text:
Transpulmonary thermodilution assessments: precise measurements require a precise procedure
- Raphaël Giraud1,
- Nils Siegenthaler1 and
- Karim Bendjelid1Email author
DOI: 10.1186/cc10459
© BioMed Central Ltd 2011
Published: 12 October 2011
When incorporating the values of a hemodynamic parameter into the care of patients, the precision of the measurement method should always be considered. A prospective analysis in the previous issue of Critical Care showed that the precision of transpulmonary thermodilution (TPTD) allows for reliable mean values if a standardised procedure is used. The present finding has a physiological basis, as TPTD requires a more prolonged transit time, which in turn reduces the effects that airway pressure and arrhythmia have on venous return-cardiac output steady states. Moreover, this result suggests that the current accepted threshold value of a 15% increase in cardiac output to identify a positive response to a fluid challenge could be reduced in the future. Indeed, this value is mainly related to the precision of the pulmonary artery catheter.
The first principle is that you must not fool yourself - and you are the easiest person to fool.
Richard Feynman (1918 to 1988)
When using a monitoring device for critically ill patients, inadequate precision of the technique can result in serious misinformation. Indeed, the definition of precision is the variability of values due to random errors of measurement. Semantically, it refers to how closely individual measurements agree with each other - that is, the minimum number of measurements necessary to reach a reliable mean value. In this regard, some questions have remained unresolved concerning the measurement of cardiac output (CO) by transpulmonary thermodilution (TPTD) and derived parameters such as global end-diastolic volume (GEDV) and extra-vascular lung water (EVLW). Indeed, TPTD precision has never been prospectively investigated in situations characterized by (1) constant conditions of measurements, (2) the same instrument and operator, and (3) repeated measurements during a short time period.
In the present issue of this journal, Monnet and colleagues [1] illustrated the precision of the TPTD technique and the number of cold boluses needed to achieve an acceptable level of precision when measuring CO, GEDV and EVLW in 91 critically ill patients. In this elegant study, the authors performed a series of five successive thermodilution measurements and then analyzed the precision of each sequence to demonstrate that a precision of less than 10% for CO, GEDV and EVLW could be reached with only three cold bolus injections of 15 ml each [1]. In addition, the least significance change (LSC) associated with three boluses was less than 12% for these three parameters, even if the patients underwent arrhythmia, were spontaneously breathing and/or were having continuous haemodialysis.
One cannot, however, extrapolate these findings to patients with hemodynamic instability and low CO, patho-physiological conditions where the assessment of the precision of a method is unachievable. Moreover, it is essential to acknowledge that the precision of TPTD may be related to the experience of the practitioner and of course may be compromised in extreme situations, such as high volume haemofiltration, therapeutic hypothermia [6], and the presence of an intra-cardiac shunt [7]. Finally, the impact of an increase in cold bolus volume (for example 20 ml) on the precision of the TPTD technique has not yet been determined. Therefore, until further evidence arises, three cold boluses of 15 ml each are mandatory in order to ensure precision of values when measuring CO in the critically ill patient.
cardiac output
extravascular lung water
global end-diastolic volume
least significance change
transpulmonary thermodilution.
Authors' Affiliations
- Monnet X, Persichini R, Ktari M, Jozwiak M, Richard C, Teboul JL: Precision of the transpulmonary thermodilution measurements. Crit Care 2011, 15: R204. 10.1186/cc10421PubMed CentralView ArticlePubMedGoogle Scholar
- Cecconi M, Rhodes A, Poloniecki J, Della Rocca G, Grounds RM: Bench-to-bedside review: the importance of the precision of the reference technique in method comparison studies--with specific reference to the measurement of cardiac output. Crit Care 2009, 13: 201. 10.1186/cc7129PubMed CentralView ArticlePubMedGoogle Scholar
- Bendjelid K, Giraud R, Siegenthaler N, Michard F: Validation of a new transpulmonary thermodilution system to assess global end-diastolic volume and extravascular lung water. Crit Care 2010, 14: R209. 10.1186/cc9332PubMed CentralView ArticlePubMedGoogle Scholar
- Gondos T, Marjanek Z, Kisvarga Z, Halasz G: Precision of transpulmonary thermodilution: how many measurements are necessary? Eur J Anaesthesiol 2009, 26: 508-512. 10.1097/EJA.0b013e32832a2d23View ArticlePubMedGoogle Scholar
- Stetz CW, Miller RG, Kelly GE, Raffin TA: Reliability of the thermodilution method in the determination of cardiac output in clinical practice. Am Rev Respir Dis 1982, 126: 1001-1004.PubMedGoogle Scholar
- Bendjelid K, Schutz N, Suter PM, Romand JA: Continuous cardiac output monitoring after cardiopulmonary bypass: a comparison with bolus thermodilution measurement. Intensive Care Med 2006, 32: 919-922. 10.1007/s00134-006-0161-2View ArticlePubMedGoogle Scholar
- Giraud R, Siegenthaler N, Park C, Beutler S, Bendjelid K: Transpulmonary thermodilution curves for detection of shunt. Intensive Care Med 2010, 36: 1083-1086. 10.1007/s00134-010-1876-7View ArticlePubMedGoogle Scholar


