text:
It is time that you learned more about how DUO FELICE can help you find a talented Dance Band for your next event. Call now for more info.
Sherry Finzer Professional Flutist
Having a Chamber Ensemble for your event should be easy. At Sherry Finzer Professional Flutist in Phoenix, we make sure it is nice and simple.
Rebecca De La Torre
Are you hosting an upcoming event? If you want to have great entertainment, talk with Rebecca De La Torre about Singer / Vocalist.
John Briggs
The experience we have in Phoenix will make it easy to find a Singer / Vocalist that's right for you. Talk with John Briggs soon.
dUO VibrAtO Professional String Mus...
dUO VibrAtO Professional String Musicians works hard in order to provide clients with exceptional Keyboardist for their parties. What can we do for you?
SoSco Flute Guitar Duo of Phoenix
We at SoSco Flute Guitar Duo of Phoenix can provide you with the stellar Chamber Ensemble to make your party perfect. Contact us today for more info.
Arizona Best Entertainment Company
A fine option for improving the wow factor of your party is to hire a good Flutist for the entertainment. Talk with Arizona Best Entertainment Company.
Lisa Rae Eisenman Music
To throw a great event, you need a great Steel Drum Band as entertainment. At Lisa Rae Eisenman Music, we can make sure you get the best in Phoenix.
Sonoran Brass Quintet
Sometimes, all it takes to make your party better is the right Solo Cellist. Let Sonoran Brass Quintet help you find the perfect musical talent.
Renee Saxon Music Ltd
You need more than competent entertainment; you need the best. Make sure you choose Renee Saxon Music Ltd for help finding a Flutist.
Spectacular Entertainment
Our musicians provide you with the entertainment your event in Phoenix needs. Spectacular Entertainment is ready to help you right now.
Angelito Classical Guitar
Angelito Classical Guitar is very excited to help you when you are looking for a fantastic Jazz Band for your next event.
harps for all Occasions
Our company in Phoenix wants to help you have the best event possible. At harps for all Occasions, we have professionals that will make your gathering perfect.
A 90's Band is a fine way to improve your party. In Phoenix, you need to make sure that you talk with CAROLE PELLATT AND BONEYARD.
There is an easier way to find a Country Band for your event than scouring the web and the phonebook. Simply get in touch with DokandGal.
Guitar Entertainment Unlimited
Guitar Entertainment Unlimited will make sure your next event is perfect. We can help you get the Top 40 Band you need for the party.
The addition of a lively Singer / Vocalist to your event can make all the difference. Working with CHUCK E BABY AND THE ALLSTARS in Phoenix will help.
Sun Valley Productions
Finding a high quality Mariachi Band with the talent you need is much easier when you start working with Sun Valley Productions. Call now for details!
Memphis Men
Learn what Memphis Men has to offer when it comes to providing you with the best Country Band for your next event.
The right 80's Band can save your party, so make sure you only work with the best. Swingtips can help you.


text:
Here is something to jock about! This newest jockstrap design is part of the Hard Core collection exclusively by GO SOFTWEAR intended for men NOT boys. The outer pouch of...
View full product details >
Sign up to get the latest on sales, new releases and more.
© 2017 Go Softwear / American Jock

subset: commoncrawl


text:
Compact design with up to 23-mile range. With weather alerts be prepared for storms and emergencies with built-in NOAA radio receiver. Voice-activated (VOX) transmission frees hands for other tasks. Five selectable tones will distinguish between different parties for incoming calls. A total of 2662 channel combinations are available when the 22 channels are combined with the 121 privacy codes (38 CTCSS/83 DCS). These combinations prevent interference from other radios. The pair of radios also includes rechargeable batteries and a micro-USB charging cable.The pair of radios also includes rechargeable batteries and a micro-USB charging cable. May also be used with AA alkaline batteries.
General Features:
© OnlineCarStereo.com 2017 - All rights reserved. Trademarks and trade names are the property of their respective trademark holders.


text:
By (author) Gloria E. Anzaldua
Volume editor AnaLouise Keating
Introduction by AnaLouise Keating
Format: Hardback
Normal Price: $212.00
Your Price: $190.80 AUD, inc. GST
Shipping: $7.95 per order
You Save: $21.20! (10% off normal price)
Plus...earn $9.54 in Boomerang Bucks
Availability: Available, ships in 7-10 days
Interviews/Entrevistas by Gloria E. Anzaldua
Book DescriptionIn this memoir-like collection, Anzaldua's powerful voice speaks clearly and passionately. She recounts her life, explains many aspects of her thought, and explores the intersections between her writings and postcolonial theory. For readers engaged in postcoloniality, feminist theory, ethnic studies, or queer identity, Interviews/Entrevistas will be a key contemporary document.
Buy Interviews/Entrevistas book by Gloria E. Anzaldua from Australia's Online Bookstore, Boomerang Books.
Book DetailsISBN: 9780415925037
(229mm x 152mm x 23mm)
Pages: 320
Imprint: Routledge
Publisher: Taylor & Francis Ltd
Publish Date: 15-Jun-2000
Country of Publication: United Kingdom
Other Editions...
Books By Author Gloria E. Anzaldua
Interviews/Entrevistas, Paperback (June 2000)» View all books by Gloria E. Anzaldua
Gloria E. Anzaldua is often considered as one of the foremost modern feminist thinkers and activists. In this memoir-like collection, Anzaldua recounts her life, explains many aspects of her thought, and explores the intersections between her writings and postcolonial theory.
» Have you read this book? We'd like to know what you think about it - write a review about Interviews/Entrevistas book by Gloria E. Anzaldua and you'll earn 50c in Boomerang Bucks loyalty dollars (you must be a member - it's free to sign up!)
Author Biography - Gloria E. Anzaldua
Gloria E. Anzaldua is the author of Borderlands/La Frontera: The New Mestiza, Friends from the Other Side/Amigos del otro lado, and Prietita and the Ghost Woman/ Prietita y la Llorona, editor of Making Face, Making Soul/Haciendo Caras: Creative and Critical Perspectives by Women of Color, and co-editor of This Bridge Called My Back: Writings by Radical Women of Color. Anzaldua has played a pivotal role in redefining US feminisms, cultural studies, Chicano/a issues, US American literature, ethnic studies, queer theory, and postcolonial theory. AnaLouise Keating is Associate Professor of English at Aquinas College. In addition to Women Reading Women Writing: Self-Invention in Paula Gunn Allen, Gloria Anzaldua, and Audre Lorde, she co-edited Perspectives: Gender Studies and has published articles on critical "race" theory, queer theory, Latina writers, African American women writers, and pedagogy.
Facebook Page | Twitter | Google+ | Bulletin e-Newsletter | Blog | RSS
Become a Member | Book Lists | Recently Released | Coming Soon | Fast Delivery Books
Bestselling Books: Our Current Bestsellers | Australia's Hottest 1000 Books | Bestselling Fiction | Bestselling Crime Mysteries and Thrillers | Bestselling Non Fiction Books | Bestselling Sport Books | Bestselling Gardening and Handicrafts Books | Bestselling Biographies | Bestselling Food and Drink | Bestselling History | Bestselling Travel Books | Bestselling School Textbooks & Study Guides | Bestselling Children's General Non-Fiction | Bestselling Young Adult Fiction | Bestselling Children's Fiction | Bestselling Picture Books | Top 100 US Bestsellers
For: Schools | Organisations | Libraries | Publishers | Authors | Book Clubs | Bloggers | Affiliates
About Us | Contact Us | Help Desk | Security | Privacy | Terms of Use | Copyright
Phone: 1300 36 33 32 (9am-5pm Mon-Fri AEST) - International: +61 2 9960 7998 - Online Form
Address: Boomerang Books, 878 Military Road, Mosman Junction, NSW, 2088
© 2003-2017. All Rights Reserved. Eclipse Commerce Pty Ltd - ACN: 122 110 687 - ABN: 49 122 110 687
For every $20 you spend on books, you will receive $1 in Boomerang Bucks loyalty dollars. You can use your Boomerang Bucks as a credit towards a future purchase from Boomerang Books. Note that you must be a Member (free to sign up) and that conditions do apply.


text:
This page requires a MaxPreps membership account.
Don't stress... It's free and easy to setup.
The Madison Central Jaguars basketball team won Saturday's home non-conference game against Germantown by a score of 85-50.
Game Details: MADISON CENTRAL CLASSIC
In Saturday's non-league outing, the Madison Central Jaguars (Madison, MS) basketball squad overwhelmed the visiting Germantown (Madison, MS), by a margin of 85-47.
The Jaguars (1-0) will now prepare for their outing against Brandon (Brandon, MS). The Bulldogs go into the non-league outing with a 0-0 record.
The now own a 0-1 record. They take the field next when they host Ridgeland for a non-league match on Tuesday, November 8. Germantown will confront a Titans team coming off a 62-50 non-league win over Neshoba Central (Philadelphia, MS). The Titans record now stands at 1-0.
Madison Central doesn't have any videos.


text:
Talk:The Music Conservatory of Chicago College of Performing Arts
From Wikipedia, the free encyclopedia
|WikiProject Illinois
|(Rated Stub-class, Low-importance)
|WikiProject Chicago
|(Rated Stub-class, Low-importance)
POV tag[edit]
This concerns POV tag cleanup. Whenever an POV tag is placed, it is necessary to also post a message in the discussion section stating clearly why it is thought the article does not comply with POV guidelines, and suggestions for how to improve it. This permits discussion and consensus among editors. This is a drive-by tag, which is discouraged in WP, and it shall be removed. Future tags should have discussion posted as to why the tag was placed, and how the topic might be improved. Better yet, edit the topic yourself with the improvements. This statement is not a judgement of content, it is only a cleanup of frivolously and/or arbitrarily placed tags. No discussion, no tag.Jjdon (talk) 20:03, 29 April 2008 (UTC)


text: OverviewBack to top A.Vogel - A. Vogel Comfrey Cream - 1.25 oz. Item# :58996UPC# :021718421093 Brand:A.Vogel Size/Form:1.25 oz. Bioforce Comfrey Cream is an herbal skin cream containing fresh, certified organically grown extracts of Comfrey, one of the oldest healing plants. The major active ingredients of Comfrey are mucilage and allantoin. The painstaking process of extracting fresh plants guarantees the full spectrum of active ingredients. Then the Comfrey extract is combined with a moisturizing base of peanut oil to produce a cream that absorbs quickly and readily into the skin. This allows the active ingredients in the herb to begin working without leaving an oily residue on the skin. Dr. A. Vogel Formula Surpasses highest standards of German Pharmacopoeia


