add 'pop up menu' when long press i button on the map or long press on the list (contact details, contacts, delete, create events, get directions, view the location features, etc.) Fixed a bug when searching on the iPad
read more +


text:
Bruno offers fixed-fee services backed by Avvo's satisfaction guarantee
30-minute intro call + start-to-finish help
Review + 45-minute call
30-minute intro call + start-to-finish help
Posted by Mitzi G.
I hired Bruno during my long and strenuos fight with my slumlords. Bruno was ran the Legal Aid Society for many years and knows the housing law like the back of his hand. He has a sweet personality and a very calm demeanor, exactly the type of attorney I needed...always remained a class act, respectful and loyal no matter how many times I lost MY cool. He was very understanding as he knew dealing with housing/landlord issues is very consuming and stressful.
Unlike many attorneys out there Bruno CARES about his clients, he's very fair and he will work with your financial situation. I had to meet with him a few times at his home office and not once felt uncomfortable. A true gentleman and a rare breed.
You can go wrong with B! I recommend him wholeheartedly.
Posted by anonymous
Based on Mr. Bianchi's experience and reputation as a housing attorney, I retained him in connection with a landlord-tenant matter. He provided me with detailed advice and outstanding representation. I highly recommend him to anyone seeking advice or representation concerning a housing issue.
Thank you so much Bruno!! -Dianelis Mercedes
Are you an attorney? Endorse this lawyer
Michael Sabbeth, Car accident Attorney
Relationship: Fellow lawyer in community
It is clear from his time, analyses, and dedication to contributing to the legal community in response to various questions and issues posed, that Attorney Bianchi is a strong and zealous advocate for those he represents. I endorse this lawyer.
9010 157th Avenue
Jamaica, NY, 11414
|Due to reregister within 30 days of birthday
|Legal answers
|Legal guides
|Company name
|Bruno Bianchi -- Attorney at Law
|2013 - Present
|Associate Attorney
|Kellner Herlihy Getty & Friedman, LLP
|2006 - 2013
|Housing Unit Director
|Queens Legal Services Corporation
|2002 - 2005
|Associate Attorney
|Borah Goldstein Altschuler & Schwartz, PC
|2001 - 2002
|Bruno Bianchi -- Attornery at Law
|2000 - 2001
|Supervising Attorney
|The Legal Aid Society
|1993 - 2000
|Associate Attorney
|Kellner Chehebar & Deveney
|1991 - 1993
|Case name
|452 Fort Washington Avenue
|Succeeded in getting the City of New York to appoint an administrator and restore the tenants' bathrooms.
|See all legal cases
|Conference name
|NYU Schack Institute of Real Estate
|Landlord-Tenant Law


text:
Tamoxifen Citrate in Treating Patients With Metastatic or Recurrent Breast Cancer
Recruitment status was: Recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
RATIONALE: Estrogen can cause the growth of breast cancer cells. Hormone therapy using tamoxifen citrate may fight cancer by blocking the use of estrogen by tumor cells.
PURPOSE: This phase II trial is studying how well tamoxifen citrate works in patients with metastatic or recurrent breast cancer.
Breast Cancer
Drug: tamoxifen citrate
Other: laboratory biomarker analysis
Phase 2
|Study Type:
|Study Design:
|Masking: Open Label
Primary Purpose: Treatment
|Official Title:
|A Phase II Prospective Trial Correlating Progression Free Survival With CYP2D6 Activity in Patients With Metastatic Breast Cancer Treated With Single Agent Tamoxifen
- Correlation between CYP2D6 score (0 vs 1-2) and progression-free survival (PFS)
- Correlation of CYP2D6 score (0 vs 1 vs 2) with PFS
- Correlation of CYP2D6 score (0 vs 1-2) with PFS at 6 months
- Correlation of endoxifen concentration with response
- Correlation of CYP2D6 with response
|Estimated Enrollment:
|Study Start Date:
|September 2010
|Estimated Primary Completion Date:
|July 2016 (Final data collection date for primary outcome measure)
- To correlate CYP2D6 score (0 vs 1-2) and progression-free survival (PFS) of patients with metastatic breast cancer treated with tamoxifen citrate.
- To correlate CYP2D6 score (0 vs 1 vs 2) and PFS of patients treated with this regimen.
- To correlate CYP2D6 score (0 vs 1 + 2) and the proportion of these patients who are PFS at 6 months.
- To correlate endoxifen concentration with response in patients treated with this regimen.
- To correlate CYP2D6 with response in patients treated with this regimen.
- To correlate the presence of candidate estrogen receptor (ESR) 1 and 2 variant alleles, UGT7, SULT1A1, and other candidate genes to PFS.
OUTLINE: This is a multicenter study.
Patients receive oral tamoxifen citrate once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicities.
Blood, plasma, and tissue samples are collected periodically for laboratory studies.
After completion of study therapy, patients are followed up every 3-6 months for 5 years.
