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iMovie and Garage Band make leap to iPadPocket-lint
With the inclusion of front- and rear-facing cameras on the iPad 2, it makes complete sense that Apple has chosen its launch to also introduce a tablet version its own film editing application iMovie for the first time. It has also brought the much-sought after Garage Band to the device.
The video editing software, iMovie, which features as part of the iLife package for Macs, has been enhanced for use with the iPad's touchscreen. It also features the company's precision editing system, multitrack audio recording, new themes specific to this version, AirPlay support - to stream video to an Apple TV, and is universal, so can be used on iPhone 4 or the latest generation of the iPod touch too.
According to Apple's iMovie page, the new universal iMovie application for iOS will be compatible with the iPad 2, iPhone 4, and fourth-generation iPod touch, but not the original iPad.
Fans of Garage Band have been yearning for an iPad version of the successful music-making software for some time - with many believing that it was going to be announced earlier in the year, when Apple sent out a teaser picture of a guitar on an earlier invite. However, it's now available for human consumption, and while it's more specialised than iMovie, it still makes music recording more fun and accessible.
It features a variety of touch instruments, including a grand piano, organ, guitars (both lead and bass), and drums. There's amps and effects for the guitars, or if you want to plug in an external instrument.
There's up to eight tracks available to record on and 250+ loops to use in mixes, allowing people with no musical talent to create stings and full musical pieces. You can even email the AAC version of a song from within the app, and it's fully compatible with the Mac version.
Both iMovie and Garage Band for iPad will cost $4.99 on the App Store (in the US) and will be available from 11 March, when the iPad 2 goes on sale in the States.
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There are regular office Oscar pools, and then there is the Vogue-office Oscar pool. Five of the magazine's editors to weighed in on what each Best Actress nominee should wear on the big night, choosing, of course, from the splendid array of looks that came down the spring runways. -Vogue.com
Vogue.com's Related Links:Vogue's 100 Under $100...This Week's Top 10 Best Dressed Celeb...Lady Gaga's Best Dressed Moments...Vogue's Guide to Spring 2011

subset: commoncrawl


text:
Here I am,
On this humble stature,
To write to you,
To write so the world can see,
I can't escape this pain,
I know what i wanna do,
And it's to serve you,
I have poured my heart open,
And yet you think I'm staying closed,
This ground is where I belong,
With the pain of the world surrounding me,
I feel like this war will never end,
Until I put myself in the warpath,
Maybe I could get involved but yet,
When I look at your picture it sends me straight to my knees,
It makes me say "I'm sorry",
i must avenge my own pain that I've caused you,
I'm lost and never to be found,
I'll belong in this painful war,
That noone wants to be in,
I wish I could fix the pain,
And you know that,
But I can't fix it,
I ruined it all,
And I can't fix my past,
But look,
You're always on my mind,
I wish I could hold you again,
I'm lost and never found.
© Copyright 2017 Colby. All rights reserved.
Status: Finished
Genre: True Confessions
This have nothing to do with the summary. but still i liked it!! keep up!!!
You'll be fine. Trust me. I have dealt with her my whole life. ~Jaylee
This is great. Really interesting. One battle that is worth it.
Book / Non-Fiction
Short Story / Non-Fiction
Short Story / True Confessions
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text:
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text:
this is best electronic crossover i have worked with, with this i am able to fine tune my music and have my amplifiers doing the correct frequency i want to hear
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Get FAST answers from customers ASK a Question See questions answers
A crossover is a type of filtering system that permits only certain frequencies to play. A Low-Pass (LP) crossover allows only frequencies below its setting to get through which is good in the case of some subwoofers. A High-Pass(HP) filter allows frequencies above its setting to pass through, this is normally used on speakers.
When a crossover is set to FULL it means no filtering is added and the full frequency spectrum is allowed through the amplifier. Filtering is important because feeding a speaker frequencies it cannot reproduce effectively creates distortion.
new york
February 2, 2009
this is best electronic crossover i have worked with, with this i am able to fine tune my music and have my amplifiers doing the correct frequency i want to hear
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September 16, 2008
This EQ makes any system sound perfect. It allows you to contour the sound of your speakers to fit your car. It's really nice to have the three-way crossover built-in, as well.
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7 of 9 found this helpful
25 ft. of True Spec 16 Gauge EnvyFlex Speaker Cable/Wire (100% Oxygen-Free Copper)
Your Price $17.99
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Warning: The image depicted shows the resistance change when wiring multiple subwoofer terminals. Please refer to your subwoofer's owner's manual for the proper wiring of its terminals. Sonic Electronix, Inc. is not responsible for damage caused to your audio system or vehicle due to improper installation. Please call tech support at 1-877-289-7664 if you require additional assistance.
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text:
More Videos...
Ten years of a restoration project- Capri RS2600 Race Replica
This is ten years of race car restoration project in 8:40 minutes. See other videos: Killing 1st engine in Dyno: https://www.youtube.com/watch?v=kdWjY-fL9Jg 2nd engine in Dyno:https://www.youtube.com/wat ch?v=a74qBoASVpA Race compilation of Season 2013:https://www.youtube.com/watch?v=mBzRnmYlIkI Music from Mikseri.net: Zenith Spot - Mother Funk Cooldown - The Chase Funktion - Hyperventlation Cover photo and last photo in video Tuukka Erkkilä.
Capri 4 Me
Mike Sweeney presents 'Capri 4 Me', the show that celebrates the history of the Ford Capri, from it's American origins as the Mustang, to the MK3's used in the TV series 'The Professionals'. With guests Chris Baker, Gary Owen, Richard Royes, Glyn Watson, Michael Forman, Stephen Vokins, Harry Carlton, Tom Malcom, John Hill and Stephen Blakemore. Originally aired on Men and Motors TV channel in 2003
Ford Capri Barn Find....
Helping my neighbour Les,drag a 1977 Ford Capri out of a dark and dank barn...last driven in 1981, been parked in the barn since then.
Skogenracing: Ford Capri 2.9 turbo driving around (535bhp @ 21psi)
Made 535bhp at 21psi (1.45bar) of Boost. Pistons, Rods, valves, headgaskets are stock parts. Probably worlds strongest 2.9 cologne with so many standards parts. 0-100km/h 2.7s 0-200km/h 9.3s 100-200km/h 6.6s 402m 10.51s 212km/h


text:
Montgomery County Police said a portion of Seneca Meadows Parkway in Germantown is closed this morning because construction crews hit a gas line.
Workers are building a new Wegman's grocery store in the area and the gas line began to leak after it was struck. Police said Washington Gas crews are on the scene working to fix the problem.
The incident happened just after 7 a.m. and authorities said part of the road would will remain closed until 9:30 a.m.
Few traffic delays were reported in the area.