text:
A last-minute opponent switch at UFC on FOX 18 forced Sage Northcutt to jump to the welterweight division for the first time in his UFC career. If things continue to go smoothly, he said he might sta read news >>
Jorge Masvidal will move up to welterweight for a bout at The Ultimate Fighter 21. The veteran lightweight said the move was a long time coming.Filed under: Featured Videos, News, UFC, Videos read news >>
Former UFC lightweight champion Benson Henderson is moving up to 170 pounds to face Brandon Thatch, but don't expect him to remain at welterweight for the long haul. read news >>
Plenty of fighters have claim they'd never compete against a teammate. UFC veteran Nate Diaz is one of them, and he seems to mean it. Filed under: News, UFC read news >>
Cain Velasquez is expected to return in early 2015, but if he can't, the winner between Fabricio Werdum and Mark Hunt could lose interim designation. read news >>
Daniel Cormier has been named the new permanent cohost of FOX Sports 1's weekly UFC news program "UFC Tonight," and "DC" admits after his live debut, it's a blessing he was able to earn the gig.Filed read news >>
Top UFC light heavyweight contender Daniel Cormier has been named a permanent cohost of "UFC Tonight," officials today announced.Filed under: News, UFC read news >>
K.J. Noons is riding high after scoring a brutal 30-second knockout of Sam Stout at Wednesday's TUF Nations Finale event in Quebec City, Quebec, Canada, and it's got him thinking about the near futur read news >>
Georges St-Pierre, now a couple months removed from vacating the UFC welterweight championship, still has issues with MMA drug testing, but isn't ready to call his sabbatical a retirement. read news >>
Rodridgo Damm said he'll never fight at featherweight again after a horrific weight cut canceled his previous UFC bout. Filed under: News, Only on Junkie, UFC Tagged: Rodridgo Damm, UFC Fight N read news >>
Jon Jones has talked about eventually going up to heavyweight before, but now he appears to have a timeline and choice of opponent. read news >>
LAS VEGAS - Alexander Gustafsson's permanent smile this week has left an undeniable mark on fellow foreign UFC fighter Martin Kampmann.
While Kampmann's home country of Denmark might have a bit of read news >>
Tattoos are permanent, but apparently, so is this fan's love for Nick Diaz. He had the picture of Diaz submitting Takanori Gomi to his chest. For the rest of his life, he will tell people about D read news >>
HDNet's weekly MMA news show, "Inside MMA," makes a permanent move to a Monday time slot starting tonight.
Additionally, the long-running program now airs live.
Tonight's first Monday episode a read news >>


text:
Skip to main content
New Richmond News
UPDATE: 'I would not have expected this,' murder suspect's landlord says
SCC school board approves Clay as elementary principal
Hammond Village Board tables library repairs to get more quotes
NRHS hosts STEM Night
New library master plan tabled by council
More Topics
New Richmond
Star Prairie
Deer Park
crime and courts
WIAA Wrestling: Four local wrestlers advance to state tournament
Friday's Results: New Richmond hockey advances; New Richmond, SCC boys hoops are winners
New Richmond boys hockey opens WIAA playoffs at home on Friday
New Richmond boys basketball plays Friday at Somerset
New Richmond wrestlers send five to Saturday's Division 1 sectional meet
SCC school board approves Clay as elementary principal
NRHS hosts STEM Night
Learn 2 Love group stuffs socks with items for those in need
The Colosseum opens for business
St. Croix County 4-H opportunities
Watercolor painting class held at Hazel Mackin
Local game designer seeing success
Free March 1 seminar: How to manage medications effectively
Hazel Mackin Public Library: Experience library's redesigned collection
Somerset2017 sees first 1,000 Books Before Kindergarten graduate
More Topics
arts and entertainment
Town of Stanton - Notice of Public Meeting March 16, 2017
City of New Richmond: 3/7/17 Public Hearing Notice
17PR14 - In the matter of the estate of Mary E Kenny
17PR12 In the matter of the estate of Ricky J Borowicz
Notice to Landowners: Highway Right-of-Way Encroachments
Wilfred Maitrejean, 92
Arlen Dale Strate, 61
Culver H. "Bud" Anderson, 80
Michael J. Otto, 59
Jeanne Teske, 89
Letters to the Editor
Take the challenge: Defy gravity, if you dare
Letters to the Editor
Striving for a healthy community
City of New Richmond kicks off its comprehensive plan
More Topics
Magazine Rack
Real Estate Showcase
Print Ads
Weather Forecast
UPDATE: 'I would not have expected this,' murder suspect's landlord says
August 2, 2012
EDITORIAL: Accident serves as a reminder to stay attentive
Monday's news that four New Richmond teens were involved in a terrible accident along Interstate 94 near Hudson can take the wind out of the sails of a community. Such tragedies can also serve as a vivid reminder that driving is a hazardous venture. It appears that the sudden backup...
August 2, 2012 - 12:26pm
July 26, 2012
EDITORIAL: Celebrate our home sweet home
When it comes to vacation time, there's no place like home. According to a the annual "Best of the Midwest" survey conducted by the AAA Midwest Traveler magazine, Wisconsin is the best Midwest state to spend one's vacation. Of course, we already knew that.
July 26, 2012 - 4:45pm
July 19, 2012
EDITORIAL: Wisconsin's business image on the rise?
In a classic television commercial from the 1990s, former tennis star Andre Agassi proclaimed "Image is everything." While we wouldn't necessarily agree with the statement for every applicable situation, image does have a lot to do with a state's ability to attract and retain businesses....
July 19, 2012 - 5:12pm
July 13, 2012
EDITORIAL: Wind farm opponents face uphill battle
You can hardly blame residents in the Town of Forest who are fighting to stop the construction of a wind farm in their community. There are many cases where people living near large turbines have claimed to have suffered negative health effects due to their continuous operation....
July 13, 2012 - 4:49pm
July 4, 2012
EDITORIAL: Pack up a big picnic for July 4th
"You have to love a nation that celebrates its independence every July 4, not with a parade of guns, tanks, and soldiers who file by the White House in a show of strength and muscle, but with family picnics where kids throw Frisbees, the potato salad gets iffy, and the flies die from...
July 4, 2012 - 7:39am
June 29, 2012
EDITORIAL: Packing event took everyone's breath away
"Life is not measured by the number of breaths you take but by the moments that take your breath away." Author unknown Anyone who participated in last weekend's Feed My Starving Children mobile packing event in New Richmond certainly had their breath taken away. Inside the Community...
June 29, 2012 - 8:31am
June 22, 2012
EDITORIAL: Why won't WisDOT allow park signs?
One of the Wisconsin Department of Transportation's main objectives is to direct motorists to their eventual destination in a safe and efficient manner. That's why a recent tug-of-war with the City of New Richmond is so perplexing. The city and its Parks Board have been discussing...
June 22, 2012 - 7:21am
June 15, 2012
EDITORIAL: Feds jump into distracted driving debate
On June 7, U.S. Transportation Secretary Ray LaHood announced a proposal that would apparently increase federal efforts to stop distracted driving. Some states take distracted driving seriously and have banned texting while driving. Others have even gone as far as to ban talking...
June 15, 2012 - 10:14am
June 8, 2012
EDITORIAL: Convergence on the topic of stewardship
Stewardship is defined as the responsible oversight and protection of something considered worth preserving. A couple of recent milestones -- Wisconsin's recall election and widespread wash-outs from our near-record May rainfall -- prompt us to muse on the responsibility of stewardship. As...
June 8, 2012 - 8:04am
June 1, 2012
EDITORIAL: Need a reminder?
If you're a voter in Wisconsin, you shouldn't need to tie a string around your finger in order to remember to vote on Tuesday. But in case you're busy and have a tough time remembering that there is a recall election to decide who Wisconsin's governor will be, here's your final kind...
June 1, 2012 - 11:35am
May 25, 2012
EDITORIAL: Mending fences
In just two weeks we'll all seek reconciliation with someone. Unless, of course, you fall in that extreme minority of Wisconsinites who has no opinion about Gov.
May 25, 2012 - 12:17pm
May 18, 2012
EDITORIAL: Lines have been drawn for state's recall election
Now that the recall primary election is over, the next few weeks will be interesting as Republican Gov. Scott Walker faces a recall challenge from Democrat Tom Barrett on Tuesday, June 5. A word to the wise: brace yourself. The primary election last week found Barrett easily defeating...
May 18, 2012 - 7:17am
May 10, 2012
EDITORIAL: Trail link a mighty impressive offer
When Bill and Gail Buell offered to donate a five-acre parcel of land to the city for a future trail along the Willow River, it was welcome news for those who use New Richmond's celebrated pathway system. To safely and effectively move walkers, runners and bikers from the southern...
May 10, 2012 - 9:59am
May 4, 2012
EDITORIAL: County's air gains passing grade
May is Clean Air Month and what better time could there be to celebrate this important resource that we all need for survival. Just in time for the special month, the American Lung Association's State of the Air 2012 report was released last week. It's an interesting read. The State...
May 4, 2012 - 11:07am
April 28, 2012
EDITORIAL: Being loyal to your country
Loyalty day is coming up fast, but few people even know it's about to occur. On May 1, everyone in the United States is supposed to take a moment to recognize the freedoms we all enjoy. The idea behind the special day is that we are all to show our loyalty and love of our country...
April 28, 2012 - 8:13am
« Newer
Page 3
Older »


text:
Harpist on the 2015 GRAMMY® Award Winning Album "Winds of Samsara" (Best New Age Album)
"Beautiful music!"--United Airlines In-flight Music Service
"Anne plays what is without a doubt the finest Celtic Harp version of Stairway to Heaven ever made." -- Ian Chillag, Producer and Co-Host, NPR's "How to Do Everything" radio show,
"The Celtic harp is a wonderful instrument, and in the hands of Anne Roos, is absolutely mesmerizing." -- Corey Taratuta, co-host of the Irish Fireside Podcast
For booking information, visit Anne's website. Also, feel free to contact Anne's booking representative, Ed Miller of Wild West Communications Group at (530) 525-5201.
Anne Roos' music has flown around the world on United Airlines. Anne has played for dignitaries, such as the Lord Mayor of Dublin Ireland. And her performances at concerts, corporate events, wineries, festivals, and weddings number in the thousands. Anne Roos has played her eclectic mix of music on the Celtic harp for gazillion years.
Her live TV performances have received thousands of views on YouTube. Anne's good-natured versatility on the harp has won the hearts of TV anchors, who seem to find great delight in placing Anne in odd situations to play the harp--inside an elevator for live elevator music, and inside a shower (no water running!). When Anne asked Cody Stark, the host at Good Day Sacramento, if the station had a helicopter where she could play, he retorted, "Don't tempt me to put you on the roof of the TV station next time!"
Anne is comfortable playing the harp just about anywhere--on stage in front of large audiences and for small, intimate gatherings, such as house concerts. Not the picky diva, she can perform with a finely crafted wooden harp, or a state-of-the-art lightweight, ten-pound carbon fiber harp, which can go places that no harp could go before. "I'm waiting for someone to ask me to play harp in a hot air balloon!" she says.
Anne's love of music dates back to childhood, when her father would take her to the Hollywood Bowl to experience the L.A. Philharmonic perform their annual summer programs. "I remember those magical nights, where I'd lie my head down on my dad's lap and watch airplanes zigzag far above overhead while listening to classical music." Anne loved it so much that years later, while attending UCLA, she worked in the Hollywood Bowl Box Office as her summer job. "My favorite part of that job was spending lunch break watching rehearsals."
Here attraction to English and Celtic music blossomed as a child and young teen at the Southern California Renaissance Pleasure Fair, the nation's first Ren Faire. She sang in madrigal groups, performing period music in period costume. And then came the Celtic harp...
While employed at an incredibly stressful job, Anne serendipitously met the foremost harpist and arranger Sylvia Woods at a booth filled with little Celtic harps at a Winter Solstice Festival. "I needed an outlet. That job was driving me crazy." So, Anne signed up for a rental harp and began taking private harp lessons as a creative outlet. Next, she took music theory courses at UCLA, and Anne eventually taught music for the Los Angeles Unified School District. Anne continues to teach: She offers Celtic harp lessons to anyone in the world via Skype.
Her ability to play a wide variety of music on the Celtic harp is what sets Anne apart from other musicians. Her repertoire ranges from the expected--traditional Celtic, Early, Renaissance, folk, world and classical music--to the unexpected--modern popular music, including Broadway standards, movie themes, country, and Disney themes. Then there's the uber-unexpected tunes that often cause jaws to drop when Anne plays them: tunes by the Beatles, Metallica, Nirvana, Led Zeppelin, Sting, Lynyrd Skynyrd, and more. Her skilled renditions and flexibility make Anne a popular and much sought after musician for all types of events. She particularly enjoys being challenged with audience requests.
Anne's six commercially available albums are unique--Several of them are packaged as little books with CDs tucked neatly into the back page. She recognizes that her listeners enjoy reading about the background of the music on her CDs. Anne also collaborated with an ensemble of musicians on these albums, and she looks forward to playing with other musicians on stage. "It's fun to hear the creation of music organically, just for a specific performance. I love to see how the Celtic harp will blend with other instruments."
View Anne's ever-growing repertoire list at her website. Her CDs are also available at Amazon.com. Downloads can be found at iTunes and Amazon.com. Booking representative: Ed Miller, Wild West Promotions, (530) 525-5201.