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Histologically confirmed adenocarcinoma of the breast
- Stage III (locally advanced), metastatic, or recurrent disease
- Deemed not resectable
Estrogen-receptor and/or progesterone-receptor positive disease
- Receptor status is based on most recent results
- Receptor testing on metastatic disease is not required
- Measurable or non-measurable disease
History of CNS metastasis allowed provided it has been treated (surgery, radiotherapy, or radiosurgery) within the past 4 weeks and does not require medications to control symptoms
- No known leptomeningeal disease allowed
- ECOG performance status 0-2
- Menopausal status not specified
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- ALT and AST ≤ 2.5 times ULN (≤ 5 times ULN if liver metastases present)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective nonhormonal contraception
- No medical or psychiatric conditions that would interfere with protocol compliance, the ability to provide informed consent, assessment of response, or anticipated toxicities
- More than 5 years since prior invasive malignancies except curatively treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix
- See Disease Characteristics
No prior investigational agents in the metastatic setting
- Other prior investigational agents in any setting must have been completed at least 6 weeks prior to study registration and should be discussed with the study PI
Prior tamoxifen as adjuvant treatment is allowed as long as the patient did not have disease relapse or progression while on adjuvant tamoxifen or within 4 weeks of last dose
- Prior tamoxifen for advanced disease is not allowed
No prior chemotherapy or trastuzumab (Herceptin) for metastatic disease
- Prior chemotherapy, trastuzumab, or bevacizumab in the adjuvant setting allowed provided it has been completed ≥ 4 weeks before study therapy
Patients must not have had more than 2 lines of non-hormonal treatment in the locally advanced or metastatic setting, including trastuzumab (Herceptin), bevacizumab, or other biologics
- Treatment in the advanced setting must have been completed at least 2 weeks prior to study initiation
- Prior aromatase inhibitors (e.g., anastrozole, letrozole, exemestane, aminoglutethamide) are allowed in the adjuvant or metastatic setting
At least 2 weeks since prior and no concurrent medications that are strong to moderate inhibitors of CYP2D6 and may alter tamoxifen citrate metabolism including, but not limited to, any of the following:
- Paroxetine (Paxil)
- Fluoxetine (Prozac)
- Bupropion (Wellbutrin)
- Quinidine (Cardioquin)
Patients may not initiate bisphosphonate therapy while receiving treatment on this study
- Patients who have begun receiving bisphosphonate therapy prior to registration may continue at the same intervals used prior to study registration
Concurrent radiotherapy to painful sites of bone disease or areas of impending fractures allowed provided the following criteria are met:
- Radiotherapy was initiated before study entry
- Sites of measurable or non-measurable disease are outside the radiotherapy port
- Recovered from prior radiotherapy
- No other concurrent hormonal therapy
- No concurrent chemotherapy
Please refer to this study by its ClinicalTrials.gov identifier: NCT01124695
Hide Study Locations
|United States, Alabama
|UAB Comprehensive Cancer Center
|Birmingham, Alabama, United States, 35294
|University of South Alabama Mitchell Cancer Institute
|Mobile, Alabama, United States, 36604
|United States, Arkansas
|Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
|Fort Smith, Arkansas, United States, 72903
|United States, California
|Tibotec Therapeutics - Division of Ortho Biotech Products, LP
|Marysville, California, United States, 95901
|Mercy Cancer Center at Mercy Medical Center
|Merced, California, United States, 95340
|Camino Medical Group - Treatment Center
|Mountain View, California, United States, 94040
|St. Joseph Hospital Regional Cancer Center - Orange
|Orange, California, United States, 92868
|Palo Alto Medical Foundation
|Palo Alto, California, United States, 94301
|Valley Medical Oncology Consultants - Pleasanton
|Pleasanton, California, United States, 94588
|University of California Davis Cancer Center
|Sacramento, California, United States, 95817
|Tahoe Forest Cancer Center
|Truckee, California, United States, 96161
|United States, Colorado
|Aurora Presbyterian Hospital
|Aurora, Colorado, United States, 80012
|Boulder Community Hospital
|Boulder, Colorado, United States, 80301-9019
|Penrose Cancer Center at Penrose Hospital
|Colorado Springs, Colorado, United States, 80933
|St. Anthony Central Hospital
|Denver, Colorado, United States, 80204
|Porter Adventist Hospital
|Denver, Colorado, United States, 80210
|Presbyterian - St. Luke's Medical Center
|Denver, Colorado, United States, 80218
|St. Joseph Hospital
|Denver, Colorado, United States, 80218
|Rose Medical Center
|Denver, Colorado, United States, 80220
|CCOP - Colorado Cancer Research Program
|Denver, Colorado, United States, 80222
|Swedish Medical Center
|Englewood, Colorado, United States, 80110
|St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
|Grand Junction, Colorado, United States, 81502
|North Colorado Medical Center
|Greeley, Colorado, United States, 80631
|Littleton Adventist Hospital
|Littleton, Colorado, United States, 80122
|Sky Ridge Medical Center
|Lone Tree, Colorado, United States, 80124
|Hope Cancer Care Center at Longmont United Hospital
|Longmont, Colorado, United States, 80501
|McKee Medical Center
|Loveland, Colorado, United States, 80539
|Parker Adventist Hospital
|Parker, Colorado, United States, 80138
|St. Mary - Corwin Regional Medical Center
|Pueblo, Colorado, United States, 81004
|North Suburban Medical Center
|Thornton, Colorado, United States, 80229
|Exempla Lutheran Medical Center
|Wheat Ridge, Colorado, United States, 80033
|United States, Connecticut
|Middlesex Hospital Cancer Center
|Middletown, Connecticut, United States, 06457
|Yale Cancer Center
|New Haven, Connecticut, United States, 06520-8028
|United States, Delaware
|Tunnell Cancer Center at Beebe Medical Center
|Lewes, Delaware, United States, 19958
|CCOP - Christiana Care Health Services
|Newark, Delaware, United States, 19713
|United States, District of Columbia
|Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
|Washington, District of Columbia, United States, 20007
|Washington Cancer Institute at Washington Hospital Center
|Washington, District of Columbia, United States, 20010
|United States, Florida
|Broward General Medical Center Cancer Center
|Fort Lauderdale, Florida, United States, 33316
|United States, Georgia
|Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler
|Savannah, Georgia, United States, 31405
|United States, Hawaii
|Kapiolani Medical Center at Pali Momi
|Aiea, Hawaii, United States, 96701
|Cancer Research Center of Hawaii
|Honolulu, Hawaii, United States, 96813