text:
Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Characins (http://www.tropicalfishkeeping.com/characins/)
- - Kerri king Tetra? Anyone? (http://www.tropicalfishkeeping.com/characins/kerri-king-tetra-anyone-85436/)
Kerri king Tetra? Anyone?
i think they are also called "purple Tetra" Inpaichthys kerri
anyone ever keep them?
THey keep catching my eye at the LFS
Yes, I had a group of Kerri Tetra some years ago. Nice fish. Very active, swimming a lot, so not a good mix with sedate fish like angelfish, but otherwise very peaceful. Needs room to swim, and even though the profile [which I wrote] suggests a 24-inch tank as minimum, I would suggest it will fare better in a 36-inch. It is often incorrectly called a blue emperor, although it has no close relationship to the Emperor Tetra and in my opinion, having had both, a much nicer aquarium resident. Easy and prolific spawner. There is more info in the profile, so I won't repeat all that.
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text:
Decreasing severe pain and serious adverse events while moving intensive care unit patients: a prospective interventional study (the NURSE-DO project)
DOI: 10.1186/cc12683
© de Jong et al.; licensee BioMed Central Ltd. 2013
Received: 26 October 2012
Accepted: 25 February 2013
Published: 18 April 2013
A quality-improvement project was conducted to reduce severe pain and stress-related events while moving ICU-patients.
The Plan-Do-Check-Adjust cycle was studied during four one-month phases, separated by five-month interphases. All consecutive patients staying more than 24 hours were evaluated every morning while being moved for nursing care (bathing, massage, sheet-change, repositioning). Phase 1 was considered as the baseline. Implemented and adjusted quality-interventions were assessed at phases 2 and 3, respectively. An independent post-intervention control-audit was performed at Phase 4. Primary-endpoints were the incidence of severe pain defined by a behavioral pain scale > 5 or a 0 to 10 visual numeric rating scale > 6, and the incidence of serious adverse events (SAE): cardiac arrest, arrhythmias, tachycardia, bradycardia, hypertension, hypotension, desaturation, bradypnea or ventilatory distress. Pain, SAE, patients' characteristics and analgesia were compared among the phases by a multivariate mixed-effects model for repeated-measurements, adjusted on severity index, age, admission type (medical/surgical), intubation and sedation status.
During the four studied phases, 630 care procedures were analyzed in 53, 47, 43 and 50 patients, respectively. Incidence of severe pain decreased significantly from 16% (baseline) to 6% in Phase 3 (odds ratio (OR) = 0.33 (0.11; 0.98), P = 0.04) and 2% in Phase 4 (OR = 0.30 (0.12; 0.95), P = 0.02). Incidence of SAE decreased significantly from 37% (baseline) to 17% in Phase 3 and 21% in Phase 4. In multivariate analysis, SAE were independently associated with Phase 3 (OR = 0.40 (0.23; 0.72), P < 0.01), Phase 4 (OR = 0.53 (0.30; 0.92), P = 0.03), intubation status (OR = 1.91 (1.28; 2.85), P < 0.01) and severe pain (OR = 2.74 (1.54; 4.89), P < 0.001).
Severe pain and serious adverse events are common and strongly associated while moving ICU patients for nursing procedures. Quality improvement of pain management is associated with a decrease of serious adverse events. Careful documentation of pain management during mobilization for nursing procedures could be implemented as a health quality indicator in the ICU.
Pain is a frequent event in intensive care unit (ICU) patients, with an incidence of moderate to severe pain during the ICU stay of up to 50% in medical as well as surgical patients [1–3]. Pain is associated with acute stress response including changes in heart rate, blood pressure, respiratory rate, neuro-endocrine secretion and psychological distress, such as agitation [4, 5]. It has recently been reported that improved pain management was associated with improved patient outcome in the ICU [1, 6–8]. However, pain remains currently under-evaluated and under-treated [3, 9–12]. Therefore, pain management is highly challenging in the ICU setting.
One of the most common painful procedures in ICU patients is moving and turning for nursing care procedures (bathing, massage of back and pressure points, sheets change, repositioning) [3, 13]. Pain during the first turning of the day is especially challenging to manage in our ICU. Indeed, this is often the longest turning time and includes the highest number of mobilizations and nursing care procedures. Moreover, the early morning nurses often have to manage ICU patients in collaboration with a reduced medical night-shift staffing, leading to necessarily greater nurse autonomy [14]. For instance, it has been reported for the past decade that between 50% of patients in the USA [9] and 80% in Europe [3, 15] received no extra medication even though pain intensity increased during that procedure. More recently, a study assessing 330 turnings in 96 medical-surgical patients reported that the pain score significantly increased between rest and turning, while a bolus of analgesic was used in less than 15% of the turnings [16]. Moreover, serious adverse events (SAE) related to moving complex ICU patients are poorly documented. These SAE could be determined by the mobilization itself and/or the stress response associated with pain.
The present study was conducted to test the hypothesis that the implementation of a quality improvement process for pain management while moving ICU patients would be associated with a decreased incidence of both severe pain and SAE, and that those SAE would often be associated with pain events.
Materials and methods
The study took place in the 16-bed medical-surgical ICU of St Eloi Hospital, a 660-bed teaching and referral facility of the University of Montpellier in France, staffed by 35 registered nurses (RNs), 25 nurse assistants, 3 certified registered nurse anesthetists, 7 attending physicians and 4 residents. Nurse to patient ratio was 1:2.5 as required in France [17]. The ICU has 24-hour anesthesiologist/intensivist medical staffing including three anesthesia residents and three attendings on dayshift, one resident and one attending on nightshift. RNs systematically and routinely assess pain and agitation at rest and during procedures using dedicated tools validated for ICU patients since 2003 [1]. For patients receiving a continuous infusion of sedatives, RNs have been using a sedation-analgesia algorithm since 2007 [18]. In the absence of continuous sedation, or previous analgesic ordering, a medical doctor was called in case of any pain or agitation events [1].
All consecutive patients ≥ 18 yrs old and staying in the ICU for more than 24 hrs were eligible. Exclusion criteria were decision to withdraw life-support within 48 hrs after admission and lacking data. Because of the observational, non-invasive design of this quality-improvement study based on the Plan-Do-Check-Adjust method which aimed to apply recommended practice guidelines [19], the need for written consent was waived as for previous published quality studies on sedation-analgesia practices in ICU patients [20] by the local scientific and ethics committee of Comité d'Organisation et de Gestion de l'Anesthésie Réanimation du Centre Hospitalier Universitaire de Montpellier (COGAR), which approved the conduct of the study.
Study design
"Plan-step": multidisciplinary ICU work-group and choice of the studied procedure
"Do- step -A": studied phase-1 (February 2010)
Every first turning of the day, between 6 and 8 AM was evaluated (see below, evaluated parameters).
During this phase, a de-identified questionnaire was given to every RN and nurse assistant in order to assess their knowledge of written guidelines regarding sedation-analgesia in the ICU and their difficulties in managing sedation-analgesia routinely.
"Do-step B": first inter-study phase (March to August 2010)
Based on Phase 1 and questionnaire results, educational interventions were planned and educational posters were constructed and posted. Educational intervention was provided for all the nursing and medical staff by members of the work group during scheduled courses intended for 5 to 10 staff members at a time. Educational objectives included the ability: 1) to assess and control pain at rest before any moving procedure, 2) to determine the duration of peak analgesia for analgesic drugs used in the ICU in order to anticipate administration of drugs before moving a patient, 3) to escalate analgesic drugs according to the World Health Organization's analgesic steps in case of ineffectiveness after having referred to previous pain assessment, 4) to administer music therapy as well as other non-pharmacological analgesia therapies. Analgesics were selected by physicians according to the clinical situation and administered by RNs. Non-pharmacological therapies were selected and administered by the RN only. In order to develop the use of non-pharmacological therapies, headphones and dedicated pieces of music therapy were implemented in every patient's room. Music scores were composed by music therapists. The main characteristics of music (tempo, intensity, number of instruments) progressively decreased, then stabilized to a low pattern (slow tempo, low level of sound, one or two instruments), and finally increased slowly before removing the headphones from the patient. In other words, music characteristics followed a U-shape. Total duration of a music therapy session was 40 ± 5 minutes. Nurses and physicians were specifically educated by a music therapist during this interphase.
Finally, the clinical information system software was modified to include specificities of pain management for nursing care procedures. Posters referring to pain management and the sedation-analgesia algorithm were created to highlight educational objectives previously described. Posters were posted in every patient's room. These posters are shown in electronic supplement in their original French version as well as an English version (see Additional files 1, 2, 3, 4).
"Check-step ": studied Phase 2 (September 2010)
Every first turning of the day, between 6 and 8 AM was evaluated (see below, Evaluated parameters). This phase was aimed to measure the impact of the educational interventions.
"Adjust- step A": second inter-study phase (October 2010 to March 2011)
During six months (October 2010 to March 2011) a data and problems analysis was performed and multidisciplinary medical and nursing strategy was adjusted. As from this moment, medical staff was asked to systematically order one or more analgesics to be administered early in the morning before the nursing care procedures. Nurses had the possibility of using one or more of these analgesic drugs according to their discretion based on pain assessments. Moreover, pain management for the nursing procedure was standardized and systematically checked along with other nursing issues during daily medical rounds. Compliance with the quality improvement project was corrected by reminders and analysis of specific situations by the nurse manager and the ICU medical director during their weekly nursing medical round.
"Adjust-step B": studied Phase 3 (April 2011)
Every first turning of the day, between 6 and 8 AM was evaluated (see below, evaluated parameters). This phase was aimed to measure the impact of adjustments made during the second interphase.
"Consolidation- step": studied Phase 4 (September 2011)
A consolidation step was added to the PDCA-cycle to measure sustained quality-improvement as the new standard [21, 23]. Therefore, a control-audit was realized by an independent observer, four months after the end of the study. All eligible patients were consecutively included. Choice of evaluated moving and nursing procedures was made by randomization using a random number generation method.