text:
Title: Love is blind, baby
Author: silencing_sam/ prompting_sam
Pairing: Frank/Gerard
Prompt: 007. Blind
Summary: "I'm not blind, Frank. Infact, I can see very clearly."
Rating: PG-13
POV: Third
Word count: 556
Disclaimer: I do not know any member of My Chemical Romance. I do not wish to upset them. Title from the song by Scorpions, Love Is Blind.
Dedications: For ira_luxuriaand comeththegirlfor being awesome friends
Author's Notes: For the Frerard Fluff, No Sex appreciation club. I rarely attempt fluff, so hopefully you like this. Previous attempts can be found in my journal, or linked in the table, here.
Love is blind, baby
"Hey Gerard," Frank greeted as he sat down by the table.
Gerard didn't even look up from his sketch book, instead acknowledging his presence with a loud grunt. He tilted his head closer to the page, changing his angle of vision. His hand moved in swift, sharp actions, the pencil leaving faint lines, gathering together in the form of a face.
"What'cha drawing?" Frank asked, as he rested his chin on folded arms.
Gerard sighed and set his pencil down. He closed the sketch book and looked Frank straight in the eye, "It's just a person. I'm not sure who though," He hesitated, biting his lip.
"Go on," Frank encouraged.
"Okay, but promise not laugh?" At Frank's nod, Gerard continued, "I've been having a dream, like, the same one for nearly a week now. It's. I don't know how to explain it. I can hear this voice, and it's distant, really far away, but I can feel someone next to me, and I know it's him talking. I can't see him though. Not properly, he's all blurry. I can't make him out. I'm trying to draw him, see if I can figure out who he is," Gerard stopped rambling and focus on a point above Frank's left shoulder, "Go ahead, you can laugh now," He mumbled.
"Why would I laugh?" Frank actually sounded confused.
"Because it's weird? I don't know."
"I would never laugh at something as serious as love, Gerard."
"Love?" Now it was Gerard who was confused.
"Well, yes. Why else would you be dreaming about someone you know, but can't figure out. Love is blind, Gerard, it creeps up on you, you don't even realize at first, until BAM!" He smacked his hand down on the table, causing Gerard to jump, "Your sight is forever gone, along with your heart. You'll never look at another person again."
"Oh. Yeah, I guess," Gerard opened his sketch book again and went back to work. Frank took this to mean the conversation was over, and left him too it.
That night Gerard didn't sleep. He kept his eyes closed, but his mind was too active to shut down. He was contemplating Frank's idea about him being in love, but not knowing who with, when said boy climbed into his bed. His eyes stayed shut while Frank pressed the sides of their bodies together and started talking quietly. His eyes stayed shut as the image of Frank's face became clearer in his mind, starting of as a skin coloured blur, until eventually, he could make out the flecks of gold that ran through hazel eyes. His eyes stayed shut as Frank climbed out of the bed after what felt like hours, until finally, his eyes stayed shut because he was sound asleep.
"Hey Gerard," Frank greeted as he sat down by the table.
Gerard set his pencil down and gazed at his drawing. He picked the book up and held it in the air, viewing it from a different position. He grunted at Frank.
"What'cha drawing today?" Frank questioned.
"Same as yesterday," Gerard replied lightly.
"Blind love?"
"No," Gerard glanced at him, "True love." He turned the sketch book around so Frank could see his own image staring back at him.
"I'm not blind, Frank. Infact, I can see very clearly."
Frank smiled again.
Thank you for reading, comments and criticism are appreciated.
Current Mood: apathetic
Current Music: Taking Back Sunday


text:
meal planning program download QOV4 free file
== Search results for meal planning program ==
Searched file: meal planning program
*Filename: meal planning program.zip
*Year: 2015
*Total Downloads: 33757
*Uploaded: 02/17/2015 09:49:56
*Type: WinZip
*Supported OS: All
== Searches related to meal planning program: ==
02/17/2015 09:49:56
Free meal planning program and Meal Planning Tools. The ADA developed MPT concept (month of healthy meals, a meal library and recipes ) supports the diabetic diet.Diabetes and Meal Planning : This option starts the interactive multimedia tutorial, which includes questions. This option plays a self-running presentation.Meal Planning Made Simple Save time and money with weekly recipes and grocery listsFree diet tracking and meal plans. Create a diet plan, track your weight, meals and exercise. Access charts, competitions, motivational tools and more!Menu Planning and Meal Patterns Toolkit. Local education agencies are free to use the following resources. Dietary Specifications. Sodium Reference SheetHealthy meal planning and weight loss diets in Amityville, Long Island, NY . Good EATS provides weight loss diet meal plans and nutrition coaching.Mastering Meal Planning | Meal Plans. Mastering Meal Planning As women striving to serve the Lord and our families better, meal planning is a wonderful strategy to ...6/19/2014 · Information and resources on the federally mandated meal patterns, menu planning options, and meal documentation requirements for all child nutrition programs.Making a Meal Plan is the key to saving time, money and stress in the kitchen! UPDATE: I have great news to share! You can now view my Mastering Meal Planning ...The concept of planning and preparing 3 meals a day, 21 meals a week or 1,092 meals a year is pretty mind boggling when you stop to think about it.
meal planning program
== Related Links: ==
download fifa full version how to build a condensate system quantum leap book bag rhs 650 operation manual hanasaku iroha home sweet home iris johansen book list wgt624v3 download baby scrapbooking ideas and designs infant lung sounds inspiring fiction books how to make coconut infused vodka getting a book of photographs published never back down 1 user manual for htc 6800 game development series books kitchenaide coffee maker instructions keep singing song how to trade srs microsoft plus themes for win xp 150 watt full what if 2013 ac3 finnish academy of art mfa programs game mounts 2010 jelsoft enterprises ltd wol packet format ms 6716 driver county sounds radio revolte at 22h10 torrent how to catch salamence in pokemon pearl radeon x1250 512mb how to start a gun factory


text:
The Premiership has so far completed a total of 2,790 minutes – excluding stoppage time – this term and few players have managed to compete in every single second this season.
Check out our gallery above and find out the select few who haven't missed a minute of Premier League action.
No comments yet
Name (Required)
E-mail (Required)
In Partnership with US News , Football News ,
Japan News ,
Football News ,
Soccer News ,
MLB News ,
NBA News ,
Football News ,
Press Release Distribution ,
France News ,
Arsenal News ,
Aston Villa News ,
Chelsea News ,
Leicester City News ,
Liverpool FC News ,
Man United News ,
Newcastle United News ,
Tottenham News ,
Westham United News ,
Southampton FC News ,
Political News ,
Labour Party News ,
Website Templates ,
Download Wallpapers ,
Download Free Wallpapers ,
Indian Family History ,


text:
We are sorry, this product is currently not available.
Photo collage print combining multiple pieces of found quartz by Los Angeles artist Hamish Robertson. Signed and numbered by the artist as part of an edition of 100.
For more ideas check out how to create a gallery wall
Height: 20"
Width: 20"
Weight: 5lb
Color: Multi
Material: Archival etching paper
Style of Design: Modern


text:
#1,411 Phoenix Group Holdings
- Market Cap As of May 2016
- $2.9 Billion
- Industry
- Life & Health Insurance
- Founded
- 1782
- Country
- United Kingdom
- Chief Executive Officer
- Clive Bannister
- Website
- http://www.thephoenixgroup.com
- Employees
- 750
- Sales
- Headquarters
- St. Helier
Phoenix Group Holdings on Forbes Lists
- #1,411 Global 2000
- #1,643 in Profit
- #302 in Assets
Phoenix Group Holdings Ltd. is a specialist closed life and pension fund consolidator, which engages in management and acquisition of closed life and pension funds. The company operates its business through two segments: Life Assurance-Phoenix Life and Ignis Asset Management. The Life Assurance segment manages a range of whole life, term assurance and pension products. The Asset Management segment provides investment management services to the life companies within the Group and to third parties, covering both retail and institutional investors. It focuses on the maximizing economies of scale and generating capital efficiencies through internal fund mergers and other operational improvements. The company was founded in 1857 and is headquartered in St. Helier, Jersey. More »
More on Global 2000
China's Largest Companies 2016Shreya Agarwal, Forbes Staff