|OnCare Hawaii, Incorporated - Lusitana
|Honolulu, Hawaii, United States, 96813
|Queen's Cancer Institute at Queen's Medical Center
|Honolulu, Hawaii, United States, 96813
|Straub Clinic and Hospital, Incorporated
|Honolulu, Hawaii, United States, 96813
|Hawaii Medical Center - East
|Honolulu, Hawaii, United States, 96817
|OnCare Hawaii, Incorporated - Kuakini
|Honolulu, Hawaii, United States, 96817
|Kapiolani Medical Center for Women and Children
|Honolulu, Hawaii, United States, 96826
|Kauai Medical Clinic
|Lihue, Hawaii, United States, 96766
|Maui Memorial Medical Center
|Wailuku, Hawaii, United States, 96793
|Pacific Cancer Institute - Maui
|Wailuku, Hawaii, United States, 96793
|United States, Illinois
|Louis A. Weiss Memorial Hospital
|Chicago, Illinois, United States, 60640
|Decatur Memorial Hospital Cancer Care Institute
|Decatur, Illinois, United States, 62526
|Elmhurst Memorial Hospital
|Elmhurst, Illinois, United States, 60126
|La Grange Memorial Hospital
|La Grange, Illinois, United States, 60525
|West Suburban Center for Cancer Care
|River Forest, Illinois, United States, 60305
|United States, Indiana
|St. Francis Hospital and Health Centers - Beech Grove Campus
|Beech Grove, Indiana, United States, 46107
|Elkhart Clinic, LLC
|Elkhart, Indiana, United States, 46514-2098
|Michiana Hematology-Oncology, PC - Elkhart
|Elkhart, Indiana, United States, 46514
|Elkhart General Hospital
|Elkhart, Indiana, United States, 46515
|William N. Wishard Memorial Hospital
|Indianapolis, Indiana, United States, 46202
|Howard Community Hospital
|Kokomo, Indiana, United States, 46904
|Center for Cancer Therapy at LaPorte Hospital and Health Services
|La Porte, Indiana, United States, 46350
|Michiana Hematology-Oncology, PC - South Bend
|Mishawaka, Indiana, United States, 46545-1470
|Saint Joseph Regional Medical Center
|Mishawaka, Indiana, United States, 46545-1470
|Cancer Center at Ball Memorial Hospital
|Muncie, Indiana, United States, 47303-3499
|Michiana Hematology Oncology PC - Plymouth
|Plymouth, Indiana, United States, 46563
|Reid Hospital & Health Care Services
|Richmond, Indiana, United States, 47374
|CCOP - Northern Indiana CR Consortium
|South Bend, Indiana, United States, 46601
|Memorial Hospital of South Bend
|South Bend, Indiana, United States, 46601
|Michiana Hematology Oncology PC - La Porte
|Westville, Indiana, United States, 46391
|United States, Iowa
|McFarland Clinic, PC
|Ames, Iowa, United States, 50010
|Medical Oncology and Hematology Associates - West Des Moines
|Clive, Iowa, United States, 50325
|Mercy Cancer Center - West Lakes
|Clive, Iowa, United States, 50325
|CCOP - Iowa Oncology Research Association
|Des Moines, Iowa, United States, 50309
|John Stoddard Cancer Center at Iowa Methodist Medical Center
|Des Moines, Iowa, United States, 50309
|Medical Oncology and Hematology Associates at John Stoddard Cancer Center
|Des Moines, Iowa, United States, 50309
|Medical Oncology and Hematology Associates at Mercy Cancer Center
|Des Moines, Iowa, United States, 50314
|Mercy Cancer Center at Mercy Medical Center - Des Moines
|Des Moines, Iowa, United States, 50314
|John Stoddard Cancer Center at Iowa Lutheran Hospital
|Des Moines, Iowa, United States, 50316
|Siouxland Hematology-Oncology Associates, LLP
|Sioux City, Iowa, United States, 51101
|Mercy Medical Center - Sioux City
|Sioux City, Iowa, United States, 51102
|St. Luke's Regional Medical Center
|Sioux City, Iowa, United States, 51104
|Methodist West Hospital
|West Des Moines, Iowa, United States, 50266-7700
|United States, Kansas
|Cancer Center of Kansas, PA - Chanute
|Chanute, Kansas, United States, 66720
|Cancer Center of Kansas, PA - Dodge City
|Dodge City, Kansas, United States, 67801
|Cancer Center of Kansas, PA - El Dorado
|El Dorado, Kansas, United States, 67042
|Cancer Center of Kansas - Fort Scott
|Fort Scott, Kansas, United States, 66701
|Cancer Center of Kansas-Independence
|Independence, Kansas, United States, 67301
|Cancer Center of Kansas, PA - Kingman
|Kingman, Kansas, United States, 67068
|Lawrence Memorial Hospital
|Lawrence, Kansas, United States, 66044
|Cancer Center of Kansas, PA - Liberal
|Liberal, Kansas, United States, 67901
|Cancer Center of Kansas, PA - McPherson
|McPherson, Kansas, United States, 67460
|Cancer Center of Kansas, PA - Newton
|Newton, Kansas, United States, 67114
|Cancer Center of Kansas, PA - Parsons
|Parsons, Kansas, United States, 67357
|Cancer Center of Kansas, PA - Pratt
|Pratt, Kansas, United States, 67124
|Cancer Center of Kansas, PA - Salina
|Salina, Kansas, United States, 67401
|Cancer Center of Kansas, PA - Wellington
|Wellington, Kansas, United States, 67152
|Associates in Womens Health, PA - North Review
|Wichita, Kansas, United States, 67208
|Cancer Center of Kansas, PA - Medical Arts Tower
|Wichita, Kansas, United States, 67208
|Cancer Center of Kansas, PA - Wichita
|Wichita, Kansas, United States, 67214
|CCOP - Wichita
|Wichita, Kansas, United States, 67214
|Via Christi Cancer Center at Via Christi Regional Medical Center
|Wichita, Kansas, United States, 67214
|Cancer Center of Kansas, PA - Winfield
|Winfield, Kansas, United States, 67156
|United States, Maryland
|Greenebaum Cancer Center at University of Maryland Medical Center
|Baltimore, Maryland, United States, 21201
|Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
|Baltimore, Maryland, United States, 21231-2410
|Union Hospital of Cecil County
|Elkton MD, Maryland, United States, 21921
|United States, Michigan
|Hickman Cancer Center at Bixby Medical Center
|Adrian, Michigan, United States, 49221
|University of Michigan Comprehensive Cancer Center
|Ann Arbor, Michigan, United States, 48109-0942
|Barbara Ann Karmanos Cancer Institute
|Detroit, Michigan, United States, 48201-1379
|Josephine Ford Cancer Center at Henry Ford Hospital
|Detroit, Michigan, United States, 48202
|Green Bay Oncology, Limited - Escanaba
|Escanaba, Michigan, United States, 49431
|Dickinson County Healthcare System
|Iron Mountain, Michigan, United States, 49801
|Borgess Medical Center
|Kalamazoo, Michigan, United States, 49001
|West Michigan Cancer Center
|Kalamazoo, Michigan, United States, 49007-3731
|Bronson Methodist Hospital
|Kalamazoo, Michigan, United States, 49007
|Community Cancer Center of Monroe
|Monroe, Michigan, United States, 48162
|Mercy Memorial Hospital - Monroe
|Monroe, Michigan, United States, 48162
|Lakeland Regional Cancer Care Center - St. Joseph
|Saint Joseph, Michigan, United States, 49085
|Lakeside Cancer Specialists, PLLC
|Saint Joseph, Michigan, United States, 49085
|United States, Minnesota
|MeritCare Bemidji
|Bemidji, Minnesota, United States, 56601
|St. Joseph's Medical Center
|Brainerd, Minnesota, United States, 56401
|Fairview Ridges Hospital
|Burnsville, Minnesota, United States, 55337
|Mercy and Unity Cancer Center at Mercy Hospital
|Coon Rapids, Minnesota, United States, 55433
|Duluth Clinic Cancer Center - Duluth
|Duluth, Minnesota, United States, 55805-1983