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Dr. Gajalakshmi
Treatment of Lumbar Radiculopathy
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Angioplasty Stent Surgery
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Enlarged prostate is a disorder which occurs more likely in elderly males. It is basically the enlargement of the prostate gland and is also known as Benign Prostatic Hypertrophy. The prostate enlargement impinges itself on the urethra, and causes increased urination and other urinary problems. Enlarged prostate is usually treated by surgical methods and there is a common belief that there is no other treatment for enlarged prostate other than surgery.
However, homeopathy is a field of medicine which can be used for the treatment of an enlarged prostate gland. Homeopathic medicines are organic and completely natural, and aim at treating the underlying cause of an enlarged prostate, instead of just curing the symptoms.
Here are some primary homeopathic medicines, which are used for enlarged prostate treatment, along with the symptoms when they are used.
- Baryta Carb: This homeopathic medicine is an effective cure for prostate gland enlargement, especially in aged people. Frequent urination is the first symptom of this type of prostate enlargement. An affected patient will develop an urge to urinate every now and then and there is a burning sensation in the urethra during urination. Degrading changes are noticed in the vascular, cardiac and cerebral system. Memory loss and decreased libido are observed. The patient cannot tolerate cold, and perspiration in the feet occurs.
- Digitalis: Digitalis is an ideal homeopathic remedy for enlarged prostate in people with heart problems accompanied by frequent urinary symptoms. This type of prostate enlargement is common in older men. The pulse rate may become irregular or abnormal and oedema is observed in internal and external parts. Swelling of sexual organs is also noticed.
- Staphysagria: This homeopathic medicine is used in cases of an enlarged prostate gland along with dysuria. There is pain during urination and the patient feels pressure on the urinary bladder, and urination seems to be incomplete. Burning in the urethra while urinating is observed, and the sensation lasts even after urination.
- Conium: Conium is another efficient homeopathic medicine for curing prostate gland enlargement accompanied by frequent urination. This condition may arise due to an injury or a blow. Induration and hardening of the gland are caused, and it feels like a stone. There is great trouble in urination, and it seems incomplete.
- Sabal Serrulata: This is a popular homeopathic medicine for an enlarged prostate gland and is considered to be one of the best medicines for this disorder. Symptoms include irritation in urinary organs and increased urge for urination at night.
Homeopathy is considered to be an ideal treatment for an enlarged prostate gland for people who want to avoid surgery. With no side effects, homeopathy works naturally and gives great results.
Ringworm is a type of fungal infection occurring on the skin of a person. Ringworm does not involve the presence of any kind of actual worms whatsoever. It is so named because of the circular scaly infection on the skin, which almost appears as if a worm is present beneath the skin.
Why the fungi arise on the skin is unclear. However, these skin infections are highly contagious, so people coming in contact with those already having the disease could naturally develop the ringworm lesions. The fungi also require warm and moist conditions to thrive in. People working in waterlogged conditions or those walking barefoot on wet floors near swimming pools; public washrooms etc could all develop ringworm based on their immunity levels.
Symptoms of Ringworm:
Reddish, scaly or white patches on the skin.
The lesions may appear raised and blistered.
The circular lesion might have a clearing in the center.
Hair loss is a common side effect of this disease. Ringworm of scalp especially is characterized by patchy hair loss where the hair might be bent and broken at an odd angle. Dandruff might also be present. Thankfully, there are many effective homeopathic remedies for ringworm on scalp.
Though mostly ringworm is treated with conventional medicines and allopathic treatment, there are certain recurring ringworms on which traditional medicines slowly lose effect. Such infections can be controlled and cured with the help of homeopathic medicines.
Homeopathy is based on the principle of 'like curing like'. This means, the homeopath takes a bit of the plant material, deactivates it and just like a vaccine, infuses the patient's body with small quantities of it. Popular homeopathic remedies for treating ringworm are:
Sepia: It is obtained from the ink of a squid. It has been found that contact with the squid causes symptoms similar to the ones caused by ringworms. Thus, it is a remarkable cure for this disease. However, before actually administering this medicine, the homeopath doctor would ask several questions to understand the nature of the disease occurring to you. Such questions would include your sensitivity to heat and cold or how many times in the past has ringworm infected you. Only when the practitioner is sure of the fact that sepia is the correct treatment, would he prescribe it to you. This is a great cure for ringworms occurring in children as well.
Sulphur: Ringworms not only affect a person on the skin of his/her body, it might also occur on the scalp. These ringworms can cause a lot of itching, irritation, hair loss, pus in the scalp etc. For treating such types of ringworm, one can apply sulphur-based creams or ointments on the affected area on the scalp. Sulphur is seen to help in fighting the ringworms and thus providing relief from all the itching and irritation on the scalp.
Rhus Toxicodendron: This medicine is obtained when leaves of the poison ivy plants are distilled overnight. Contact with poison ivy leaves also causes similar symptoms as ringworms and thus, it is known to be a good cure for the disease.
Ringworms on Animals-
At times, even animals like cats and dogs can be affected by ringworms. Symptoms would include loss of hair in patches, itchy hair, white or blackish patches on the body and others. A specialised vet should be referred to for a medicated shampoo besides a homeopath. Medicines like Sepia or Chrysarobinum are administered to treat ringworms in animals.
Thus, ringworm is a very common form of a disease and is easily treatable whether in humans or animals. One would need to follow the course of their medicine and take to patience for getting it cured as soon as possible.
Almost everything you eat and drink has an impact on your oral health, especially your teeth. This impact is not just due to the food's nutritional value, but also because parts of the mouth come in direct contact with the food that is taken. For example, if the teeth come in contact with a compound that has a pH value lower than 5.5, the enamel of teeth can get softened.
The following is a list of the foods, which are good for your teeth:
- Dairy products: Milk and most other dairy products are rich in calcium and protein. The cells called osteoblasts absorb calcium and create the protein tissues, which are the building blocks of the skeleton. An added advantage of these foods is that they are low in sugar content, which is beneficial for the teeth.
- Water: Fluoridated water is extremely good for bone and dental health. Minerals like chlorine, calcium, phosphorus and fluorine can prevent damage caused by acidic foods.
- Dry fruits: Most nuts are protein rich. The processes of biting and chewing also stimulate the salivary glands and saliva helps to clean the mouth and maintain oral health.
- Meat: Meat is also high in protein content and so it helps to protect the teeth and replenish the dissolved enamel. Fish and eggs are similarly helpful.
Here is a list of things that you should consume in regulated quantities to maintain dental health:
- Citrus fruits: Fruits like lemons, oranges, grapes etc contain citric acid. Acidic foods erode the tooth enamel and so these kinds of fruits should be included in your daily diet in small portions.
- Carbonated drinks: Most soft drinks and beverages contain large quantities of sugar. The sugar can be used by the dental plaque (mass of bacteria growing on the inside on the mouth) to produce acids and over time, which gives rise to a thick yellow layer on the teeth, damaging them.
- Candied sugar: Foods that are sticky can remain stuck in between the teeth for a very long time and cause decay of the enamel and harm the gums.
I have fungal infection in my groins for about 1 month and I am using itch guard for about 3-4 days. I was not so serious before but now it has been spread more than expectation. It pains as there are several cuts in that area due which I can't even walk properly. Please suggest me some suitable cream or powder and how to apply it. Thank you!
There is some always some cough in my throat. And I got cold and cough very instant. Coz of this I do not have banana types of food. Example I do not eat sprouts. So kindly help me to get rid off from this problem.
He is 4 months old .he is having nose congestion for a long time .he is having cold and nose blocked. I am using nubiliser and using saline nose drops for a long .but he is still having this since a long time.
I suffer from flatulence and gas, what are the treatments for this condition? Please advise the medication.
Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.
Things you should know?
- Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
- The person who is sleepwalking is usually not aware of it.
- Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
- Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
- The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
- They may not respond when they are actually sleepwalking, or respond very slowly
- They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
- Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
- There could be chances of small injury like tripping or fall during the sleepwalking episode
- Sleepwalkers may be more restless compared to other children during their waking hours
- Bedwetting is also quite common in children who sleepwalk
- Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
- Stress
- Excessive drinking
- Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
- Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking
- For a parent to see their child walking around in their sleep can be quite disturbing.
- Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
- Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
- Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects. If you wish to discuss about any specific problem, you can consult a psychiatrist.
A number of factors, both internal as well as external, contribute to skin ailments.
The dermatological problems, if not treated timely, can leave a person physically, mentally and emotionally drained out. In such cases, a person's self confidence is the worst affected.