text:
Dynamic lactate indices as predictors of outcome in critically ill patients
DOI: 10.1186/cc10497
© Nichol et al.; licensee BioMed Central Ltd. 2011
Received: 9 May 2011
Accepted: 20 October 2011
Published: 20 October 2011
Dynamic changes in lactate concentrations in the critically ill may predict patient outcome more accurately than static indices. We aimed to compare the predictive value of dynamic indices of lactatemia in the first 24 hours of intensive care unit (ICU) admission with the value of more commonly used static indices.
This was a retrospective observational study of a prospectively obtained intensive care database of 5,041 consecutive critically ill patients from four Australian university hospitals. We assessed the relationship between dynamic lactate values collected in the first 24 hours of ICU admission and both ICU and hospital mortality.
We obtained 36,673 lactate measurements in 5,041 patients in the first 24 hours of ICU admission. Both the time weighted average lactate (LACTW24) and the change in lactate (LACΔ24) over the first 24 hours were independently predictive of hospital mortality with both relationships appearing to be linear in nature. For every one unit increase in LACTW24 and LACΔ24 the risk of hospital death increased by 37% (OR 1.37, 1.29 to 1.45; P < 0.0001) and by 15% (OR 1.15, 1.10 to 1.20; P < 0.0001) respectively. Such dynamic indices, when combined with Acute Physiology and Chronic Health Evaluation II (APACHE II) scores, improved overall outcome prediction (P < 0.0001) achieving almost 90% accuracy. When all lactate measures in the first 24 hours were considered, the combination of LACTW24 and LACΔ24 significantly outperformed (P < 0.0001) static indices of lactate concentration, such as admission lactate, maximum lactate and minimum lactate.
In the first 24 hours following ICU admission, dynamic indices of hyperlactatemia have significant independent predictive value, improve the performance of illness severity score-based outcome predictions and are superior to simple static indices of lactate concentration.
Keywordslactate hyperlactaemia dynamic intensive care unit critical illness mortality
In the critically ill, a higher admission blood lactate concentration is associated with a higher risk of death [1–8]. We recently reported that even within the current 'normal range' (< 2.00 mmol.L-1) a higher admission blood lactate concentration is associated with significantly increased hospital mortality [4], a finding which suggests that even the subtle perturbations of lactate homeostasis may be important.
An elevated blood lactate concentration (a 'static' index) at any time point must be due to an increase in its production, a decrease in its clearance, or both. Likewise, an increasing blood lactate concentration (a 'dynamic' index) must be due to increasing production, decreasing clearance, or both simultaneously [9–11]. Static derangements in lactate homeostasis during ICU stay have become established as clinically useful markers of increased risk of hospital and ICU mortality [1, 3, 4, 12]. However, dynamic indices of lactate homeostasis, which describe not only magnitude but also duration and trend over time, may be even more useful in predicting outcome. In support of this hypothesis, a number of small single centre observational studies, principally in patients with severe sepsis and septic shock, have suggested that early changes in blood lactate concentration may be useful in identifying those at high risk of death [5, 6, 13–16]. Furthermore, one interventional study (n = 348) has suggested that interventions aimed at targeting a dynamic reduction in lactate (20% per two hours for the first eight hours) in the critically ill with an abnormal admission lactate level may be associated with reduced organ failure and increased survival [17]. However, the association between dynamic changes in blood lactate concentration during the first 24 hours of ICU admission and mortality has not yet been investigated in a very large heterogeneous cohort of critically ill patients. Furthermore, to our knowledge no study has compared the ability of dynamic compared to static indices of lactate homeostasis to predict mortality in the critically ill.
To study this association, we examined the relationship between six indices of lactate homeostasis in the first 24 hours of ICU admission and both hospital and ICU mortality. Three indices were static: i) admission lactate (LACADM), ii) maximum lactate (LACMAX24), iii) minimum lactate (LACMIN24), and three were dynamic: iv) time weighted lactate (LACTW24), v) absolute change in (delta) lactate (LACΔ24) and vi) percentage change in lactate (LAC%Δ24).
Materials and methods
The data collection and data analysis for this study are part of ongoing de-identified data auditing processes across the participating hospitals, which have all waived the need for informed consent. The Austin Hospital Ethics Committee approved studies related to this database.
Study population and data sources
The study population and data sources used in this study are similar to those previously reported by us, in a previous manuscript describing lactate homeostasis in the critically ill [4]. In brief, this four-centre retrospective investigation of a prospectively gathered intensive care database enrolled patients from January 2000 to October 2004. However, in this study a minimum of two lactate values collected over the first 24 hours were necessary for inclusion into the study, with the latter criteria needed to produce both a time weighted lactate (LACTW24) and a change in lactate (LACΔ24) over the first 24 hours.
The blood lactate concentration data used for this study were stored and retrieved electronically. We obtained age, sex, use of mechanical ventilation, reason for ICU admission (surgical and non-surgical, further classified as trauma, cardiac/vascular, gastrointestinal tract, neurological and thoracic/respiratory), and Acute Physiology and Chronic Health Evaluation (APACHE) II score [18] from the electronic data repositories of each ICU, using data prospectively collected as part of the Australian and New Zealand Intensive Care Society-Centre for Outcome and Resources Evaluation (ANZICS-CORE) quality assurance program [19].
The timing of lactate measurement (Rapilab, Bayer Australia, Sydney, NSW, Australia) was at the discretion of the managing critical care team. Laboratories in the participating hospitals comply with standards of the National Association of Testing Authorities [20] and the Royal College of Pathologists of Australia [21].
Statistical analysis
The change in lactate over 24 hours (LACΔ24) was calculated by regressing lactate against time for each individual patient, with the regression slope representing the projected change over a 24-hour period. To avoid undue influence from extreme outliers, the maximal and minimal slope values were capped in accordance with Tukey [23]. Values that were found to be more than three times the interquartile range to the left of the 25th percentile or to the right of the 75th percentile were considered to be extreme outliers. This resulted in a maximum increase or decrease in slope over the first 24 hours of 5 mmol.L-1. LAC%Δ24 describes the change in lactate over a 24-hour period as the percentage change from the admission blood lactate concentration.
The primary outcomes for analysis were hospital and ICU mortality. We performed univariate analysis for comparison between groups according to hospital mortality status using chi-square test for proportions, Student t-tests for normally distributed outcomes and, otherwise, used Wilcoxon rank sum tests. We performed multivariate analysis with all available predictors of hospital mortality included in the models (gender, age, APACHE II, mechanical ventilation, surgical admission and diagnosis type). To account for changes in practice over the four-year period of the study, the patient admission date was included along with the specific hospital. To further account for surveillance bias, the number of lactate measurements collected over the first 24 hours was also included. After forcing all of the previous described variables into the multivariate model, both stepwise and backwards elimination procedures were used to determine which lactate indices could independently aid in the prediction of mortality. Six lactate indices specifically relating to the first 24 hours of ICU admission were considered: Three indices were static: i) admission lactate (LACADM), ii) maximum lactate (LACMAX24), iii) minimum lactate (LACMIN24), and three were dynamic: iv) time weighted lactate (LACTW24), v) absolute change in (delta) lactate (LACΔ24) and vi) percentage change in lactate (LAC%Δ24).
To determine if the relationship between lactate and mortality was consistent across patient subgroups and study hospitals, we examined interactions between measures of lactate and other variables in the model. To confirm that the potential relationships between lactate and mortality were linear in nature, measures of lactate were divided into quintiles and analysed as categorical variables, with quintiles chosen to provide a minimum of 1,000 patients per category. Goodness of fit was determined using the Hosmer and Lemeshow statistic. All analyses were performed using SAS version 9.2 (SAS Institute Inc., Cary, NC, USA). A two-sided P-value of 0.05 was considered to be statistically significant.
Having established which lactate variables had the strongest relationships with mortality, to then determine the true predictive capacity of these lactate variables, the data were randomly divided into two groups, with 50% of the data used as a derivation sample and the remaining 50% of the data used as a validation sample. Univariate models and multivariate models (with and without the inclusion of lactate) were constructed from the derivation sample for both hospital and ICU mortality. The prediction equations were then applied to the holdout sample and the improvement in the Area under the Receiver Operating Characteristic Curve (AUC-ROC) was recorded.
Comparison of hospital survivors vs.nonsurvivors
Non survivors
(n= 974)
(n= 4,067)
Male sex
59% (574)
62% (2,510)
APACHE II score
24.7 (8.0)
15.3 (6.7)
< 0.0001
Age (yr)
65.7 (16.0)
59.7 (18.9)
< 0.0001
Mechanical ventilation rate
84% (817)
60% (2443)
< 0.0001
Surgical patients
32% (307)
51% (2087)
< 0.0001
Diagnosis at admission
Cardiac and vascular
27% (265)
24% (979)
Thoracic and respiratory
20% (191)
18% (719)
3% (27)
8% (343)
< 0.0001
18% (175)
12% (485)
< 0.0001
Gastrointestinal tract diseases
13% (128)
21% (870)
< 0.0001
19% (188)
16% (671)
Hospital stay (days)
10 (4 to 25)
15 (8 to 30)
< 0.0001
ICU stay (days)
3.0 (2.0 to 8.0)
3.0 (2.0 to 5.2)
< 0.0001
Number of measurements
8 (6 to 10)
7 (5 to 9)
< 0.0001
LACTW24 (mmom.L-1)
2.20 (1.41 to 3.66)
1.41 (1.02 to 1.97)
< 0.0001
LACΔ24 (mmom.L-1)
-0.21 (-1.66 to 0.73)
-0.30 (-1.18 to 0.24)
-13% (-49% to 42%)
-22% (-55% to 21%)
< 0.0001
LACADM (mmom.L-1)
2.36 (1.45 to 4.29)
1.6 (1.08 to 2.49)
< 0.0001
LACMIN24 (mmom.L-1)
1.34 (0.92 to 2.16)
1.00 (0.74 to 1.31)
< 0.0001
LACMAX24 (mmom.L-1)
3.44 (1.99 to 6.20)
2.02 (1.37 to 3.20)
< 0.0001
Univariate analysis
Change in RAW (AUC-ROC) for indices of lactate homoeostasis in the first 24 hours and mortality
Hosp AUC-RAW
0.648 ± 0.014
0.700 ± 0.017
0.558 ± 0.016
0.572 ± 0.022
< 0.0001
0.534 ± 0.016
< 0.0001
0.542 ± 0.022
< 0.0001
0.694 ± 0.014
< 0.0001
0.769 ± 0.016
< 0.0001
0.705 ± 0.014
< 0.0001
0.769 ± 0.016
< 0.0001
0.682 ± 0.014
0.723 ± 0.018
LACTW and LACΔ24
0.710 ± 0.01
< 0.0001
0.763 ± 0.01
< 0.0001
Multivariate analysis
Multivariate models for the prediction of hospital and ICU mortality
Hospital mortality
ICU mortality
Odds ratio (95% CI)
Odds ratio (95% CI)
APACHE II score
1.13 (1.11 to 1.14)
< 0.0001
1.13 (1.11 to 1.15)
< 0.0001
Age (yr)
1.02 (1.02 to 1.03)
< 0.0001
1.01 (1.00 to 1.02)
LACTW24 (mmom.L-1)
1.37 (1.29 to 1.45)
< 0.0001
1.43 (1.35 to 1.52)
< 0.0001
LACΔ24 (mmom.L-1)
1.15 (1.10 to 1.20)
< 0.0001
1.18 (1.13 to 1.24)
< 0.0001
< 0.0001
< 0.0001
Mechanical ventilation
1.93 (1.52 to 2.45)
< 0.0001
2.81 (1.95 to 4.05)
< 0.0001
Admission date (decreased risk per year)
0.91 (0.83 to 0.99)
0.88 (0.78 to 1.00)
Surgical patients
0.67 (0.53 to 0.84)
0.80 (0.59 to 1.08)
Number of measurements
0.98 (0.95 to 1.01)
1.01 (0.97 to 1.04)
Female v male
0.96 (0.81 to 1.14)
0.99 (0.79 to 1.23)
Change in adjusted Area under the Receiver Operating Characteristic Curve
Hospital AUCADJ
(1) Established risk factors
0.820 ± 0.01
0.873 ± 0.01
0.822 ± 0.01
0.875 ± 0.01
0.824 ± 0.01
0.879 ± 0.01
0.825 ± 0.01
0.879 ± 0.01
0.827 ± 0.01
0.883 ± 0.01
0.831 ± 0.01
0.887 ± 0.01
0.832 ± 0.01
< 0.0001
0.886 ± 0.01
< 0.0001
0.838 ± 0.01**
< 0.0001
0.895 ± 0.01**
< 0.0001
Interestingly, when LACMIN (a static measure) was added to the models of hospital mortality, the AUC was found to increase to 0.832 ± 0.01 (Table 4). However, when we combined LACTW24 and LACΔ24 we found that this resulted in the greatest improvement in the prediction of both hospital and ICU mortality (Table 4), compared to any other combination.
Statement of key findings
In a large multi-centre, heterogeneous cohort of critically ill patients, we examined whether dynamic indices of blood lactate concentration over the first 24 hours of ICU admission were independently associated with increased risk of hospital mortality. We found that LACTW24 and the LACΔ24 were the indices of lactate homeostasis within the first 24 hours that were independently the most predictive of hospital mortality. A rising, compared to a falling, blood lactate concentration over the first 24 hours was associated with a significantly increased risk of mortality. Furthermore, for every one mmol L-1 increase in LACTW24 and in LACΔ24 the risk of hospital death increased by 37% and 15%, respectively. When LACTW24 and LACΔ24 were separately added to outcome prediction models, the AUC-ROC was found to increase significantly achieving close to 90% discrimination for ICU mortality. Furthermore, the maximal increase in AUC-ROC was achieved by the combination of both these dynamic indices (LACTW24 and LACΔ24) achieving close to 90% discrimination for ICU mortality and close to 85% discrimination for hospital mortality
Comparison with previous studies-static versus dynamic
To our knowledge this is the first demonstration that dynamic measures of lactate can be used to significantly improve the prediction of mortality in a heterogeneous cohort of critically ill patients. Moreover, both LACTW24 and LACΔ24 were positively associated with length of stay in survivors suggesting that these indices are robust and identify patients not only at high risk of mortality but also those who are at high risk of significant morbidity (data not shown). While individual dynamic measures do not outperform all the currently used static measures, the combined measure of lactate dynamics (LACTW24 and LACΔ24) could be the optimal early lactate variable to predict mortality as it can out-perform currently used static measures. This improved predictive ability may rest in the ability of this dynamic composite to assess the absolute magnitude, duration and rate of reduction of lactate derangement. Further studies are now required to confirm the clinical utility of this composite dynamic measure.
Implications for clinicians
There is much interest in finding biomarkers that can assist in the early identification of patients who are, or continue to be, at high risk of death [25]. Our findings suggest that dynamic changes in blood lactate concentration over the first 24 hours may prove useful as a widely available biomarker of increased risk of death. Interestingly, in support of this hypothesis, goal directed resuscitation in critically ill patients with septic shock improves blood lactate concentrations over its six hours of therapy [26]. Furthermore, a prospective study which targeted reductions in blood lactate concentration goals was equally effective as a strategy targeting central venous oxygen saturation [25, 27]. While our findings are in broad agreement with this association between 'physiological' normalisation of lactate and improved survival in the critically ill, further study is required before our findings should be used as a therapeutic target in mixed cohorts of patients and over varying time periods. However, clinicians confronted with a persistently abnormal blood lactate should also be aware of the fact that the absolute degree of derangement (duration and magnitude) and the rate increase of this derangement are associated with risk of death and should continue to maintain a high index of suspicion until these parameters have completely normalised.
Limitations of the study
Our study is retrospective in design and thus potentially subject to systematic error and bias. However, all the clinical and electronic data utilised were collected prospectively in a large number of consecutive critically ill patients in four ICUs, are numerical in nature and were measured independently; thus, they were not amenable to selection bias or unintended manipulation. Furthermore, 71% of all ICU patients admitted during the study period (n = 7,155) had at least two blood lactate measurements (n = 5,041) and were included in our analysis, suggesting that our findings are generalisable and can be applied to the majority of ICU patients. A number of common therapeutic interventions, such as epinephrine [28], metformin [29], nucleoside analogues in HIV [30], high-volume hemofiltration (HVHF) with lactate-buffered replacement fluids [31], can all affect lactate levels and we did not have information on their use. However, the influence of these potential confounding factors is likely to be negligible given the small numbers of patients in which these factors would have been present, in relation to the size of the cohort; although presence of these factors might alter the applicability of these results to individual patients.
While our calculation of LACΔ24 assumes that the kinetics of lactate is linear in nature, it is possible that it may follow an alternative decay profile, that is, exponential. However, we feel this pragmatic assumption does not positively bias the strength of the associations demonstrated. Furthermore, we believe that more complex modelling of lactate kinetics would obscure the take-home message for clinicians at the bedside of the association between rate of change of lactate concentration and mortality
The prognostic relevance of higher LACTW24 and LACΔ24 derives from the statistical examination of a large group of critically ill patients. Our results show that the inclusion of these variables can significantly improve the strength of predictive models of hospital mortality. This suggests that future investigators developing early prognostic models in the critically ill should consider the inclusion of these parameters (and the composite measure of both together). However, it must be noted that they should not be misused as a reliable prognostic sign in the individual patient, but in comparing groups of patients. In individual patients, higher LACTW24 and LacΔ24, however, should be considered a useful indicator pointing to the severity of illness and to superimposed complications.
Future research
These dynamic lactate findings are novel and need to be confirmed by similar studies in other countries and large heterogeneous patient populations before they can be considered to reflect a general biological principle. Ideally, these studies should be conducted prospectively with simultaneous collection of information on interventions which may affect lactate. Furthermore, given the lactate indices assessed in this study are not necessarily the first in hospital lactate measurements and may not, therefore, consider the effects of early resuscitative interventions, future prospective studies should collect all lactate measurements (that is, including the emergency department) to determine if the demonstrated relationships are also observed during this earlier period.
In addition, if these studies confirm the value of LACΔ24, then future studies could potentially focus on this marker as a surrogate endpoint to assess the success of early interventions in critically ill patients in the resuscitative period.
Future studies developing new or refining current severity of illness models in the critically ill should consider the inclusion of measures of lactate homeostasis in the first 24 hours. Our results suggest that the use of dynamic measures may result in the greatest improvement in predictive ability. In addition, it is worth noting that our study was potentially limited by having to add lactate measurements to the composite APACHE II score, rather than its component parts, and that a completely re-derived risk prediction equation that includes one or more index of lactate may further increase the predictive ability over that shown in this study.
In conclusion, higher LACTW24 and LACΔ24 blood lactate concentrations are associated with greater hospital mortality. In the first 24 hours following ICU admission, they have significant independent predictive value, improve the performance of illness severity score-based outcome predictions and are superior to simple static measures of lactate concentration. Future studies should be conducted to determine the clinical utility of the composite measure of lactate derangement (magnitude, duration and rate of correction) to predict mortality and to determine potential the utility of LACΔ24 as a future therapeutic target/trigger. While these dynamic measures do not have a routine role in daily clinical practice, clinicians should be especially alert to all patients with a persistently deranged or rapidly rising blood lactate concentration.
Key messages
Static derangements in lactate homeostasis during ICU stay have become established as clinically useful markers of increased risk of mortality.
Dynamic indices of lactate homeostasis, which describe not only magnitude but also duration and trend over time, may be even more useful in predicting outcome.
We demonstrated that higher lactate averaged over 24 hours (LACTW24) and an increasing trend in lactate concentration over 24 hours (LACΔ24) is associated with greater hospital mortality.
Furthermore, the combination of these markers out-performed all individual 'static' indices of lactate homeostasis in predicting outcome in the critically ill.
Clinicians should be especially alert in all patients with a persistently deranged or rapidly rising blood lactate concentration
Acute Physiology and Chronic Health Evaluation II
Australian and New Zealand Intensive Care Society-Centre for Outcome and Resources Evaluation
Area under the Receiver Operating Characteristic Curve
high-volume hemofiltration
admission lactate
time weighted lactate
maximum lactate
minimum lactate
delta lactate
percentage change in lactatein the first 24 hours.
No financial support was received for the collation of this article. However, AN receives a Victorian Neurotruama Initiative (VNI) Early Career Practitioner Fellowship and RB receives a National Health and Medical Research Council (NHMRC) Practitioner Fellowship.
Authors' Affiliations
- Husain FA, Martin MJ, Mullenix PS, Steele SR, Elliott DC: Serum lactate and base deficit as predictors of mortality and morbidity. Am J Surg 2003, 185: 485-491. 10.1016/S0002-9610(03)00044-8View ArticlePubMedGoogle Scholar
- Suistomaa M, Ruokonen E, Kari A, Takala J: Time-pattern of lactate and lactate to pyruvate ratio in the first 24 hours of intensive care emergency admissions. Shock 2000, 14: 8-12. 10.1097/00024382-200014010-00002View ArticlePubMedGoogle Scholar
- Khosravani H, Shahpori R, Stelfox HT, Kirkpatrick AW, Laupland KB: Occurrence and adverse effect on outcome of hyperlactatemia in the critically ill. Crit Care 2009, 13: R90. 10.1186/cc7918PubMed CentralView ArticlePubMedGoogle Scholar
- Nichol AD, Egi M, Pettila V, Bellomo R, French C, Hart G, Davies A, Stachowski E, Reade MC, Bailey M, Cooper DJ: Relative hyperlactatemia and hospital mortality in critically ill patients: a retrospective multi-centre study. Crit Care 2010, 14: R25. 10.1186/cc8888PubMed CentralView ArticlePubMedGoogle Scholar
- Meregalli A, Oliveira RP, Friedman G: Occult hypoperfusion is associated with increased mortality in hemodynamically stable, high-risk, surgical patients. Crit Care 2004, 8: R60-65. 10.1186/cc2423PubMed CentralView ArticlePubMedGoogle Scholar
- Bakker J, Gris P, Coffernils M, Kahn RJ, Vincent JL: Serial blood lactate levels can predict the development of multiple organ failure following septic shock. Am J Surg 1996, 171: 221-226. 10.1016/S0002-9610(97)89552-9View ArticlePubMedGoogle Scholar
- Weil MH, Afifi AA: Experimental and clinical studies on lactate and pyruvate as indicators of the severity of acute circulatory failure (shock). Circulation 1970, 41: 989-1001.View ArticlePubMedGoogle Scholar
- Mikkelsen ME, Miltiades AN, Gaieski DF, Goyal M, Fuchs BD, Shah CV, Bellamy SL, Christie JD: Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock. Crit Care Med 2009, 37: 1670-1677. 10.1097/CCM.0b013e31819fcf68View ArticlePubMedGoogle Scholar
- De Backer D: Lactic acidosis. Intensive Care Med 2003, 29: 699-702.PubMedGoogle Scholar
- Manikis P, Jankowski S, Zhang H, Kahn RJ, Vincent JL: Correlation of serial blood lactate levels to organ failure and mortality after trauma. Am J Emerg Med 1995, 13: 619-622. 10.1016/0735-6757(95)90043-8View ArticlePubMedGoogle Scholar
- Fall PJ, Szerlip HM: Lactic acidosis: from sour milk to septic shock. J Intensive Care Med 2005, 20: 255-271. 10.1177/0885066605278644View ArticlePubMedGoogle Scholar
- Kaplan LJ, Kellum JA: Initial pH, base deficit, lactate, anion gap, strong ion difference, and strong ion gap predict outcome from major vascular injury. Crit Care Med 2004, 32: 1120-1124. 10.1097/01.CCM.0000125517.28517.74View ArticlePubMedGoogle Scholar
- McNelis J, Marini CP, Jurkiewicz A, Szomstein S, Simms HH, Ritter G, Nathan IM: Prolonged lactate clearance is associated with increased mortality in the surgical intensive care unit. Am J Surg 2001, 182: 481-485. 10.1016/S0002-9610(01)00755-3View ArticlePubMedGoogle Scholar
- Nguyen HB, Rivers EP, Knoblich BP, Jacobsen G, Muzzin A, Ressler JA, Tomlanovich MC: Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 2004, 32: 1637-1642. 10.1097/01.CCM.0000132904.35713.A7View ArticlePubMedGoogle Scholar
- Noritomi DT, Soriano FG, Kellum JA, Cappi SB, Biselli PJ, Libório AB, Park M: Metabolic acidosis in patients with severe sepsis and septic shock: a longitudinal quantitative study. Crit Care Med 2009, 37: 2733-2739. 10.1097/CCM.0b013e3181a59165View ArticlePubMedGoogle Scholar
- Friedman G, Berlot G, Kahn RJ, Vincent JL: Combined measurements of blood lactate concentrations and gastric intramucosal pH in patients with severe sepsis. Crit Care Med 1995, 23: 1184-1193. 10.1097/00003246-199507000-00006View ArticlePubMedGoogle Scholar
- Jansen TC, van Bommel J, Schoonderbeek FJ, Sleeswijk Visser SJ, van der Klooster JM, Lima AP, Willemsen SP, Bakker J, LACTATE study group: Early lactate-guided therapy in intensive care unit patients: a multicenter, open-label, randomized controlled trial. Am J Respir Crit Care Med 2010, 182: 752-761. 10.1164/rccm.200912-1918OCView ArticlePubMedGoogle Scholar
- Knaus WA, Draper EA, Wagner DP, Zimmerman JE: APACHE II: a severity of disease classification system. Crit Care Med 1985, 13: 818-829. 10.1097/00003246-198510000-00009View ArticlePubMedGoogle Scholar
- ANZICS: Modified APACHE III Admission Diagnosis[http://www.anzics.com.au]
- National Association of Testing Authorities[http://www.nata.asn.au]
- RCPA manual In The Royal College of Pathologists of Australasia. Fifth edition. Sydney: The Royal College of Pathologists of Australasia; 2009.
- Finney SJ, Zekveld C, Elia A, Evans TW: Glucose control and mortality in critically ill patients. JAMA 2003, 290: 2041-2047. 10.1001/jama.290.15.2041View ArticlePubMedGoogle Scholar
- Tukey J: Exploratory Data Analysis. Reading, MA: Addison-Wesley; 1977.Google Scholar
- Levy B, Sadoune LO, Gelot AM, Bollaert PE, Nabet P, Larcan A: Evolution of lactate/pyruvate and arterial ketone body ratios in the early course of catecholamine-treated septic shock. Crit Care Med 2000, 28: 114-119. 10.1097/00003246-200001000-00019View ArticlePubMedGoogle Scholar
- Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M, Early Goal-Directed Therapy Collaborative Group: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345: 1368-1377. 10.1056/NEJMoa010307View ArticlePubMedGoogle Scholar
- Yang CS, Qiu HB, Huang YZ, Xie JF, Mo M, Liu SQ, Yang Y: [Prospective research on the prognosis of septic shock based on the change of lactate concentration in arterial blood]. Zhonghua Wai Ke Za Zhi 2009, 47: 685-688.PubMedGoogle Scholar
- Jones AE, Shapiro NI, Trzeciak S, Arnold RC, Claremont HA, Kline JA: Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA 2010, 303: 739-746. 10.1001/jama.2010.158PubMed CentralView ArticlePubMedGoogle Scholar
- Myburgh JA, Higgins A, Jovanovska A, Lipman J, Ramakrishnan N, Santamaria J, CAT Study investigators: A comparison of epinephrine and norepinephrine in critically ill patients. Intensive Care Med 2008, 34: 2226-2234. 10.1007/s00134-008-1219-0View ArticlePubMedGoogle Scholar
- Chang CT, Chen YC, Fang JT, Huang CC: Metformin-associated lactic acidosis: case reports and literature review. J Nephrol 2002, 15: 398-402.PubMedGoogle Scholar
- Falco V, Crespo M, Ribera E: Lactic acidosis related to nucleoside therapy in HIV-infected patients. Expert Opin Pharmacother 2003, 4: 1321-1329. 10.1517/14656522.214.171.1241View ArticlePubMedGoogle Scholar
- Cole L, Bellomo R, Baldwin I, Hayhoe M, Ronco C: The impact of lactate-buffered high-volume hemofiltration on acid-base balance. Intensive Care Med 2003, 29: 1113-1120. 10.1007/s00134-003-1812-1View ArticlePubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