|CCOP - Duluth
|Duluth, Minnesota, United States, 55805
|Miller - Dwan Medical Center
|Duluth, Minnesota, United States, 55805
|Fairview Southdale Hospital
|Edina, Minnesota, United States, 55435
|Mercy and Unity Cancer Center at Unity Hospital
|Fridley, Minnesota, United States, 55432
|Hutchinson Area Health Care
|Hutchinson, Minnesota, United States, 55350
|Immanuel St. Joseph's
|Mankato, Minnesota, United States, 56002
|HealthEast Cancer Care at St. John's Hospital
|Maplewood, Minnesota, United States, 55109
|Minnesota Oncology - Maplewood
|Maplewood, Minnesota, United States, 55109
|Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
|Minneapolis, Minnesota, United States, 55407
|Hennepin County Medical Center - Minneapolis
|Minneapolis, Minnesota, United States, 55415
|New Ulm Medical Center
|New Ulm, Minnesota, United States, 56073
|Humphrey Cancer Center at North Memorial Outpatient Center
|Robbinsdale, Minnesota, United States, 55422-2900
|Mayo Clinic Cancer Center
|Rochester, Minnesota, United States, 55905
|CCOP - Metro-Minnesota
|Saint Louis Park, Minnesota, United States, 55416
|Park Nicollet Cancer Center
|Saint Louis Park, Minnesota, United States, 55416
|United Hospital
|Saint Paul, Minnesota, United States, 55102
|St. Francis Cancer Center at St. Francis Medical Center
|Shakopee, Minnesota, United States, 55379
|Regions Hospital Cancer Care Center
|St. Paul, Minnesota, United States, 55101
|Lakeview Hospital
|Stillwater, Minnesota, United States, 55082
|Ridgeview Medical Center
|Waconia, Minnesota, United States, 55387
|Willmar Cancer Center at Rice Memorial Hospital
|Willmar, Minnesota, United States, 56201
|Minnesota Oncology - Woodbury
|Woodbury, Minnesota, United States, 55125
|United States, Mississippi
|University of Mississippi Cancer Clinic
|Jackson, Mississippi, United States, 39216
|United States, Missouri
|Central Care Cancer Center at Carrie J. Babb Cancer Center
|Bolivar, Missouri, United States, 65613
|Skaggs Cancer Center at Skaggs Regional Medical Center
|Branson, Missouri, United States, 65616
|Southeast Cancer Center
|Cape Girardeau, Missouri, United States, 63703
|Goldschmidt Cancer Center
|Jefferson City, Missouri, United States, 65109
|Mercy Clinic Cancer and Hematology - Rolla
|Rolla, Missouri, United States, 65401
|Missouri Baptist Cancer Center
|Saint Louis, Missouri, United States, 63131
|CCOP - Cancer Research for the Ozarks
|Springfield, Missouri, United States, 65802
|St. John's Regional Health Center
|Springfield, Missouri, United States, 65804
|Hulston Cancer Center at Cox Medical Center South
|Springfield, Missouri, United States, 65807
|United States, Montana
|CCOP - Montana Cancer Consortium
|Billings, Montana, United States, 59101
|St. Vincent Healthcare Cancer Care Services
|Billings, Montana, United States, 59101
|Hematology-Oncology Centers of the Northern Rockies - Billings
|Billings, Montana, United States, 59102
|Billings Clinic - Downtown
|Billings, Montana, United States, 59107-7000
|Bozeman Deaconess Cancer Center
|Bozeman, Montana, United States, 59715
|St. James Healthcare Cancer Care
|Butte, Montana, United States, 59701
|Big Sky Oncology
|Great Falls, Montana, United States, 59405-5309
|Sletten Cancer Institute at Benefis Healthcare
|Great Falls, Montana, United States, 59405
|St. Peter's Hospital
|Helena, Montana, United States, 59601
|Kalispell Medical Oncology at KRMC
|Kalispell, Montana, United States, 59901
|Kalispell Regional Medical Center
|Kalispell, Montana, United States, 59901
|Montana Cancer Specialists at Montana Cancer Center
|Missoula, Montana, United States, 59807-7877
|Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
|Missoula, Montana, United States, 59807
|United States, Nebraska
|Good Samaritan Cancer Center at Good Samaritan Hospital
|Kearney, Nebraska, United States, 68848-1990
|Cancer Resource Center - Lincoln
|Lincoln, Nebraska, United States, 68510
|CCOP - Missouri Valley Cancer Consortium
|Omaha, Nebraska, United States, 68106
|Immanuel Medical Center
|Omaha, Nebraska, United States, 68122
|Alegant Health Cancer Center at Bergan Mercy Medical Center
|Omaha, Nebraska, United States, 68124
|Lakeside Hospital
|Omaha, Nebraska, United States, 68130
|Creighton University Medical Center
|Omaha, Nebraska, United States, 68131-2197
|United States, Nevada
|CCOP - Nevada Cancer Research Foundation
|Las Vegas, Nevada, United States, 89106
|United States, New Jersey
|Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
|Marlton, New Jersey, United States, 08053
|St. Joseph's Hospital and Medical Center
|Paterson, New Jersey, United States, 07503
|Somerset Medical Center
|Somerville, New Jersey, United States, 08876
|J. Phillip Citta Regional Cancer Center at Community Medical Center
|Toms River, New Jersey, United States, 08755
|Cancer Institute of New Jersey at Cooper - Voorhees
|Voorhees, New Jersey, United States, 08043
|Fox Chase Virtua Health Cancer Program at Virtua West Jersey
|Voorhees, New Jersey, United States, 08043
|United States, New Mexico
|Lovelace Medical Center - Downtown
|Albuquerque, New Mexico, United States, 87102
|University of New Mexico Cancer Center
|Albuquerque, New Mexico, United States, 87131-5636
|University of New Mexico Cancer Center - South
|Las Cruces, New Mexico, United States, 88011
|United States, New York
|Albert Einstein Cancer Center at Albert Einstein College of Medicine
|Bronx, New York, United States, 10461
|Charles R. Wood Cancer Center at Glens Falls Hospital
|Glens Falls, New York, United States, 12801
|Beth Israel Medical Center - Petrie Division
|New York, New York, United States, 10003-3803
|St. Luke's - Roosevelt Hospital Center - St.Luke's Division
|New York, New York, United States, 10025
|United States, North Carolina
|Wayne Memorial Hospital, Incorporated
|Goldsboro, North Carolina, United States, 27534
|Kinston Medical Specialists
|Kinston, North Carolina, United States, 28501
|United States, North Dakota
|Medcenter One Hospital Cancer Care Center
|Bismarck, North Dakota, United States, 58501
|Mid Dakota Clinic, PC
|Bismarck, North Dakota, United States, 58501
|St. Alexius Medical Center Cancer Center
|Bismarck, North Dakota, United States, 58502
|MeritCare Broadway
|Fargo, North Dakota, United States, 58102
|CCOP - MeritCare Hospital
|Fargo, North Dakota, United States, 58122
|Roger Maris Cancer Center at MeritCare Hospital
|Fargo, North Dakota, United States, 58122
|United States, Ohio
|McDowell Cancer Center at Akron General Medical Center
|Akron, Ohio, United States, 44307
|Cleveland Clinic Beachwood Family Health and Surgery Center
|Beachwood, Ohio, United States, 44122
|Wood County Oncology Center
|Bowling Green, Ohio, United States, 43402
|Aultman Cancer Center at Aultman Hospital
|Canton, Ohio, United States, 44710-1799
|Case Comprehensive Cancer Center
|Cleveland, Ohio, United States, 44106-5065
|Cleveland Clinic Cancer Center at Fairview Hospital
|Cleveland, Ohio, United States, 44111