A lot of conventional and Allopathic options are available to treat skin diseases. Ointments, antihistamine tablets and antibacterial medications, though effective, often provide temporary relief. In many cases, it has been observed that in due course of time, the problems tend to relapse.
Homeopathy adopts a holistic approach in treating a disease. It lays great emphasis towards identifying and treating the underlying cause.
Homeopathic treatment can be a little time consuming, but the time is worth waiting for. Over the past few decades, homeopathy has been the most sought after and reliable medication to deal with dermatological problems.
Some of the homeopathic medications that have effectively dealt with skin diseases include:
- Arsenicum: If psoriasis and chronic urticaria are giving you sleepless nights, Arsenicum is what you need. Arsenicum is equally effective against chronic eczema.
- Sepia: Herpes can make life miserable. Sepia is a powerful medication that gives one a lot to cheer about. People with psoriasis and dry skin can greatly benefit from Sepia.
- Natrum muriaticum and rhus toxicodendron: Both the medications, Rhus Toxicodendron in particular, are very effective against eczema. Natrum Muriaticum has been found to soothe a person suffering from mental depression greatly.
- Thuja occidentalis: Acne problems, warts, freckles, dry and itchy skin, ulcers (anogenital region) can throw life in jeopardy. Embrace the goodness of Thuja Occidentalis and the mentioned skin problems will be a thing of the past.
- Cantharis: It provides great relief from blisters, skin eruptions and burns (second and third degree). To enjoy the everlasting benefits, one needs to be a little patient with the treatment. If you wish to discuss about any specific problem, you can consult a homeopath.
Respected sir/ Madam, I have suffered with chronic heart burn problem. I have done all tests and ultrasound scan which shows everything is normal. The doctor said it is due to stress. Now tell me the solution and right treatment.
Asthma is an inflammatory disease, which affects the airways of your lungs (respiratory tract that pumps oxygen into the lungs). It is long term in nature. It is characterized by shortness of breath, coughing and wheezing. It occurs few times a day or few times a week depending on the person it affects. Sometimes it worsens during the night.
What triggers Asthma?
- Airborne particles such as dust mites, mold spores, pollen and cockroach waste.
- Infections in the respiratory system such as common cold.
- Cold air can also trigger asthma.
- Physical or outdoor activities which make you pant such as running, skipping, jogging and jumping can cause shortness of breath, thus triggering asthma.
- Pollutants and irritants in air such as smoke.
- Some medications can also trigger asthma.
- Stress and nervous attacks (panic attacks) also trigger asthma.
How to manage asthma better by changing your lifestyle:
- Try to avoid keeping animals in your house such as dogs, cats and rabbits. Many times animal fur, waste, urine and saliva contains particles which can cause allergic reactions and make you cough uncontrollably. This in turn triggers asthma attacks. If you have pets try keeping them away from your bedroom.
- Dust mites also cause allergies which trigger asthma. So wash your carpets, rugs, bed-linen and pillowcases in hot water.
- Bugs and insects such as cockroaches are not only unhygienic, but can also trigger asthma. Cockroach droppings near your bed, kitchen and food are dangerous and you should call an exterminator to get rid of these bugs.
- Sometimes, heavy fragrance also aggravates your respiratory tract and triggers shortness of breath. Avoid using heavy perfumes, deodorants and room fresheners.
- Pollution also triggers asthma. Dust particles come out from the vehicles and mix with the air. If this air is inhaled, it might trigger uncontrollable asthma. So try to cover your mouth with a cloth when you step out of your house.
Asthma can be very severe and can bring many hurdles in your day to day activities. Changing your lifestyle and certain habits can reduce asthma to a great extent.
Hi. I have sex with my would be husband. He was virgin. I read tht in 1st time sex boys mainly cum after 10 to 20 mins or more. But he cum during his 1st sex after almost 2 hours. We both are shocked. How it is possible? please help me?
I am 27 year I have a problem of epididymitis from last 6-7 month I dnt have too mch pain but a swelling or lump in my right testis.
His left nose is always blocked it seems. Now he is having head ache also. He says his eyes are paining too. What is the reason for this symptoms. What should I do to cure him?
I have frequent urination when urine is stored a little amount I have pain in my lower pelvic and back pain and itching in vagina but no infection in urine culture what can I do pls help.
Common cold and cough is one of the most common viral illnesses that have no specific treatment. Allopathic medicines provide palliative cure to just treat the symptoms, there is no definite antiviral for it. There is also popular belief having cold once or twice a year is a good way to cleanse the body.
Here is the homeopathic treatment for it:
- Influenzinum - It is a homeopathic remedy for flu. The medicine, which is diluted and potentized, strengthens the immune system to fight against flu viruses. It does not suppress the symptoms but makes your immune system strong to not allow foreign viruses affect your health.
- Aconitum or aconite - Used in the early stages of a cold that was sudden in onset and severe. There could be associated nasal discharge, fever and chills, chest congestion, itchy throat, and a traumatic experience. The person may also feel thirsty, anxious, and agitated.
- Allium cepa - Severe burning and watery eyes, nasal irritation, copious amounts of discharge, hoarseness, and headache. The runny nose improves in open air, but worsens when being indoors.
- Aconite - This homeopathic medicine is recommended when the most preliminary signs of common cold appear, such as getting thirsty frequently and being overly-anxious.
- Belladonna - Belladonna is for more severe signs of cold, such as high fever and persistence of a throbbing headache.
- Natrum mur - This medicine is effective for a runny nose, with initially clear snot thickening after a period of 24-48 hours.
- Pulsatilla - Yellow or greenish mucous, nasal congestion, mouth breathing are some symptoms where this is used. It is very commonly used in newborn babies, if the discharge colour is green or yellow. Associated symptoms include moodiness, easy crying, craving for attention, easily hurt and sensitive. Homeopathy does'cure' the cough and cold in patients, in the true sense of the word. That provides palliative care and holistic treatment of the condition too. If you wish to discuss about any specific problem, you can consult a homeopath.
Pcod means polycystic ovarian disease, in which multiple small cystic present in ovaries.
1- hormone imbalance
2- obesity
3- family history
4- diabetes
5- irregular menses
1- acne on face
2- weight gain
3- extra hair on face and body
4- irregular period
5- infertility
6- depression
1- losing weight
2- quite smoking
3- eat healthy food
4- exercise
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.
Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.
Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.
Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.
- Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
- Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with a doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
- A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
- Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
- Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
- Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life.
A hypersensitive reaction to immune system against any particular substance (allergen) is called as allergy. Dust mite allergy refers to hypersensitive reaction caused by exposure to tiny bugs (too small to see with naked eyes) in the dust in our house and premises. These dust mites survive in warm and humid conditions (as in bedding items and furniture in the home) and eat dead skin cells of humans and animals.
Usually, individual mite has ability to produce more than 20 of waste droppings (specific protein) every day that spreads in the environments and settles down with the dust while their ability to cause allergic symptoms remain constant even after they die. The ideal environment for dust mites is when there is a temperature about ≥ 70 F and humidity ranging between 75 to 80 percent.
Along with the live mites, dust also contains faeces, excretions and decayed bodies of dust mites. A specific protein in the mites is responsible for allergic reaction causing nasal inflammation, which triggers further symptoms.
The immune system produces specific antibodies as a defense against foreign substances (allergens) to protect the body from harmful allergens. In case of allergic reactions, as usual, the body produces antibodies against allergens (even if they are not harmful) and leads to an inflammatory response.
Most allergies have some common signs and symptoms. Allergy to dust mites harms nasal passage making it inflamed, causing several clinical manifestations. Common symptoms of dust mite allergy may include:
- Rhinorrhea (persistent discharge of mucus from nose)
- Sneezing
- Itching sensation in the eyes, nose and throat
- Reddening of eyes
- Swelling around the eyes
- Accumulation of excess mucus in the throat (postnasal drip)
- Cough and congestion
- Facial pain and pressure
- Rubbing nose (especially in children)
In chronic cases, one may experience a severe asthma attack that causes:
- Shortness of breath
- Chest pain
- Tightness in the chest
- Abnormal sound while breathing
- Severe coughing and wheezing
- Lack of sleep
Diagnosis of dust mite allergy may begin with discussing with your doctor about the typical symptoms, severity, onset of symptoms and its duration, pets at home, etc. This will help the doctor to further advice other tests, such as allergy tests (to identify the specific allergen) and some blood examinations, examining the body for allergy and assessment of family history..
Immunotherapy (allergy shots or allergy drops under the tongue/ Sublingual immunotherapy (SLIT): When other treatment approaches fail to deliver the results, immunotherapy may be considered. It involves a series of allergen shots with gradually increasing doses (about two shots a week for about 3 months) and then a single shot for every four weeks, for about five years. This helps to build up immunity against specific allergens.
Benefits of SLIT:
- Effective in children in terms of treating the symptoms of rhinitis, asthma, and further worsening of symptoms.
- Effective in preventing future asthma
- Safe and easy to administer
- Can be administered at home
- No need of syringes and needle