Evaluated parameters
Studied phases 1, 2, 3
1) Pain was measured by the bedside RN while the patient was at rest before and during any moving procedures routinely throughout the study process, using validated ICU pain tools. Communicating patients rated their discomfort intensity on the visually enlarged numeric rating scale (NRS) from 0 (no pain) to 10 (maximum imaginable discomfort) [24]. For non-communicating patients (sedated or delirious patients), pain was assessed by nurses using the behavioral pain scale (BPS) for intubated patients [25] and the non-intubated BPS (BPS-NI) for non-intubated patients [26]. Severe pain events were defined by a NRS level > 6 according to the usual definition [27] or a BPS/BPS-NI score > 5 according to validation studies [25, 26, 28]. Those studies demonstrated a score > 5 for procedures known as very painful. Moderate pain was defined by a NRS level from 4 to 6 or a BPS > 3 (minimal score) but < 6. Awareness was assessed at baseline by the Richmond Agitation Sedation Scale (RASS) [29]. Inter-rater reliability of these sedation and pain scales has been assessed repeatedly in the ICU [1, 18, 26, 30]. All bedside RNs present during the study phases were fully familiar with using these pain and sedation scales routinely, for both sedated and non-sedated patients.
2) SAE related to acute stress-response were assessed by physiological parameters (cardiac rhythm, heart rate, mean arterial pressure, respiratory rate and oximetry), measured continuously by the ICU monitor and recorded before and while the moving procedure by the bedside RN on a sheet dedicated to the study. SAE were defined as cardiac arrest, a new arrhythmia event and clinically relevant changes before and during the procedure defined as follows:
- Tachycardia: heart rate ≥ 110 beats/minute (b/min) if < 100 b/min before the procedure
- Bradycardia: heart rate ≤ 60 b/min if > 70 b/min before
- Hypertension: mean arterial pressure ≥ 110 mmHg if < 100 mmHg before
- Hypotension: mean arterial pressure ≤ 65 mmHg if > 70 mmHg before
- Desaturation: oxygen saturation ≤ 90% if > 92% before
- Bradypnea: respiratory rate ≤ 10 c/min if > 10 c/min before
- Ventilatory distress: severe ventilator asynchrony (nonstop coughing or impossible ventilation) in mechanically ventilated patients and/or tachypnea (respiratory rate ≥ 35 c/min if it was < 35 c/min)
3) Pharmacological therapies given within four hours prior to the moving procedure were reported by the bedside nurse on the patient flow sheet. Non-pharmacological therapies (explanation of the nursing care procedure, therapeutic massage, music, music therapy) performed to decrease pain while being moved were reported by the bedside nurse on a sheet dedicated to the study.
4) Demographic and medical data were prospectively recorded. Age, gender, type of admission (medical or surgical) and Simplified Acute Physiological Score (SAPS) II [31] were collected within 24 hrs after ICU admission. Medical admission was defined by the absence of surgical intervention within seven days prior to ICU admission.
Studied Phase 4 (control audit)
Pain was measured by bedside nurses at rest before and during any moving procedures, similarly to the other phases but reported routinely on the patient's flow sheet instead of a dedicated study sheet. Physiological parameters were recorded every 30 minutes by the patient's Clinical Information System (ICIP-Carevue, Philips-Medical-Systems, Eindhoven, The Netherlands). Maximal or minimal values, which had been recorded an hour before and after the moving procedure, were analyzed. Pharmacological therapies were evaluated as for the other phases. Non-pharmacological therapies were not assessed because of the absence of systematic notification in the medical chart.
The primary endpoints were the incidence of severe pain defined by the proportion of patients who developed a severe pain event (BPS > 5 and/or NRS > 6) and the incidence of SAE defined by the proportion of patients who developed at least one SAE while being moved. Secondary endpoints were incidence of moderate pain, the existence of a relationship between pain and SAE, and a change in analgesic ordering practice patterns.
Statistical analysis
Based on previous data [24], an incidence of severe pain of 26% was observed in our ICU during mobilization for nursing care procedures. To show a 50% reduction of severe pain, n = 100 procedures needed to be analyzed for every phase, with alpha 0.05 and beta 0.10. Missing data were expected because bedside RNs would sometimes forget or not have enough time to fill in the sheets dedicated for the study due to an eventual high workload in the ICU. Taking into account missing data and the rate of empty rooms in the ICU at a given time, this meant enrolling consecutive patients hospitalized in the ICU within one month for every phase. Also, repeated one-month phases could allow for implementing the study effect (Hawthorne effect) into a routine process which was part of the quality-improvement project [32]. Reference (baseline) phase was Phase 1.
Quantitative data were shown as mean and standard deviation or median and 25th to 75th percentiles according to data distribution. Student t- test or Wilcoxon test (quantitative data) and chi-square test (qualitative data) were used to compare patients included in the four phases. Because moving for nursing care procedures was evaluated every day of the ICU stay, one patient could be evaluated several times (repeated measures).
Thus, pain events, serious adverse events and analgesic ordering were compared in univariate analysis using a generalized linear mixed-effects model for repeated measures, taking into account repeated measures as random variables. Multivariate analysis of pain events and SAE was secondly performed using a generalized linear mixed-effects model for repeated measures. Variables were selected if P-value was less than 0.20 in the univariate analysis and a stepwise procedure was used to select the final model. Furthermore, a sensitivity analysis was performed, removing tachycardia and hypertension, which are common events associated with pain, from the definition of SAE. This was done to measure the impact of the quality project on the incidence of other SAE. A P-value of ≤ .05 was considered statistically significant. Data were analyzed by a senior statistician from the Department of Statistics of the University of Montpellier Hospital using the R.2.13.0 software.
Results from the questionnaire regarding sedation/analgesia practices
Among the nursing staff, 21 (60%) RNs and 17 (68%) nurse assistants answered the questionnaire during Phase 1. Pain assessment tools were thought to be adapted to ICU patients by all 21 (100%) RNs. Before the study, 17 (71%) RNs had already experienced a disagreement with doctors regarding pain management and 5 (29%) nurse assistants had experienced a disagreement with RNs. Disagreements occurred because some patients could have been in pain but physicians or nurses did not allow for increasing analgesics because of the risk of developing side-effects. Fourteen (58%) RNs did not refer to patients' previous pain assessments and analgesia documentation to better adjust analgesia for nursing care procedures for a given patient. Among the 21 RNs, 9 (43%) desired more autonomy in pain management. A greater autonomy was achieved in the quality improvement project by allowing nurses to administer selected analgesics. Because almost half of the nurses did not want greater autonomy, analgesic choice remained the physicians' role and pain management was developed more collaboratively between nurses and physicians. Educational interventions aimed at decreasing the incidence of severe pain and SAE and improving analgesics ordering were evaluated during the four studied phases.
Evaluation of the quality improvement project across the four studied phases
Characteristics of patients included in the four phases of the study.
Phase 1
n= 53
Phase 2
n= 47
Phase 3
n= 43
Phase 4
n= 50
Age (years), median (IQR)
64 (54; 74)
65 (49; 74)
61 (49; 67)
61 (51;69)
Female Sex, n (%)
19 (36%)
18 (38%)
12 (28%)
13 (26%)
SAPS II, median (IQR)
41 (31; 54)
38 (27; 53)
34 (27; 41)
37 (26; 53)
Surgical admission*, n (%)
22 (42%)
25 (53%)
16 (37%)
26 (52%)
Mechanical ventilation, n (%)
24 (45%)
21 (45%)
13 (30%)
22 (45%)
Sustained use of sedatives, n (%)
22 (42%)
15 (32%)
9 (21%)
14 (29%)
RASS level, median (IQR)
0 (-3; 0)
0 (-1; 0)
0 (0; 0)
0 (-1; 0)
Number of procedures evaluated per patient, median (IQR)
2 (1; 4)
2 (1; 3)
3 (1; 5)
3 (3; 3)
Factors associated with severe-pain determined by univariate and multivariate mixed-effects model analysis
Univariate analysis
Multivariate analysis
( n = 632)
Severe pain
( n = 61)
( n = 571)
Phase 1, n (%)
30 (49%)
154 (27%)
Phase 2, n (%)
12 (20%)
117 (20%)
Phase 3, n (%)
11 (18%)
159 (28%)
0.33 (0.11; 0.98)
Phase 4, n (%)
8 (13%)
141 (25%)
0.30 (0.12; 0.95)
Age, median (IQR)
63 (51; 71)
64 (57; 76)
63 (51; 71)
Female gender, n (%)
186 (29%)
17 (28%)
169 (30%)
SAPS II, median (IQR)
39 (29;41)
39 (27;51)
39 (30;51)
Surgical admission, n (%)
219 (35%)
25 (41%)
194 (34%)
Intubation status, n (%)
216 (34%)
24 (39%)
192 (34%)
Sustained use of sedatives, n (%)
114 (18%)
10 (16%)
104 (18%)
RASS level, median (IQR)
0 (-1; 0)
0 (-1; 0)
0 (-1; 0)
Factors associated with serious adverse events determined by univariate and multivariate mixed-effects model analysis
Univariate analysis
Multivariate analysis
All procedures
( n = 632)
Serious adverse events
( n = 164)
Serious adverse events
( n = 468)
Phase 1, n (%)
184 (29%)
68 (41%)
116 (25%)
Phase 2, n (%)
129 (20%)
36 (22%)
93 (20%)
Phase 3, n (%)
170 (27%)
29 (18%)
141 (30%)
< 0.001
0.40 (0.23; 0.72)
< 0.01
Phase 4, n (%)
149 (24%)
31 (19%)
118 (25%)
< 0.01
0.53 (0.30; 0.92)
Age, median (IQR)
63 (51; 71)
64 (56; 75)
62 (51; 70)
Female gender, n (%)
186 (29%)
44 (27%)
142 (30%)
SAPS II, median (IQR)
39 (29; 41)
39 (31; 53)
38 (28; 50)
Surgical admission, n (%)
219 (35%)
104 (63%)
309 (66%)
Intubation status, n (%)
216 (34%)
79 (48%)
137 (29%)
< 0.01
1.91 (1.28; 2.85)
< 0.01
Sustained use of sedatives, n (%)
114 (18%)
38 (23%)
76 (16%)
RASS level, median (IQR)
0 (-1; 0)
0 (-2; 0)
0 (-1; 0)
Pain during moving
Moderate pain, n (%)
160 (25%)
41 (25%)
119 (25%)
Severe pain, n (%)
61 (10%)
30 (18%)
31 (7%)
< 0.001
2.74 (1.54; 4.89)
< 0.001
Incidence of serious adverse events during each phase of the study
Phase 1
n= 182
Phase 2
n= 129
Phase 3
n= 170
Phase 4
n= 149
Cardiac arrest, n (%)
2 (1%)
0 (0%)
0 (0%)
0 (0%)
Arrhythmias, n (%)
3 (2%)
4 (3%)
1 (1%)
0 (0%)
Tachycardia, n (%)
5 (3%)
5 (4%)
3 (2%)
6 (4%)
Bradycardia, n (%)
0 (0%)
2 (2%)
0 (0%)
0 (0%)
Hypertension, n (%)
14 (8%)
2 (2%)
6 (4%)
11 (7%)
Hypotension, n (%)
8 (4%)
5 (4%)
2 (1%)
9 (6%)
Oxygen desaturation, n (%)
19 (10%)
15 (12%)
8 (5%)
6 (4%)
Bradypnea, n (%)
2 (1%)
6 (5%)
0 (0%)
0 (0%)
Ventilatory distress, n (%)
24 (13%)
13 (10%)
15 (9%)
2 (1%)
At least one event, n (%)
68 (37%)
36 (28%)
29 (17%)
31 (21%)
< 0.001
Proportion of pharmacological and non-pharmacological therapies used during each phase of the study
Phase 1
n= 184
Phase 2
n= 129
Phase 3
n= 170
Phase 4
n= 149
Analgesics drugs, n (%)
WHO step 3
28 (15%)
32 (25%)
36 (21%)
33 (22%)
WHO step 2: tramadol
17 (9%)
25 (19%)
48 (28%)
49 (33%)
< 0.001
WHO step 1: acetaminophen
29 (16%)
23 (18%)
44 (26%)
36 (24%)
22 (12%)
9 (7%)
26 (15%)
33 (22%)
At least one drug
60 (33%)
56 (43%)
86 (51%)
79 (53%)
Number of drugs per patient, mean (SD)
0.52 (0.70)
0.69 (0.77)
1.01 (0.97)
< 0.001
Non pharmacological therapies
Explication*, n (%)
158 (87%)
140 (82%)
Massage, n (%)
120 (66%)
82 (64%)
64 (38%)
< 0.001
Standard music listening, n (%)
12 (7%)
10 (8%)
4 (2%)
< 0.001
Music therapy, n (%)
0 (0%)
5 (4%)
0 (0%)
At least one therapy, n (%)