|Cleveland Clinic Taussig Cancer Center
|Cleveland, Ohio, United States, 44195
|Grandview Hospital
|Dayton, Ohio, United States, 45405
|Good Samaritan Hospital
|Dayton, Ohio, United States, 45406
|David L. Rike Cancer Center at Miami Valley Hospital
|Dayton, Ohio, United States, 45409
|Samaritan North Cancer Care Center
|Dayton, Ohio, United States, 45415
|CCOP - Dayton
|Dayton, Ohio, United States, 45420
|Community Cancer Center
|Elyria, Ohio, United States, 44035
|Hematology Oncology Center
|Elyria, Ohio, United States, 44035
|Blanchard Valley Medical Associates
|Findlay, Ohio, United States, 45840
|Middletown Regional Hospital
|Franklin, Ohio, United States, 45005-1066
|Wayne Hospital
|Greenville, Ohio, United States, 45331
|Cleveland Clinic Cancer Center
|Independence, Ohio, United States, 44131
|Charles F. Kettering Memorial Hospital
|Kettering, Ohio, United States, 45429
|Lima Memorial Hospital
|Lima, Ohio, United States, 45804
|Northwest Ohio Oncology Center
|Maumee, Ohio, United States, 43537-1839
|Hillcrest Cancer Center at Hillcrest Hospital
|Mayfield Heights, Ohio, United States, 44124
|St. Charles Mercy Hospital
|Oregon, Ohio, United States, 43616
|Toledo Clinic - Oregon
|Oregon, Ohio, United States, 43616
|Parma Community General Hospital
|Parma, Ohio, United States, 44129
|North Coast Cancer Care, Incorporated
|Sandusky, Ohio, United States, 44870
|Cleveland Clinic Foundation - Strongsville
|Strongsville, Ohio, United States, 44136
|Flower Hospital Cancer Center
|Sylvania, Ohio, United States, 43560
|Mercy Hospital of Tiffin
|Tiffin, Ohio, United States, 44883
|Toledo Hospital
|Toledo, Ohio, United States, 43606
|St. Vincent Mercy Medical Center
|Toledo, Ohio, United States, 43608
|Medical University of Ohio Cancer Center
|Toledo, Ohio, United States, 43614
|CCOP - Toledo Community Hospital
|Toledo, Ohio, United States, 43617
|St. Anne Mercy Hospital
|Toledo, Ohio, United States, 43623
|Toledo Clinic, Incorporated - Main Clinic
|Toledo, Ohio, United States, 43623
|UVMC Cancer Care Center at Upper Valley Medical Center
|Troy, Ohio, United States, 45373-1300
|Fulton County Health Center
|Wauseon, Ohio, United States, 43567
|Cleveland Clinic - Wooster
|Wooster, Ohio, United States, 44691
|United States Air Force Medical Center - Wright-Patterson
|Wright-Patterson Afb, Ohio, United States, 45433-5529
|Ruth G. McMillan Cancer Center at Greene Memorial Hospital
|Xenia, Ohio, United States, 45385
|United States, Oklahoma
|Cancer Care Associates - Norman
|Norman, Oklahoma, United States, 73071
|Cancer Care Associates - Mercy Campus
|Oklahoma City, Oklahoma, United States, 73120
|United States, Pennsylvania
|Doylestown Hospital Cancer Center
|Doylestown, Pennsylvania, United States, 18901
|Penn State Hershey Cancer Institute at Milton S. Hershey Medical Center
|Hershey, Pennsylvania, United States, 17033-0850
|Lancaster General Hospital
|Lancaster, Pennsylvania, United States, 17604
|St. Mary Regional Cancer Center
|Langhorne, Pennsylvania, United States, 19047
|Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
|Philadelphia, Pennsylvania, United States, 19107-5541
|Pottstown Memorial Regional Cancer Center
|Pottstown, Pennsylvania, United States, 19464
|United States, South Dakota
|Sanford Cancer Center at Sanford USD Medical Center
|Sioux Falls, South Dakota, United States, 57117-5039
|United States, Texas
|Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
|Dallas, Texas, United States, 75390
|United States, Virginia
|Fredericksburg Oncology, Incorporated
|Fredericksburg, Virginia, United States, 22401
|United States, Washington
|Island Hospital Cancer Care Center at Island Hospital
|Anacortes, Washington, United States, 98221
|St. Joseph Cancer Center
|Bellingham, Washington, United States, 98225
|Olympic Hematology and Oncology
|Bremerton, Washington, United States, 98310
|Highline Medical Center Cancer Center
|Burien, Washington, United States, 98166
|Swedish Medical Center - Issaquah Campus
|Issaquah, Washington, United States, 98029
|Columbia Basin Hematology
|Kennewick, Washington, United States, 99336
|Skagit Valley Hospital Cancer Care Center
|Mount Vernon, Washington, United States, 98274
|Harrison Poulsbo Hematology and Onocology
|Poulsbo, Washington, United States, 98370
|Harborview Medical Center
|Seattle, Washington, United States, 98104
|Minor and James Medical, PLLC
|Seattle, Washington, United States, 98104
|Fred Hutchinson Cancer Research Center
|Seattle, Washington, United States, 98109
|Group Health Central Hospital
|Seattle, Washington, United States, 98112
|Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
|Seattle, Washington, United States, 98122-4307
|Polyclinic First Hill
|Seattle, Washington, United States, 98122
|University Cancer Center at University of Washington Medical Center
|Seattle, Washington, United States, 98195
|North Puget Oncology at United General Hospital
|Sedro-Woolley, Washington, United States, 98284
|Cancer Care Northwest - Spokane South
|Spokane, Washington, United States, 99202
|Evergreen Hematology and Oncology, PS
|Spokane, Washington, United States, 99218
|Wenatchee Valley Medical Center
|Wenatchee, Washington, United States, 98801-2028
|United States, West Virginia
|West Virginia University Health Sciences Center - Charleston
|Charleston, West Virginia, United States, 25304
|United States, Wisconsin
|Langlade Memorial Hospital
|Antigo, Wisconsin, United States, 54409
|Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
|Green Bay, Wisconsin, United States, 54301-3526
|Green Bay Oncology, Limited at St. Mary's Hospital
|Green Bay, Wisconsin, United States, 54303
|St. Mary's Hospital Medical Center - Green Bay
|Green Bay, Wisconsin, United States, 54303
|St. Vincent Hospital Regional Cancer Center
|Green Bay, Wisconsin, United States, 54307-3508
|Vince Lombardi Cancer Clinic - Green Bay at Aurora BayCare Medical Center
|Green Bay, Wisconsin, United States, 54311
|Gundersen Lutheran Center for Cancer and Blood
|La Crosse, Wisconsin, United States, 54601
|Holy Family Memorial Medical Center Cancer Care Center
|Manitowoc, Wisconsin, United States, 54221-1450
|Bay Area Cancer Care Center at Bay Area Medical Center
|Marinette, Wisconsin, United States, 54143
|Vince Lombardi Cancer Clinic - Marinette
|Marinette, Wisconsin, United States, 54143
|D.N. Greenwald Center
|Mukwonago, Wisconsin, United States, 53149
|Regional Cancer Center at Oconomowoc Memorial Hospital
|Oconomowoc, Wisconsin, United States, 53066
|Green Bay Oncology, Limited - Oconto Falls
|Oconto Falls, Wisconsin, United States, 54154
|Vince Lombardi Cancer Clinic - Oshkosh
|Oshkosh, Wisconsin, United States, 54904
|St. Nicholas Hospital
|Sheboygan, Wisconsin, United States, 53081
|Vince Lombardi Cancer Clinic - Sheboygan
|Sheboygan, Wisconsin, United States, 53081
|Green Bay Oncology, Limited - Sturgeon Bay
|Sturgeon Bay, Wisconsin, United States, 54235
|Aurora Medical Center
|Summit, Wisconsin, United States, 53066