subset: commoncrawl


text:
Combine the Snack Apple and a scented 8" Jolly Ball® into one big horse toy and you have one happy horse! The Jolly Stall Snack System lets your horse choose whether to taste a flavored treat or play with the attached ball to alleviate boredom and distract him from bad stall habits and vices.
Dover Saddlery is proud to offer a 100% satisfaction guarantee on all of our products. We stand behind the quality of our products, and should you not be satisfied with your purchase, simply return it and we will refund, replace or exchange it for you.
100% Satisfaction Guaranteed - Your Money Back Any Time, for Any Reason.
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|Government & Organizations
Keep up with all of President Obama's remarks, town halls, and press conferences in this comprehensive podcast. This feed will occasionally include remarks from other principals like Vice President Biden and First Lady Michelle Obama.
February 21st, 2016
Episode 496 of 675 episodes
President Obama delivers remarks at a dinner for the National Governors Association on February 21, 2016.
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Welcome to the daily audio workout for your head.


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Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Beginner Freshwater Aquarium (http://www.tropicalfishkeeping.com/beginner-freshwater-aquarium/)
- - sea monkeys (http://www.tropicalfishkeeping.com/beginner-freshwater-aquarium/sea-monkeys-10222/)
sea monkeys
i know sea monkeys are just brine shrimp - but in a pinch could they be fed to fish??? not planning on doing so, just a curiosity...
One of the best foods there are. I feed them to my fish on a regularly scheduled basis. About twice a week.
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Hakata smile Rakuten market store!
|Product name
|One piece DXF MANHOOD MONKEY. D.LUFFY ZETTO Luffy Zed 2 kind set Banpresto Prize figure ONEPIECE
|Banpresto Prize (BP)
|Release date
|[On sale]
|Works and series name
|One piece
|Product specifications
| ■ set contents: is a 2 set of Luffy ZETTO ( z ).
Size: Luffy 120 mm
Z 150 mm
|Product description
| Banpresto than from the popular manga one piece, see 2012 movie ' as DXF MANHOOD is introduced as a DXF figure can recreate scenes from the blockbuster FILM Z!
Luffy come with replacement parts for Zed 'Smasher', 2 body will be completed scenes for the first time in the set!
KENGO Mr. piece MSP series he has produced!
Meticulous design and coloring is attractive products!
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Watch The K2 Episode 1 Online Free
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Hi all, I sell Mechakolos 0XP that the market is at 505k (OF COURSE I DO NOT ASK 505k). Seeking cr playable and cash! Make your offers either here or in mp! Thank you ^ __ ^
Best of luck!
Lol good luck!
Ill pay 50k
I'll pay you 2500 ctz just to keep it until it gets released in new bloods.


text:
Amazon.com: Soundstream TA1.3000D Tarantula 3000 Watts RMS Mono Amplifier with Bass Knob: Car Electronics
RMS Power 4 Ohm: 800 W x 1
RMS Power 2 Ohm: 1,400 W x 1
RMS Power 4 Ohm Bridged: 2000 W x 1 (1 Ohm)
RMS Power 1 Ohm: 3000W x 1 (.5 Ohm)
300 bucks new/shipped
i'd go with 2 beefy 12s or 3 solid 10s, since airspace is one thing, but you really need extra room for port area too. 3 tens still have more cone area then 2 12s.
09 Sienna Subs : 4 hdc3 18s c pillar below windowline Sub amp: ampere tfe 8.0 at half ohm.
Headunit: Pioneer 80PRS Mids/Highs amp: PPI 900.4
Front stage: 3 way active front stage with Massive Audio CKX tweets, alpine type R 6x9 midrange in doors + Crescendo PWX 10s in the kick
320 amp Singer alt. 1 group 34 under the hood 6 group31 agms in the back 560 amp hours total.


text:
Anime 4 PSP > Ansatsu Kyoushitsu TV - Episode 17
Added on 18/05/2015
in Updates
/ 1 comment
Welcome. You'll see important info here.
CHECK FOLDERS! Anime will be there, too much to do a news. If you don't see, let a comment.
I'll remind you to go on Discord
Please do so, it's easier for us to contact y'all.
Copyright © 2010-2017 Anime 4 PSP. All rights reserved.


text:
Unstuck in Time
Maybe there's a misguided TV network executive giving New York theater producers lessons in counterprogramming. Why else would the Culture Project have pit its own British-import Iraq war docudrama (Guardians) up against the Public Theater's (Stuff Happens) just a few months ago? Now they counter the Public's new José Rivera play School of the Americas with a revival of Rivera's earlier, better Cloud Tectonics. Whatever their strategy, they seem to be stuck working at cross-purposesdividing audiences instead of serving them. This production seems to be at cross-purposes too, often taking the wind out of Rivera's flights of poetic fancy.
During the "storm of the century," Aníbal de la Luna, a lonely LAX baggage handler, picks up the mysterious hitchhiker Celestina del Sol, a childlike innocent who claims to be 54 years old and two years pregnant. Around her, clocks stop, dreams and memories float to the surface, and men can't help falling in love. Freighting his characters with symbolic names and emblematic backstories, Rivera strains to recall not only the magic realism of the Latin American fiction boom, but also the 15th-century Spanish tragicomedy La Celestina, with which it shares the manipulative protagonist's name and supernatural lust, and whose characters are similarly brought together and separated by unexplained time warps. But strip away Rivera's poetic flair and you're left with the thin plot contrivances of a lost Twilight Zone episode.
Time slows down around Celestina, which may explain why director James Phillip Gates often lets his pacing lag. The vividly talented Luis Vega, as Aníbal, and Julio Rivera, as his long-lost jarhead brother, help ground the play in believable realism, but Frederique Nahmani, miscast as Celestina, fails to locate her character's heartor her accent.
Cloud Tectonics
Culture Project
45 Bleecker Street
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Vegetarian Luncheon Plate
|Green beans/Wax beans
|500 Gram
|Chicken consomme/Water
|125 Milliliter
|Red potatoes
|500 Gram
|30 Milliliter
|30 Milliliter
|Cooking liquid
|250 Milliliter
|To Taste
|To Taste
Cut the green or wax beans.
Place them in a microwave-safe dish, add the chicken consomme or water, cover and microwave at HIGH 8 to 9 minutes or until they are tender.
Set aside.
Peel, wash and dice the potatoes, place in a dish.
When the beans are cooked, drain their water over the potatoes.
Stir well, cover and microwave at HIGH 6 to 8 minutes or until tender.
Stir and test for doneness with a fork.
Do not cook them too soft.
Drain the potatoes' liquid into a 1-cup (250 mL) measuring cup.
Fill cup with milk or light cream.
Place the butter in a microwave-safe bowl and melt 1 minute at HIGH.
Add the flour, mix well.
Add the liquid, mix and microwave 2 minutes at HIGH.
Stir well.
Microwave another 2 minutes at MEDIUM.
Salt and pepper to taste.
Mix the cooked beans and potatoes together, pour the sauce over.
Adjust seasoning.
Recipe Summary
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 910 Calories from Fat 221
% Daily Value*
Total Fat 25 g38.6%
Saturated Fat 15.5 g77.3%
Trans Fat 0 g
Cholesterol 64.5 mg21.5%
Sodium 895.6 mg37.3%
Total Carbohydrates 155 g51.5%
Dietary Fiber 25.5 g102.1%
Sugars 11.9 g
Protein 24 g47.6%
Vitamin A 23.8% Vitamin C 159.9%
Calcium 9.4% Iron 28.6%
*Based on a 2000 Calorie diet