text:
Icecat: syndicator of product information via global open catalog with more than 3857100 data-sheets 14604 brands – register (free)
Add to compare Don't compare
The general trademark of a manufacturer by which the consumer knows its products. A manufacturer can have multiple brand names. Some manufacturers license their brand names to other producers.Philips
Product family:
The product family is a generic trademark of a brand to indicate a very wide range of products, that can encompass multiple categories. We include product family in the Icecat product title.GoGear
Product name:
Product name is a brand's identification of a product, often a model name, but not totally unique as it can include some product variants. Product name is a key part of the Icecat product title on a product data-sheet.Flash audio player SA1350/02
Product code :
The brand's unique identifier for a product. Multiple product codes can be mapped to one mother product data-sheet if the specifications are identical. We map away wrong codes or sometimes logistic variants.SA1350/02
EAN/UPC code :
European Article Number (EAN) and Universal Product Code (UPC) are better known as the barcode on a product's packaging to uniquely identify a product in a shop or logistic process. One product data-sheet can have multiple barcodes depending on logistic variations such as packaging or country.8712581327286
Category :
MP3s are ways of compressing digitally-stored music and is the Internet-used standard. MP4s can be used to compress various types of data including music and video. MP3/MP4 players are small portable devices used to playing back music files. MP3/MP4 players are extremely small and most of them have no moving parts.MP3/MP4 players
Data-sheet quality: created/standardized by Icecat
The quality of the product data-sheet can be on several levels:
only logistic data imported: we have only basic data imported from a supplier, a data-sheet is not yet created by an editor.
created by Philips: a data-sheet is imported from an official source from a manufacturer. But the data-sheet is not yet standardized by an Icecat editor.
created/standardized by Icecat: the data-sheet is created or standardized by an Icecat editor.
only logistic data imported: we have only basic data imported from a supplier, a data-sheet is not yet created by an editor.
created by Philips: a data-sheet is imported from an official source from a manufacturer. But the data-sheet is not yet standardized by an Icecat editor.
created/standardized by Icecat: the data-sheet is created or standardized by an Icecat editor.
Included since: 21 Feb 2007
The date Icecat noticed for the first time that this product was included in the price list of a channel partner
Info modified on: 30 Sep 2016 16:54:58
The date of the most recent change of this product data-sheet in Icecat.
Product views: 13917
This statistic is based on the 66720 using ecommerce sites (eshops, distributors, comparison sites, ecommerce ASPs, purchase systems, etc) downloading this Icecat data-sheet since 21-02-07 Only sponsoring brands are included in the free Open Icecat content distribution as used by 64984 free Open Icecat users .
Long product name Philips GoGear Flash audio player SA1350/02:
The short editorial description of Philips GoGear Flash audio player SA1350/02Wear it and flaunt it. With MP3 and WMA. 1GB*.
Marketing text Philips GoGear Flash audio player SA1350/02:
The official marketing text of Philips GoGear Flash audio player SA1350/02 as supplied by the manufacturerStep out in style with your MP3 and WMA music on the radiantly chic GoGear SA1350 1GB*. Transfer Music and data or recharge via direct USB.
- Your music, your data - on the go, everyday
- Ready to wear, Ready to go
- Easy, intuitive music experience
Short summary description Philips GoGear Flash audio player SA1350/02:
This short summary of the Philips GoGear Flash audio player SA1350/02 data-sheet is auto-generated and uses the product title and the first six key specs.Philips GoGear Flash audio player SA1350/02, Flash-media, OLED, 128 x 64 pixels, 3.5 mm, 8 - 320 Kbit/s, 5 - 192 Kbit/s
Long summary description Philips GoGear Flash audio player SA1350/02:
This is an auto-generated long summary of Philips GoGear Flash audio player SA1350/02 based on the first three specs of the first five spec groups.Philips Flash audio player SA1350/02, GoGear. Player media type: Flash-media. Display: OLED, Display resolution: 128 x 64 pixels. Headphone connectivity: 3.5 mm. MP3 bit rates: 8 - 320 Kbit/s, WMA bit rates: 5 - 192 Kbit/s, WMA sample rates: 8, 11.025, 16, 22.050, 32, 44.1, 48 kHz. USB 2.0 ports quantity: USB 2.0
This is a demo of a seamless insert of an Icecat LIVE product data-sheet in your website. Imagine that this responsive data-sheet is included in the product page of your webshop. How to integrate Icecat LIVE JavaScript.
Firmware upgradeable
Player media type*
Total storage capacity*
The total amount of data that can be stored on the device.
The description of display that can includes display type, resolution, size etc.
Display resolution
The number of distinct pixels in each dimension that can be displayed. It is usually quoted as width × height, with the units in pixels: for example, "1024 × 768" means the width is 1024 pixels and the height is 768 pixels. The higher the number of pixels, the sharper the image.
128 x 64 pixels
Product has a built-in light source for its illuminating.
Display number of lines
The amount of lines in the display.
Headphone connectivity*
How headphones connect to a device e.g. wirelessly or via a cable and connector.
3.5 mm
Signal-to-Noise Ratio (SNR)
This is the ratio of signal intensity to noise intensity.
85 dB
MP3 bit rates
8 - 320 Kbit/s
WMA bit rates
5 - 192 Kbit/s
Frequency range
The lowest and the hightest frequencies that can be inputted/produced.
30 - 18000 Hz
WMA sample rates
8, 11.025, 16, 22.050, 32, 44.1, 48 kHz kHz
Equalizer modes
FM radio*
Frequency-modulated (FM) radio gives the clearest reception of any radio band. When used with a headset, it delivers stereo-like sound.
Ports & interfaces
USB 2.0 ports quantity
Number of USB 2.0 ports (connecting interfaces) in the device. USB 2.0 was released in April 2000 (now called "Hi-Speed"), adding higher maximum signaling rate of 480 Mbit/s (effective throughput up to 35 MB/s or 280 Mbit/s), USB 2.0 ports are usually black.
Continuous audio playback time*
Number of hours on average for continuous play. This is dependent on the device battery capacity.
10 h
Battery technology*
The type of battery in the device, e.g. nickel–cadmium (NiCd).
Lithium Polymer (LiPo)
Battery capacity
A measure of the charge stored by the battery. Determined by the mass of active material contained in the battery.
300 mAh
Battery recharge time
Approximate time required to recharge the battery from completely empty to completely full
4 h
System requirements
Minimum RAM
The lowest RAM (memory) required to run a computer program or operating system.
Minimum processor
The lowest speed that the computer processor can run at, or the minimum amount of processing capacity that can be used, for the computer and particular program(s) to function.
Pentium II or better
Video card required
Optical drive required
Weight & dimensions
Weight *
Weight of the product without packaging (net weight). If possible, the net weight is given including standard accessories and supplies. Please note that sometimes the manufacturer leaves out the weight of accessories and/or supplies.
40 g
Height *
The measurement of the product from head to foot or from base to top.
80.5 mm
Depth *
The distance from the front to the back of something.
15 mm
Width *
The measurement or extent of something from side to side.
31.5 mm
Packaging data
Package type
The type of product package e.g. box.
Other features
Minimum hard disk space
The minimum hard disk space required to store or run a computer program or operating system.
Dimensions (WxDxH)
Dimensions of the product (Width x Depth x Height).
31.5 x 80.5 x 15 mm
Music memory capacity, MP3
Up to 250 tracks (128 kbps)*
Compatible operating systems
List of desktop operating systems tested as compatible with this product.
Windows Me, 2000 or XP
Battery type
Description of battery supplied with the product, such battery form factor (e.g. AA/AAA).
Lithium Polymer
The different activities/purposes of the device.
Keypad lock
USB port
Universal Serial Bus (USB) is an industry standard developed in the mid-1990s that defines the cables, connectors and communications protocols used in a bus for connection, communication, and power supply between computers and electronic devices. USB was designed to standardize the connection of computer peripherals (including keyboards, pointing devices, digital cameras, printers, portable media players, disk drives and network adapters) to personal computers, both to communicate and to supply electric power. It has become commonplace on other devices, such as smartphones, PDAs and video game consoles. USB has effectively replaced a variety of earlier interfaces, such as serial and parallel ports, as well as separate power chargers for portable devices.
Output power
2 x 5 mW (16 Ohm)
Internal memory type
The type of internal memory such as RAM, GDDR5.
USB cable
Music memory capacity, WMA
Up to 380 tracks (64 kbps)*
Audio card required
Device manager
Firmware Manager