|Vince Lombardi Cancer Clinic - Two Rivers
|Two Rivers, Wisconsin, United States, 54241
|Waukesha Memorial Hospital Regional Cancer Center
|Waukesha, Wisconsin, United States, 53188
|University of Wisconcin Cancer Center at Aspirus Wausau Hospital
|Wausau, Wisconsin, United States, 54401
|Riverview UW Cancer Center at Riverview Hospital
|Wisconsin Rapids, Wisconsin, United States, 54494
|United States, Wyoming
|Rocky Mountain Oncology
|Casper, Wyoming, United States, 82609
|Canada, British Columbia
|British Columbia Cancer Agency - Vancouver Cancer Centre
|Vancouver, British Columbia, Canada, V5Z 4E6
|Instituto Nacional de Enfermedades Neoplasicas
|Lima, Peru, Lima 34
|Principal Investigator:
|Vered Stearns, MD
|Sidney Kimmel Comprehensive Cancer Center
|Responsible Party:
|Robert L. Comis, ECOG Group Chair's Office
|ClinicalTrials.gov Identifier:
|NCT01124695 History of Changes
|Other Study ID Numbers:
|Study First Received:
|May 14, 2010
|Last Updated:
|December 6, 2012
Keywords provided by National Cancer Institute (NCI):
estrogen receptor-positive breast cancer
male breast cancer
progesterone receptor-positive breast cancer
recurrent breast cancer
stage IV breast cancer
Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Citric Acid
Calcium Chelating Agents
Chelating Agents
Sequestering Agents
Molecular Mechanisms of Pharmacological Action
Estrogen Antagonists
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Selective Estrogen Receptor Modulators
Estrogen Receptor Modulators
Bone Density Conservation Agents
ClinicalTrials.gov processed this record on February 20, 2017


text:
Michael Solomon
Rock and Roll Economics
Книгу можно купить в интернет-магазинах:
· OZON.ru 2815р. [Проверить наличие]
ISBN: 0595289215Издательство: iUniverse
Most people live for today, but maybe the correct focus is to live for tomorrow. That doesnA?t mean that one should be a dreamer. ItA?s just that one should focus on tomorrow because today is only the day that tomorrow was yesterday. Therefore to ensure that today will be great, we must take care of tomorrow. It seems as if the world has entered a state of A?Virtual InsanityA? and although it cannot be claimed that this work is the answer to all the ills in the world, it has been humbly submitted by its author in an attempt to rationalize the madness and give the reader a better understanding of the world in which we live and make the reader better able to negotiate his or her way around the maze of modern life, and especially where it touches on business organization, economics and politics.
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is back-ordered. We will ship it separately in 10 to 15 days.
Durable and dependable, this U.S. Marines Wall Clock will enhance any home or office with the mighty tradition of the Marine Corps. Made in the USA. All steel housing. AA battery required. Measures 14W x 14H inches.
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Sorry, we don't currently have event tickets available for Act II Playhouse.
Star This Venue to find out when new events are added
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Philadelphia, PA
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11 Act II Playhouse Tips
We went to Saffron, an Indian place two doors down from the theatre.
Ample parking available in lots.
Lot behind theatre
Free after 6 pm
A little difficult...Bring quarters
Parking Near Act II Playhouse
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text:
Having spent more than a decade in the network marketing industry now, I've done a lot of things right and just as many things wrong.
I want to share some valuable tips I learned during the past 12+ years, so you don't have to make the same mistakes I did.
Most of these lessons were learned through trial and error.
The other lessons were learned from my mentors.
For the purpose of this article, I want to share the top 10 most common mistakes made in network marketing.
Some of these things are common sense and other things are a little bit more complex.
They are listed in no particular order.
Let's get started.
# 1 Lying to or Hyping Up Your Prospects
Never, ever lie to your prospects.
Don't mislead them when you approach them.
Never make them think you are offering them a job.
Never invite them to a party or event and then have a business opportunity meeting instead.
Never lie about how much money you make in the business.
Be honest with your prospects at all times, no matter what.
Never tell them what you think they want to hear.
Do the right thing even if it means you lose some of your prospects.
# 2 Promoting Multiple MLM Companies at the Same Time
Don't promote two different MLM Companies at the same time.
For most people this is not a very good option (there might be a few rare cases where it works).
Your prospects and team members will be confused if you promote two different companies at once.
Instead, find a good company you are passionate about and focus on that company.
I'm not saying you can't have other income streams.
You should.
But let your other income streams be something different from a second MLM Company.
Learn more about promoting a You, Inc. business.
# 3 Switching Companies Often
Don't be the person that jumps from company to company every few months.
Don't be a MLM Junkie.
Find a company you are passionate about and stick with it for the long haul: at least five to ten years.
You will be glad that you did.
When you jump around you lose credibility and you lose momentum.
Trust me, I've been there and done that.
It's hard starting over.
It's hard to rebuild the momentum.
Know right now that there is no shiny object or easy company.
Building a successful business of any kind is hard work!
# 4 Buying Leads
In most cases, buying leads is a waste of time and money.
Yes, there are a few distributors in our industry who build their business with purchased leads, but for most folks it isn't a very good option (unless you have good phone skills and love rejection).
Instead, you should learn how to generate your own leads.
Take the time to study marketing. Learn social media tactics, pay per click, solo ads, newspaper ads, direct mail, and other lead generation techniques.
It will be money well spent.
Without a constant flow of new leads your business is doomed.
# 5 Not Working the Numbers
Selling is a numbers game.
So is MLM.
At the end of the day you have to share your products and business opportunity with hundreds of people, maybe even thousands of people, in order to find your customers, distributors and leaders.
If you don't work the numbers, you will fail.
Not everyone you talk to will be interested in what you have to offer, but if you talk to enough people you will find enough interested people.
Make a commitment to talk to 2, 3, 5, 10 or even more people every day, no matter what.
Do that for a few short years and you will have a huge team.
Learn more about working the numbers.