160 (88%)
98 (76%)
142 (84%)
Number of therapies per patient, mean (SD)
2 (1;3]
3 (1;4]
1 (1;2]
< 0.01
The main findings of this quality improvement project are that moving an ICU patient for nursing care procedures is associated with severe adverse events (SAE) in one out of three procedures. The incidence of at least one SAE (cardiac arrest, arrhythmias, tachycardia, bradycardia, hypertension, hypotension, desaturation, bradypnea or ventilatory distress) is strongly associated with severe pain in multivariate analysis. A healthcare quality improvement project of pain management, while moving ICU patients, is associated with a decrease in both severe pain and SAE.
Being moved for nursing care procedures is one of the most painful procedures experienced by the patient during the ICU stay, whatever the type of admission (medical, surgical or trauma) [3, 13, 16, 33]. Nevertheless, except for trauma and surgical patients, moving is currently not considered a painful procedure by ICU healthcare workers and physicians [34]. Similarly, to our knowledge, no study has reported yet whether pain might be a barrier for active mobilization in ICU patients and if a specific analgesia given to decrease pain while moving ICU patients would be associated with a greater chance to achieve rehabilitation objectives in the ICU setting [35, 36].
One of the reasons not to treat pain is that ICU physicians may be uncomfortable ordering analgesic drugs [37] because of frequent organ dysfunction, altered pharmacokinetics and pharmacodynamics, and impaired mental status in critically ill patients [38]. Indeed, adverse events have been reported in critically ill patients even with non-opioid WHO's step-1 analgesics, such as acetaminophen [39] and nefopam [40]. In the present study, analgesics were administered upon nurse discretion but were chosen among eligible analgesics ordered by physicians according to the context and for each patient. Decreased incidence of severe pain and increased rate of analgesic administration observed during adjusted and consolidated steps of the quality project suggests that collaboration between nurses and physicians, which was the aim of educational intervention at the adjusted step, improved regarding appreciation of patients' pain and analgesics needs. A multidisciplinary discussion involving nurses and physicians/pharmacists is recommended regarding the complex management of pain in ICU patients [41]. To better define a rational plan for a given patient, it is important for physicians to assess nursing issues as it should be important for nurses to understand the benefit and risks associated with every analgesic ordered by physicians.
Tramadol was the only drug that's use significantly increased through the study. Except in the case of severe renal impairment, tramadol is an opioid associated with a minimal risk of ventilatory depression [42]. This could explain the preference of the team regarding its use in ICU patients who are at high risk of ventilatory depression. Similarly, tramadol use significantly increased in a previous quality improvement project aimed at reducing pain at rest in ICU patients [1]. In that study, incidence of pain significantly decreased through the quality improvement project as well as the duration of mechanical ventilation [1]. Similarly, in the present study, incidence of severe pain decreased as analgesic drug use increased without any increase of SAE. That could be attributed to an accurate evaluation of the benefit:risk ratio associated with analgesic ordering. Also, the incidence of moderate pain did not significantly decrease throughout the study. Actually, complete suppression of pain could be difficult or impossible in ICU patients considering the pain syndromes (surgery, trauma, acute pancreatitis) or contraindication of analgesic drugs in critical-illness (acetaminophen and liver dysfunction, anti-inflammatory drugs and renal dysfunction). In this way, American guidelines recommended defining an acceptable threshold of pain according to the context for each patient [43].
In order to reduce the risk of such drug adverse events, non-pharmacological therapies were developed throughout the study. Despite the implementation of music therapy as a new technology available for every patient and despite specific educational interventions, there was an increased use of non-pharmacological therapy but this increase was not sustained during the third phase of the study. Music therapy was poorly implemented throughout the project. Some nurses reported that the time which was required for a music therapy session (40 minutes) did not allow for easily preventing or treating procedural pain contrary to analgesic drugs. Also, nurses should have been more comfortable with analgesic drug use as the quality-improvement project was developed and might have discarded non-pharmacological therapies at the same time for different reasons including trust in their efficacy, timing and so on. If positive effects of music therapy and standard music listening have been shown in small-sized physiological studies in critically ill patients [44, 45], the feasibility and impact of larger routine implementation has yet to be evaluated. Moreover, obstacles to widespread use of non-pharmacological therapy rather than analgesic drugs need to be explored because the rationale for development of non-pharmacological therapy in critical care is strong.
Decreased pain-associated stress response could partly explain the decrease of SAE observed during the last two studied phases (adjusted intervention and consolidation P-D-C-A-steps). Pain induces reflex responses that may alter respiratory mechanics and increase cardiac demand via tachycardia and increased myocardial oxygen consumption, leading to desaturation and blood pressure changes. Stress response may also induce hypercoagulability, immunosuppression and persistent catabolism [4, 5]. In the present study, multivariate analysis adjusted to cofactors, such as severity of illness showed that severe pain events were an independent risk factor of SAE. This was confirmed by the sensitivity analysis, removing the most common pain-related adverse events (tachycardia and hypertension). Use of analgesics may decrease stress response in critically ill patients [46, 47]. In our study, the main SAE observed were oxygen desaturation and ventilator distress (Table 4). The rate of these SAE decreased throughout the study, although ventilator management or oxygenation practices were not changed, contrary to pain management practices.
This study constitutes an improvement in quality and safety in healthcare. Such processes are fundamental to improving our healthcare, by changing our systems, avoiding overuse of ineffective care and underuse of effective care [48]. Quality improvement methods, such as the Plan-Do-Check-Adjust cycle, seek to apply proven treatments and recommended strategies to "real world" patients, allowing the integration of "best evidence" and "clinical evidence" [20, 22]. To our knowledge, there are no published data regarding the feasibility of a quality improvement process for moving ICU patients. Changing practices is challenging in an ICU setting, with necessary education of a large team [49, 50]. Moreover, a multidisciplinary approach is essential, placing responsibility with the team rather than with individuals. Differences in pain appreciation among physicians, nurses and assistant nurses are well known in the ICU setting [34] and were found again in our questionnaire. It has been previously reported that ICU physicians under-evaluated patients' pain compared to nurses [51], and that ICU nurses under-evaluated patients' pain compared to assistant nurses [52].
Our study has several limitations. First, there were less missing data in the third phase (adjusted intervention P-D-C-A phase) than in the two first phases. This could be explained by a high workload during February and September 2010, much higher than in April 2011. Indeed, one-third of the unit had to be closed unexpectedly in April after Phase 3 had begun. To deal with missing data and to avoid a possible bias due to more frequently evaluating patients in pain in the two first phases, patients were randomly enrolled in Phase 4. This phase (consolidation of P-D-C-A-steps) was aimed to reinforce the results observed in the previous phase [21, 23]. Second, pain was evaluated by the bedside RN (BPS) or by the patient with the help of the bedside RN (NRS), and not by an independent investigator. However, this design is appropriate in a quality improvement process of routine care because self-evaluation of the caregiver is part of the improvement process [22, 53]. Moreover, even if it was not possible to have an independent investigator at the bedside for all 16 patients during the turning every morning, the presence of an observer could have introduced another bias leading to more accurate care [32]. In this way, the study sheets were de-identified regarding the RN to allow for more independent evaluation of care. Also, the study design requires including all consecutive turnings within one month to deal with a possible punctual Hawthorne effect and to transform it in an acquired routine process [32]. The findings of this quality study can be supported by the incidence of SAE, which were objectively evaluated and also decreased along with the incidence of severe pain through the study. Third, if the global impact of educational interventions was supported by a decreased incidence of pain and SAE along with an increased rate of analgesic administration, no qualitative method was performed to better assess the impact of each aspect of educational interventions on health caregivers' skill regarding pain management as well as nurse-physician interaction and nurse autonomy [14, 54]. Finally, pain management during other nursing and medical procedures (tracheal suctioning, central intravenous line placement...) was not evaluated. This should be a further step in our quality improvement project.
A focused quality improvement project on pain management in the ICU was associated with improved pain management during patient turning for nursing procedures as determined by 1) a decreased incidence of severe pain; 2) an increased use of analgesic drugs; 3) a decreased incidence of serious adverse events. Careful documentation of pain management while moving ICU-patients for nursing procedures could be implemented as a health quality indicator in the ICU-setting.
Key messages
Moving an ICU patient for nursing care procedures is associated with serious adverse events in one out of three procedures.
Serious adverse events are strongly associated with severe pain during these procedures.
Health quality improvement of pain management is associated with a decrease of both severe pain and serious adverse events.
Careful documentation of pain management while moving ICU patients could be implemented as a health quality indicator in the ICU setting.
Behavioral pain scale
non-intubated BPS
Comité d'Organisation et de Gestion de l'Anesthésie Réanimation du Centre Hospitalier Universitaire de Montpellier
Intensive care unit
Numeric rating scale
Richmond Agitation Sedation Scale
Registered nurse
Serious adverse event
Simplified Acute Physiological Score
World Health Organization
The authors are grateful for the enthusiastic support of ICU nurses, assistant nurses, residents and physicians at University of Montpellier Saint Eloi Hospital. They thank the Hospital Pain Committee and the Department of Communication at University of Montpellier Hospitals, especially Ms. Gaëlle Faugier for her very helpful contribution to educational supports.
Authors' Affiliations
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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.


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To give you an idea of how much I love my laminator, it was in one of the first boxes I unpacked in our recent move. I use my laminator to laminate the boys' artwork, important documents, teaching supplies for home, pictures, and so much more!
Right now you can score a GREAT deal on a and get it for only $15.13! This is normally over $50 so you're saving a LOT!
- Thermal pouch laminating machine offers easy, carrier free, one step laminating
- Use 3 mil pouches for documents up to legal size. Use 3 mil or 5 mil pouches for items 4 inch x 6 inch or smaller.
- Warmed up and ready to use in 7 minutes
- Laminates documents up to 9 inch wide
- 10 inches per minute laminating speed
And to help you get stocked on laminating sheets, the are on sale right now too for just over $12!
Remember, Amazon prices can and will change at anytime.


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Westcott Scissors with Microban ProtectionScissors
3" Cutting Length - 7" Overall Length - Pointed - Straight-left/right - Stainless Steel - Blue/Gray - View Complete Details
Product Number: ACM14648
In Stock - Hurry, only 111 left.
Estimated Delivery - 1 business day(s) - Fri 2/24 2 business days - Mon 2/27
Shipping - This item is eligible for Free Shipping on orders over $45
Note: Must buy in quantities of 6 starting at 108.
Estimated Delivery 10 business day(s) - Thu 3/9 - The products will be shipped directly from the Manufacturer and will require additional time for delivery. 10 business days - Thu 3/9 - The products will be shipped directly from the Manufacturer and will require additional time for delivery.
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Westcott Scissors with Microban Protection - Scissors are made with built-in antimicrobial technology. Microban provides an added level of cleanliness by fighting stain-causing and odor-causing bacteria. Ideal for shared or common areas. Soft handles feature Microban protection that never wears off. Scissors have stainless steel blades for multipurpose cutting projects.
- Contoured soft grip handle for maximum comfort.
- Stainless steel blades.
- Ideal for shared/common areas such as office, classroom and break room.
- Handles infused with antimicrobial product protection to inhibit the growth of bacterial odors.
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July 16th, 2012
Episode 18 of 70 episodes
Katie welcomes the hilarious @Daryl_Wright back to the Lounge to talk Dixie Chicks, taint training tricks, dick pics, choking tips, and much more! Check out the offer from www.FyreTv.com/Katie and tune up with www.bjsmithmusic.com
You'll need to sign in to write a comment.
Welcome to the daily audio workout for your head.


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Famine and Food Crises
For Children, Malnutrition is the Silent Killer.
The Sahel and Horn of Africa regions in West and East Africa experienced unparalleled food crises in 2011 and 2012. Some 23 million people in 11 countries in the regions were affected by food insecurity and placed at risk of malnutrition. The survival of millions of children across these regions was threatened by a deadly combination of high food prices, armed conflict and crop failure.
Today, the children of South Sudan are facing a grave food crisis. Conflict in the world's newest country has destroyed South Sudan's agriculture-based economy. 4 million people may soon be pushed to the edge of starvation.
And in 2016, in West Africa's Lake Chad region, nearly half a million children in Cameroon, Chad, Niger and Nigeria are facing severe malnutrition, a devastating consequence of the Boko Haram insurgency. So far this year, UNICEF has provided treatment to more than 100,000 children, but has received only 13 percent of the funds it needs to help children and families. Help us close this huge funding gap now.
Just $10 can provide 321 packets of essential vitamins to infants with malnutrition.
Keep up-to-date on UNICEF news, programs and initiatives.


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High Street, BRAY, SL6 2AQ
You don't just book a table, you buy a ticket. For this is a journey and, as the man himself says, expect a 'memorable day out'. Since its revamp in 2015, when the restaurant was decamped to Australia and the original premises got done up from top to bottom, there's a sense that Heston Blumenthal has completed a journey himself, the restaurant now able to reflect his sense of adventure and discovery better than ever before. A visit feels like a day out, for even lunch is a four- or five-hour affair (good job the striking leather chairs are so darn comfortable). The front of house team are more integral to proceedings than ever before, delivering the multiple courses with style and a naturalness that is to be commended. The whole experience is theatrical, even a trip to the loo, and The Fat Duck offers the most singularly exciting, stimulating and invigorating dining experience in the UK. Each stage of the journey has a theme and tiny dish descriptions are read with the aid of a magnifying glass to enhance the sense of wonder. 'The day before we go: Are we nearly there yet?' kicks off with the lightest aerated macaroon you'll come across, bursting with beetroot flavour and tempered with a delicate horseradish cream. 'Just the tonic' is a welcome 'drink' - choose from a Paloma or Pina Colada, and revel in the theatre as liquid nitrogen does its stuff. 'Morning: rise and shine, it's breakfast time' is a simply inspired feat of interaction between kitchen and customer where we play our part in the construction of the dish by choosing a 'variety pack' carton. The mini iPod is one of the elements that has had a lot of press, and there's no doubt 'Sound of the Sea' is a signature dish worthy of the name - the seafood seemingly washed up on the beach full of flavour, texture and balance. Recollections of rock pooling days results in Cornish crab, smoked caviar and golden trout roe matched with velout� of white chocolate and sea vegetables in an absolute stunner, the white chocolate looking for all the world like the shell of a crab, and melting into the dish as a mussel broth is poured over - a belter. 'Evening are you ready for dinner' is a four-course meal in itself, recalling the flavours of gourmet meals of old, and involving so much work for the kitchen it is quite staggering. Among sweet courses, 'And then to dream' is a virtual sweet shop delivered to your table. The wine list is a bit of a journey too, a five-star trip with most time spent in the top regions of France.
Tel: 01628 580333
Please quote 'The AA'.
Days closed: Sun-Mon
Dates closed: 2 wks at Xmas
Cooking type: Modern British
Chef: Heston Blumenthal, Jonny Lake
Number of seats: 42
Accessible for wheelchairs.
Steps for wheelchair: 1
Disabled toilets.
Vegetarian meals available.
Children welcome.
Children's portions.
M4 junct 8/9 (Maidenhead) take A308 towards Windsor, left into Bray. Restaurant in village centre on right
Nearest station: Maidenhead


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Directions to Babka Tower SuitesAddress: Babka Tower Apartments & Suites Reception 10th Fl, (Entrance from Dzika Street,Section D,Intercom 44, Warsaw, Poland
Average rating: 0%
Rooms from: US$ 61.72
Directions to Babka Tower Suites
Directions from I Airport Warsaw Okecie International - WAW. By car / taxi: Follow signs to downtown Warsaw, just before Dworzec Centralny Main Railway Station and Marriott Hotel make a left on Jana Pawla II Avenue follow it for 5 traffic light blocks passing Westin Warsaw Hotel (on left), PZU Insurance Tower Building & Radisson SAS Hotel (on right), couple blocks down the avenue just before Babka Square on your right you will see Babka Tower Building Complex. We are at Avenue Jana Pawla II 80 please, use our Dzika Street entrance to Section D of our building, use a security door entrance phone to call us upstairs pressing 44 + key sign. See you in our Reception - Reservation Office on 10th Floor - Penthouse D. By bus: ***We are 300 m from Gdanski Metro Station*** From Warsaw Chopin Airport to Gdanski Metro/Railway Station are many options take anything to Central Railway Station and than change to Metro, Tram or Bus to Babka Tower / Arkadia or Gdanski Railway / Metro Station (300 m from us) By Rail I Airport Warszawa Chopin WAW: From Warsaw Chopin Airport to Gdanski Railway Station (No direct rail connection. Take rail to Central Station and change to Metro, Tram, Bus. II Airport: Warszawa Modlin WMI: From Warsaw Modlin Airport to Gdanski Railway Station runs many trains.


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I have never owned a Mercedes before. The vehicle I recently purchased does not have any information on how to operate any of the controls or what they are. For instance, I need to know how to use the heater, fans, etc. Please help!!!
Asked by for the 1990 Mercedes-Benz 300SEL


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Hastings Bed and Breakfast
Hastings is an ideal base to explore and enjoy Hawke's Bay's wine country attractions. Hastings is also known as one of 'The Twin Cities', along with Napier. more
Hastings bed and breakfast accommodation provides a great way to meet and interact with your Kiwi hosts. Relax in comfort and style in an Hastings B&B, and enjoy a sumptuous breakfast in the morning.
Select bed and breakfast accommodation in Hastings, Hawke's Bay, New Zealand, from the list below. Alternatively select a different Hawke's Bay area.
Find By
HAWTHORNE HOUSE - Hastings, Hawkes Bay
HAWTHORNE HOUSE - Hastings, Hawkes Bay
Luxury B&B accommodation in the heart of Hawke's Bay wine country. Four luxuriously appointed en-suite bedrooms. Set in formal and informal gardens, surrounded by paddocks with views to Hawke's Bay hills, we're just minutes from Hastings, Havelock North and the best wineries and golf around. Includes home-baked afternoon tea on arrival, evening sundowner & canapes and a wonderful home-cooked breakfast.
Select by Map
This Hawkes Bay - Hastings bed and breakfast map displays tourism business locations in your chosen region, area, city or township. Click on a Hawkes Bay - Hastings map location icon to display more information.


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Home Boots Men's Boots Work Boots Waterproof Men's Tan Cheyenne Work Boot from Tony Lama
Waterproof Men's Tan Cheyenne Work Boots from Tony Lama
Style Number: TW1018
Founded in 1911 by a former US Cavalry cobbler Tony Lama Boots started in El Paso Texas. From the start s Tony Lama's goal has been to make the best fitting and most comfortable boots around. And since the 1930's Tony Lama Boots have been supplying western stores around the United States with some of the best handcrafted leather boots around.


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Industry News
Toyota Service Center Serving Boston Drivers Offers Stress-Free Service
Woburn Toyota, home of the leading Toyota service center serving Boston customers, is committed to making life easier for its customers.
The first way it does this is with Woburn Toyota's exclusive "On Demand" service. "On Demand" service at the leading Toyota service center serving Boston customers eliminates the need for appointments. When customers need repairs or maintenance done, all they need to do bring their vehicle to Woburn Toyota. And given that its service center is open seven days a week and until 8 p.m. on weekdays and 4 p.m. on Saturdays and Sundays, they can visit on their own terms.
Though it's not necessary, customers can still, of course, schedule an appointment online: https://www.autoappointments.com/
Convenient Boston Service Center
Every time a customer visits Woburn Toyota for service, they will have same service advisor, building a long-lasting and trusting relationship with the person who will get them back on the road. This highly-trained professional handles everything from routine service to complex repairs and will see the service through until the end. Customers will also receive a quick multipoint inspection as part of every service visit to Woburn Toyota.
Having service performed at Woburn Toyota isn't just easy, it's affordable as well. On Woburn Toyota's website, more than a dozen coupons are currently available, offering savings on scheduled maintenance, oil changes with genuine Toyota oil filters, car detailing, alignment and more. One current coupon even offers a free brake inspection. All customers need to do is print their coupon and present it when the service order is written. It's that simple.
In addition, Woburn's Toyota service center serving Boston drivers has an extensive catalog of accessories for nearly every Toyota and Scion model from the last six years. With this accessories store, customers can fully customize their vehicle and make it their own.
Having a vehicle serviced or repaired should take away stress, not add to it, and that's the top priority at Woburn Toyota. Customers should trust Woburn Toyota to get them back on the road quickly, easily and without stress.
About Woburn Toyota:
Woburn Toyota has served Toyota shoppers since 1967. The dealership carries a large inventory of new Toyota vehicles as well as used and certified used vehicles from top brands.
394 Washington Street
Woburn MA 01801
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2016 Olympic Games
Farah: Brownlee Questions Lack of Love for Olympic StarFarah finished fourth in BBC Sports Personality of the Year based on number of votes.
Hackers May Have Doctored Athletes' Data, Warns WADA'Fancy Bear' has been releasing details of athletes' Therapeutic Use Exemptions.
Liam Malone Breaks Oscar Pistorius' Paralympic RecordNew Zealander sprinted to take the gold medal in the 200-meter race.
Rio Paralympics: 'We Treat Disability As Minor Injury'Jonnie Peacock is the Briton going for sprint gold in Rio de Janeiro.
Patrick Hickey: Irish Olympics Chief 'Arrested in Rio'The 71-year-old is accused of passing tickets to scalpers.
Watch: Rio Olympics Day 10 ReviewMark Cavendish ended his wait for an Olympic medal.
What Goes Into Producing an Olympic Opening CeremonyLondon 2012 producer tells Newsweek why opening ceremonies are so important.
'Sesame Street's' Grover Cheers on Team RefugeesAn all-refugee team is competing for the first time in the Olympics.
Rio 2016 Olympics: The Zika FactorThe virus has seen athletes withdrawing from the Games.
The (Polluted) Air Up ThereToxic water isn't the only threat at the 2016 Olympics in Rio de Janeiro. The air is pretty bad too, according to a new report.
Olympics 2016: Lego Builds Miniature Rio de JaneiroLego unveils a model of the city's landmarks ahead of the 2016 Olympics.
Linford Christie: Usain Bolt is a 'Freak of Athletics'The British Olympic gold medallist talks aura and mechanics of the Jamaican sprinter.
Rio 2016: Doping Scandal Decreases Interest in OlympicsAround 57 percent of people are less interested in the Games now.
Rio 2016: Is Putin Set to Snub the Olympics?Winter or summer Olympics, Putin has always been keen to be involved.
Bolt on Banned Russian Athletes and His Final OlympicsThe Jamaican sprinter believes the ban will scare athletes out of doping.
Rio Olympics: Russia Condemns Decision to Uphold BanTop Olympic star says court ruling is a political attempt to "bury athletics."
Brazil Extremists 'Declare Loyalty To ISIS'The group is believed to be the first in South America to claim allegiance to the ISIS leadership.
Russia Can Select Klishina as Sole Athlete at OlympicsKlishina was previously accused of turning her back on fellow athletes.
Russia's Sole Athlete at Olympics Branded a 'Traitor'The leader of the Communists of Russia party told her to represent Ukraine instead.
Olympic Rowers Get 'Second Skin' to Protect From SewagePhiladelphia University designed anti-microbial unisuits to protect athletes from contaminated water.
Rory McIlroy Withdraws From Rio Olympic GamesThe Irish golfer cited concerns over the impact of the Zika virus.
Kyrgios Out of Rio Olympics After 'Unfair' TreatmentThe Australian tennis star said he'd dreamt of playing at the Olympic Games.
Rio 2016: McIlroy at Ease Over Zika Olympics ThreatThe world No. 3 golfer has sought advice on the impact of contracting the virus.
Could the Zika Virus Ruin Rio 2016?High-profile sportsmen and women have said they may drop out of the Olympics due to the virus.
Rio 2016: Ennis-Hill May Skip Training Over Zika FearsThe Olympic heptathlon champion is concerned about the impact being in Brazil could have on a future family.
Andy Murray: Olympic Village Hinders Chance For GoldThe world no. 2 has chosen to stay in an apartment with his team outside of the village.
Jessica Ennis-Hill Has Deep Concerns Over Zika VirusWith less than 100 days to go to the Olympics in Rio, Ennis-Hill is considering the impact of the virus.
Rio Is Seeing 'Surge' in Pre-Olympics Police KillingsNearly a dozen people have been killed by police in Rio this month alone.
100 Days To Go: Planning Last-Minute Olympics Rio Trip?Read Newsweek's guide to planning a last-minute trip to the 2016 Olympics in Rio.


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JOIN the world's largest horse forum! Chat and learn from other experts about horse training, breeding, health, showing, riding, contests and use our free horse classifieds. Register Here
Knock-kneed and crooked-legged foals
Discussion in 'Horse Health' started by SkipaJo Cowgirl, May 14, 2005.
Page 1 of 2
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A few days back, Looking Closer celebrated the resilient marriage of Linford Detweiler and Karin Bergquist. Today, applause for the resilient marriage of Bono and Ali!
Mrs. Bono
Related posts from Looking Closer:
Jeffrey Overstreet has relaunched a bigger, better version of this blog at LookingCloser.org. The new Looking Closer doesn't have any of the trashy click-bait advertisements that you're probably seeing all over this Patheos page. So give yourself a break.
- sg
I really like "Sunwheel Dance", "Dancing in the Dragon's Jaws", "Nothing But a Burning Light", and "Joy Will Find A Way".
I've actually seen Bruce more times than I've seen OtR (which isn't saying too much since I've only seen him 3 times and OtR twice) but both times he was absolutely AMAZING. His sense of humor coupled with his observations on life and politics never cease to amaze me.
Happy Birthday Bruce!
- Terry
Man, you have great taste in music! I live in Kitchener, Ontario, Canada, about 40 minutes west of Halton Hills, where Bruce wrote so much of his wonderful music. I try to play guitar and have always loved trying to emulate "Lord of the Starfields" along with a few others from his library. Bruce comes to town this November – Yeehaw!
- Anonymous
Don't care for Cockburn's later material–sorry–his spoken word diatribes are like poor white man's rap.
However, I do appreciate "Dancing in the Dragon's Jaws", "Nothing But a Burning Light" and the album with "Closer to the Light"–the fine Mark Heard tribute song.
Oh yeah, his Christmas album totally ROCKS.
- Martin
Humans is better than either of these.


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Looks like bug 697006 landed a new locationbar icon for webapps, and it is starting to appear to users.
The problem is that this icon at 16x16 looks scary, I thought it was some sort of malware. Shorlander and Wesj had similar thoughts on IRC.
Afaict, apart being really scary, clicking on the icon doesn't do anything, sometimes the key replaces it but still does nothing. I couldn't really figure out what it was till shorlander found it.
This is the icon:
May actually look like a scorpion or an evil mask, nothing positive and nice as an app :)
I think this icon should not be presented to users as it is.
When did it appear to you? This should only occur when installing a web app with the mozApps api.
(In reply to Fabrice Desré [:fabrice] from comment #1)
> When did it appear to you? This should only occur when installing a web app
> with the mozApps api.
I got this during an add-on install next to the add-ons puzzle piece icon.
I was on tbpl page, nothing related to webapps
(In reply to Marco Bonardo [:mak] from comment #0)
> This is the icon:
> http://mxr.mozilla.org/mozilla-central/source/browser/themes/winstripe/
> webapps-16.png
> May actually look like a scorpion or an evil mask, nothing positive and nice
> as an app :)
The icon to represent apps is currently in progress, so this is a placeholder regardless. But eventually we will need icons in the style of the other notification icons for various platforms. We should wait for a final apps icon first though.
It would be appreciated if I could please be notified of new icons being checked :)
(In reply to Fabrice Desré [:fabrice] from comment #1)
> When did it appear to you? This should only occur when installing a web app
> with the mozApps api.
It seems to be appearing next to all notification icons (password, geolocation, etc) http://cl.ly/0D1C11231i3G2H171e0B
*** This bug has been marked as a duplicate of bug 735517 ***
Reopening to track the need for a better icon
Created attachment 612271 [details]
WebApp Notification Icon - 64px
Created attachment 612272 [details]
WebApp Notificaion Icon (OSX) - 16px
Default and Pressed/Open States
Created attachment 612273 [details]
WebApp Notificaion Icon (Windows) - 16px
Default, Hover and Pressed/Open states
Created attachment 612274 [details]
WebApp Notificaion Icon (Linux) - 16px
Thanks to Martell for the icons! :)
Created attachment 614598 [details] [diff] [review]
New icons
Just replacing previous files with new icons.
I cropped them to the grayscale version of each (except for Linux) and pngcrush'ed again
sry for the typo in the commit message, "wbapps" :S
Nice icons!
However for the 16 icon version, why are these 48x16 for windows when only the first 16x16 is used? Or will it be used in later stage?
For verification - When are the rocket ship icons other than the red ones used? So far I've only seen the red ones used in the code. The two places I've seen these icons used are:
- Doorhanger notification
- App does not specify an icon
I believe those two use cases are correct, but can someone confirm.
The small icons are used in the doorhanger notifications: they show up in the location bar and are what the doorhanger points to. Only the gray ones are used now, the colored are for future Firefox theme work.


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Power to the Pixel, in partnership with the 59th BFI London Film Festival, presents
BFI IMAX, 1st Floor, 1 Charlie Chaplin Walk, London SE1 8XR
Power to the Pixel and BFI London Film Festival invite you to experience the latest in virtual reality and immersive storytelling at this free exhibition at BFI IMAX.
Exhibiting 16 projects from some of the world's greatest VR creators, audience members will experience an immersive journey into the world of VR stories, spanning fiction, documentary, animation and art.
The exhibition will run at BFI IMAX from Saturday 10 October until Sunday 18 October and is open at the following times.
Monday – Friday: 13.00 – 21.00
Saturday – Sunday: 11.00 – 19.00
The exhibition will feature Gear VR powered by GALAXY S6.
The exhibition is supported by Samsung, The Third Floor, Virtually Mine and The Arts Council


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More Videos...
1989 yamaha warrior 350 cold start failure!! intake boot Cracked
Dam.. Well the intake boot some how has a good crack in it , that's why she would not start.. And the boot on there is less then 5hrs old!!
Yamaha Warrior in the Snow With kenda bearclaws
Yamaha Warrior in the Snow With kenda bearclaws
1989 yamaha warrior frame after car wash part #3
Pulled her apart and gave her a quick wash now time to pull the motor apart!
Extra Video From the SkiDoo Citation Ride Last Week.
Just some extra video i had form the ride last weekend. Please Rate Comment & Subscribe Check out my other videos. Check out my Facebook Page https://www.facebook.com/starpuss


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Parking in W14 9AD
Driveway on Warwick Road, W14
Driveway on Warwick Road, W14
Parking Space on Muscal House, W6
Driveway on Palliser Road, W14
Parking Space on Fitzjames Avenue, W14
Car Park on IBIS Earls Court, SW6
Parking Space on Pembroke Road, W8
Driveway on St. Mary Abbots Terrace, W14
Parking Space on Spencer Mews, W6
Information about parking in W14 9AD
Looking for parking in W14 9AD? You've come to the right place! Funnily enough, parking is what we do best - and we've got a sumptuous selection of 250 locations in W14 9AD for you to choose from.
Our parking in W14 9AD is up to 70% cheaper than what you'd usually pay, plus you can book your guaranteed space in advance right here - forget about feeding the parking meter.
No more fumbling for coins and no more circling the block looking for a space. As for parking tickets? You can wave goodbye to them too - if you overstay with us, you just pay for the extra time.
We're taking the pain out of parking for 1 million drivers across the UK. But don't just take our word for it - check out our latest customer reviews for W14 9AD parking below:
"Easy to find, plenty of room." — Car Park on Mornington Avenue, W14
"" — Car Park on Mornington Avenue, W14
None of our delicious JustPark spaces tickle your fancy? Don't worry - we've got your back. There are plenty of other parking options available in W14 9AD - here's the best of the rest:
Off-Street Parking
Here's a selection of nearby off-street parking options:
|Broadwood Terrace
|£11.10 / 2 hours
|8am - 11pm,
Mon - Sun
|Coomer Place
|London Borough of Hammersmith and Fulham
|£0.20 / 30 minutes
|9am - 8pm,
Mon - Sat
|Hilton Kensington
|Apcoa Parking (UK) Ltd
|£6.00 / 2 hours
|12am - 11pm,
Mon - Sun
|West 12 Centre
|£3.80 / hour
|12am - 11pm,
Mon - Fri
|Town Hall
|The Royal Borough of Kensington and Chelsea
|£4.40 / hour
|12am - 11pm,
Mon - Sat
On-Street Parking
Here's a selection of nearby on-street parking options:
|Max Stay
|Edith Villas, Edith Villas, On Street Parking
|£0.00 / 9 hours
|8 hours
|Gunterstone Road, Gunterstone Road, On Street Parking
|£0.00 / 9 hours
|8 hours
|North End Road, North End Road, On Street Parking
|£0.00 / 9 hours
|8 hours
|North End Crescent, North End Crescent, On Street Parking
|£0.00 / 9 hours
|8 hours
|Mornington Cresent, Mornington Cresent, On Street Parking
|£0.00 / 9 hours
|8 hours
Rent out a space
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Nearby Transport
- West Kensington Station 0.05 miles away
- Barons Court Station 0.3 miles away
- Kensington (Olympia) Station 0.48 miles away
- Kensington (Olympia) Station 0.48 miles away
- Putney Station 2.11 miles away
- Wandsworth Town Station 2.24 miles away
Nearby Stadiums
- Earls Court 0.42 miles away
- Stamford Bridge 1 miles away
- Craven Cottage 1.3 miles away
- Loftus Road 1.66 miles away
- Hyde Park 2.21 miles away
Nearby Attractions
- Earls Court Exhibition Centre 0.43 miles away
- St. Philip's Church 0.56 miles away
- Broadway Shopping Centre 0.69 miles away
- Hammersmith Apollo 0.78 miles away
- The Finborough Theatre 0.83 miles away
Nearby Hospitals
- St Dunstans Clinic 0.46 miles away
- The Abingdon Health Centre 0.54 miles away
- Charing Cross Hospital 0.63 miles away
- The Walk In Centre 0.63 miles away
- Brook Green Medical Centre 0.69 miles away


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Type: Posts; User: broncoboy36081
Forum:Walkera Helis - Dragonfly, etc..
Forum:RC Helicopter General Discussions


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Current Residence: Denmark
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Personal Quote: There's no bad music. Only lack of distortion.


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It would be good to make something out of them, your right the prices of some wooden stuff is sometimes unbelivable
Great pics Bill, as others have said when it snows in the Uk, we don't seem to be anywhere prepared and the whole country seems to descend into chaos. I don't like it much but it does look beautiful
I use the cheap brown paper money envelopes and am putting them in a dark cool cupboard. First year of proper seed collecting
I always have trouble with delphs and larkspurs, don't think I've ever got a delph seed to germinate, not sure why?
I grew verbena boneralis this year for the first time and they took an age to germinate, I put them in the fridge, out of the fridge, when I finally ignored them, they did well
No way an expert, but I'd move it now as the soil is still warm and gives the plant a chance of getting some new roots established before the winter comes in.
I'm sure they will come through flowering rose, I love wallflowers, they are so easy to grow from seed. I think you tend to get better plants grown this way. The great thing is that you can collect seeds off them next year and grow some more for free
I'd say a few weeks at this time of year
Strangely I don't find that creepy at all, I think it's rather beautiful. I'd be pleased to find that in my garden
That's a big spider! I'm glad it lives over there. I can only imagine the webs
Good photo, it does look rather big. Is that in the Uk?


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Lot 1820: Eight archer's rings in porcelain, wood, glass' gilt brass and agate, China, Qing dynasty
Antiquities Arms and Armour, Hunting Antiques & Works of Art
by Hermann Historica GmbH
26 October 2016
Munich, Bavaria, GermanyLive Auction
Looking for the realised and estimated price?
Description: Comprising three wooden rings continuously carved with lettering, one of which boasting brass-inlaid characters, a porcelain ring embellished with a landscape and fishing boat in relief, one ring in double banded agate, one in moss agate, one in glass inset with glittering spangles and the last in gilt brass with an openworked dragon all the way round. Diameter 32 to 36 mm. Karl Zeilinger Collection.
Condition Report: II/II -
Notes: China
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