text:
Safe Online Payments
|Bus Operator
|Last Bus
|Yamani Travels
Martur to Tirupathi Bus Service
|Number of buses :
|Starting Fare :
Martur to Tirupathi Bus Distance
|Time taken :
|5 hours 17 mins
|Total operators :
Long journey by bus from martur to tirupathi is made effortless by redBus, one of the eminent bus ticketing platform fulfilling most of the travel requirements. Numerous operators run their buses in this route creating ample amount of convenience for many people in India. Secured online ticket reservation process and easy booking techniques help every traveler to undergo smooth booking.
If you are also looking for return checkout, please ensure to checkTirupathi to Martur Bus Tickets.
A number of prominent operators ply buses from martur to tirupathi ensuring punctuality and safety for its passengers. Major operators offering disparate kinds of bus services are,
Most of the buses pass through various boarding terminals in the route, a few of the many popular points are:
Most of the buses stop at several drop points in the route, a few of the many popular ones are:
Various types of buses serve from Martur to Tirupathi ensuring safety and comfort for travelers, a few buses services are:
You can now book route tickets from martur to tirupathi at redBus.in. Apply time to time redBus offers on online bus ticket booking. Make some money and memories too!
bus was stopped 5 km away from boarding point and driver said that if you come here then we will wait or otherwise will go,time is midnight 11 PM,to catch the bus i have spent another 300/- as no auto or bus available bcz of its small town that to festival time .Over all its worst experience this time....
There is no intimation about driver number.. There is nobody at travels.. It's closed.. And that travels number is other city number..if it is late and closed of travels how should we know about bus journey.. Please provide exact bus stopping address(bus stopped at others place.. We ran and catch that bus
Tirupati is one of the most sacred Hindu pilgrimage destinations of India, attracting more pilgrims than tourists to the Taj Mahal. Located in the Chittoor district of Andhra Pradesh, Tirupati is the fourth largest growing city in the state. Sitting at the foothills of the Eastern Ghats, Tirupati is home of the highly revered Venkateswara Swamy Temple dedicated to Lord Venkateswara. Tirupati is the destination to head for, if you seek to purify your soul and forge a connection with God himself. Besides the Venkateswara Swamy Temple there are plenty of other temples that form the local attractions of the region.