# 6 Trying to be a Lone Wolf
This is another common mistake that I see a lot of network marketers make.
Don't reinvent the wheel.
Follow your up-line's lead.
Follow their system.
By all means, use your ingenuity, talents and abilities to build your network marketing business.
But if you ever have a problem and need help, consult with your up-line.
You don't have to figure everything out on your own.
Remember, your up-line works for you, not the other way around.
This business is meant to be a team sport, not a one person operation.
# 7 Trying to Recruit the Wrong People
Don't make the mistake of trying to recruit the people who NEED the business opportunity.
Broke, unemployed, and disgruntled people are not your best prospects.
They don't want the business opportunity (or any opportunity) and they couldn't afford it anyway.
Rather than prospecting your unemployed Uncle Bill, it would be a much wiser idea to prospect successful people, such as successful entrepreneurs, sales people, business folks, realtors and other people who have already achieved success in life.
You want people who are accustomed to merit based pay and commissioned based pay.
These are your best prospects anyway.
These are the folks who are always looking for new money making ideas and income streams.
Learn more about your ideal prospects.
# 8 Not Helping Your Team Succeed
As you sponsor people into the business, you need to take some time to help them get started right.
Not everyone will let you help them, but work with the willing.
Teach your new members the ropes, so they know what to do and can be functional on their own.
Don't be so busy mass recruiting people that people quit just as fast as you sponsor them.
There is nothing wrong with recruiting a lot of people AS LONG AS you take the time to help them get started right.
Once you have FIVE serious people, spend most of your time working in depth.
# 9 Treating Your Business Like a Hobby
Most network marketers who join the industry don't treat their business like a real business.
Most of these folks have never owned a business before so they don't even know that means.
If you ever want to be successful in network marketing, you need to schedule business hours and work your business every day.
If you only work an hour a week, or take a couple weeks off, don't expect much to happen in your business.
I like to tell people to treat their business like they do their job.
Show up every day, be consistent and work hard (even if you don't feel like it) and good things will happen.
You get out what you put in.
# 10 Not Being Product Focused
The sooner you realize this lesson the better.
You NEED to be product focused.
Most folks are not interested in joining a MLM Company, but many of these same folks will become paying customers if they like the products.
Lead with the products and you will convert more people into customers and distributors and create more volume in your business.
Find loyal product users.
This will lead to repeat orders and many of these folks will eventually become good distributors.
If you just talk about your business opportunity you won't do very well.
Final Thoughts
In summary, these are the top 10 mistakes made in network marketing as I see it.
Do yourself a favor and evaluate yourself in each area, so you can make improvements in your business.
You will be glad that you did.
What are your thoughts?
What do you think are most common mistakes in network marketing?
To share your thoughts just leave a comment.
I look forward to hearing from you.
To Your Success,
Chuck Holmes
SKYPE: mrchuckholmes
(352) 503-4816 home office
Email: email@example.com
P.S. Let's build a BIG team together. I know marketing and I can help you get leads. Check out my team's exclusive postcard marketing system to build a big downline with our natural and organic products company.


text:
25% off mugs, totes, and spiral notebooks. Use STRETCHFOR25
bell building church
Beautiful old building style.
I love rustic old buildings ..they have such great texture .thisis really nice with the white
what a lovely pic this is white rustic old buildings do look really good part of history eh? Well done my friend……
what a beautiful picture. great composition.
Nice image and architecture. I also like your choice of framing. It works well with this kind of pic. Well done.
thank you every one this is an old church by my home and it gets overlooked alot thank you for appreciating it
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Crosso Over rings
Sculpture art in a cross-over rin
All too often, geometry and creativity bring us back to the innovative choices of the 1930s.
Raymond Templier, heir to famous late nineteenth century Parisian jewelers left his descendants a variety of pencil drawings of gorgeous designs for cross-over rings.
Each had colored stones, enamels, and white and yellow gold found within the harmonious curves of the rings. The cross-over ring has not only survived but is very popular in the new millennium.
Twisted and split so there are two edges, each one can be decorated with diamonds or with stones set in contrasting colors. The mother-of-pearl rosebud resembles a Calla Lily and is opposite a brilliant diamond pavé.
It is a playful ring.
The Choice of Vogue Gioiello:
Ponte Vecchio Gioielli: Pink gold 'Iside' collection ring with multicolour diamonds.
Verdi Gioielli: Pink gold ring with diamonds and multicolour sapphires.
Leo Pizzo: White diamond rivière and centerpiece ring.
Ca & Lou: Romy Rose gold ring with Swarovski Crystals.
Yvel: Yellow gold ring with diamond pavé and mother-of-pearl.
Chimento: White gold ring with diamonds.
Vogue Gioiello June 2012
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Vittoria Mentasti - Dead Sea
Vittoria Mentasti's Dead Sea takes us to a place where the sky and the sea are one
Kristin Prim and The Provocateur's letters
A chat with Kristin Prim, the founder of The Provocateur, the site that publishes letters written expressely by leading women addressing the whole female world. Vogue.it presents you an exclusive preview of the letter written by Dresden Dolls' Amanda Palmer
Fashion shows are changing: Burberry and all that's new on the runways
Menswear and womenswear collections will walk together and will be on sale right after the show. These are the news from Burberry but the evolution is generalized: runway shows are changing


text:
Dallas Symphony Announces New Assistant Conductor
The Dallas Symphony Orchestra announced Tuesday morning that American conductor Karina Canellakis will join the orchestra as assistant conductor beginning in 2014. Canellakis, a New York native, comes to Dallas with an impressive resume as both violinist and conductor. She studied violin at the elite Curtis Institute of Music and holds a master's degree in orchestral conducting from the Juilliard School, where she studied with James Ross and the New York Philharmonic's music director, Alan Gilbert.
The DSO's president and CEO, Jonathan Martin, says that "Karina represents a new generation of conductors and musicians that understand both artistic excellence and audience engagement." Canellakis begins her position at the DSO fresh off her recent Carnegie Hall conducting debut.
It's great to see the orchestra hire someone who is both young and female, two categories that are still sorely underrepresented on orchestra podiums in the U.S. and abroad. Canellakis takes over this position from another woman, Rei Hotoda, who is reportedly moving her base to Chicago. Under the orchestra's previous music director, Andrew Litton, another woman, Kerri Lynn Wilson, held the position.
In her new position, Canellakis will assist Jaap van Zweden in preparing the orchestra for classical subscription concerts as well as conduct youth concerts and some DSO on the Go, community and pops concerts, so you can expect a new face at a concert near you in 2014.
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El Camino Hospital Surgeon Performs Two-Level Cervical Disc Replacement Surgery to Regain Athlete's Functionality
February 15, 2017 - Patient Returns to Normal Activity Less than Four Weeks after Spine Surgery
December 13, 2016 - The Norma Melchor Heart & Vascular Institute at El Camino Hospital announced today it now offers two innovative...
November 21, 2016 - The Taft Center for Clinical Research at El Camino Hospital provides the resources and infrastructure needed to support...
El Camino Hospital and Fogarty Institute Are Recognized in Top "50 Hospitals with Innovation Programs" by Becker's Hospital Review
October 10, 2016 - El Camino Hospital and the Fogarty Institute for Innovation, a nonprofit medical technology incubator that is located on...
March 18, 2016 - El Camino Hospital is First Site to Study Device Designed to Measure Electrical Signals in the Digestive Tract
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text: Attention Ayn Rand Fans: This Scholarship of the Week is for YOU! The Fountainhead Essay Contest to Grant 236 Scholarships Mar 18, 2013 by Suada Kolovic The Fountainhead Essay Contest, offered by the Ayn Rand Institute, is open to high school juniors and seniors with a love of literature and flair for writing. Each applicant is required to read Rand's novel of the same name then craft an essay of 800 to 1,600 words in response to one of three prompts. There will be 236 college scholarships distributed – one $10,000 first-prize award, five $2,000 second-prize awards, 10 $1,000 third-prize awards, 45 $100 finalist awards and 175 $50 semifinalist awards – to essay writers demonstrating an outstanding grasp of the philosophic meaning of The Fountainhead. All materials must be submitted by April 26th so if you are interested in this scholarship opportunity, you still have plenty of time to apply. For more information on this and other scholarship awards, conduct a free scholarship search on our site today!And remember, there's no need to rely on expensive student loan options to pay for your college education. For more information on finding free scholarship money for college, conduct a Scholarships.com free college scholarship search today, then apply and win! It's that easy!


text:
Ruby on Rails
Websites Mobiloitte has Developed with Ruby on Rails
Leveraging the power of Ruby on Rails, we have delivered complex websites to clients across the globe. Showcased are few websites Mobiloitte build using Ruby on Rails.
Mobiloitte has an in-house team of RoR developers who are experts of the domain and take care of all RoR development needs. With thorough R&D performed on the latest features we build the finest products on Ruby on Rails.
We'd love to hear about your awesome project
Core Services
Mobiloitte Insight
The Mobiloitte Edge
Business Hours
Our support Hotline is available 24 Hours a day: (800) 416 8841
- Monday-Friday: 9:30am to 6:30pm
- Saturday: Closed
- Sunday: Closed


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Choose a department:
Rated 'Excellent' on Trust Pilot
"Great service, great organic vegan raw ingredients. Delivered within a few days. Highly recommend this company."
Susan Jane Duckworth,Published 20 October 2016
These speciality shortbread bites are made from organic wholemeal flour, stoneground in small batches using water power. The delicious nutty flavour of Golspie Mill's flour is beautifully captured in this all-butter shortbread by their friends at Reids of Caithness.


text:
Auto enthusiasts appreciate the unique looks built into each American Motors, and understand that only the best repair Rambler parts will suffice when repairs are needed. It's not a regular occurrence that you discover you need a replacement Oil Pump to repair your automobile. The vehicle in your driveway is head and shoulders above the rest compared to all the other cars, trucks, and SUVs these days. You picked your Rambler because its reliability and versatility appealed to your senses; so why would you be okay with anything but the best when it comes to great quality auto parts?
The thousands upon thousands of revolutions our engines make each day would eventually tear them apart without lubrication. Your American Motors Rambler oil pump facilitates the distribution of the engine oil from the pan out to all the other moving engine parts. It is typically driven be either the crankshaft or camshaft, and it uses the rotation to create the oil pressure necessary to lubricate your American Motors Rambler engine. On engines that use a distributor, the oil pump sits in the oil pan and is connected to the distributor. On engines with electronic ignition, the oil pump is usually found right at the front of the engine block.
Given all the trouble that can be involved with fixing broken parts on your car or truck, let www.carpartsdiscount.com be the first place you go to make purchasing it easy. Get your Rambler back on the road with the highest quality new or rebuilt parts from the experts at Car Parts Discount. At Car Parts Discount, we have real customer support agents here with enough expertise to help you purchase the correct American Motors Rambler part for your needs. If your car or truck was built in 1969, then you will find the correct American Motors Rambler Oil Pump parts right here.


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Jeremy Clarke
Книгу можно купить в интернет-магазинах:
· OZON.ru 1039р. [Проверить наличие]
ISBN: 1903047463Издательство: Pocket Essentials
Год издания: 2005
Страниц: 96
Pocket Essentials is a dynamic series of books that are brief, lively, and easy to read. Packed with facts as well as expert opinions, each book has all the key information you need to know about such popular topics as film, television, cult fiction, history, and more. In addition to an introduction to the subject, each topic is individually analyzed and reviewed, examining its impact on culture or history. There is also a reference section that lists related web sites and weightier (and more expensive) books on the subject. For media buffs, students, and inquiring minds, these are great entry–level books that build into an essential library.


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found a new home!
Plenty of my friends are looking
for one too. Find a pet to adopt.
I am already spayed, purebred, and up to date with shots.
Zelos is a laid back Chihuahua. she is about 5lbs and quite. Great lap dog.
Please like and follow us on Facebook for updates on their rescue and recovery.
Visit us at www.Peanutsplacerescue.org to read the IMPORTANT IMFORMATION and adoption fees.
Zelos, a Matthews Chihuahua dog was adopted! Here's how you can benefit by looking at adoption as an option to buying a Chihuahua for sale in Matthews, or seeking a Chihuahua dog from a breeder in Matthews.


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[UO Herald] We need your help - Come help crash the Atlantic Test Shard NOW!
Discussion in 'UHall' started by UO News, Jan 13, 2011.


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Workforce risks and opportunities: Adult social care
A report to review the key workforce risks and opportunities within the adult social care workforce in 2011 and beyond.
The social care and health system is facing a period of unprecedented change. This in itself presents both risks and opportunities as new structures and ways of working emerge. Social care faces increasing levels of demand, which need to be met at a time of reduced levels of public funding overall. This impacts on the capacity for training and development within the sector, which itself has an ageing workforce with high turnover rates.


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img src="http://www.ardorny.com/i.aspx?t=a&s=t2&r=1668791" / Ardor Web ID: 1668791 - Residence 4S is a bright North facing one bedroom. This residence offers a renovated pass through kitchen,spacious living area and excellent closet space. There are two laundry rooms on the floor. The condo has five sun decks. The Residences at Worldwide → Read More
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text: Hi, my cousin works on a local farm, and has just had his 16th birthday. He says that he can drive a tractor on the roads now, as long as he has L plates. Does anyone know if it is necessary for him to do a test of any sort first? It seems ridiculous to me if he is legally allowed on the road, in such a huge vehicle, without any test of his knowledge of the highway code, how to negotiate roundabouts etc. Cheers.