text:
DMC Tapestry & Embroidery Wool 42.7ydPearl Cotton & Wool
White - View Complete Details
Product Number: NOTM011840
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This product is sold out and we do not know when we will be getting another shipment. We apologize for any inconvenience this may cause.
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DMC Tapestry & Embroidery Wool 42.7yd - DMC-Tapestry & Embroidery Wool. A superior quality, non-divisible 4-ply wool which is mothproof and colorfast. Each skein has both the color number and a chromatic number showing where the color fits into the range. 42.7yd (39m). Imported.View Product Specs
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post #1 of 12 Old 09-22-2009, 02:43 PM Thread Starter
Xbox LivE?
so whos got a 360 WITH LIVE??
add me gamertag is SomeThinEPiK
add me gamertag is SomeThinEPiK
post #2 of 12 Old 09-22-2009, 11:10 PM
360..booo!! get a wii you can still play online and they got the classic games and newer versions of old games like mario kart!! which you can also play online!!
dun na, dun na, dunna dunna dunna.. its the jaws theme song
post #3 of 12 Old 09-23-2009, 01:57 PM Thread Starter
wii isnt for me, im more of a hardcore shooter type gamer, wii has pathetic shooters compared to the competition
post #4 of 12 Old 09-24-2009, 01:12 AM
yea thats not a strong point for wii. the shooter games can be annoying because you have to hold the controller like a gun the whole time and it gets annoying after a while and the grafix are lagging. I really only use my wii for rock band or the good ole classic games like super mario.
i had 2 360s and got the red ring of death so i gave up on them i was tired of having to deal with that and returning it.
i had 2 360s and got the red ring of death so i gave up on them i was tired of having to deal with that and returning it.
dun na, dun na, dunna dunna dunna.. its the jaws theme song
post #5 of 12 Old 09-24-2009, 02:16 AM Thread Starter
im actual;ly on my 5th 360 THIS YEAR!!!!! all red ringed, all of them are under the warranty (i bought the extended one) on my third 360 they sent me the keypad a 1yr and a headset for free along with a refurbd 360. everyone after that they overnight bothways with a 3month so far. its sooo unreliable but i love the game and have been die hard 360 since the originall. not to mention all the bungie games thats what lured me in the first place lol.
post #6 of 12 Old 09-24-2009, 02:31 AM
hahah wow thats a lot of 360s!! i kinda like the ps3 but they get hot to fast and stay hot. also the fan you can buy for it is sometimes louder than the t.v. my only problem is i have 3 hyper shelties and i cant have a game system around them cause they already knocked a few gaming systems on the floor because of cords!! they broke my wii but me and my husband took it apart and it works now. so ever since they messed up my wii i gave up on it. i have a nintendo 64 thou which is fun if you wanna go wayyyyyy back in the day lol
dun na, dun na, dunna dunna dunna.. its the jaws theme song
post #7 of 12 Old 10-02-2009, 02:01 AM
buy your 360 from costco. No need for extra warranty.
I took mine back for the third time now. No questions asked, (I kept the recipt).
And I got a price difference for what they are currently selling for :)
I took mine back for the third time now. No questions asked, (I kept the recipt).
And I got a price difference for what they are currently selling for :)
Vancouver, B.C. Canada
post #8 of 12 Old 10-12-2009, 10:33 AM Thread Starter
we actually dont have a costco here, just walmarts and sams club
post #9 of 12 Old 10-25-2009, 04:06 PM
my xbox has never overheated and ive had it for 3-4 yrs. no red rings nuthin. mabey u guys play to much, i sometimes play like 10hrs a day when im sick or its snowing/raining outside and it doesnt overheat, u can use the poor mans cooler and put a ice pack on it :P GT: teddyzaper
Subject: Larry LaPrise dead at 93
With all the sadness and trauma going on in the world at the moment, it is worth reflecting on the death of a very important person, which almost went unnoticed last week.
Larry LaPrise, the man that wrote "The Hokey Pokey" died peacefully at the age of 93. The most traumatic part for his family was getting him into the coffin. They put his left leg in. And then the trouble started.
post #10 of 12 Old 10-29-2009, 11:25 PM Thread Starter
yea, dont play mine much now that my baby is born now. used to play it 8-9 hrs a day EASY (between my wife and I)
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Publisher's Description+
From Pinnacle Apps: Warm Welcome to the UNBLOCK THE FISH, a latest game by iMudra Technologies Creators of Real Piano, IMusic Kit, Bulls and Cows and many moreUNBLOCK THE FISH is a simple, interesting but an addictive game.CAN YOU SOLVE THIS MAZE? It tests your thinking skillsThe objective of the game is to get the fish out from a strategic zone, you can slide the other obstacles out of your way to achieve the target.Awesome and funny puzzle game that tests your logical reasoning abilities. More than 200 levels of interesting game playTo make the game more interesting, the game is setup in different themes.FEATURES 200 levels of addictive game play. 5 different environments to choose from. Support All Apple Devices: iPhone4, iPad, iPod Touch.Difficulty increases as you move down the themes. Alternatively, you can start playing from any themeTest the puzzle today and share your valuable feedback to improve future release.
What's new in this version:
With this new version, enjoy Unblock the Fish for free! -> Fish movements are completely reprogrammed for a smoother movement. -> Introduced InApp purchases
read more +


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35 rue Joseph Monier
Rueil-Malmaison, Ile-de-France 92500
As a global specialist in energy management with operations in more than 100 countries, Schneider Electric offers integrated solutions across multiple market segments, including leadership positions in Utilities & Infrastructures, Industries & Machine Man ... more
Country Manager - Honeywell Angola
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301 - EOH Mthombo (Pty) Ltd
Mari De Sousa Gomes
Family Life South Africa & Sense2Solve
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Lokal Inn, Prague
- Free WiFi
Main amenities
- 14 smoke-free guestrooms
- Restaurant and bar/lounge
- Breakfast available
- Self parking
- Airport shuttle
- 24-hour front desk
- Daily housekeeping
- Snack bar/deli
- Laundry service
- Multilingual staff
- Concierge services
- Luggage storage
What's around
- In Mala Strana
- Lennon Wall (0.2 mi / 0.3 km)
- Charles Bridge (0.2 mi / 0.4 km)
- Klementinum-Prague National Library (0.4 mi / 0.7 km)
- Rudolfinum (0.5 mi / 0.8 km)
- Charles University (0.5 mi / 0.8 km)
More great choices
At a glance
Key facts
Hotel size
- This hotel has 14 rooms
- This hotel is arranged over 3 floors
- Check-in time starts at 2 PM
- Check-out time is 11 AM
- Express check-in/out
Required at check in
- Credit card deposit required
- Government-issued photo ID required
Travelling with others
- One child (6 years old and younger) stays free when occupying the parent or guardian's room, using existing bedding
- Pets not allowed
- Free WiFi and wired Internet access in public areas
- Free WiFi and wired Internet access in rooms
- Airport shuttle (available 24 hours) *
- Train station pickup *
- No parking
- Self parking *
- Shopping center shuttle *
- Theme park shuttle *
Other information
- Smoke-free property
- Resort fee included
Nearby Four Star Prague hotels
In the hotel
- Full breakfast daily (surcharge)
- Restaurant
- Bar/lounge
- Coffee shop/café
- Snack bar/deli
- Room service (during limited hours)
- 24-hour front desk
- Concierge services
- Tours/ticket assistance
- Limo or Town Car service available
- Dry cleaning/laundry service
- Luggage storage
- Multilingual staff
- Number of buildings/towers - 1
- Year Built 1704
In the room
- Minibar
- Slippers
- Hypo-allergenic bedding available
- Blackout drapes/curtains
- Premium bedding
- Memory foam mattress
- Individually decorated
- Individually furnished
- Separate sitting area
- Private bathroom
- Designer toiletries
- Hair dryer
- 32-inch LCD TV
- Premium TV channels
- Desk
- Free WiFi
- Free local calls
- Daily housekeeping
- In-room safe
- Connecting/adjoining rooms available
Top Prague hotels
Recently reviewed hotels in Prague
- Charming Prague Apartments At Black StarFrom
"Very nice, cosy and private apartment in the city centre of beautiful Prague. Very close to Charles Bridge, main square and public transport. Staff was friendly and helpful, the…"Jan 17, 2017
- Cosmopolitan Hotel PragueFrom
"Would recommend the hotel but not the reataurant for lunch or dinner. Over priced food that's very hit and miss. "Jan 17, 2017
- Clarion Hotel Prague CityFrom
"Great place to stay would go again only problem was the beds really uncomfortable"Jan 17, 2017
- Friday HotelFrom
"We loved our hotel. We had a very clean room and nice amenities for what we paid. The free breakfast was lovely. Would def recommend. My only complaint was that we were very…"Jan 16, 2017
Also popular with travellers from the UK
Special features
DiningLOKAL U BILE KUZELKY - This restaurant specializes in Eastern European cuisine and serves breakfast, brunch, lunch, and dinner. Guests can order drinks at the bar and enjoy alfresco dining (weather permitting). A children's menu is available. Happy hour is offered. Reservations are required.
Lokal Inn, Prague's small print
Also known as
- Lokal Inn Prague
- Lokal Inn
- Lokal Hotel Prague
- Residence Bila Kuzelka Prague
The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.
This property does not have elevators.
For transfers, guests must contact the property 24 hours prior to arrival at the number on the booking confirmation.
Mandatory fees
The charges below are included in the total price displayed:
- Resort fee
Optional extras
Self parking costs CZK 650 per day
Parking is available nearby and costs CZK 650 per 24 hours
Rollaway beds are available for an additional charge
Full breakfast is offered for an extra charge of CZK 280 for adults and CZK 0 for children (approximately)
Airport shuttle service is offered for an extra charge of CZK 550.00 per vehicle (one way)
Train station pick-up and train station drop-off service is offered for an extra charge
Shopping center shuttle and theme park shuttle service is offered for an extra charge
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Excellent 4.4 /5 from 80 reviews
Enjoyed our stay at the Lokal Inn - the location is fabulous, right next to the Charles Bridge, and with trams to the Castle and Petrin very close by. The room was larger than I expected and had a very comfortable bed - slept very well. The breakfasts were also tasty and the hotel's staff very helpful. Would definitely book again next time I'm in Prague.
Fabulous location. Very helpful staff. The only thing I would ask for on a return visit, would be a room on a higher floor as there was some noise from the street below and the bar downstairs. So yes, we would return and recommend to others.
Excellent inn. Book a table if you want to eat there as it is the busiest bar in town. Need to specify non smoking if thats what you want. Good traditional food. Lovely big room, very comfortable. Helpful reception staff too.
The room which was described as a double deluxe was more like a suite and was very large! The bed was huge as well and being memory foam meant the best nights sleep ever. The staff couldn't of been more helpful and arranged fairly prices taxis for us upon our request. Had a lovely stay and loved both the hotel and Praha itself especially around Charles bridge which is a 2 min walk from the Lokal inn!
The room was great with a large comfy bed and god shower- only downside is there was no air-con. Ask to be placed on the top floor at the back of the building as this will minimize the noise of the bar downstairs (not that its too bad). Location was brilliant, walked over the Charles bridge everyday. Breakfast was good, you can even have waffles! Staff extremely helpful and will book taxis to pick you up/ drop off at the airport at a cheaper price than a taxi. Overall, I would definitely recommend as its a great little place
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About this TitleMax store
The Highway 231 South TitleMax store has been providing residents of the Troy area with title loans since June 2003. We are located between Ward's Yamaha and Arby's. If you live in or around the greater Troy area and are in need of some fast cash, stop by the Highway 231 South TitleMax store or call us today at (334) 566-8644 to get approved for a title loan fast.
Products Offered
Product Details
- Get cash for your vehicle title
- Cash in about 30 minutes
- Keep driving your vehicle!
Troy, AL Title Loan Requirements
You only need to have a few things to get a title loan with us!
- Car or motorcycle
- Clear car or motorcycle title
- Valid government-issued ID***
Store Directions
Nearby Troy, AL Title Loan Locations
Ozark AL2205 S US Hwy 231
Ozark, AL 36360(334) 445-1663
Enterprise AL912 1/2 Rucker Blvd.
Enterprise, AL 36330(334) 393-9971
Greenville AL1012 Fort Dale Rd.
Greenville, AL 36037(334) 382-0294
Montgomery AL2453 East South Blvd
Montgomery, AL 36116(334) 613-6211
Montgomery AL 45308 Atlanta Hwy
Montgomery, AL 36109(334) 396-0610


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The San Bernardino City Unified School District honored its school police force Tuesday, Jan. 19 for their role in providing security and aid at the scene of the Dec. 2 terrorist shooting that killed 14 and left 22 wounded.
Detailed in interviews with the district's police chief and three of his officers, the actions at the Inland Regional Center were a distillation of the law enforcement and first-responder training and cooperation that took place during that day.
"This community is our house," said school district officer Roberto Arellano, 32. "It just hits home."
Six school district officers provided security and helped with the triage of the wounded, unloading them from vehicles that San Bernardino County probation officers had driven in the short but critical ride from the center to the triage station.
The officers helped in getting the injured on board ambulances or helicopters for transport to hospitals. They also made sure the bodies of the slain that had been removed from the center were not disturbed.
It was a tense time. The shooters had escaped and their whereabouts were unknown. Undetonated bombs were found inside the center.
The officers were on the lookout for "any kind of suspicious activity. In that situation …there's a lot of mayhem, confusion – coworkers are coming out (of the center), so you have to be vigilant," said district officer Victor Young, 27.
Some of the district's officers also responded to the shootout four hours later in which the Syed Rizwan Farook and his wife Tashfeen Malik, the Redlands couple identified as the shooters, died.
The officers arrived as the last shots were being fired – but the danger wasn't over.
District Officer Robert Jauregui, 30, said he standing watch on San Bernardino Avenue shortly after the shootout when another officer told him, "Hey, bro, there's a pipe bomb," Jauregui recalled Tuesday.
He said the blasting cap and wires were visible on the device lying nearby on the street. Officers backed away from the area, so that it could be recovered by bomb disposal experts.
There was a huge line of police vehicles and officers that had responded to the chase and shootout. "There were uniforms I had never seen in my life," at the scene, Arellano said.
The school district officers also answered some city calls for San Bernardino city officers, who were on full response the shootings, and in turn the regular police duties for the San Bernardino school district were covered by neighboring Fontana Unified School District's School Police Services.
That agency was also thanked and honored at the gathering at the school board meeting room in San Bernardino.
The San Bernardino district officers said their Fontana colleagues sent them pizza the next day. Schools in the San Bernardino district were open for regular hours, and its officers were back on duty Dec. 3, despite the long hours they had put in the day before.


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Charity ReviewExpires: August 2016
Colorado "I Have A Dream" Foundation, (CIHAD)
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Colorado "I Have A Dream" Foundation, (CIHAD) meets the 20 Standards for Charity Accountability.
CIHAD is a long-term academic and social mentorship program for youth who live in economically disadvantaged neighborhoods and/or attend under performing schools in Metro Denver. At the Colorado I Have a Dream Foundation, we believe that every child deserves a quality education and every child has a fundamental right to reach his/hers highest potential.
Incorporated: 1988 in CO
Over the last 25 years, CIHAD has developed and fine-tuned a 10-year "hands-on cohort model" for their participants who are affectionately call Dreamers. The CIHAD foundation indicates it has impacted the lives of 630 Dreamers through; mentoring, academic enrichment services, social-emotional supports, global cultural exploration activities, experiential learning, community service projects, internship and corporate networking experiences, collegiate coaching and tuition assistance for higher education. Dreamers are selected and adopted in the 3rd grade and are provided these services up and through post-secondary pursuits. CIHAD boasts Dreamer high school graduation rates that are double or triple the projections for comparable socio-economic youth in their neighborhoods. Approximately 90% of their Dreamers graduate from high school. Dreamers are eligible for a post-secondary scholarship and about 68% of our Dreamers have accessed the post-secondary scholarship and are pursuing a college degree or vocational school.
Board Size: 42
Staff: 11
Direct mail, newsletters, fund raising events, grant proposals and Internet appeals.
This organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code. It is eligible to receive contributions deductible as charitable donations for federal income tax purposes.
The following information is based on Colorado "I Have A Dream" Foundation, (CIHAD) Audited Financial Statements for the fiscal year ending Monday, December 31, 2012.
An organization may change its practices at any time without notice. A copy of this report has been shared with the organization prior to publication. It is not intended to recommend or deprecate, and is furnished solely to assist you in exercising your own judgment. If the report is about a charity and states the charity meets or does not meet the Standards for Charity Accountability, it reflects the results of an evaluation of information and materials provided voluntarily by the charity. The name Better Business Bureau is a registered service mark of the Council of Better Business Bureaus, Inc.
This report is not to be used for fund raising or promotional purposes.


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- Prospective Students
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I REALLY DON'T LIKE YOUR DAD, BUT I LIKE YOU.October 9, 2009 • by Randolph P. Beatty
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Dear Friends of Marshall:
That's what the shopkeeper in Thailand told my daughter as he sold her the bracelet. I grew up an Air Force brat, and as a twelve-year-old I was bartering for rock and roll band equipment in Japanese markets. It's a fun cultural experience to negotiate in the public markets (although my wife happens to disagree). This summer our family visited Thailand, and when my daughter wanted a bracelet from a store in Chiang Mai, I stood my ground at half the price the owner offered. He didn't budge and I nudged her: "Let's start out. He'll stop us at the door." But he didn't. We got out on the street and I whispered to her, "Okay. Start yelling at me that you really wanted it, then go back in there, and offer him a little more than I did." Being an aspiring actress, she played her role beautifully, marched back into the store and he sold her the bracelet for just a bit more than my final offer. He told her, "I really don't like your dad, but I like you."
I've always treasured international experiences, and it's part of what I love about the USC Leventhal School of Accounting. Global travel is an integral part of USC's Marshall School of Business, and this spring I'm trying out an even deeper experiment in cultural exchange. Three USC Leventhal students are teaming up with three managerial accounting students at the Chinese University of Hong Kong (CUHK). These six students will be given an assignment to complete as a team. Working through the internet, teleconferencing, and phone calls, at the end of the semester they'll present their results to faculty members at both USC Leventhal and CUHK.
We're teaching these students on many levels: How to work across borders; how to be culturally sensitive; how to motivate people in a different society. These are all issues they'll face in their careers, and USC Leventhal will make sure they're ready to deal with them successfully. If this experiment works, we'd like to expand it, gradually involving projects with more schools from all around the world. Imagine graduating at the end of four years from USC with a global Facebook second to none.
I'm always trying to enrich the lives of our students here. To me, at its heart, USC is people banding together to help each other. I hope you'll consider helping further the growth of the USC Leventhal School of Accounting and the USC Marshall School of Business today. It's not hard to do. There's a box to click on right over there.
Yours truly,
Randolph P. Beatty
Alan Casden Dean's Chair and Dean of the USC Leventhal School of Accounting


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text: I booked a last minute trip and was originall disappointed that I could not find a place on the ocean. That changed the minute I arrived, checked in and gave the bellman my car. It is an incredibly peaceful and beautiful location. You walk, ride a bike or travel via golf cart. The scenery is beautiful. I stayed in an... More


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Buckingham Palace
... procession. Following that are the guards along with some on horses (which the kids loved)! Once they enter into the gates, it was extremely difficult to see in but you could see the tops of their crazy hats. The ceremony wrapped up about noon and we headed for a good lunch.
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All By Myself
... sombre again and visit the Holocaust display, which has had its minimum admission age raised to 14 since I was there last. It is dark, and oppressive, and haunting. People do not talk as they walk through and there is absolutely no photography allowed. We will be visiting a concentration camp later in the tour, and I think this provided ample preparation. I finally left the IWM by walking back to a different tube station and only getting slightly lost, onwards to Oxford Street to ...
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Ok so jet lag is hitting me...woke up at 7:30, and just could not get out of bed, so gave myself an extra hour...definitely paid for that hour later!! But once I got out in the fresh air my body forgot it was only 6am! And now as I write this, it's almost midnight & I'm wide awake... Today was another busy day! A lot less tube & a lot more walking (and getting lost and/or sidetracked...lol). First stop? Churchill War Rooms. The station I was told to get off at ...
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Jørgen Rasmussen is a member of the Danish web localization teem, and he should have access to commit Danish translations to SVN.
E-mail: firstname.lastname@example.com
LCAP account: Already exists, see bug 435672
SSH key: Not needed (The request is for SVN access, not Mercurial)
Committer's Agreement: Will be sent by Jørgen shortly
Vouchers: I am not sure what is needed, as the Mozilla Commmit Access Policy page does not state this for L10N access. CC'ing Pascal, as he should know.
Committer's Agreement sent
For what it's worth, I can vouch for Jørgen, being a member of the Danish localization team ;-D
I vouch for Jørgen as :)
I have received Jørgen's Committer's Agreement.
Moving to server-ops, Jørgen needs to be added to the LDAP @localizers group
raising priority, we need Jørgen to be operational as soon as possible so as remove some load on Jesper's shoulders :)
added to the localizers group.
I am reopening this bug.
My password for my LDAP account is invalid or expired. Please send new password.
reset password and emailed.
Jørgen received the password reset email, but the linked website at https://ldap.mozilla.org/passwordreset/ did not accept the password in the mail.
The LDAP account is an old account, and it hasn't been used since the stage servers stopped requiring login. Maybe the account has been disabled. Can you check that?
Try the password reset link. I made a change to your ldap account.
Problem solved.
Thank you to everyone.
Jørgen did his first commit today, closing


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© Copyright 2017 Da Lee La. All rights reserved.
Status: Finished
Genre: Young Adult
oH SIGH , yes so far, far away...........Would that every man could be a Magic Man for every hopeful, bright eyed young woman..........sigh!
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Gonna check out more of your stuff...
Short Story / Young Adult
Poem / Romance
Poem / Romance
Paste the link to picture in the entry below:
Paste the link to Youtube video in the following entry:
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text:
My first time covering the Paris menswear collections. Act One: a briefing from my editor, who tells me which shows I should go to. She does not, however, inform me of a couple of essential items every catwalk watcher should have.
First, a pair of dark glasses. Like me, you probably imagined that fashion folk hide behind shades because they think they look cool and glam. I can now reveal, however, that it is so they can fall asleep without anyone noticing. The eyelids of one famous editor (who shall be nameless) were shut for a good 20 seconds during one particularly boring show and I discovered that this is not an infrequent phenomenon. Two other friends admitted to nodding off during shows. Italian designer, Ilario Mori, astutely made sure it did not happen during his. His models paraded around with ghettoblasters, which sporadically blared out the ringing of alarm clocks.
Second, a pair of trainers. As the collections are scattered in various different locations around Paris, the French fashion people who coordinate them lay on buses to shuttle you about. However, for particularly popular shows, there are not always enough seats for everyone. The only way to guarantee you get one is to sprint. Hence, the almighty stampedes at the end of every show. Women who insist on tottering about in stilettos end up getting firmly acquainted with the Paris Metro system.
As the shows go along, there are also various other things you pick up. For example, a certain number of freebies. This season, designers decided that pocket lamps embossed with their logo were the thing to give. I am now very stylishly armed for the eventuality of a power cut courtesy of Dries Van Noten and W<. Then, you soon realise that the shows are as much about the spectacle as the clothes.
At Lanvin, there was a bit of unscheduled animation when a group of French unemployed protested by throwing bits of paper from a balcony. A live Celtic band provided the music for John Rocha's show and Yohji Yamamoto caused a stir by sending out women to model his menswear collection. Vivienne Westwood (below left) stomped around in ever-increasingly high platform shoes. Her husband Andreas watched Ms Westwood's modelling debut dressed in orange leather jacket and matching pedal pushers. Charlotte Rampling looked heavenly and as Ines de la Fressange swept by, a couple of her besotted compatriots groaned breathlessly: "Ooooh ... She doesn't walk. She glides!" The clothes themselves were slouchy and surprisingly plain.
However, the best entertainment - as always - was provided by Belgian designer, Walter van Beirendonck for his label W< (Wild and Lethal Thrash). In a huge hangar, he sent out nearly 200 models, the youngest of whom must have been four years old. After they had all weaved their way through 15 long lines of benches, the large yellow curtain at the front was drawn back to reveal a decor worthy of the best fairly tale. The models were perched on clouds, glistening branches and flowers whose petals burst open. The effect was magical, as were many of the designer's clothes.
If Van Beirendonck's show was the most fun, the most hyped was that of his former assistant Raf Simons. A year ago, Simons had the fashion world reaching for superlatives with a collection inspired by school uniforms, which was original, hip and exquisitely cut. This time, as a few hundred people jostled each other outside the Moulin Rouge to get into his show, a couple of friends said it reminded them of the frenzy around Jean-Paul Gaultier's shows in the Eighties. At one of those, a dog was apparently trampled to death. I suppose that's what you would call a canine fashion victim.
Unfortunately, this time round, Simon's show proved unconvincing. The plain black shirts and trousers, endless three-quarter-length woollen coats and cobweb knits looked decidedly retro and it was a shame to see such an undeniable talent being wasted. Lesser-known names which did impress were the American label, Arckitoure, which showed tight-fitting ribbed knits and the most exquisite trousers of the week, featuring fine detailing - bias-cut pockets and narrow legged trousers with slits at the back of the hems - in a show set in the sumptuous salons of an 18th- century townhouse. Another success was the Dutch label So by Alexander van Slobbe, whose subdued collection included T-shirts with barely visible maps of Holland appliqued on to them and impeccably tailored jackets.
Sharp tailoring was one of the themes which ran throughout the collections, along with fur collars and murky colours. This May, Paul Smith plans to open a bespoke service in his new store on Westbourne Grove and in Paris; he showed a collection which oozed quality. Entitled "Memories of a more Gracious Time", it was inspired by the Edwardian period and featured tweeds, rich velvets and bird prints. There was also some wonderful attention to detail, with hand-stitching, intricate linings and elaborate embroideries.
Dries Van Noten's collection was as usual informed by ethnic influences and included lots of layering - quilted jackets under knits, knee-length zipped cardigans and coats whose fabrics changed colour at the edges. He showed in a former market, but the three finest collections were all presented in artistic venues. There was one word for the collection Hermes showed in the Jeu de Paume museum - impeccable. The colours were a subtle mix of browns, greys and navies, the fabrics divine and the cut of the clothes irreproachable. Kenzo's collection was his best in ages. He took his inspiration from the Middle East and covered his models' faces with Arabic calligraphy. There were some sublime colour combinations of deep burgundies, dark aubergines and rich purples. Long shirts were layered under rich knits and jackets, and the designer also tried his hand at simple wraparound skirts worn over trousers.
Skirts were also revived at Comme des Garcons, whose collection was in a class of its own. The theme was "Outside/Inside" and designer Rei Kawakubo put the inner seams on the outside of thick wool and felt suits to beautiful effect. Collars were stitched into the inside of shirts and khaki cotton trousers rolled up to the calves were worn over longer salmon pants. As for the skirts, they came in two varieties - long draped apron skirts worn over pants and short pleated minis, which were actually a panel of fabric attached to the trousers.
Final act: my editor asks me to write my dream shopping list for autumn/winter 98. Up there near the top would be a pair of flat-fronted pants with bias pockets from Arckitoure, a 100 per cent chenille pullover in brown, petrol blue, khaki, Bordeaux and mustard from Kenzo and just about everything in the Comme des Garcons collection ... mmm, well maybe not the skirts.
Corporate clones, City+
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Cast: Boman Irani, Minissha Lamba, Ravi Kishan, Sameer Dattani, Sammir Dattani
Producer: Mahesh Ramanathan, Raj Pius
Director: Shyam Benegal
Writer: Ashok Mishra
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Storyline: Well done abba is a 2010 political satire hindi film directed by shyam benegal, starring boman irani, minissha lamba and sameer dattani in pivotal roles. it is the remake of the 2007 marathi film, jau tithe khau. it was based on three short stories: narsaiyyan ki bavdi by jeelani bano, phulwa ka pul by sanjeev and still waters by jayant kripalani. the screenplay was written by jayant kripalani and ashok mishra, who also wrote the dialogues.
Cast overview


text:
The real world supposedly exists outside the campus bubble. It's filled with strangers of different ages, backgrounds, expectations and demands. If the real world can be a place of great opportunity, it can also be unforgiving. There is no grading on a curve.
Most college students are all too aware of the differences between the real world and the lives they lead. That's what makes the growing push among some students for trigger warnings in classrooms so troubling.
Trigger warnings, according to the Urban Dictionary, are intended, "to alert people when an internet post, book, article, picture, video, audio clip, or some other media could potentially cause extremely negative reactions (such as post-traumatic flashbacks or self-harm) due to its content."
At the University of California, Santa Barbara, students recently passed a resolution that trigger warnings be posted for classes using materials dealing with "rape, sexual assault, abuse, self-injurious behavior, suicide, graphic violence, pornography, kidnapping, and graphic descriptions of gore."
The resolution was proposed by a student, who was herself a victim of sexual violence. She said a movie depicting rape, screened by a teacher without advance warning in one of her classes, caused her to have a post-traumatic stress reaction.
Her proposal was intended to protect other students.
Across the country, a Rutgers student, Philip Wythe, echoed this desire, writing in his college newspaper that trigger warnings can help make the classroom a "safe space."
At first blush it is easy to dismiss the call for trigger warnings as yet another PC campus indulgence. A misguided attempt to keep the real world at bay.
But that world keeps crowding in - and it's twisted. As reported in Not Alone, the first White House Task Force report on sexual violence on American college campuses, one of every five collegiate women has been the victim of sexual assault. In most cases, the perpetrators are men these women already know. Too often,these crimes go unpunished.
Now combine this slice of campus life with that laundry list assembled by the students at UC Santa Barbara, the one ending with "graphic violence, pornography, kidnapping, and graphic descriptions of gore."
In other words, the primetime cable menu for any night of the week.
Sexualized violence is our version of the ol' soft shoe: it's what we call entertainment. Given the casual ubiquity of this stuff, it's no wonder, first, that the number of victims reported among us keeps growing and, second, that more and more of us (and not just college students) will go for a safe place wherever we can find it.
Trigger warnings, of course, are no solution for the deep cultural dysfunction that ails us. They're like a white flag hoisted by students who have already felt enough of the real world to know it needs fixing.