text:
Top Definition
That one noob on warhawk who spends his entire game inside a rocket turret because he sucks balls at anything else.
guy 1: i got shot again by that stupid turret fuck
guy 2:haw haw
guy 2:haw haw
by tekkentool August 10, 2008
The Urban Dictionary Mug
One side has the word, one side has the definition. Microwave and dishwasher safe. Lotsa space for your liquids.Buy the mug
The Urban Dictionary T-Shirt
Smooth, soft, slim fit American Apparel shirt. Custom printed. 100% fine jersey cotton, except for heather grey (90% cotton).Buy the t-shirt


text:
Modern Apartment near SFO, Caltrain
- Wifi
- Gym
- Smoking Allowed
- Pets Allowed
- Breakfast
- Parking
- Swimming Pool
This is a newly remodeled spacious 800 square foot apartment with hard wood floors. Mostly new mid-century modern style furniture. Comfortably sleeps 2, but have queen size air mattress too for additional guests. Full size kitchen with updated appliances. Large windows that let in a lot of sunlight and view over trees and hills.Guest Access
Lock Box with keys that give you access to Fitness center, lounge downstairs, whole apartment, 1 enclosed parking garage spaceInteraction with Guests
Responsive via cell phone.The Neighborhood
You get an upscale and safe neighborhood with easy access to the action. There are plenty of restaurants, coffee shops, a couple bars, grocery stores (Safeway, Mollie Stones), and 24 hour Walgreens down the street. You are 10 min walking distance to Caltrain, which can take you up and down the Peninsula between San Francisco and San Jose, Gilroy.Getting Around
10 minute walk to Caltrain where you can get to San Francisco between 20-35 minutes. 7 minute drive to SFO airport 1 Caltrain stop (or 9 minute drive) to Millbrae BART station,which also takes you to SF. 5 minute walk to downtown Burlingame with lots of shopping and food options.Other Things to Note
With windows open, there is some ambient background noise from airplanes, the road, and train. There is no central heat or AC but there is a strong portable air conditioner and several other portable fans/heaters. Laundry room is on every floor, not in unit. There are normally two chinchillas who live here in a cage, but they will not be there during your stay.


text:
Is Rathfarnham Hardware incorrect or missing key business information? Update your Hotfrog listing today.
Contact details
Are these details correct?
Hotfrog Ireland provides information regarding Rathfarnham Hardware in Dublin. Rathfarnham Hardware is located at Unit 10 Rathfarnham Shopping Centre, Rathfarnham Unit 10, Dublin Dublin DUBLIN 14 and provides home improvement services. Contact them on (01) 493 1992.
Is Rathfarnham Hardware in Unit 10 Rathfarnham Shopping Centre, Rathfarnham Unit 10, Dublin Dublin DUBLIN 14 your business? Claim your listing and attract more leads by adding more content, photos and other business details.
We have more home improvement services in Dublin available on Hotfrog Ireland. You can update your search for Dublin home improvement by location, keyword or service options.
Bankhouse Centre 331 South Circular Rd Dublin
Dublin 10
35 Thomas Court Thomas St Dublin
31 Wicklow St Dublin
Small Business Hub
Sharing tips, ideas and advice to help grow your small business.
Create your free Hotfrog business profile
Follow Hotfrog on:
Share on:
Hotfrog Small Business Hub


text:
Each month, Rated People connects over 50,000 homeowners with quality tradesmen - simply enter your job details in the form above to get started.
We'll match your job to the relevant tradesmen in your area - those interested will pay to see your contact details and call you to quote.
As each tradesman expresses interest in quoting on your job, we'll send you their profile and ratings to help you choose the right one for you.
After the work is complete, return to the site and rate your tradesman based on their quality of work, reliability and value for money.
Added 11/02/2017
I need to replace a toilet and basin plus capping some pipes. I also need an outside tap.
Searching for tradespeople
Added 02/09/2016
clean up and seal joint on radiator clear blockage in toilet.
Searching for tradespeople
Added 07/08/2016
replace washer on downstairs sink tap and unblock 1st floor bath drain
Searching for tradespeople
Added 16/09/2015
Install shower We need a new replacement mixer shower unit installed in an ensuite bathroom...
Searching for tradespeople
Added 07/03/2015
*Updated Lead* Changed information:description I need a Landlord Safety Certificate for my...
Searching for tradespeople
Added 06/01/2014
Unsold lead, updated details: To supply and fit one toilet Original: Install 1 x toilet Additional...
Searching for tradespeople
Right from getting a quote from Matt he was the only choice. The detail he gave when pricing up the job was first rate. He answered all questions I had and offered great advice throughout the quote and the job itself. Weather hampered the job but he still turned up and patiently waited in the van until the rain cleared. Great communication when he was unable to turn up due to persistant rain and gales blowing. I advise all users to use Matt. The cheapest quote and excellent workmanship. Thanks Matt .
Punctual, Professional and good value, will use HEating again and recommend rated people for finding quality tradespeople.
Very impressed with work - finally I got someone who was able to diagnose & fix long-standing problem with overflow. Would definitely recommend!!
Managing your job is easier with the Rated People Homes App, download it today.


text:
Bonglab Cover Songs
Songs covered by Bonglab
The Peter Gabriel song "Games Without Frontiers" was covered by Bonglab on the album " Leaves From the Tree: A Tribute"
Bonglab songs that have been covered
None yet. Why not add a new one .
We don't have an image for Bonglab yet. Why not upload one?


text: Viewers Pissy Over Bathroom Scene Interrupting Soccer HighlightsBarry Petchesky8/12/09 8:30pmFiled to: SoccerAccidental non-pornUrophilia14EditPromoteShare to KinjaToggle Conversation toolsGo to permalink BBC1 debuted their new Football League highlight programme this weekend, and new shows can have their share of glitches. But everything was going smoothly, audio and graphics were working perfectly, until...BAM! Blonde on a toilet! Advertisement The Football League is the equivalent of minor league baseball, so I can't imagine too many people were watching the highlights of Torquay and Chesterfield. But at least a few people were shocked by the splicing in of a scene from "Blue Crush," coincidentally at the point where Kate Bosworth slides down her knickers. (Go to the 42 second mark.) It's not quite as sexy as our own accidental Super Bowl porn, or perhaps much sexier if you're into that kind of thing, you freak. But the buzz has people talking, so the Beeb could get a sizable audience next week hoping to see that scene from "Bring It On" when Gabrielle Union takes a dump on Eliza Dushku's chest. Reply14 repliesLeave a reply


text:
Christmas Wreath Monogram Canvas
Let's get started!
Regency Gold
Gold Float
Classic White
Classic Black
Modern Espresso
Modern Gold
White Float
Black Float
Walnut Float
So sorry! This item is out of stock.
Success!KEEP EXPLORING or CHECK OUT
This item has been
This item has been
added to your cart
about this piece
Nothing says Happy Holidays quite like a welcoming Christmas Wreath. Enjoy this one, painted on a creamy background and personalized with your favorite letter!
about LL canvases
- Each canvas is custom-made just for you in the US
- Professional Giclée print on museum quality cotton canvas
- Includes a matte finish UV protective coating and super easy hanging system
- Artwork ©Lindsay Sherbondy


text:
Hawaii's Professional DJ & MC company. Visit our website for an instant quote.
"Your website with planner, timeline and song selections made it very easy to communicate and is a very effective and efficient client tool. Both our families enjoy music and I'm sure you could tell that everyone thoroughly enjoyed your contribution to our day. Mahalo to you and your son."
First dance song?
How did your wedding musicians keep the party going?
Joe and his Son were great, Joe was our MC and his son was playing the music, I was a little worried at first because I wanted everyone to have a good time and the both of them ensured that we did!
DJ or Band interaction with the wedding guests? Numbers exchanged?
I explained to Joe that I didn't want a big production, we wanted our event to be classy yet fun, his style was exactly what we were looking for!
Favorite wedding reception song & dance?
Its hard to choose a favorite, my nieces loved the cupid shuffle, Gary's parents loved the oldies but I would have to say our first dance was our most memorable
Copyright © 2001-2017 OneWed Inc.
All Rights Reserved.
Copyright © 2001-2017 OneWed Inc. All Rights Reserved.


