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Live Edit


text:
My Hero Academia
Episode 5
What I Can Do for Now
TV-14 | HD (1080p) | 2016
From the studio behind Fullmetal Alchemist, Cowboy Bebop, and Space Dandy.
Available Languages: English and Japanese
It's Izuku's first day of high school, and he still can't control his new Quirk. Will he make it to the second day of school with his eccentric new teacher?

subset: commoncrawl


text:
The Mira Costa College Foundation has been extremely helpful as I pursue my educational goals. Since I have decided to work part time in order to focus on gaining new and marketable skills, the financial help has made it possible for me to fully concentrate on my studies.
I am so thankful for the Mira Costa College Foundation this program helps a lot of us with some of our financial burdens and that is so great...Thank you!!
As a non-traditional student returning back to college was very challenging. I am not only a non-traditional student returning back to college after 13 years I am also a mother of a ten-year old. Due to my decision to return back to college it has placed tremendous financial hardship on my family and if it wasn't for the Mira Costa College Foundation it would be extremely hard to make college a reality for me.
MiraCosta College Foundation is more amazing than Shake & Bake, and they really help!
Listen, I am a mid-30s, financially struggling, unemployed, hardworking, determined, and dedicated college student. However, because of a few of those descriptors, I would have had to abandon school and taken ANY job that would have me (on more than one occasion). MCCF has helped me see my college quiet through, uninterrupted, to this point: an AA in Dramatic Arts, an AA in Automotive Technologies, a Certificate of Accomplishment in Automotive Technologies (with Highest Honors), and currently pursuing my Certificate in Business.
Frankly, I would have none of this yet without the MiraCosta College Foundation, the encouragement of its representatives, and the contributions of its donors!
Thank you to everyone involved!
As a mother of five it is hard to find time for myself let alone get an education. After all of my financial aid had ran out I was able to apply for a grant threw the Mira Costa Foundation, Osher scholarship which allotted me the moneys needed to pay for my books and motivate me to continue my education on-line at MiraCosta.
Without the wonderful donors and awesome foundation, I would have given up on my education a long time ago. I just received my Certificate of Accomplishment and was able to participate in graduation ceremonies of 2014. After years of hard work it was great to reach my goal. Thank you MiraCost College Foundation.
Good Luck!
I am very grateful for the support the Mira Costa College Foundation has given me during my time at Mira Costa. The financial support allowed me to focus solely on my academics rather than on worrying about finances. I am transferring to UCSD in the fall and am grateful to have saved money on the way to completing my bachelor's degree in bioengineering.
I am so grateful and appreciative for the financial support I received from the MiraCosta Foundation. Thanks to the generosity of many I am that much closer to obtaining my educational goal having an AA Degree in Multicultural Studies with transfer.Being poor really sucks and every dollar counts thanks to the Foundation I was able to get things that seriously aided in my success like gas, food and school supplies. Please keep this program alive, Thank you all for the wonderful work you do.~Sincerely Courtney
I am so grateful for the financial support I received from the Mira Costa Foundation. This support has helped me plan ahead for my Bachelor's in Biochemistry as I come from a disadvantaged background. I am honored that the foundation recognized my educational progress and rewarded me for it. The foundation is excellent and picking out the students they see need the most assistance based on their academic achievement/success. Thank you.
The Mira Costa College Foundation is a group of angels that help students going through difficult times. I was not going to be able to afford school this next semester. Thanks to the Mira Costa College Foundation, I not only can go to school this next fall semester, but spring as well!!! I can continue to work towards my goals of obtaining a Bachelors in Nursing then apply to the Nurse Practitioner program. Thanks


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TBE LEHIGH REGISTER, Jf» published in the Borough of Allentown, Lehigh -» County, Pa., every Tuesday BY AUGFSTUS I.. BUHE, ^., A .^ $1 50 per annum, payable in advance, and ' 4 * 2 00 if not paid until (lie end of llie year. No 'paper discontinued, until all arrearages are paid, except at the option of the proprietor. AnT-jtnTHEMK»T«, making not more than one square, will be inserted three times for on» dollar and for every subsequent insertion m-cnly-five cents. Larger advertisements charged in the same proportion. Those not exceeding ten lines, will be charged seventy-five cents, aniUhose malc'ing six lines or less, three insertions for 50 cents. &y A liberal deduction will be made to those who advertise by the year. BP"Officcin Haniilton Street, next door to Stem's Allentown Hotel, (formerly Weiss') ¦o pposite Schnumuni's Store. INDEMNITY
600.00O Feet, Such as Yellow and White Pine, Floring boards, Poplar boards, Scantling, Joists and Planks, Mapel boards and Planks, Rafters, Ash Planks, Laths, Ladder trees, besides all kinds of other Boards, Scantling, Posts, Latli and Shindies, all of which he will sell at very reduced prices. Farmers, Carpenters and Builders, who have occasion, to use the different sorts of timber lie has for sale, will do well to give him a call before .they purchase elsewhere, as he is willing to have his stock examined without charge. ¦ He returns his sincere thanks for the many favours he has heretofore received, and feels confident that his extreme low prices will be the means of receiving many new customers. JOSEPH WEAVER. November 10. H—4m
Dissolution of jjtartncvslmi Notice is hereb y given, that the Partnership existing under the firm of Wagner $¦ Huber, will bo dissolved by the first of April Jle?V>,EPd that the business will go into olh« terhandB after that. Uhic. . All persons in^ debted to the said firm, will call nnd make settlement, and sUcli ivho have demands Against the said firm, will please present the same for settlement. Such who hold Duebills for country produce, are strnnsrl y "ft!- ed to present t ' liem for payment Ixlure llTi-Ht of April next. They further tvivli to inform their customers, that Wood, will not be taken in payment for look debts after the above date. ¦t ¦ WAGNER & HUBER. *«*•8- 1-BD5
FAKE NOTICE Donl let yourselves be deceived, bought or caught by fictitious prices, that are published in the papers. The undersigned sell as low as our next neighbors, and in fact as low as any commission house in Allentown. We do not deem it necessary to publish prices, in order to inform the public that we sell at lower rates than others — all we ask, is, that such who purchase Iron, Hardware, &c. should give us a call, and they will find that "Sdegcr's Hardware Store" sells as low if not lower than any house in town. O. & J. SAEGER, Iron §• Hardware Store, Allentown. January 11. V—5\v
Assignee Notice Notice is hereby given, that John Romig, and his wife Maria, of Lower Macungy township, Lehigh county, have on the 2'.2d day rr } mnary IS i*»f made a voluntary nss;;4ii!r,e!V. ol a!! llirir property, real, personal and. lini.wd. to die undersigned, for the benefit of l,!ieir creditors. Such, therefore, who are indebted to the said John, Romig. will see the necessity of making pnyment, between now nnd six weeks, and those who have any legal claims, will present them in the above specified time: DAVID O. MOSER, Asignee. Feb. 8. .. H—Cw
sr®^®^ . Notice ,is hereb y given, that the unders igned have taken out letters 0f Administration of the ^state of WUIiam W. Wagner, decM.,,lat^ of the borough of. Allentown , Lehigh county. "TKejefore nil those who are indebted to said estate, will .see the necessity pf settling their accounts within 6 weeks, and such who have any demands against the said estate, will present their claiins well authenticated within the above specified time. ' : •¦ ... REBfefccA WAGNER, \^Yh \ February 8.' $—*6\v
Frederick Bolt m BELL-IlANGEhN BRAND-CUTTER AND LMJa SMIII, In •lUatloMH. Respectfully informs his-friends ami the public in general, that he still cominiies (•lieabove business in all its various branches, at his stand, one door south of Dilliuger & Craig's Dry Goods Store, in Allen street in the Borough of Allentown, where he \vi 1 also manufacture to order all kinds of
JREJflO l\1L JOSEPH HEATER, Lumber Merchant in Allentown. Respectfully informs his friends and the public in general, that he has lately removed his Lumber-Yard to the south side of Hamilton street, near Weaver's Hotel. He has lately received a very large supply of all kinds of Boards and building timber, comprising over
KrcDTOTiaim Notice is hereby given that nil claims due the estate of the fate Samuel Sunk, dee'd. not satisfied on or before the first day of April next, wilt be put in suit immediately after that time., Circumstances imperative upon the administrators render this course necessary.. -. > JOHNiRUNK,? a . . . ' C. M. RUNK, 5 Mmlmslrptor*. Jan. 25. • 11 —lw
Henry C. Longncckcr Attorney and Counsellor at Law. Has resumed the practice of his profes sion in Lehi gh nnd the adjoining counties His office is in the residence of the late Hon Jon W. Hornbeck, in Hamilton street, Bor ough of Allentown. January II. f—6m
Watch Found -<^SS$s5??L ^ ne undersigned has j JPEs£sliS£24th of January last found a watch, in Weisenburg township, Lehigh county. The right owner, by proving his property,..can take up the same, by paying the co»t of advertising. - DAVID METZGER. Feb. 1. .1—iw.
»miaiamM;iOT Informs his old friends and the public in general, that he has moved into his new building, at the "old stand," nnd that he is again ready at all times to attend to professional duties. Nov. 16. t—Iw
t'BXfclS mm, ATTORNEl ASD COtNSELLOh AT LAW, May be consulted during Court week, and a few days before, at the house of David Stem, Innkeeper, in Allentown. August 5.. * ty—*
P. WIV JtOJFF ATTORNEY A Y LAW. Office East of theCt i* • House and nearly opposite, at the corne; if Margaret and Hamilton streets. Mav 25 •—Oin
HOUSE KEEPERS.--.\ . . - ! -.i , ' of articles for House k<¦< | . . l >:..ii :¦ ' ' '• ! meled Boilers, oval .and. : ¦")'. :. '' ¦ >' - • -^ ' lor sale by O. .'i . ' . ^. ' i^' •l.i ' i. Nov. 14. ' ¦ — '
, EF"Bew.ire of profession; it is often put to severe.proofs. Beware, likewise, of those who profess; it is the trick of the frivolous and the hypocritical.
d-leanings from Exchanges. tS^.Vn exchange paper says, lhat oneounceol Borax and half an ounce of Camphor, dissolved in a quart of boiling water, will form a wash which will prevent the hair from coming out.— Il is easily tried. CP" Lynn has a population of 12,000 — 8,000 of whom, of both sexes are engaged In making Boots and Sfioes. 3,000,000 pairs were "created" last year. {.^"Thirty-one millions of pounds or tea were brought to London from China, last yeah [y'There, John, that's twice you've come home and forgotten that lard !' 'Really, Mother, il was so greasy that it slipped my mind,' ty Let no one suppose thai by acting a good part through life, he will escape slander. There will be lliose who hate him for the very qualities lhat ought to procure esteem. There are some folks in the world who are not willing lhat others should be better than themselves. tS^It is not good for a man to be alone. Yes it is—when he has only dinner enough fbr one. 13?" When is a point not a po...
Free Banking. The New York Express says :—Nyj Senate of this state has made a proposition inrelation to the kind of stocks to bo used as the basis of circulating noted, together with New York sticks. The attempt to introducji U. S. Stocks has so far succeeded, that one half the securities , the Senate says, may be of that description. A privilege of this kind has become in-Uispensible to the Slate, if tho people wish to continue our present sound banking system.— Oar State debt is rapidly approaching maturity ' and will be paid off, thus withdrawing the basis of our bank circulation, and compelling the banks to reduce their facilities. The gradual introduction of other sound securities will enable the banks to go on without interruption, and at the same time give the bill holders per- i feet security. " j Ea^vVhat a vast difference there is in regard i to the revenue of the State works , and ihe j management of the Banking System between Pennsylvania and New York. The latter...
legislative Proceedings. HmaisDons, March 14, 1849. The bill for the completion of the North Branch Canal was aken up. Mr. Ball offered an amendment which appropriates $1,200,000 from ihe Treasury for ihe completion of the work, the amount to be borrowed from the Banks of the State in three annual instalments, each giving ten per centum on the amount of its capital stock; the Banks having the privilege to issue small notes, countersigned and registered by the Auditor General, and to receive certificates of ihe Loan lo run twelve years wilh interest al two per cent. The amendment fonber provides thai ihe entire revenue of the work shall be appropriated to ihe payment of the interest and to the repayment of the loan, and the remainder is to be a sinking fund, for the extinguishing of ihe State debt. All coal going North on ihe Canal, to pay a loll of one cent per mile, In case of the Banks declining to issue small notes, then the tax on their dividends to be in-Creased to fl per...
' Electricity and Cholera. It has been proved beyond doubt, says the Scientific American, that our health and feelings are greatly influenced by the variations of electricity in the atmosphere and that those stales ' of air which lessen the electricity of our bodies are more or less injurious. It is certain thai a marked relation between cholera and electricity has been observed during Ihe recent epidemic in Loudon; facts are exhibited in the reports of the Rcgistrate General which claim to be considered as something more than mere confidence.—Thus during a period of eleven weeks, beginning with September 3, on comparing the number of Cholera cases with the amount of electricity existing in the atmosphere, it was found that in the first week the number of cases was seven, while electricity could only bo discovered in Ihe air on two occasions ; in the second week four cases, while the electrical state of the air was equally low; in the third week, three cases, with a little electri...


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The word Vipassana literally means "to come and see". Designed to be an introspection your inner self, Vipassana is an interesting yet simple form of meditation which was initially started by Lord Buddha. The essence of Vipassana is to monitor your breath with complete awareness as you meditate. Because of the simplicity of concept, Vipassana is considered to be the meditation form of the future, which can be easily practiced by one and all. The only trick is to monitor every breath you take, as you breathe in and breathe out. There are several Vipassana meditation techniques which can help you to be relentlessly aware of each and every breath as and when you meditate. Initially, when you begin implementing these techniques, you will need to practice them in complete isolation. This will help you to master the techniques of Vipassana meditation eventually. Once mastered, you can apply them anywhere, anytime.
Although there could be many, three of the most basic Vipassana meditation techniques are explained below.
Although there are several other techniques of Vipassana which are commonly practiced, these are some of the basic ones which promise a great beginning. Once you are well versed with these, you can probably move to higher Vipassana techniques.
Read more articles on Meditation
Methods of Vipassana Meditation:Here all methods are practiced with the sole aim of attaining supreme consciousness by improving upon concentration levels, that in turn helps in gathering mental strength.read more
Vipassana meditation is based on the principle of reaching the most activated state of awareness rather than a blessed state of being as generally believed about meditation.read more


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Tagged with: OriginalFake
Fashion Posted 06/03/2013
OriginalFake Officially Closes Up ShopAfter KAWS releases a graphic earlier this year, bearing the name of his brand on a tombstone marked "2006-2013," many wondered: is this the end of OriginalFake? Well, it looks...
Fashion Posted 01/24/2012
OriginalFake Unveils Teaser Of 2012 Spring/Summer CollectionNew York-based artist KAWS is prepping upcoming art exhibits, but while his OriginalFake clothing line continues with new seasons in 2012, beginning with the forthcoming Spring/Summer collection. The brand just...


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|Page (1) of 1 - 11/04/11
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US attorney: No federal offense in Texas beatingFederal prosecutors: No federal offense in Texas judge's videotaped beating of daughter
Page: 1
Related Keywords:Videotaped Beating-Texas, Crime, General news
Source:Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.. All Rights Reserved


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Can a vegetarian person get a good meal at this restaurant?
Is this restaurant good for lunch?
Is this restaurant good for dinner?
Can a gluten free person get a good meal at this restaurant?
Can a vegan person get a good meal at this restaurant?
Does this restaurant specialize in Halal food?
Is this a Kosher restaurant?
Does this restaurant offer highchairs for toddlers?
Does this restaurant have private dining rooms?
Does this restaurant have a full bar?
Thanks for helping!
Good pizzas, good pastas, good plates!
Strawberry tiramisu so succulent !
Not so expensive . 12€ for pizza
We visited Le Risotto before catching a flight back to the UK so we had very little time but the service was efficient and the food excellent
The 4 of us really enjoyed our lunch, with the pizzas being well cooked and tasty. I had the escalope of veal with grilled aubergine and melted mozzarella which I thoroughly enjoyed. And as for the service, everyone was absolutely adorable!
Visited Risotto on Saturday afternoon at 1pm. The restaurant was recommended to us. We were one of 3 persons dining at the time. We had the stuffed escalope milanese as main course and càfe gourmand for dessert. And all of them so delicious! Bravo!
This Italian restaurant is a very nice address.
You're not going to eat the meal of your life, this is regular Italian food.
But quality is really good, price is more than correct : no bad surprise !
Usually we take :
Dessert are basic but they are good and not lost in the plate.
Own or manage this property? Claim your listing for free to respond to reviews, update your profile and much more.


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Comfortable, practical and ideal for holidays and when the weather gets better. Great sole and a lot of support for long walks.
Very happy with these shoes, lovely soft leather and good cushioning insole. They look great too, would recommend.
Super soft leather great quality from Hush Puppy. I brought these for my Mum who is very fussy and she adores them.
Comfortable from the first minute I put them on. Highly recommend these shoes.
The most comfy shoes I have ever worn :-)
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Home > Academics > University of Texas Authors > Beyond the Latino World War II Hero
By RIVAS
Item #9780292725805
Maggie Rivas-Rodriguez is Associate Professor in the School of Journalism, Moody College of Communication. Emilio Zamora is Professor in the Department of History, College of Liberal Arts.
An anthology of remarkable voices drawn from the U.S. Latino & Latina WW II Oral History Project, bringing to life the transformations they spurred. - See more at: http://utpress.utexas.edu/index.php/books/rivbey#sthash.AU01RQ0N.dpuf
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(909) 743-4656
Brutus is an adorable male lab mix! He is 13 yrs olds and very friendly with everyone! If you would like to make Brutus part of your family please go to Angelsnpaws.com to complete an application. Adoption fee is $300. Angels n Paws only adopts to homeowners and California residents
Thank you for visiting our adoptable Furbabies!
Thank You!
Your message has been sent to Angels n Paws - Rancho Cucamonga Chapter.
You'll receive a copy, too, at to help you keep track of which pets you've inquired about, and which shelters and rescues you've emailed.
NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.


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He was a father of two, a well-liked colleague and an experienced pilot who could never have imagined the horror that awaited him on his final journey.
Beyond these bare facts, there is still little public knowledge of Patrick Sonderheimer, the pilot of Flight 4U9525, who tried to smash his way back into the locked cockpit of the doomed airliner but perished along with Andreas Lubitz and 148 other passengers and crew.
Mr Sonderheimer was half an hour into the routine flight between Barcelona and his home town of Düsseldorf when he left the cockpit to go to the toilet.


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Wilton Cupcake Stands: Holds 23
+ Free* ShippingSee It!
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*Free shipping on orders $25+.
- 4 tier dessert stand beautifully displays up to 23 personal-size treats
- Non-toxic, silver-finished metal construction resists chipping
- Simple to assemble; collapsible for space-saving storage
- Great for holidays, parties, entertaining, and everyday use; hand-wash
- Measures 13 by 13 by 12 inches fully assembled
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The World 3: Rise of Demon Apk v1.2 Mod (High Damage/God Mode/Infinite Mana) Is Action Game . Download The World 3: Rise of Demon Apk Mod From Mod Apk With Direct Link . The World 3 is the official successor of "The World 2" and "The World OL", which is …Read More »
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Karen Newby of Princeton sent this photo of a snow lady enjoying Tuesday's storm. She said, "I thought this might give a new perspective on the storm from the snow lady's point of view."
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cAc Investigations & Security Services
Missing Persons, Skip Tracing, Intelligence Gathering
At cAc Investigations & Security Services our research has shown that a skip tracer who locates persons within Australia 50% of the time is considered to be at the top of the game. As skip tracing professionals we cannot guarantee success in positively locating your person of interest; however we are confident that our rate of success far outweighs those of our competitors. With a dedicated in-house skip tracing department, cAc Investigations & Security Services does not suffer from the lack of communication that is caused by outsourcing. We provide update reports by e-mail or phone every 3 days. On average, we provide our satisfied clients with a final report and recommendations within 6 business days, a timeframe that places us in a class of our own. If the nature of the matter means we require more time, we will always advise you of the same. We are proud to be able to offer our clients a variety of paid searches that most of our competitors simply do not have access to. These paid searches are only conducted with your prior approval and in the event that we have been unable to locate your person of interest through searches included in our basic skip tracing package.
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Like shrivelled versions of creatures from Dune, they are pinker and slimier than their British cousins, and are surrounded by a cocoon of sticky mucus. They stretch out as long as 6in to 8in when squirming along. They are a formidable predator, devouring as many as 14 British earthworms in a week, but capable of going for a year without food by slowly absorbing their own tissue.
The background: They arrived piggyback on a seed from the Antipodes, were first discovered some 30 years ago in Belfast gardens, and were identified in London's Natural History Museum as a native of New Zealand's South Island beach forests. This small, ribbon-like creature almost certainly travelled half-way around the globe as a stowaway in the soil of pot plants.
The effect: National panic. There were sightings from Carlisle to Christchurch and there was only one topic of conversation: how could the British, brandishing pitch fork and sharpened spade, rid themselves of the Antipodean interloper? There were warlike rallying cries to protect the fine, upstanding British worm - the cornerstone of this country's ecological system and vital to the survival of plants and soil life - from the Kiwi cannibals who were blamed for waterlogged soil, dying trees and the national debt. Questions were asked in the highest chambers of the land: in the House of Lords, Lord Carter said the flatworms "go round in gangs and jump on earthworms". Earl Howe, a junior agricultural minister, reported that the official advice from the Central Science Laboratory to anyone encountering a New Zealand flatworm was: "to tread on it or pour something hot or salty on top of it".
Moments of subsequence: Government instructions to stamp on the flatworm were unsuccessful - as Lord Aberdare asked, "Are you sure it's effective to stamp on a worm that's already flat?"
Though they may have squirmed out of the public limelight, they have certainly not disappeared from gardens.
A few months after the initial media obsession with the killer worms, a second species has appeared in southern Britain - a smaller, less harmful variant. This was followed more recently by the discovery in Scotland of two more varieties of flatworm not before seen in this country.
The flatworm seems to have almost no predators, but preliminary research in Edinburgh now suggests that a so-far-unidentified beetle may eat the invader. "What we really need is funding for a post-graduate to do a thesis," says Dr Cosens. "That would revolutionise our understanding."
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Background Information on Civil Rights and America
A bit of background on America and Civil Rights movement
- Created by: Daniel Cartridge
- Created on: 15-04-12 17:47
First 376 words of the document:
Background information on Civil Rights and America
Political System:
President - Runs country, recommends legislation to be passed to
Congress. Can issue Executive Orders without need for Congress
Congress - US's parliament. Split into House of Representatives and the
Senate. Bills discussed in congress, and if voted in favour of it becomes
an act (law)
The Supreme Court highest court in US so people can appeal cases
from local courts to get a Supreme Court ruling. Can declare whether a
law is unconstitutional and overturn it. Supreme Court judges are
appointed by the president, but only when there is a place empty due to
retirement or death.
Constitutional Amendments that helped African Americans:
Thirteenth Amendment (1865) Formally abolished slavery
throughout the US.
Fourteenth Amendment (1868) Extended citizenship to anyone born
within the US, including ex-slaves.
Fifteenth Amendment (1870) Gave all male citizens the right to vote
regardless of their race.
Two main parties, the Republicans and the Democrats
Republicans favour less federal intervention in peoples lives
Democrat voters usually working class and pro-segregationists. They
believe the federal government should play a bigger role in helping the
less well off citizens
Plessy Vs Ferguson
1896, African Americans dealt a huge blow by the Supreme Court after
Homer Plessy was arrested and convicted for deliberately sitting in a
whites-only train carriage claiming segregated transport went against
the Fourteenth Amendment. Supreme Court ruled segregation to be
legal so long as the state provided equality in the separation.
Rights Activists
W.E.B. Dubois felt black people needed to unite into a single
organization to campaign peacefully for change. Helped create the
NAACP in 1909.
NAACP used legal tactics to challenge aspects of segregation in the
Marcus Garvey, a black nationalist believed blacks should live separately
to other races and formed the UNIA to try and unite black people,
improve their economic conditions and to create an independent black
state. He actually got a large following in the 20s and there was a
growth in Black Nationalism.
Other pages in this set
Page 2
Here's a taster:
Impact of WW2
Blacks fought in segregated units and resented the fact that they were
fighting for freedom in other countries when they weren't even free in
their own country
A. Randolph threatened a march on Washington during the war to
protest against segregation in the armed forces and against racial
discrimination in federal employment, Roosevelt issued an Executive
Order that banned discrimination in federal employment.…read more
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Amish Trail Map
All Amish Shop locations along NY's Amish Trail within beautiful Cattaraugus County. Use this map to travel back roads and discover a relaxing peace while shopping for Amish wares. Locations and items are subject to change depending on the season.
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text: Noted great reviews and gave it a try. Although a Sunday mid afternoon in February place was very busy. Hosted said 40 minute wait instead we were lucky and found seats at the bar. Service and food was great and again very busy. Short ribs and fish tacos recommended. Great pub atmosphere and yes rest rooms very clean too!!!


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CLINICAL experience in the treatment of neurotic outpatients with tranquilizing drugs, as well as previous research,1-4 has led us to expect that the role played by personality factors in response to treatment may be quite different in drug-treated and in placebo-treated patients. It is our belief that both similarities and differences, which emerge when the role of personality factors in the responses of drug- and placebo-treated patients are compared, may throw light upon the manner in which patient variables affect drug treatment, thereby having important methodological implications for psychopharmacological research. In this paper we shall consider the relationship of patient pretreatment anxiety level, derived from the Taylor Manifest Anxiety Scale (TMAS),5 to patient report of side reactions and to a global rating of clinical improvement after a four-week course of treatment with either a minor tranquilizer or placebo.
In general,
Rickels K, Downing RW. Drug- and Placebo-Treated Neurotic OutpatientsPretreatment Levels of Manifest Anxiety, Clinical Improvement, and Side Reactions. Arch Gen Psychiatry. 1967;16(3):369-372. doi:10.1001/archpsyc.1967.01730210109017
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Bella Vista Trading
It Services, Fax Machines, Color Laser Printers
Bella Vista Trading now offer FREE used of our laser printers bundled with toner consumables and technical support. We have a wide selection of plain and multifunction(scan, print,fax and copy) printers. Our network printers are available for those who wish to print from multiple users.
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digital photocopier
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Sovrano 25 oz. PE Water BottleSKU #: LM-KW2303
Item DescriptionMore InformationAdditional Information
American flag-design PE plastic water bottle has a drinking spout, safety strap on lid and integrated carry handle, flattens for easy transport and includes a 50mm aluminum carabiner clip. Designed exclusively by Logomark.
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I have been a math tutor since late 1999, both under an organization and privately for myself. I have always loved math when I was a young child since I loved numbers. Within different organizations, I have taught math as an instructor for about three years and physics as a teaching assistant for four years. During that time, I have developed a philosophy for educating others. That philosophy is that learning should be a sense of communication between the instructor and student. What do I mean by that? I mean that the instructor should be able to recognize what the student needs to be successful by learning as much about the skills of the student as possible; in turn, the student should be able to ask the instructor any questions that would allow the student to improve his or her skills. From that, the student would be able to feel more confident in mastering his or her skills and tasks at hand.
I am someone who loves also loves computers and other electronics, and I enjoy figuring out how to use them in different ways where they can be productive in the long run. Outside of math and computers, I am a sports fan, especially for ice hockey and tennis, where I play tennis whenever I have the chance. Additionally, I read the news at all levels that range from the state level to the international level. I focus on reading about the economy where I can learn more about the stock market and more into understanding foreign languages. As of now, I am working on refreshing my ability to speak Spanish and French.
Georgia Southern University - Bachelors, Physics
American InterContinental University-Online - Masters, Information Technology


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Damaged product claims will only be accepted up to 5 days after receipt of delivery.


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Technology and consumer technology specialist
When founders Giles Fraser and Sarah Scales left Hill & Knowlton to launch Brands2Life in 2000, the tech sector was booming. Like other big agency employees before them, Fraser and Scales believed there was an opportunity for a firm that combined access to the strategic savvy of seasoned professionals with large agency experience with the service and results orientation of a boutique firm. They quickly went to work providing corporate, business-to-business and consumer public relations support to technology-driven brands. Within a few months, however, the market had flattened out and B2L found itself operating in a very different environment from the one it had anticipated, one that made the fiscal discipline the founders learned as part of the WPP empire extremely useful.
The focus on brand-building has paid off, however, and B2L has quickly established itself as one of the hottest consultancies (it was named PR Week's Best New Consultancy in 2001) in the U.K. market. The firm starts by looking at the brand attributes, and develop messaging that can run through advertising, public relations, direct marketing and other materials, using its public relations perspective to develop branding programmes that address multiple stakeholder audiences—a broader perspective than traditional marketing experts bring to the process. About a third of the firm's business comes from U.S. corporations looking for advice on branding in Europe, which often presents unique challenges: while the core brand has to be the same, positioning and key messages frequently need tweaking for the different demands of the European marketing place.
But the focus on branding doesn't mean the firm can't deliver good, solid, nuts-and-bolts media relations too. Branding is not just an abstract exercise: it's something that drives awareness, attitudes, and ultimately sales (and the fact that B2L has considerable control over message development means the firm is quite comfortable being held accountable). It measures programmes using a system that tracks positive, negative and neutral messages, as well as the influence of individual journalists or analysts, against specific objectives developed in partnership with the client.
The firm's impressive growth has continued over the past 12 months, up 11 percent in 2004—to around £2.3 million in fee income—and on track for a 25 percent increase this year. The firm's speakers' bureau has been a strong source of new business, adding clients such as Motorola and Equant, and its analysts' bureau has brought in clients such as Salesforce.com. Other new assignments came from Borland; Cable & Wireless subsidiary Bulldog; SunGard; RS Components; and the Natural History Museum, a consumer assignment promoting the recent diamonds exhibition. About a third of the firm's business comes from the telecommunications sector, about a third from information technology, and about a third from Internet-related companies—although B2L can also handle consumer and financial services business when appropriate.
Other interesting assignments included a partnership between teleconferencing client Webex and the not-for-profit environmental group Future Forests, planting trees on behalf of Webex clients in an attempt to reinforce the environmental benefits of electronic meetings; the re-launch of a "slimmer, fitter, more modern" AskJeeves; the introduction of wi-fi service on London-to-Brighton trains for T-Mobile; sponsorship and CSR activities for Cisco; and media relations around the second Bridget Jones movie for computer graphics client Double Negative.
Brands2Life has some sort of international role for about half of its clients. Fraser and Scales are well equipped to design and implement pan-European programmes, having worked on numerous cross-border initiatives at H&K, but today they work primarily with either the client's own network or one of their own selection, tailored to the specific challenge. In the U.S., the firm formalized its relationship with tech specialist The Horn Group, and with the hiring of Chris Cartwright, formerly of Bite, as board director responsible for international development, expects to expand its international network.


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Teresa Fay "Terri" Gibbs (born June 15, 1954) is an American country music artist who is blind. Between 1980 and 1990, she recorded seven studio albums, including four for MCA Records and one for Warner Bros. Records. She also charted 13 singles on the Billboard country singles charts in that timespan, including her debut single "Somebody's Knockin'", which reached No. 8 on the country charts, No. 13 on the pop charts and No. 3 on the Adult Contemporary charts. She also entered the country top 20 with "Rich Man", "Mis'ry River", "Ashes to Ashes" and "Anybody Else's Heart but Mine."
Gibbs was born in Miami, Florida but raised in the Augusta, Georgia suburb of Grovetown. Although born with eyesight, she lost it as a newborn due to an incubator accident. Despite her blindness, she learned to play piano at age three. As a child, she sang in the church choir and at talent contests, and at age seventeen, she openedЧитать далее в Википедии...
Дискография [+]
Альбомы и синглы:
- Somebody's Knockin [1981, альбом]
- The Best of Terri Gibbs [1996, сборник]
|Tell Me That You Love Me


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Signs and symptoms of possible inhalation injury. The graph shows the incidence of clinical signs indicating an inhalation injury. Note that despite the occurrence of these symptoms, none of the 11 patients required intubation. COHb indicates carboxyhemoglobin.
View from the fiberoptic laryngoscope as it entered the nares of a patient with soot in the nostrils from inhaling smoke in an enclosed space.
Fiberoptic laryngoscopy revealed soot present in the larynx and normal laryngeal anatomy with little edema after inhalation of smoke in a house fire.
View of larynx with edema and pooling of secretions in the posterior glottis. Serial fiberoptic laryngoscopies were performed in this patient.
Algorithm for airway management using fiberoptic laryngoscopy, flexible bronchoscopy, and flow-volume loops (FVLs) in patients with less severe inhalation injuries. ACLS indicates advanced cardiac life support; COHb, carboxyhemoglobin level; and LOC, loss of consciousness.
Muehlberger T, Kunar D, Munster A, Couch M. Efficacy of Fiberoptic Laryngoscopy in the Diagnosis of Inhalation Injuries. Arch Otolaryngol Head Neck Surg. 1998;124(9):1003-1007. doi:10.1001/archotol.124.9.1003
© 2017
A significant proportion of burn patients with inhalation injuries incur difficulties with airway protection, dysphagia, and aspiration. In assessing the need for intubation in burn patients, the efficacy of fiberoptic laryngoscopy was compared with clinical findings and the findings of diagnostic tests, such as arterial blood gas analysis, measurement of carboxyhemoglobin levels, pulmonary function tests, and radiography of the lateral aspect of the neck.
To determine if these patients were at risk for aspiration or dysphagia, barium-enhanced fluoroscopic swallowing studies were performed.
Prospective study.
Burn intensive care unit in an academic tertiary referral center.
Main Outcome Measures
Need for endotracheal intubation and potential for aspiration.
Six (55%) of 11 patients had clinical findings and symptoms that indicated, under traditional criteria, endotracheal intubation for airway protection. Visualization of the upper airway with fiberoptic laryngoscopy obviated the need for endotracheal intubation in all 11 patients. These patients also failed to evidence an increased risk of aspiration or other swallowing dysfunction.
In comparison with other diagnostic criteria, fiberoptic laryngoscopy allows differentiation of those patients with inhalation injuries who, while at risk for upper airway obstruction, do not require intubation. These patients may be safely observed in a monitored setting with serial fiberoptic examinations, thus avoiding the possible complications associated with intubation of an airway with a compromised mucosalized surface. In these patients, swallowing abnormalities do not manifest.
INHALATION INJURY is defined as injury to the epithelial lining of the lower tracheobronchial tree and the lower airway. It is present in approximately one third of patients treated in burn centers.1 Since the most immediate danger to patients with inhalation injuries is upper airway obstruction due to edema, early and even prophylactic endotracheal intubation based on clinical assessment is the standard conservative approach to treating these patients.2 Signs of respiratory failure, unconsciousness, or the presence of major burns often make the diagnosis of severe inhalation injury obvious. Yet, patients without burns, stridor, hypoxemia, or major thermal injuries suspected of having an inhalation injury constitute a less defined subpopulation. Currently, diagnostic precision is difficult in identifying less severe injuries that do not require intubation. Unnecessary intubation places these patients at risk for damage to the larynx and subglottic regions; therefore, the patients with less severe inhalation injuries need to be identified to safely avoid intubation. Also, to our knowledge, there has never been a prospective analysis of the potential for patients with edema and a decreased range of motion of facial and cervical muscles to aspirate or to develop dysphagia after sustaining a less severe inhalation injury.
From October 1996 to July 1997, 62 consecutive patients with suspected inhalation injuries were admitted to the Baltimore Regional Burn Center in Maryland. Inclusion criteria were exposure to fire and smoke within an enclosed space, singed facial hair, singed nasal vibrissae, facial burns, dysphonia or hoarseness, oral and/or nasal soot, cough, carbonaceous sputum, and swallowing difficulties. Exclusion criteria for this study were the presence of stridor (8 patients), altered mentation either previously existing or due to administered narcotics (19 patients), and burn injuries covering more than 15% of body surface area (13 patients) that mandated immediate protection of the airway by intubation. Noncompliance or leaving against medical advice (4 patients), facial palsy not permitting pulmonary function tests (1 patient), or intubation prior to admission to the burn unit (6 patients) also excluded patients from the study. Eleven patients (8 males, 3 females; mean ± SD age, 43 ± 16 years; age range, 12-88 years) participated in our study. Two patients were in their teens; 4 patients were in their third decade of life; 1 patient was in her fourth decade of life; 3 patients were in their fifth decade of life; and 1 patient was in the ninth decade of life. Of the 11 eligible patients, 2 had a history of mild asthma but denied the use of inhalers or other medication in the past. Eight patients were smokers. Three patients had no skin burns; the total body surface area burned in the remaining 8 patients ranged from 4% to 12%. No patient had sustained full-thickness facial burns.
On admission to the burn unit, each patient gave a history, with reference to the mechanism of injury, site of accident, loss of consciousness, and duration of smoke exposure. The location and percentage of total body surface area of all burns were recorded on standard Lund and Browder charts. An examination was performed to detect hoarseness or dysphonia as subjective changes of voice quality. Other recorded clinical parameters were the presence of cough, difficulties or pain with swallowing, singed facial or nasal hair, facial burns, loss of consciousness, carbonaceous sputum, and oral and/or nasal soot.
Blood samples were drawn to analyze arterial blood gases and to determine carboxyhemoglobin (COHb) levels. All patients underwent pulmonary function tests to obtain respiratory flow-volume loops. The flow-volume curves were considered to be abnormal and consistent with variable extrathoracic airway obstruction if both a flattened configuration of the inspiratory curve suggested diminished flow rates and a ratio of expiratory flow to inspiratory flow at 50% of the vital capacity (FEF50/FIF50) exceeding 1.0 was present. Other parameters were the mean forced expiratory volume in 1 second (FEV1), and forced vital capacity (FVC). Radiographs of the lateral aspect of the neck were obtained and evaluated in view of possible soft tissue changes, especially since edema of the epiglottis similar to epiglottitis might be detected. Barium-enhanced video fluoroscopic swallowing studies were performed on patients with clinical symptoms consistent with possible dysphagia or aspiration on hospital day 2 to document and quantitate dysphagia or aspiration. Dysphagia was defined as the inability to accept and safely transport food and liquid from the mouth to the stomach. All 11 patients underwent laryngoscopy with a flexible fiberoptic laryngoscope (Olympus American Inc, Melville, NY). Local anesthesia in the nares consisted of the administration of 2% lidocaine spray or jelly. The attending physician, burn unit fellow, or otolaryngology senior resident performed all the fiberoptic examinations. The laryngeal examination results were recorded on videotape and were used for comparison if serial examinations were needed.
Six (55%) of 11 patients had clinical findings and symptoms that suggested, without fiberoptic laryngoscopy, that they should be intubated for airway protection. In total, 8 patients (73%) presented with at least 4 signs and symptoms indicating a possible upper airway compromise. The history taken from the 11 patients revealed that 73% (8/11) were exposed to fire and smoke within an enclosed space such as a house or car. Clinical assessment showed the incidence of physical signs and symptoms to be highest for singed facial hair (91% [10/11]), dysphonia (82% [9/11]), and facial burns (73% [8/11]). Hoarseness was found in 55% (6/11) of the patients. Cough (55% [6/11]) and soot in the oral or nasal areas (45% [5/11])were also frequently seen (Figure 1).
Arterial blood gas analysis showed 2 patients to be hypoxemic on admission with a PaO2 of 57 mm Hg and 59 mm Hg, respectively. These 2 patients had not received supplemental oxygen while being transported to the hospital. All other patients had significantly elevated levels of arterial partial oxygen pressures (183 ± 67 [mean ± SD] mm Hg). Carboxyhemoglobin levels were elevated in 4 patients (mean, 9.8%; range, 7.2%-14.9%).
Flow-volume curves showed significant abnormalities in 3 individuals. The FEF50/FIF50 ratio exceeded 1.0 in 2 patients, indicating extrathoracic airway obstruction (FEF50, 3.79 and 5.95; FIF50, 3.18 and 4.38, respectively). One patient had a severe obstructive ventilation pattern with an FEV1 that was 33.1% and an FVC that was 39% of their expected values. Sawtoothing, characterized by distinct regular oscillation of inspiratory or expiratory flow rates, was observed in 1 of the patients who also had an elevated FEF50/FIF50 ratio. The remaining 8 patients showed no significant alteration of the FEV1 (71.4 ± 23% [mean ± SD]) or FVC (75.5% ± 18%) from their predicted values.
Radiographs of the lateral aspect of the neck did not show soft tissue abnormalities in any of the patients. They were reviewed independently by a radiologist and members of the burn unit.
Findings of the fiberoptic laryngoscopy led to the division of patients into 2 groups. The first group consisted of 7 patients with minimal supraglottic mucosal edema, mild pooling of secretions, fully mobile true vocal folds, and visible ventricular folds. Inflammatory changes in these patients were not sufficiently severe to distort supraglottic structures or to compromise the airway lumen. Some of these patients were found to have soot present in the nares (Figure 2), oropharynx, nasopharynx, and even on the true vocal folds of the larynx (Figure 3). The second group consisted of 4 patients with moderate to severe supraglottic and/or glottic edema resulting in unequivocal distortion of upper airway structures. Edema was most pronounced in the area of the posterior glottis and interarytenoid space, thereby constricting the supraglottic or glottic aperture; however, the airway diameter was adequate to allow observation and did not require endotracheal intubation (Figure 4). Pooling of secretions in the piriform sinuses and posterior glottis was seen in 3 of the 4 patients. These patients were reexamined with the fiberoptic laryngoscope at 2-hour intervals to ensure that an adequate, stable airway was present. No patient required more than 2 serial fiberoptic examinations before a safe airway was seen.
Patients complaining of swallowing problems underwent a barium-enhanced swallowing study. Four patients had mild pharyngeal pooling and delayed swallow responses. One patient had a moderately edematous epiglottis on fluoroscopic examination. However, aspiration or bolus stasis was not observed. In general, only mild swallowing dysfunction was seen, which could not be classified as significant dysphagia. No therapeutic interventions were indicated on the basis of these swallow studies.
Upper airway obstruction is a life-threatening complication of smoke-induced inhalation injury that may develop insidiously or progress rapidly, and therefore mandates prompt recognition and treatment, especially during the initial 24 hours after injury. Inhalation injuries are commonly divided into 2 categories: supraglottic and subglottic injuries. The mechanism of injury to the pulmonary parenchyma appears to be different from that of the supraglottis.3 In the lung, toxic gases directly injure the alveoli, destroying the lung's surfactants, while impairing mucociliary function, which may lead to necrosis, ulceration, and sloughing of tissue. Edema and secretions frequently lead to bronchial obstruction, air trapping, and bronchopneumonia.4 In the upper airway, particles such as soot, while not directly toxic, carry heat energy. These particles, in addition to absorbed chemicals, can cause intense mucosal burns, edema, and greatly increased mucus production in the upper airway. The physiological abnormalities of the supraglottis underline both the high vulnerability of the upper airway to thermal damage and the efficiency with which the glottis protects the lower airway. It is important to note that resuscitation of burn patients with intravenous fluid may further contribute to upper airway edema, mandating that the clinician be ever vigilant.5
The identification of patients in need of early endotracheal intubation can usually be made without difficulty in severe cases. However, in a retrospective study by Clark et al,6 51% of smoke-exposed patients did not require intubation. Unfortunately, there will be some patients with less severe inhalation injury who will progress to develop a critical upper airway. To address this possibility, at some burn intensive care units patients with multiple risk factors for inhalation injury are routinely intubated even though airway compromise is not present.6 Prophylatic intubation of patients with suspected inhalation injury may place some at unnecessary risk for sequelae such as granuloma formation, paralysis of the vocal folds, bleeding, chondromalacia of the larynx, and tracheoesophageal fistula.7,8 Also, the patient is unable to communicate and often must be heavily sedated. Colice et al9 have proposed that inhalation airway injury and mechanical trauma from endotracheal intubation might have synergistic effects in producing tracheal stenosis. Historically, decisions about intubation have often been made by the attending burn surgeon, without visualization of the upper airway, making it unclear if intubation could have been avoided.6 Most modern algorithms for airway management now use history, physical examination, bronchoscopy (with or without biopsies), and extent of burns to determine whether prophylactic intubation should be performed.3 However, adding fiberoptic laryngoscopy may better define characteristics of patients with moderate inhalation injuries and may reduce unnecessary intubations.10
The role of flexible bronchoscopy has been clearly established as the most accurate way of diagnosing inhalation injuries, especially if biopsies of the lower airway are indicated based on endoscopic appearance.11 However, approximately 25% to 50% of patients with positive findings on bronchoscopy will not develop significant respiratory complications.12 Also, bronchoscopy may be uncomfortable for the patient and requires careful anesthesia of the larynx to avoid obstruction due to laryngospasm in a potentially inflamed airway. In patients in whom lower airway injury is unlikely, it may not be necessary to pass the endoscope below the true vocal folds. Some institutions may not have either the bronchoscope or the trained personnel available around the clock to perform bronchoscopy. Fiberoptic laryngoscopy is better tolerated by the patients, requires minimal medication, and is often more readily available.
Previous series have shown that fewer than 25% of patients with upper respiratory tract burns develop hoarseness.13 Victims of inhalation injuries usually have no carbonaceous sputum at initial presentation, and half of them never produce any.6 Worrisome findings, such as singed nasal vibrissae, predict inhalation injury in only 13% of patients, and 86% of patients with documented respiratory burns have no evidence of facial burns.14 The absence of a skin burn should not be reassuring, since 12% of patients without a burn required intubation.6 While there is a strong association between abnormal findings on oropharyngeal examinations in patients with abnormal bronchoscopic findings, the converse is not true.15 This speaks to the importance of direct visualization of the upper airway. While a history of sustaining a burn or smoke inhalation in an enclosed space is important to note, it is not possible to predict the severity of an inhalation injury based on history alone.6 In our study, 4 of 11 patients presented with all the common physical signs and symptoms that suggest the need for elective endotracheal intubation (singed facial hair, dysphonia/hoarseness, facial burns, cough, oral/nasal soot, and swallowing difficulties); 6 individuals had 6 signs and symptoms. In contrast to other authors,16,17 we believe that the individual's clinical appearance (other than stridor, loss of consciousness, and altered mentation) contributes limited information to the assessment of the likelihood of a subsequent upper airway obstruction.
Chest radiography was not performed on admission in our patients, as reports have repeatedly shown that it is profoundly insensitive at predicting inhalation injuries.12,18 Since supraglottic edema, especially of the epiglottis, may be detected by lateral view radiographs, these were obtained on admission to determine whether abnormalities or edema due to thermal damage could be diagnosed. In this series, no soft tissue could be detected on radiographs in any of the patients, including the 4 patients found to have significant supraglottic edema by direct visualization with fiberoptic laryngoscopy. In our series, lateral view radiographs of the neck do not appear to be a sensitive diagnostic tool in evaluating less severe inhalation damage.
Haponik et al5 have shown that patients with suspected inhalation injury and normal admission flow-volume curves have a 94.1% posttest probability of not requiring intubation. Pulmonary function tests, while useful in assessing lower airway dysfunction, may reflect premorbid conditions and have low predictive value for determining the need for intubation.15 Indeed, the positive predictive value of abnormalities such as sawtoothing or the FEF50/FIF50 ratio for intubation is low at 32%. The effects of oral burns, anxiety, medication, and pain can further reduce the reliability of this strictly effort-dependent test in burn patients. Of note, 3 of our patients had produced significantly abnormal flow-volume curves, suggesting early intubation. This observation differs from that in the study by Haponik et al,15 in which all patients who required intubation had reductions in their peak inspiratory flow rates. Also, 4 of 6 patients who required intubation had abnormal flow-volume curves that preceded abnormalities seen on fiberoptic examination. In our study, these patients with evidence of physiological pulmonary dysfunction were safely observed. Because pulmonary function tests have the ability to exclude lower airway injuries, we recommend their continued use. Alone, they appear to lack the diagnostic precision required for discriminating between upper airway obstruction necessitating intubation and inhalation injuries that may be observed.
A normal COHb level does not exclude the possibility that an inhalation injury has occurred.19 An elevated COHb level indicates that inhalation of combustion products has occurred, and exposure to other toxic gases may be presumed. Levels above 5% to 10% are abnormal and may indicate a high probability of inhalation injury.3 An important side effect of a high COHb level is that it renders pulse oximetry inaccurate, since the oximeter will "see" COHb as normal oxyhemoglobin.20 Thus, a normal oximeter reading may be falsely reassuring. In our study, the COHb level had no correlation with upper airway problems. Arterial blood gas values may also be misleading; patients with "visible" burns usually arrive with unnecessarily high PaO2 values, whereas others can often be markedly hypoxemic on admission. Like the measurement of COHb levels, the findings of arterial blood gas analysis can assist in the treatment of burn patients but have little predictive value in determining the degree of upper airway obstruction in less severe inhalation injuries.
The severity of the findings seen on fiberoptic laryngoscopy differed significantly from that predicted by clinical indexes in 4 patients in this study. The most common site of anatomical injury occurred at the arytenoid eminences and posterior glottis. Subtle impairment of vocal cord abduction due to interference with normal motion at the cricoarytenoid joint might account for the changes of flow rates and flow-volume patterns in patients with patent upper airways. However, direct visualization of the larynx was the best indicator of the extent of edema and inflammatory changes surrounding the glottic aperture. Our findings suggest that fiberoptic laryngoscopy should be included in the algorithm for airway management of cases in which less severe inhalation injuries are suspected (Figure 5). Connected to a video system, it can afford simultaneous observation by several members of the burn care team.
It is interesting that many of our patients (5/11) had soot demonstrated in the nares, oropharynx, and nasopharynx, and even in the larynx, on fiberoptic examination. Traditionally, soot in the upper airway raises concerns of airway obstruction, but from this small series it appears that soot may not be an accurate predictor of this, since all our patients were safely observed. Soot in the nares may be carried down into the larynx by mucociliary flow, without signifying an inhalation injury. Visibility of the entire upper airway by fiberoptic endoscopy allows this to be assessed.
The findings of barium swallow studies indicated that these patients with less severe inhalation injuries were not at risk for aspiration or other swallowing dysfunction. This conclusion was somewhat surprising, since some patients complained of dysphagia and had edema of the larynx. Although consisting of a small sample size, this study suggests that patients with less severe inhalation injuries do not require evaluation of their ability to handle oral intake. It would be interesting to evaluate patients who have sustained more severe inhalation injuries.
In conclusion, in this study, 6 patients may have been intubated based on pulmonary function test results and clinical parameters that are not sufficiently precise for documenting the degree of inhalation burns in the upper airway. In comparison with other diagnostic and clinical parameters, fiberoptic laryngoscopy provides significant advantages and predictive value of airway integrity. The patients in this series could be safely observed in a monitored setting with serial fiberoptic examinations. Increased use of fiberoptic visualization of the airway may allow for more efficient and accurate evaluation of inhalation injuries and avoidance of unnecessary prophylatic intubation in certain patient populations. Furthermore, in our study, aspiration and other swallowing abnormalities did not appear to complicate recovery.
Corresponding author: Marion Couch, MD, PhD, Department of Otolaryngology–Head and Neck Surgery, The Johns Hopkins Hospital, PO Box 41402, Baltimore, MD 21203.
Accepted for publication April 16, 1998.


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Retail Businesses For Sale in Drexel Heights AZ
Searched the DealStream database for Retail Businesses For Sale in Drexel Heights AZ and found no matches. Expanded the search to nearby areas and found the following matches.
Retail Stores: Furniture and Bedding #461264 posted Jan 18, 2017
- Sierra Vista, Arizona, United States
- $1,000,000
This family furniture and bedding business has operated successfully for some years. The founder's son is now in control because the founder and his wife are suffering with Alzheimer's disease. The seller would like to return to his family in Utah. The store has been very profitable and the taxable...
Profitable, Well Established Electronics Business #460235 posted Jan 2, 2017
- Chandler, Arizona, United States
- $380,000
Great Opportunity to own an extremely profitable - full service electronics business, currently serving Chandler and the great Maricopa County area. The location of this business is a great advantage due to traffic within the current retail plaza, proximity to a major school, and the ease of charitable...
Major Auto Care Franchise, Well Known, Great Price #454282 posted Sep 21, 2016
- Tucson, Arizona, United States
- $84,000
You will never find a better opt. for this auto care franchise. No Exper. is Required, approx. 1000 stores. This is a great oppt. to own a auto franchise car care center in Tucson area. The average Meineke store does $ 710,000 in sales with an adj. Net of $101,000 per the FDD of Meineke. This is...
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|Randy Terbush <ra...@zyzzyva.com>
|Re: read_config()
|Mon, 22 Jul 1996 21:26:05 GMT
Thanks Robert, To expand on how I discovered it... An invalid DocumentRoot in a VirtualHost directive will complain twice. I was debugging this new recursive IncludeConf directive that I brought up the other day and was sure it was my code... > Why are there two calls to read_config()? > > As with the "multiple config files" question, this comes up often > enough to merit inclusion in a FAQ someplace... on the other hand, it > generally comes up in a slightly different form (the most common > being, "why is my module's init routine called twice?"). > > What's going on is that the server calls read_config(): > > *) At startup, to determine whether it is running under inetd > *) Every time it begins standalone operations, either on intial > startup or on a signal-triggered restart. > > The second call could be avoided on initial entry to standalone_main(), > of course --- but it would complicate the code a bit to do so. A more > subtle point is that with that second call in place, it becomes much > harder to write a module which can't handle a restart, since it has > to handle the implicit restart on entry to standalone_main() in order > to work at all. > > Since SIGHUP survival testing isn't necessarily the first (or > fiftieth) thing on peoples' minds when they're writing these things, I > suspect a lot of people wouldn't bother at all unless something came > along to force the issue. Since this question is most often asked by > people whose code, as it turns out, is failing because of the second > call (and which therefore wouldn't, in fact, function correctly on a > signal-triggered restart), this bit of fortuitous torture testing may > in fact have improved at least some of the modules out there... > > rst
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LY New Zealand
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The next training is scheduled for the 23rd and 24th March AND 18th and 19th May in Melbourne
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So if the action I had last night doesn't create a baby, then I don't know what will lol lol lol
Last edited by brodiesmummy2011; 22-03-2016 at 09:51.
charasym (22-03-2016)
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And in case you can't wait, here's the first 2 minutes of the new episodes...looks like another road trip is coming.
Reminder: The Walking Dead Returns tomorrow, February 8th
Posted by TEOTWAWKI Blog / Alexander Wolf at 1:31 PM
Labels: the walking dead , zombies
2 comments :
I'm waiting for them to figure out they need to move way out west to get away from the population centers in the north, east, and south. Glad they got around to using more realistic weapons, can't wait for the new episodes!ReplyDelete
- AnonymousFebruary 09, 2015
It was pretty good - I won't list any spoilers, nice seeing 'old faces' of the past. More of a 'thinking' episode than real action, though a few zombies did become compost, as always.ReplyDelete
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How many hours of screen games?How many hours of screen viewing movies online?Few hours of music playback screen?As time actually charging the battery?How many hours of video playback screen?Few hours or days off screen?It has some battery saving mode?Respond soon!
Hi @abran2203. Would you mind sending your queries in English so we can help you.
Respond please!!
Hi @abran2203. Flash Plus use 3000mAh lithium-ion battery with smart power saving mode. With this battery you can have 30 hours music playback, 5 hours video playback, 600 hours 2G standby time and 10 hours call time.
Ok but I have not resolved all my doubtsI have not said how long the screen gamesNor how long load cell and how many hours or standby time
Hi @abran2203. It is hard to know for games. It all depends on the games you play. Of course playing asphalt 8 games will drain your battery faster compare to when you play a solitaire card games. Playing online games using data also will drain your battery faster compare to when you are playing offline games.