text:
To embed, copy and paste the code into your website or blog:
General Counsels, Chief Executive Officers, Chief Financial Officers, and Corporate Secretaries of U.S. publicly-traded companies across the country must take individual responsibility for the accuracy and completeness of corporate financial reports filed quarterly and annually. Under the Sarbanes-Oxley Act and Exchange Act Rules, this certification includes confirmation that the company has appropriate internal disclosure controls, which also directly or indirectly constitutes a certification of worldwide compliance with the corporate compliance obligations. By extension, they are thereby also certifying compliance with applicable laws, including the U.S. Foreign Corrupt Practices Act (FCPA). Generally, the FCPA prohibits the giving of improper gifts or bribes to government officials. It is enforced by the U.S. Department of Justice (DOJ) and the Securities and Exchange Commission (SEC), and over the last year has been the subject of over 25 prosecutions, mostly against corporate defendants. Exactly how to comply with the FCPA has long been a source of confusion, as little guidance existed explaining precisely what is required in order to ensure compliance or what standards are applied by the DOJ and SEC to determine whether a prosecution will be initiated.
On November 14, 2012, the DOJ and SEC jointly issued the guidance, entitled "FCPA: A Resource Guide to the Foreign Corrupt Practices Act." The 120-page Guide provides practical information and hypotheticals for enterprises of all sizes—from small businesses doing their first transactions abroad to multi-national corporations with subsidiaries around the world—on gray-area topics such as who is a foreign official, the treatment of gifts, travel and entertainment expenses, facilitating payments, successor liability, and third-party vetting. The Guide also contains recent examples of actual fact patterns in which the DOJ and SEC decided not to take action against companies as well as a discussion of the factors the agencies considered when choosing to pursue legal action for particular matters.
The Guide includes, among other things:
According to Grant Petersen, a shareholder in the Tampa office and a member of the firm's International Practice Group, "While the Guide does not provide any shocking revelations regarding FCPA compliance, it does provide practical examples and insights on how to implement and maintain a legally defensible FCPA compliance program and how to deal with the DOJ and SEC if and when they come knocking." On January 30, 2013, Ogletree Deakins will be conducting a webinar on "The New DOJ and SEC Guide to the Foreign Corrupt Practices Act," which will provide an in-depth discussion on how to implement an effective FCPA compliance program or revise a current FCPA compliance program to comply with the Guide. Invitations (including registration information) will be mailed in the near future.
Additional Information
If you have any questions regarding this issue, please contact a member of the firm's International Practice Group, the Ogletree Deakins attorney with whom you normally work, or the Client Services Department via email at email@example.com or at 866-287-2576.
Note: This article was published in the November 16, 2012 issue of the International eAuthority.
See more »
DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.
© Ogletree, Deakins, Nash, Smoak & Stewart, P.C.
Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
Sign up to create your digest using LinkedIn*
JD Supra provides users with access to its legal industry publishing services (the "Service") through its website (the "Website") as well as through other sources. Our policies with regard to data collection and use of personal information of users of the Service, regardless of the manner in which users access the Service, and visitors to the Website are set forth in this statement ("Policy"). By using the Service, you signify your acceptance of this Policy.
JD Supra collects users' names, companies, titles, e-mail address and industry. JD Supra also tracks the pages that users visit, logs IP addresses and aggregates non-personally identifiable user data and browser type. This data is gathered using cookies and other technologies.
The information and data collected is used to authenticate users and to send notifications relating to the Service, including email alerts to which users have subscribed; to manage the Service and Website, to improve the Service and to customize the user's experience. This information is also provided to the authors of the content to give them insight into their readership and help them to improve their content, so that it is most useful for our users.
JD Supra does not sell, rent or otherwise provide your details to third parties, other than to the authors of the content on JD Supra.
If you prefer not to enable cookies, you may change your browser settings to disable cookies; however, please note that rejecting cookies while visiting the Website may result in certain parts of the Website not operating correctly or as efficiently as if cookies were allowed.
Users who opt in to receive emails may choose to no longer receive e-mail updates and newsletters by selecting the "opt-out of future email" option in the email they receive from JD Supra or in their JD Supra account management screen.
JD Supra takes reasonable precautions to insure that user information is kept private. We restrict access to user information to those individuals who reasonably need access to perform their job functions, such as our third party email service, customer service personnel and technical staff. However, please note that no method of transmitting or storing data is completely secure and we cannot guarantee the security of user information. Unauthorized entry or use, hardware or software failure, and other factors may compromise the security of user information at any time.
If you have reason to believe that your interaction with us is no longer secure, you must immediately notify us of the problem by contacting us at firstname.lastname@example.com. In the unlikely event that we believe that the security of your user information in our possession or control may have been compromised, we may seek to notify you of that development and, if so, will endeavor to do so as promptly as practicable under the circumstances.
Except as otherwise described in this privacy statement, JD Supra will not disclose personal information to any third party unless we believe that disclosure is necessary to: (1) comply with applicable laws; (2) respond to governmental inquiries or requests; (3) comply with valid legal process; (4) protect the rights, privacy, safety or property of JD Supra, users of the Service, Website visitors or the public; (5) permit us to pursue available remedies or limit the damages that we may sustain; and (6) enforce our Terms & Conditions of Use.
In the event there is a change in the corporate structure of JD Supra such as, but not limited to, merger, consolidation, sale, liquidation or transfer of substantial assets, JD Supra may, in its sole discretion, transfer, sell or assign information collected on and through the Service to one or more affiliated or unaffiliated third parties.
This Website and the Service may contain links to other websites. The operator of such other websites may collect information about you, including through cookies or other technologies. If you are using the Service through the Website and link to another site, you will leave the Website and this Policy will not apply to your use of and activity on those other sites. We encourage you to read the legal notices posted on those sites, including their privacy policies. We shall have no responsibility or liability for your visitation to, and the data collection and use practices of, such other sites. This Policy applies solely to the information collected in connection with your use of this Website and does not apply to any practices conducted offline or in connection with any other websites.
We reserve the right to change this Policy at any time. Please refer to the date at the top of this page to determine when this Policy was last revised. Any changes to our privacy policy will become effective upon posting of the revised policy on the Website. By continuing to use the Service or Website following such changes, you will be deemed to have agreed to such changes. If you do not agree with the terms of this Policy, as it may be amended from time to time, in whole or part, please do not continue using the Service or the Website.
If you have any questions about this privacy statement, the practices of this site, your dealings with this Web site, or if you would like to change any of the information you have provided to us, please contact us at: firstname.lastname@example.com.
Already signed up? Log in here
Back to Top
Explore 2016 Readers' Choice Awards
Copyright ©


text:
Shop By Vehicle
For the most accurate results, search by your VIN (Vehicle Identification Number).
We cover all GMC parts and accessories. Our complete catalog includes details for Genuine OEM GMC parts we carry. Our knowledgeable staff can help you locate parts easily and accurately.
Oil Filter
FILTER, Engine Oil FilterFrom $3.55
Water Pump
PUMP KIT, Engine CoolantFrom $37.97
Intake Manifold
MANIFOLD, Engine Fuel Intake ManifoldFrom $21.17
MAP Sensor
SENSOR, Computer Control SensorsFrom $22.21
Air Filter
ELEMENT, Air Cleaner IntakeFrom $5.66
Oxygen Sensor
SENSOR, Computer Control SensorsFrom $16.49
Fuel Pump
MODULE, Fuel PumpFrom $44.31
Throttle Body
BODY, Fuel Injection Air MeterFrom $92.40
Steering Wheel
WHEEL, SteeringFrom $86.33
Power Steering Pump
PUMP, Power SteeringFrom $112.16
Ignition Switch
SWITCH, Ignition SwitchFrom $19.40
Steering Column
COLUMN, SteeringFrom $215.16
GENERATOR, Engine ElectricalFrom $50.30
STARTER, Starter MotorFrom $104.01
HORN KITFrom $21.65
HEADLAMP, Capsule/Headlamp/Fog LampFrom $105.58
Window Regulator
REGULATORFrom $55.98
Door Handle
HANDLE, Door Lock Remote Control InsideFrom $7.68
Body Control Module
MODULE, Body Multifunction Electric ComputerFrom $77.60
Door Lock Actuator
ACTUATORFrom $65.43
Instrument Cluster
CLUSTER, Instrument Panel GageFrom $128.33
A/C Compressor
COMPRESSOR KIT, Air ConditioningFrom $195.16
Blower Motor Resistor
RESISTORFrom $40.06
ANTENNA, Radio AntennaFrom $20.76
RADIATOR, RadiatorFrom $119.81
Coolant Reservoir
TANK, Engine Coolant RecoveryFrom $33.57
Crankshaft Pulley
PULLEY, Engine Crankshaft And Camshaft BalancerFrom $29.58
Fan Clutch
CLUTCH, Engine Air Cooling FanFrom $108.58
Brake Pad
PAD KIT, BrakeFrom $59.00
Brake Booster
BOOSTER, Hydraulic Power Brake BoosterFrom $89.00
Brake Calipers
CALIPER, Wheel Brake Cylinder/CaliperFrom $10.82
Brake Master Cylinder
M/CYLFrom $78.34
The GMC Sierra exterior body is quite unique. With its large truck body, its door is built to match the passenger and drivers comfort. Every GMC Sierra part used on the vehicle provides both versatility and comfort to the owner and passengers. Parts such as the emblem were redesigned in order to accommodate the sizing.
The GMC Sierra electrical system was built tougher than any other vehicle. By comprising both its original wiring and adding other GMC Sierra parts onto its current relay wiring. GMC was able to increase both the wirings density and reliability. The ignition switch on the vehicle is located within the engine component.
The emissions system on the GMC Sierra is made up of three major parts. This includes the headers that run from the engine, to the catalytic converter and to the oxygen sensor. All of which are major components within the emissions system. Each of the GMC Sierra parts used on the vehicle is backed by their emissions warranty.
The chassis on the Sierra is similar to the Silverado. However its more luxurious trim made the vehicle heavier. With this increase in weight, GMC had to update their braking systems. So the replacement of the brake pads took place, also replaced was the brake rotors and the calipers. Replacing these GMC Sierra parts greatly benefit the vehicle.
Select year for your GMC Sierra Parts: