text:
Amanda Holden reveals the shocking truth behind her devilish Britain's Got Talent dresses
Britain's Got Talent /
AMANDA Holden has revealed her sexy Britain's Got Talent looks are actually a family affair.
Emily Ratajkowski sexes up morning routine with booty flashathon
Celebs /
OUR morning routine goes a little differently to Emily Ratajkowski's.
Alesha Dixon flashes killer cleavage in seductive slit dress
Strictly /
AMANDA Holden's raunchy fashion sense seems to have rubbed off on her co-star Alesha Dixon.
Katy Perry 'dating' Selena Gomez's ex-boyfriend The Weeknd
Celebs /
NOW this is one celebrity couple we definitely didn't see coming.
Debbie McGee, 59, exposes red-hot curves in eye-wateringly tight latex
Strictly /
WE knew Debbie McGee was a sex symbol way before her Strictly Come Dancing stint.
Ashley James is 90% cleavage in eye-popping minidress
Celebs /
ASHLEY James seems to be on a mission to flash the flesh lately – and she's succeeding.
Blue Planet II accused of fishy fakery
Hot TV /
THE show has sensationally been accused of fakery and promoting fake news.
X Factor CATFIGHT: Nicole Scherzinger and Cheryl to SCRAP for judge's seat
X Factor /
NICOLE Scherzinger and Cheryl Tweedy are caught up in a battle to be a judge on The X Factor next year.
X Factor song list for this weekend's George Michael tribute REVEALED
X Factor /
THE song list for this weekend's George Michael tribute show has been announced.
Alesha Dixon DROPS JAWS in stunning thigh-split gown
Celebs /
ALESHA Dixon turned heads in a stunning gown that made sure all eyes were on her.

subset: commoncrawl


text:
You shop. You save. We give.learn more »
- 1% donationAlex and Ani50coupons20% Off + Free Shipping on Select Full Priced Merchandise!
- Increased Donation5% donationTervis50coupons25% Off All Drinkware Items + Free Shipping
- 2.5% donationAmerican Eagle Outfitters50coupons40% Off Sitewide
Top Free Coupons and Promo Codes
- Free US Shipping on Orders Over $50SaleUrban Outfitters
Details: Free Standard Shipping on orders over $50. Flat Rate Shipping is $4.95 on all orders $0-$49.99. These rates are not applicable for orders shipped outside of the US. Please note: Some oversize items may require an additional shipping charge. Free Shipping applies only to merchandise. Taxes and Gift Cards do not count toward the Free Shipping total. Free returns and exchanges are only available for orders shipped within the US.
expires: 11/29/2017See all 50 coupons »
- Free Shipping on Thousand of ItemsSaleFinish Line
Details: No promo code needed
expires: 11/30/2017See all 50 coupons »goodsearch is greatby best
- Free 2-Day Shipping At NeimanMarcus.ComCodeNeiman Marcus
Details: Get free 2-day shipping when you enter this promo code at checkout.
ENDS TOMORROWSee all 50 coupons »
- 60% Off Binders & Post-ItsCodeZazzle
ENDS TODAYSee all 50 coupons »
- Free Shipping on Orders Over $150SaleAnthropologie
expires: ongoingSee all 50 coupons »
- Discover This Season's Hottest Styles With Our New Clothing for WomenSaleSundance Catalog
Details: Limited time.
expires: 01/01/2018See all 50 coupons »
- Save Up to 30% on Outdoor Lit DecorsSaleTarget
Details: Promotions valid Sunday–Saturday unless otherwise stated. Pricing, promotions, and availability may vary by location and online. Descriptive, typographic and photographic errors are subject to correction and Target shall have no liability for such errors.
expires: 11/30/2017See all 50 coupons »
- 20% Off Black Friday ItemsCodeMacy's
ENDS TOMORROWSee all 50 coupons »
- 10% Off All Husky Liners ProductsCodeCarParts.com
Details: Restrictions apply limited time only
expires: 12/14/2017See all 50 coupons »
- 10% Off Any OrderCodeHale Groves
expires: 11/25/2017See all 43 coupons »Saved $3.80.by Ainsley
- Save an Extra $250 on a Total Gym FITCodeTotal Gym
expires: 12/31/2017See all 16 coupons »Saved $250.00.by NoeSaved $250.00.by ReganSaved $250.00.by JamesSaved $250.00.by AndreaSaved $250.00.by MaceySaved $250.00.by WhitneySaved $250.00.by HarmonySaved $250.00.by Ruby
- 15% Off Classic Petite Bristol 32MM Watch
expires: 11/25/2017See all 50 coupons »


text:
TRIP AND RIDE Contact Information
Call +37126881911
This supplier is based in:
20867 Caponago MB, Italy
Ratings and reviews of TRIP AND RIDE
Click here to read more...
15 out of 15 FindTransfers users would recommend TRIP AND RIDE.
About TRIP AND RIDEWe know the Alps by heart - we are also a tour operator and we can tell you everything about the mountains. We can pick you up from the most of the airports in the Alps.
Our drivers speak Italian, fluent English and Russian and can communicate also a bit in German language.
About our fleetWe operate the best cars in the field Mercedes-Benz Viano - we also have MB Viano 4x4 for reaching mountain hotels. Our cars have 8 high comfort passenger seats and a lot of space for luggage. For safety reasons we transport luggage in a large sealed roof box (ski box). In case of a really big amount of luggage we do have a closed-type trailer. We also provide child seats in the transfer cars.
Our delayed flight policyWe are very flexible and will always adapt to various situations. No worries if the wait is around 1 hour - if the delay happens to be more, we kindly ask 40€/h.
Transport / Taxi Licence Number of TRIP AND RIDE
This licence was issued by:
Road Directorate of Latvia
Here is a copy of this licence (Click to enlarge):


text:
Do you own this product? Write a review
This is by far the best amplifier I have ever owned, they puch my JL Audio 12w7ae-3 12" subwoofers tot eh fullest. A friend of mine put me onto this amplifier, and I am so happy he did as my previous kicker amp was crap compared to this one. This amp has never overheated or had any otehr malfunction over the many years I have now owned it, If you want real qualityu sound this is the only way to go. All of the specifications above are dead on.
4000 Watt Brutus Mono Subwoofer Car Audio Amplifier
Brutus Series Monoblock Class D Car Amplifier 3000W Peak Power
Monoblock RAZOR Series Full Range Class D Car Amplifier
500W RMS Monoblock eXcelon Series Class D Digital Power Amplifier
Prime Seires 750 Watts, Class D, Mono Car Ampflier With Built-In Crossover
Prime Series 1200 Watts Max Power, Class D Mono Car Amplifier
1600 Watts Max Power Nano Block Series Monoblock Car Audio Amplifier
75.4W RMS Class A/B 4-Channel Car Subwoofer Amplifier
BAMF Series Class D 1-Ohm Stable Strappable Monoblock Amplifier 8000W Peak Power
2000 Watt Mono Block Car Amplifier, Heritage Series Bass Amp
Founded in 1999, the OnlineCarStereo.com team has worked to put together one of the largest selections of car audio/stereo in this country.


text:
Welcome to Category 6. This is the collective home for Weather Underground's featured writeups by Dr. Jeff Masters (right), Bob Henson (left), Chris Burt, and other regular contributors.
Hurricane and Tropical Cyclones
Tropical Weather Discussion
000abio10 pgtw 211800 msgid/genadmin/joint typhoon wrncen Pearl Harbor hi// subj/significant tropical weather advisory for the Indian /Ocean/211800z-221800znov2017// rmks/ 1. North Indian Ocean area (Malay Peninsula west to coast of Africa): a. Tropical cyclone summary: none. B. Tropical disturbance summary: none. 2. South Indian Ocean area (135e west to coast of Africa): a. Tropical cyclone summary: none. B. Tropical disturbance summary: (1) the area of convection previously located near 10.8s 111.8e, is now located near 11.1s 111.9e, approximately 670 nm north- northwest of Learmonth, Australia. Animated enhanced infrared imagery depicts flaring convection with two fairly symmetrical convective bands wrapping into a low level circulation center (LLCC). Upper level analysis shows that 95s is under an area of low (5-10 knot) vertical wind shear with a formative anticyclone over the system. Sea surface temperatures are warm (28-29 celsius) and will support further development. Global dynamic models are split, with navgem and ECMWF favoring development by 241200z as 95s tracks further south. Maximum sustained surface winds are estimated at 15 to 20 knots. Minimum sea level pressure is estimated to be near 1006 mb. The potential for the development of a significant tropical cyclone within the next 24 hours remains low. (2) no other suspect areas.// Nnnn
Learn more about and the hurricane season in our hurricane archive.
Hurricane Archive
All Atlantic Storms (1851-2017)
Named Storms for 2016
Historical Hurricane Statistics
- Accumulated Cyclone Energy (ACE)
- 10 Costliest U.S. Weather Disasters since 1980
- 30 Deadliest Tropical Cyclones in History
- 30 Deadliest Atlantic Hurricanes
- 30 Deadliest U.S. Hurricanes
- 30 Costliest U.S. Hurricanes
- Top 10 Most Active Hurricane Seasons
- The 12 Major May-June-July Hurricanes
- The 12 Latest-season Major Hurricanes
- The 20 deadliest late-season Atlantic hurricanes
- 2005 Hurricane Season Records
- Hurricane Katrina Information Archive
- Retired Hurricane Names
Articles of Interest
- Hunting Hugo: The Hurricane Hunters' Wildest Ride
- The six hurricane/typhoon hunter missions that never returned to base
- A new world record wind gust: 253 mph in Australia's Tropical Cyclone Olivia
- Wind shear tutorial
- Subtropical storm tutorial
- African dust tutorial
- Gulf of Mexico ocean heat tutorial
- African wave tutorial
- Modiki El Niños and Atlantic hurricane activity
- The case for a new QuikSCAT satellite
- Bill Gates takes on hurricanes
- Is the Atlantic hurricane season getting longer?
- Late-starting hurricane seasons
- Looking back at Hurricane Gustav's record 211 mph wind gust
- Remembering Hurricane Hugo 20 years later
- Haiti's tragic hurricane history
- Global warming and the frequency of intense Atlantic hurricanes: model results
- Complete subject list of Dr. Jeff Masters' blogs on hurricanes


text:
Pop Searches: photoshop office 2007 PC Security
You are here: Brothersoft.com > Windows > Social & Communication > Other E-Mail Tools >
How i wanna check my husband whatsapp chat history ...
In General Q&A Board·1523 answers
I think we all don't have to face all these deceit and lies from our spouse...in the case of mine when i got sick and...(more)
do you need hack help catching your cheating spouse???
In General Q&A Board·585 answers
any issues related to hacks,contact email@example.com,he does all sort of computers hacks,mobile hacks,get unres...(more)
need help catching a cheating spouse??
In General Q&A Board·405 answers
any issues related to hacks,contact email@example.com,he does all sort of computers hacks,mobile hacks,get unres...(more)
Which browser should I have?IE, Google Chrome or Firefox? Or any other browser works better on windows 7?
In General Q&A Board·264 answers
Hello Everyone ,I have been living with my wife for some years now,she has been keeping late nights and also receivi...(more)
sis video 560 | direct7.0 or above | firefox windows ce | microsoft word 2009 | ares gratis 188.8.131.524 | microsoft publisher viewer | battle ludo for | microsoft spider solitaire | crystal fox house | microsoft office 2005 | error 1706 nero | mac strip poker | airfoil 1.3 software | ware max texporter | her sweet hand
Please be aware that Brothersoft do not supply any crack, patches, serial numbers or keygen for DeskTask,and please consult directly with program authors for any problem with DeskTask.
nokia c1 01 games umnet | mobile folder hidden software | latest gpass proxy software | gps for se w850i | microsoft works word processor | norton security suite manual | virtual dancing girl screensaver | free logo templates edit | winzip 8.1 94fbr | convert ISO to VCD | music xml activex | microsoft office powerpoint 2007 | instagram in lg optimus black | 9l0 608 practice exam | bejeweled clone ipad | stg mib | 102 cannot import documents | microsoft works task launcher | wise timetable 3.2.2 crk | free limewire video | pic monkey photo editor download | subtitler.com | microsoft works free trial | microsoft word 2003


text:
Studies of adults with orthostatic intolerance (OI) have revealed altered neurohumoral responses to orthostasis, which provide mechanistic insights into the dysregulation of blood pressure control. Similar studies in children with OI providing a thorough neurohumoral profile are lacking. The objective of the present study was to determine the cardiovascular and neurohumoral profile in adolescent subjects presenting with OI. Subjects at 10–18 yr of age were prospectively recruited if they exhibited two or more traditional OI symptoms and were referred for head-up tilt (HUT) testing. Circulating catecholamines, vasopressin, aldosterone, renin, and angiotensins were measured in the supine position and after 15 min of 70° tilt. Heart rate and blood pressure were continuously measured. Of the 48 patients, 30 patients had an abnormal tilt. Subjects with an abnormal tilt had lower systolic, diastolic, and mean arterial blood pressures during tilt, significantly higher levels of vasopressin during HUT, and relatively higher catecholamines and ANG II during HUT than subjects with a normal tilt. Distinct neurohumoral profiles were observed when OI subjects were placed into the following groups defined by the hemodynamic response: postural orthostatic tachycardia syndrome (POTS), orthostatic hypotension (OH), syncope, and POTS/syncope. Key characteristics included higher HUT-induced norepinephrine in POTS subjects, higher vasopressin in OH and syncope subjects, and higher supine and HUT aldosterone in OH subjects. In conclusion, children with OI and an abnormal response to tilt exhibit distinct neurohumoral profiles associated with the type of the hemodynamic response during orthostatic challenge. Elevated arginine vasopressin levels in syncope and OH groups are likely an exaggerated response to decreased blood flow not compensated by higher norepinephrine levels, as observed in POTS subjects. These different compensatory mechanisms support the role of measuring neurohumoral profiles toward the goal of selecting more focused and mechanistic-based treatment options for pediatric patients with OI.
- orthostatic intolerance
- head-upright tilt test
- postural orthostatic tachycardia syndrome
- orthostatic hypotension
- arginine vasopressin
Distinct neurohumoral profiles were detected in blood collected during head-up tilt in children with postural orthostatic tachycardia syndrome, orthostatic hypotension, and syncope, revealing different compensatory mechanisms. This first comprehensive neurohumoral profile in children with orthostatic intolerance provides a basis for future strategic treatment options in children.
orthostatic intolerance (OI) affects 500,000 Americans, rendering them unable to maintain adequate blood perfusion during an upright position (42). When standing, patients often experience lightheadedness, sweating, and nausea (22, 42). An abnormal cardiovascular response to head-up tilt (HUT) orthostatic challenge can be broadly grouped into the following: postural orthostatic tachycardia syndrome (POTS), orthostatic hypotension (OH), and syncope. Management and treatment of OI is typically dependent on the specific cardiovascular diagnosis, with most treatments having variable effectiveness in adult and adolescent populations (4, 8, 13, 30, 39). The pathophysiological mechanisms responsible for these cardiovascular changes are not well defined as presentation and symptoms are often heterogenous (14). This heterogeneity leads to the empirical treatment of symptoms without a evidence-based approach related to their underlying cause (3, 6).
In response to HUT, a reduction in blood volume or pressure at the level of the heart or carotid arteries is associated with reflex increases in catecholamines, arginine vasopressin (AVP), renin, ANG II, and aldosterone (Aldo) (8a). Although there are many additional nonreflex regulators that influence these systems, previous studies in adults with OI have revealed exaggerated neurohumoral responses to upright posture, including elevated catecholamines (16, 24), ANG II (34, 35), and AVP (11, 25, 37, 54). Neurohumoral responses also differ among OI subtypes, underscoring the possibility of differential mechanisms related to specific hemodynamic profiles. Adults with POTS have been observed to have elevated levels of plasma norepinephrine (NE) and epinephrine (Epi) at the time of orthostatic challenge, suggesting disproportionally higher sympathetic activation likely compensating for low blood pressure (BP) (16, 34, 58). Elevated supine ANG II is also associated with POTS subjects with hypovolemia (49). In adults with OH, greater supine AVP and endothelin-1 concentrations have shown to be predictive of decreases in systolic BP (SBP) during HUT (37). Increases in AVP and Epi during HUT have also been observed in both adult OH and vasovagal syncope subjects (23, 32, 37). OI is also observed in pediatric patients (12) but is particularly difficult to diagnose and treat as it is underrecognized, and testing, such as HUT, can be invasive for children. Characterization of the neurohumoral response to orthostatic challenge in children with OI has not been well described, but dysregulation of these systems likely plays a role in its pathogenesis (12, 13).
We hypothesized that children with OI undergoing HUT would demonstrate distinct neurohumoral responses in association with specific patterns of changes in BP and heart rate (HR). We further suggest that specific cardiovascular responses in OI subtypes such as POTS, OH, and syncope are associated with unique neurohumoral profiles. To test this, we measured circulating levels of Epi, NE, AVP, Aldo, renin, and angiotensins [ANG-(1–7) and ANG II] both in the supine position and during HUT and compared these findings with the hemodynamic response in pediatric subjects with OI.
Forty-eight male and female subjects at 10–18 yr of age were recruited from the pediatric clinic at Wake Forest Baptist Medical Center if they experienced two or more symptoms consistent with OI, in which HUT was deemed necessary, for at least 2 mo before testing. These OI symptoms included nausea, dizziness, lightheadedness, abdominal pain/bloating, syncope, excessive sweating, or chronic fatigue. Patients were excluded if a metabolic, mechanical, or mucosal inflammatory finding was identified as the cause for their symptoms. All subjects were required to undergo a 45-min HUT test during which blood was drawn to measure Epi, NE, ANG II, ANG-(1–7), Aldo, renin, and AVP after 15 min in the supine position and after 15 min of HUT. The Institutional Review Board of Wake Forest Baptist Medical Center approved this study. Parents and children provided written consent/assent before study participation.
Patients were diagnosed as having an abnormal HUT [HUT(+)] if they met criteria for POTS, OH, syncope, or POTS/syncope (P/S). Otherwise, patients were defined as having a normal HUT [HUT(−)]. POTS was defined as either a HR of >120 beats/min or a ≥40-beats/min increase in HR from mean supine HR in the first 10 min of HUT and sustained for at least 2 min (46). OH was defined as a 25-mmHg decrease in SBP from mean supine SBP in the first 10 min of HUT sustained for a minimum of 2 min without an associated increase in HR (14). Syncope was defined as a temporary loss of consciousness during 45-min HUT. Subjects were classified as P/S if they met criteria for POTS as defined above followed by syncope at any time during the 45-min HUT.
Measurements of Blood Hormones
Measures of Aldo, renin, and angiotensins were carried out in the Clinical Laboratory Improvement Amendment-certified Hypertension Core Assay Laboratory at Wake Forest. Measures of catecholamines (Epi, NE, and dopamine) and AVP were carried out in the Pathology laboratory at Wake Forest Baptist Health. Radioimmunoassays (RIAs) previously described for human studies were used to measure three angiotensin peptides [ANG I, ANG II, and ANG-(1–7)] (27, 28). ANG I was measured using a modified version of the Peninsula assay, ANG II was measured using ALPCO (Windham, NH), and ANG-(1–7) was measured using an in-house antibody. AVP was measured using an ALPCO Diagnostics RIA (Windham, NH). Serum Aldo and plasma renin were measured as previously described (34). Epi, NE, and dopamine were measured after whole plasma extraction by HPLC. Dopamine was not detectable in plasma of any of the subjects.
Statistical Analysis
For continuous variables, means and SEs were calculated; for categorical variables, counts and percentages were calculated. Two-way ANOVA tests were conducted to examine the effect of HUT on HUT(+) versus HUT(−) groups as well as HUT(−), OH, POTS, syncope, and P/S groups. When appropriate, post hoc t-tests and one-way ANOVAs were conducted to identify specific effects of HUT on hemodynamic and neurohumoral variables between and among groups. Unpaired t-tests were performed to compare HUT(+) and HUT(−) groups followed by a Welch's correction if there were unequal variances. Mann-Whitney tests were conducted when data sets were not normally distributed. Paired t-tests were performed to compare supine with HUT measures within groups, and Wilcoxin's correction tests were used when data sets were not normally distributed. One-way ANOVAs followed by Tukey's post hoc multiple-comparisons tests were performed to define differences between HUT(−), POTS, OH, syncope, and P/S groups. Kruskal-Wallis tests were performed when group data were not normally distributed. Pearson's correlation test was performed to compare neurohumoral and hemodynamic variables. Spearman's correlation test was performed when data sets were not normally distributed. All statistical analyses were performed using GraphPad Prism 5.0. Results with P < 0.05 were considered statistically significant.
Forty-eight patients (36 female subjects and 12 male subjects) presenting with OI symptoms for at least 2 mo prior underwent HUT testing. The median age (±SE) was 15.2 ± 0.3 yr. Eighteen patients were HUT(−) and 30 patients were HUT(+) over the 45-min HUT. The 30 HUT(+) subjects met criteria for one of the four groups [POTS (n = 7), OH (n = 5), syncope (n = 8), or P/S (n = 10)]. There were no differences in age or weight between groups. The body mass index was significantly higher in HUT(−) subjects than HUT(+) subjects. As expected, HUT(−) subjects were able to sustain HUT significantly longer than HUT(+) subjects. Syncope and P/S subjects sustained significantly less time on HUT compared with HUT(−) subjects, and POTS subjects were able to stay on HUT longer than syncope subjects (Table 1).
HUT(+) Versus HUT(−) Subjects
Hemodynamic measurements.
There were no significant differences between HUT(+) and HUT(−) subjects for BP and HR in the supine position (Fig. 1). During tilt, HUT(+) subjects had significantly lower SBP and diastolic BP (DBP) compared with HUT(−) subjects [interaction, P < 0.05; HUT(+) vs. HUT(−), P < 0.0005; Fig. 1, A and B]. Similar patterns were observed for mean arterial pressure (MAP). Additionally, HUT(−) subjects had a significant increase in DBP upon HUT compared with supine (P < 0.05). No other significant BP changes were observed from supine to HUT in either group. Both groups had a significant increase of HR from supine to HUT, but there were no differences at supine or HUT between groups (Fig. 1C).
Neurohumoral measurements.
There were no significant differences between HUT(−) and HUT(+) subjects for neurohumoral measures in the supine position (Fig. 2). Plasma levels of NE (Fig. 2A), Epi (Fig. 2 B), renin (Fig. 2D), and ANG II (Fig. 2F) significantly increased from supine to HUT for both HUT(−) and HUT(+) groups, but there were no differences in these hormones between groups during HUT. Plasma AVP concentrations increased in both groups from supine to HUT [P < 0.05 for HUT(−) and P < 0.001 for HUT(+)] but were higher in HUT(+) versus HUT(−) subjects during HUT (P < 0.05; interaction, P = 0.08; Fig. 2C). There were no differences in Aldo or ANG-(1–7) levels between or among groups (Fig. 2, E and G).
Correlative Assessment of Neurohumoral Biomarkers and Hemodynamics
Based on our findings, we applied regression analysis to further elucidate the association between these neurohumoral biomarkers and hemodynamics at supine and in response to HUT considering all 48 subjects and HUT(+) and HUT(−) groups alone (Table 2). Supine NE had a negative correlation with Epi and ANG-(1–7) in both supine and HUT positions and positive correlation with supine AVP. As expected, NE during HUT had a positive relationship with both supine and HUT HR. These relationships were also observed in HUT(+) subjects but not in HUT(−) subjects. HUT levels of NE correlated in a positive manner with supine AVP and negatively with HUT ANG-(1–7). The negative relationship between HUT NE and HUT ANG-(1–7) was also observed in HUT(−) subjects. Supine Epi correlated directly with supine HR, whereas HUT Epi had an inverse relationship with MAP. HUT Epi also directly correlated with ANG-(1–7) in both supine and HUT positions considering all 48 subjects and HUT(+) subjects alone (Table 2).
In addition to relationships with NE and Epi, AVP associated with MAP in the supine postion and during HUT. In the supine position, AVP showed a positive correlation with MAP. In contrast, during HUT, a significant negative correlation between MAP and AVP during HUT was observed. Both of these correlations were also observed in HUT(+) subjects but not in HUT(−) subjects. ANG II in the supine position correlated directly with supine HR. Significant positive relationships were also observed between ANG II and renin, ANG II and Aldo, and renin and Aldo in supine and HUT positions (Table 2).
HUT(+) Subgroups Versus HUT(−) Subjects
Hemodynamic measurements.
To explore differences among patients with specific OI subgroup diagnoses during HUT, we analyzed hemodynamic and neurohumoral changes in POTS, OH, syncope, and P/S subjects compared with HUT(−) subjects. There was a significant interaction for SBP during HUT, indicating differences among groups at baseline and in response to tilt. Specifically, subjects with OH (P < 0.0001), POTS (P < 0.01), and syncope (P < 0.01) had significantly lower SBP during HUT compared with HUT(−) subjects, and OH subjects had significantly lower SBP than P/S subjects (P < 0.01). The only subgroup to have a significant effect from supine to HUT for SBP was the syncope group, which had a decrease in SBP with HUT (P < 0.05; Fig. 3A). There was also a significant interaction for DBP (P = 0.04) and MAP (P = 0.009) from supine to HUT, in which all subgroups had significantly lower DBP and MAP than HUT(−) patients (P < 0.0001; Fig. 3B). HUT(−) subjects had significantly higher SBP, DBP, and MAP during HUT compared with all other groups, and OH subjects had significantly lower SBP and MAP than POTS, syncope, and P/S subjects (P < 0.0001; Fig. 3). HUT(−), POTS, syncope, and P/S subjects had a significant increase in HR from supine to HUT. Consistent with the clinical definition of POTS, the POTS group had significantly higher HR during HUT than all other subgroups (P < 0.01) and a greater increase in HR from supine to HUT (P < 0.0001). Additionally, OH subjects had significantly lower HR than HUT(−) and P/S subjects during HUT (P < 0.05; Fig. 3C).
Catecholamine measurements.
In the supine position, there were no significant differences among groups. Subjects with POTS had significantly higher levels of NE than HUT(−) subjects during HUT (P < 0.001). POTS subjects had exaggerated increases in NE (P < 0.001) and Epi (P < 0.05) from supine to HUT and higher plasma levels of NE compared with all other abnormal HUT subgroups (P < 0.01). P/S subjects were the only other group to have a significant change from supine to HUT in these variables, with a significant increase in NE with HUT (P < 0.05). OH (P = 0.1), syncope (P = 0.2), and P/S (P = 0.07) groups showed a trending increase in Epi levels from supine to HUT. HUT(−) subjects had a significant increase from supine to HUT in NE and Epi (Fig. 4, A and B).
Vasopressin measurements.
At baseline, there were no differences among groups in plasma AVP concentrations. OH (P < 0.05) and syncope (P < 0.01) subjects had significantly higher AVP during HUT than POTS and HUT(−) subjects. Syncope subjects also had a significant increase in AVP from supine to HUT (P < 0.001), and OH subjects had a variably high but not statistically significant increase in AVP (Fig. 4C). These two subgroups did not show a significant decrease in BP during HUT, but both had lower BP during HUT compared with the HUT(−) group, and the OH subgroup had lower pressure than most other groups during HUT.
Renin-angiotensin-Aldo system measurements.
There were no differences among groups for renin in the supine postion or during HUT. An increase in renin from the supine position to HUT was observed in HUT(−) and syncope subjects (P < 0.01; Fig. 4D). There was no change in serum Aldo from the supine position to HUT in any group. OH subjects had higher Aldo measurements than HUT(−) and POTS subjects in the supine position and HUT(−), POTS, and syncope subjects during HUT (Fig. 4E).
For ANG II, there were no differences in supine values among subgroups. HUT(−), POTS, syncope, and P/S groups had a significant increase from the supine postion to HUT. There was a trend for group differences (P = 0.054), likely driven by the higher ANG II during HUT in P/S subjects relative to HUT(−) and syncope subjects (Fig. 4F). There were no changes in ANG-(1–7) elicited by HUT and no differences among subgroups (Fig. 4G).
The objective of our study was to better characterize the neurohumoral phenotype and its relationship with hemodynamic changes to HUT in children with OI (14, 46). The neurohumoral profile included measurements of circulating catecholamines (Epi and NE), the renin-angiotensin-aldosterone system axis, and AVP to provide a comprehensive panel for subjects with OI to test the effects of orthostatic challenge. Our methodology was unique in that the neurohumoral profile was measured during HUT as opposed to previous studies in adults in which sample collection was taken in the supine position alone, after completion of a 30-min test, or after an evoked HUT response (11, 19, 20, 34, 37). Our approach aimed to more accurately reflect real-time neurohumoral changes as they related to cardiovascular symptoms including HR and BP changes, especially for neurohumoral factors that are less stable and metabolized quickly (1).
As we have previously reported (12, 13), pediatric subjects presenting with various OI symptoms frequently demonstrated an abnormal HUT, raising the possibility of a cardiovascular basis for their OI, including gastrointestinal symptoms. The majority (62.5%) of patients with reported orthostatic dizziness were HUT(+), consistent with findings in adults (36) in which autonomic dysfunction was associated with a high rate of symptoms of lightheadedness, dizziness, fatigue, nausea, and/or abdominal pain. While the majority of HUT(+) subjects in our study had POTS (17 of 30 OI subjects), consistent with other studies (14, 43, 46, 49, 53), over half of the POTS patients experienced syncope later in the HUT (10). Subjects with P/S or syncope sustained significantly less time on HUT compared with HUT(−) subjects. POTS subjects were able to endure the HUT for a longer time compared with syncope subjects. While there was no statistical significance, P/S subjects were only able to sustain half as much time on HUT compared with POTS subjects (Table 1). This is most likely due to P/S subjects experiencing syncope after 10 min of HUT compared with POTS subjects who were able to sustain the 45-min HUT.
When all HUT(+) subgroups were analyzed collectively, an increase in hormone secretion from the supine position to HUT included AVP, NE, Epi, renin, and ANG II. Although ANG-(1–7) has been reported to influence AVP and NE release and baroreflex function in animal studies (7, 17, 44, 57), there were no differences in ANG-(1–7) between groups. A negative relationship was observed between ANG-(1–7) and NE, consistent with evidence of a neuromodulatory action of ANG-(1–7) on the release of NE (7, 17, 48, 57). Overall, only AVP was markedly elevated between HUT(+) and HUT(−) patients. These findings, taken in the context of decreased BP upon HUT in OI, suggests that AVP release is in response to a reduction in blood volume and perfusion of heart and atrial vessels as well as carotid arteries. Whether the hormone is effectively contributing to an increase in vasoconstriction and volume expansion (5, 25, 54), albeit insufficient to maintain normal arterial pressure, is not clear.
To determine whether the hemodynamic pattern presented by specific OI phenotypes was associated with specific neurohumoral profiles, HUT(+) patients were divided into four diagnostic subgroups. Adult POTS patients compensate for a reduction in blood perfusion during orthostatic challenge by increasing HR to prevent a decrease in BP (38, 42, 43), while different compensatory mechanisms and neurohumoral patterns occur relative to adult OH and syncope subjects (3, 14, 23, 32, 55). Our findings in children were similar to adults in that POTS subjects showed an elevation in NE compared with HUT(−) subjects, consistent with a hyperadrenergic state (16, 34, 38). There was little to no change during HUT in renin or Aldo. The lack of an Aldo response in POTS subjects is consistent with other studies in which an increase in Aldo secretion was absent despite increases in ANG II during HUT (34, 38, 49). Plasma ANG II increased significantly from the supine position to HUT in POTS subjects; however, ANG II levels were not statistically different from those of HUT(−) subjects. There are several theories for the ANG II and Aldo responses, including hypovolemia (49), impaired adrenal ANG II type 1 receptors (56), reduced angiotensin-converting enzyme 2 activity (50), or altered Na+ loading (47, 49). Interestingly, AVP was not significantly increased in the POTS subgroup during HUT. Both of these observations may reflect the fact that BP and perhaps blood flow, at least in POTS subjects, is maintained during HUT via the increased HR in these subjects.
Furthermore, in the P/S subjects where BP was not maintained over the duration of the 45-min HUT, ANG II levels tended to be higher compared with HUT(−) subjects. AVP responses were variable in this subgroup. In contrast to the subjects with POTS alone, the NE response was not elevated. This may suggest that those with POTS who progress to syncope may have a disproportionate reliance on the renin-angiotensin-Aldo system compared with other vasoconstrictor systems versus those with POTS alone who may rely on sympathetic nervous system activation. Traditionally, this distinction between POTS and P/S has not been made when analyzing neurohumoral changes in adults, but the unique hemodynamic and autonomic response to HUT may reflect an impairment in the ability to sustain a vasoconstrictive response in those with P/S compared with POTS alone. Thus, our findings support the concept that subjects in this category require additional compensatory mechanisms to maintain sufficient perfusion over the longer HUT timeframe and perhaps in daily activity.
In contrast to POTS subjects, OH and syncope subjects had no change in NE, increased Epi, and exaggerated increases in AVP. There was a failure to significantly increase renin and ANG II in OH subjects with HUT, whereas syncope subjects showed normal renin and ANG II responses. Both groups had a trending increase in Epi and a failure to increase NE, which is consistent with a previous report (18) of sympathoadrenal imbalance in OH and syncope subjects. This study showed drastic increases in Epi before syncopal episodes, suggesting that vasodilation in neurocardiogenic syncope is, at least in part, humorally mediated (10, 18). Furthermore, intraveneous infusion of NE maintained BP in OH subjects during HUT, temporarily eliminating OH (19). Thus, the imbalance of NE and Epi, with higher circulating Epi, most likely contributes to vasodilation or impairments in peripheral vascular resistance by stimulating vasodilating β2-adrenergic receptors in skeletal blood vessels, which results in low BP/cardiac output in OH and syncope subjects (15). However, in the present study, the sympathoadrenal imbalance was accompanied by a trend for exaggerated increases in AVP in syncope and OH subjects and increased Aldo in OH subjects.
Surprisingly, OH subjects exhibited significantly higher serum Aldo compared with HUT(−) subjects, with higher levels in both supine and HUT positions. All other groups had lower Aldo levels while in the supine position, with little to no increase from the supine position to HUT. A trend for higher AVP in the supine position was also observed in the OH group. The higher AVP may be a reflection of a chronically lower BP, as has been suggested when copeptin was used as an indirect measure of chronically elevated AVP (59). The increase in AVP may be due to lower pressures in the OH group compared with the syncope group at the time of the hormonal measurement, given that syncope occurred later in the HUT. A combination of high Aldo and AVP has also recently been associated with hospitalized neonatal foals with clinical hypoperfusion, providing further evidence for these clinical biomarkers to identify subjects with volume depletion and/or poor tissue perfusion (9). Considering that AVP release is most sensitive to reduced serum osmolality followed by sensitivity to decreases in BP, our findings are consistent with the reduction in effective BP and perfusion as the stimulus for release of this hormone. However, the trigger for this response is still unclear. Thus, while accompanied by an imbalance in NE and Epi, higher Aldo and AVP at baseline and the exaggerated increase in AVP in response to HUT in OH subjects appear to be compensating for the lack of response in multiple other vasoconstrictive and fluid retention systems.
The relationship between AVP and reduced BP has been described in both animal and human studies in which increased secretion of plasma AVP is triggered by unloading of arterial baroreceptors in the hypotensive state (26, 54). This is similar to our observations after HUT in both OH and syncope subjects with the reduction in BP. However, stimulation of AVP also occurs independently of the baroreflex (41). Baroreflex sensitivity and HR variability are reduced during HUT in normal subjects, and there is an even greater suppression of these indexes of BP and HR regulation in those with OI and HUT(+) (45). In fact, AVP release is reportedly greater in situations when the baroreflex is impaired (41), which would be consistent with the observed AVP responses during HUT given the negative correlation between AVP and BP during the upright position in HUT(+) subjects. Thus, the trigger for AVP release, low BP, and an exaggerated impairment in baroreflex remains unclear in the present study.
The positive correlation observed between AVP and BP in the supine position was an unexpected finding. In light of the association between dysautonomia and hypertension, this does raise some concern for future elevated BP in HUT(+) subjects (most notably, the OH subgroup with higher supine Aldo) (2, 40). For example, autonomic indexes, including decreased HR variability and baroreflex sensitivity, are accepted as risk factors and indicators for the development and progression of cardiovascular problems such as hypertension and stroke (29, 31, 33). Future studies may include measuring copeptin levels to further elucidate this question. Copeptin, a stable component of AVP, is a marker of treatment effectiveness for OI, with lower levels of copeptin observed in patients effectively treated with vasoconstrictors (59). Whether OI, Aldo, or AVP/copeptin may also serve as biomarkers for the development of hypertension in this patient population warrants further attention, particularly in light of the absence of long-term cardiovascular longitudinal studies in these patients.
The findings in the present study underscore the distinct nature of HUT(+) hemodynamic subgroups, raising the question as to the need for more specific treatment strategies based on individual subgroup characteristics. The exaggerated release of several hormones in the face of minimally maintained or lower pressure in POTS or P/S may suggest that vascular responsiveness to the constrictors is impaired. In contrast, deficits in the release of neurohumoral factors other than AVP appear to have a role in OH. POTS patients do not have high levels of Aldo or AVP either in the supine position or during HUT, suggesting that volume expansion with the use of Aldo-like drugs such as fludrocortisone may be sufficient, particularly when coupled with increased NE, to mitigate their pronounced orthostatic response. In contrast, fludrocortisone may be less effective in OH patients based on the observed increases in Aldo. The exaggerated AVP response in this group supports this possibility. In fact, fludrocortisone is not effective in ∼35% of adolescents treated for OI (12). Therefore, prospective placebo-controlled studies are needed to determine the potential role for other treatment modalities, such as vasoconstrictor therapy (e.g., midodrine), in OH subjects (3, 39, 51).
The limitations of the study include the following. First, while HUT(−) subjects served as controls, all those studied with HUT had reported symptoms of OI before the study. Thus, future study designs require HUT and neurohumoral assessment of asymptomatic, healthy controls. Second, the sample size was relatively small, particularly when considering HUT(+) subgroups. To better define potential differences among patients with POTS, OH, syncope, and P/S as well as the correlative relationship between hemodynamic and neurohumoral measures, a larger cohort of OI patients is required. To better determine the feasibility of conducting such a study, understanding the prevalence of OI in the pediatric population will be necessary. The timing of blood collection also requires further consideration. As discussed above, neurohumoral markers were measured 15 min after HUT to optimally capture orthostatic symptoms. However, by performing a 45-min HUT, several patients with syncope did not manifest orthostatic and cardiovascular changes until later in the study. Therefore, changes in the neurohumoral profile in this subgroup may be more pronounced at different times during the HUT. Finally, while the hormone panel we measured was comprehensive, it did not include cortisol. Cortisol levels may be relevant as anxiety can be a comorbid symptom in pediatric patients with OI (52). Assessing cortisol levels during HUT may help delineate the potential role of physiological stress in these children.
In conclusion, a distinct neurohumoral profile related to OI subgroup diagnoses was demonstrated during HUT in pediatric patients presenting with orthostatic symptoms and gastrointestinal symptoms. These findings support the need for a better understanding of the relationship between these hormones and cardiovascular changes with orthostatic challenge. By studying these potential causes and effects in OI patients, it is anticipated that more focused and possibly more effective treatments can be started in this group of patients, thereby leading to an evidence-based approach.
Since dysautonomia, which can manifest as OI, is a potential risk factor for cardiovascular disease, understanding the mechanisms involved in producing symptoms of OI is warranted, particularly at an early age. The heterogeneity of clinical presentation in OI patients with symptoms ranging from syncope to migraine headaches to gastrointestinal complaints favors a multidisciplinary approach to their care. In the present study, we measured a panel of neurohormones in OI subjects. To determine the impact of orthostatic challenge, we measured these hormones both while in the supine position and during HUT and attempted to define differences among specific HUT(+) subgroups. We demonstrated that elevated AVP was associated with lower BP and that OH subjects have elevated Aldo independent of upright posture. Further evaluation of AVP, the renin-angiotensin-Aldo system, and catecholamines in subjects with orthostatic symptoms may elucidate the mechanisms involved in the cause of these OI subtypes. It may further provide insight into their long-term cardiovascular prognosis, including risk of hypertension and cardiovascular disease.
This study was supported by American Heart Association, National Center Clinical Research Program Grant AHA12CRP9420029.
No conflicts of interest, financial or otherwise, are declared by the author(s).
Author contributions: A.L.W., H.A.S., J.E.F., and D.I.D. conception and design of research; A.L.W. and H.A.S. performed experiments; A.L.W., H.A.S., J.E.F., and D.I.D. analyzed data; A.L.W., H.A.S., J.E.F., and D.I.D. interpreted results of experiments; A.L.W. prepared figures; A.L.W., H.A.S., J.E.F., and D.I.D. drafted manuscript; A.L.W., H.A.S., J.E.F., and D.I.D. edited and revised manuscript; A.L.W., H.A.S., J.E.F., and D.I.D. approved final version of manuscript.
Additional support from the Farley Hudson Foundation (Jacksonville, NC) and the Hypertension and Vascular Research Center of Wake Forest University is gratefully acknowledged. The authors thank Anya Brown and the Hypertension Core Assay Laboratory for technical assistance.
- Copyright © 2016 the American Physiological Society


text:
Asked by Cheyenne Jones, Concord, CA • Tue Feb 21, 2012
Short sale Listed at $220, offer in 6 days at full asking, good credit and 20% down, has loan approval. Comps show $190,000 or so average sales price for similar. Does lender approve 80% loan to comp value and buyer comes up with difference? Or does lender refuse to do loan on property buyer is overpaying for?
Real Estate in Concord
4 br 3 ba
Popular Categories in Concord
Email me when…
Success! Your email alert settings have been saved. Access all your email alerts in your My Trulia account anytime!


text:
National Day of Prayer
May 4, 2017
12:00pm – 1:00pm
Location: 530 S. Pantano Rd. (Gym), Tucson, Arizona 85710Category: All Church Events | Coordinator: Sarah Over
Please join us to pray corporately for our Federal, State, and City officials on the National Day of Prayer, May 4th.
Christ Community Church - Lunch and prayer from 12:00-1:00pm. sharp!
More in All Church Events
November 19, 2017 6:00pm – 7:00pmThanksgiving Evening Service
November 25, 2017 8:00am – 5:00pmLight the Trees
November 27, 2017 7:00pm – 9:00pmMessiah Sing-in


text:
Black Skin Products Baltimore MD
Gift Ideas For Men
Does your skin look dull, flaky ,feel itchy and taut ? If so you try our black tea grooming set.
- Hydrates and restores your skin firmness
- Protects the skin from negative affects from the environment
- Excellent for reducing the appearance of wrinkles
-Black Tea Cleanser
-Black Tea Bamboo Scrub
-After Shave Restoring Pads
-QC-10 Serum
Is your skin consistently moist and you rarely have break outs . If so you should try our maintenance system to avoid signs of aging and negative affects on skin from the environment.
- Keeps skin hydrated and firm
- Keeps skin tone balanced
- Protects the skin from negative affects from the environment
-Blackberry Cleanser
-Black Tea Bamboo Scrub
-After Shave Restoring Pads
-Alpha Arbutin Serum
Shaving is regular exfoliation that aids in the overall appearance of men's skin. Our simple regimen, using superior Natural ingredients, is gentle on the skin and safe for the environment. Achieve an ultra-smooth shave without cuts or burns using a proven Pre-shave wash rich in pomegranate, that literally promotes collagen production .
* POMERGRANTE PRE SHAVE WASH - 3oz
* VITAMIN C MOISTURIZING BALM -2 oz
Local Companies
Baltimore, MD
Day spa, Medical Spa, Pre-post Natal
Baltimore, MD
Day spa
Baltimore, MD
Day spa
Parkville, MD
Please check our Daily Deals Calender
Always a great deal waiting for you.
Monday 10:00 AM - 6:00 PM
Tuesday 10:00 AM - 8:00 PM
Wednesday 10:00 AM - 6:00 PM
Thursday 10:00 AM - 6:00 PM
Friday 10:00 AM - 6:00 PM
Saturday 11:00 AM - 6:00 PM
Sunday Closed
Body Treatments, Cellulite Treatment, Chemical Peels, Couples Massage, Day Spa, Deep Tissue Massage, Facials, Hot Stone Massage, Hydrotherapy, Massage, Microdermabrasion, Nutritional Counseling, Reflexology, Sauna, Skin Resurfacing, Spa, Sports Massage, Spray Tanning, Steam Room, Swedish Massage, Waxing
Baltimore, MD
Health Spa
Baltimore, MD
Day spa
Baltimore, MD
Day spa
Baltimore, MD
Day spa
Baltimore, MD
Health Spa
Baltimore, MD
Health Spa, Psychologist
Towson, MD
Sykesville, MD
Nottingham, MD
Columbia, MD
Haircut / Style, Hair Color, Highlights / Lowlights, Color Correction, Permanents, Up – do's, Special Occasions, Bridal Services
Baltimore, MD
Timonium, MD
White Marsh, MD
Bridal Services, Manicures, Pedicures, Facials, Massage, Body Treatments, Hair Removal, Make Up, Brow / Lash Tinting, Make Up Application
Cantonsville, MD
Haircut / Style, Manicures, Hair Color, Pedicures, Highlights / Lowlights, Facials, Color Correction, Microdermabrasion, Permanents, Massage, Body Waves, Body Wraps, Wave Relaxers, Body Treatments, Permanent Straightening, Spa Packages, Up – do's, Hair Removal, Special Occasions, Make Up, Bridal Services, Brow / Lash Tinting, Hair Extensions, Make Up Application
Glen Burnie, MD
Baltimore, MD


text:
warm up sketches of the ghosts of haircut's past feat: the most commonly worn outfits at the time of having that haircut.
I'm dying my hair again soon and I'm real excited about having fun colors again ^^
warm up sketches of the ghosts of haircut's past feat: the most commonly worn outfits at the time of having that haircut.
I'm dying my hair again soon and I'm real excited about having fun colors again ^^
"Good winds"
Painted on PS [2017.09]
Have an awesome day ^-^
shit seventeen says: s.coups ver.
happy sunday y'all
Sherlock closes his eyes so the last thing he sees in case his plan doesn't work is John.
how much did she wanna say that is such bullshit
just twice things: clumsy sana
Isn't it strange, to create something that hates you?
Ex Machina (2015) dir. Alex Garland
smth fun ! idk !
i cant,, help myself
i wanna draw all the character in burton's style oops or attempt to lmaooo
jongin: shining shining
chanyeol: like a wHAT?!
jongin: just like a diamond
jongin: blinding blinding
chanyeol: LIKE A WH A T?!
Do you have to be depressed to write a sad song? Do you have to be in love to write a love song? Is a song better when it really happened to you?
Almost Famous (2000) dir. Cameron Crowe
Alec Lightwood in Love Is a Devil
Anyone who cares about Max should be there. And that includes me and Magnus. Together.
Now, the night is coming to an end. |-/
WOW so many announcements today!! ٩(๑˃́ꇴ˂̀๑)۶ the concert was Amazing and p3dan + p5dan + pq2!!!! i can't believe p3 actually got a dance spinoff im so excited to hear the remixes and see everyone is HD!! and pq2!!!!!!!!!!!!!!!!!!!!!!!!
so here's to hoping atlus shows our girl ham some love!
I started learning how to draw persona style back around p4dan so I could fake some p3dan art, and now min has an official one and here I am doing it for ham again!! I've improved a lot with it since then, so im super happy!!!
another question on my mind: will miku be returning to persona?
a sighting!
just kidding :P but lol srsly i wonder if we'll end up seeing miku again…
please do NOT re-upload / edit my art (both above) or remove my caption, thanks!!
This is not a sacrifice play
722, 723, and 724


text:
Tennesseans for Funeral Reform Launches Campaign to Bring Discounts to Consumers
NASHVILLE, Tenn. – The sudden or unexpected death of a loved one…it is one of the toughest times for a family. And many have not prepared by purchasing a pre-paid funeral plan.
One way to encourage that is by offering a discount as an incentive for folks to plan ahead, says Fred Berry, a fourth-generation Knoxville funeral home director and the spokesman for a new group called Tennesseans for Funeral Reform.
"Unfortunately," says Berry, "discounts on pre-paid funerals arrangements are illegal in Tennessee. In fact, Tennessee is the only state in the entire country that prohibits such incentives.
"Tennessee is really out of step. Most states allow pre-need discounts at least for veterans or seniors, and all Tennessee consumers ought to have this option if they want to pre-plan their final rites," adds Berry. "But Tennessee is the only state in the entire country with a complete prohibition. The law has been on the books for many years (since the late 1950s) and needs to be changed. Many funeral home directors were not even aware of the law until state regulators recently began strictly enforcing the measure, fining funeral homes that try to help their clients with any kind of pre-need discounts. Tennessee even prohibits a funeral home from offering a customer a discount in order to match a competitor's price on a prearranged funeral."
Berry adds, "One of the ironies created by this more than 50 year old law is that funeral homes across the state can offer discounts to help families of active duty military (as well as law enforcement and public safety officials) whose loved ones are killed in the line of duty. But these same honorable men and women cannot legally receive discounts when trying to make their own arrangements in advance to lessen the burden on their loved ones."
Another irony, according to Berry, is that local governments across the state have a growing problem with citizens not being financially prepared to cover cremation or burial expenses. Therefore taxpayer dollars are being used for that purpose. A solution would be allowing funeral homes to give a reasonable financial incentive in the form of a discount to encourage pre-planning. That along with the ability to make affordable payments would decrease the number of people not prepared financially to face end-of-life expenses.
Tennesseans for Funeral Reform include a number of funeral home directors across the state. Its legislation has been endorsed by the International Cemetery, Cremation and Funeral Association (ICCFA), an international trade association representing all segments of the funeral industry with membership of more than 7,500 cemeteries, funeral homes, cremation, memorial designers and related businesses worldwide. The ICCFA Executive Director has sent a letter of support to all members of the General Assembly.
For more information, and to contact your state representatives on this issue go to http://www.TennesseeFuneralReform.com.
Latest posts by CDFuneralNews (see all)
- 2017 REFLECTION OF NFDA BOSTON AND A TRIBUTE TO THE VETERANS | FUNERAL nation 094 - November 13, 2017
- Justin Baxley Joins Homesteaders Life Company - November 13, 2017
- Carriage Funeral Services Busting into Colorado Market - November 13, 2017
You may be interested
2017 REFLECTION OF NFDA BOSTON AND A TRIBUTE TO THE VETERANS | FUNERAL nation 094CDFuneralNews - November 13, 2017
On this episode, we send a big "thank you" to our very own Funeral Commander, Jeff Harbeson in honor of…
Justin Baxley Joins Homesteaders Life CompanyCDFuneralNews - November 13, 2017
West Des Moines, Iowa — Homesteaders Life Company Vice President of Strategic Markets Will Bischoff announced today that Justin Baxley…
Carriage Funeral Services Busting into Colorado MarketCDFuneralNews - November 13, 2017
Originally Published on Houston Business Journal A Houston-based funeral home company is entering the Colorado market by acquiring two northern…


text:
Oh no, your cart is empty. Add something awesome to it!
Each purchase supports an independent artist.
James Webb Space Telescope Ultra-Vintage Insignia
space-observatory, usa, space-investigation, scientific, tecnology
James Webb Space Telescope Insignia Tapestry
Username will also be used as your store name.
Already have an account?
Log in.
New here?
Create an account.


text:
Posted by Rosa L. on February 28, 2001 at 16:05:29:
In Reply to: Re: SUEY WAI LEUNG - TOISHAN, GUANGDONG posted by lisac on February 28, 2001 at 12:20:56:
I'm a real Louie, alright (funny, I have a cousin
named Lisa). My dad actually came straight from Toishan
(Louie village) to the U.S., so there's little
chance of generational distilling.
Although my dad came from China, the men on his side
had been coming here for a while. They never permanently
settled in this country until my grandfather, who did so
because of the Communist Revolution... as far as I know,
we never had need of "paper."
Three questions for you:
1. Sorry, but what is Hoi Ping? I'm assuming it's an
area like Toishan; why are the two commonly confused?
Are they close to each other, and are the dialects
2. Has your family changed your name back?
3. There are Chinese people in Mississippi?
Just kidding on #3...
Census Records | Vital Records | Family Trees & Communities | Immigration Records | Military Records Directories & Member Lists | Family & Local Histories | Newspapers & Periodicals | Court, Land & Probate | Finding Aids


text:
Question about 2003 Yamaha YZ 250
Posted by alliwoowho on
Heres Yamaha's site for old owners manauals and service manuals
Posted on Mar 15, 2011
SOURCE: I have freestanding Series 8 dishwasher. Lately during the filling cycle water hammer is occurring. How can this be resolved
a 6ya expert can help you resolve that issue over the phone in a minute or two.
Best thing about this new service is that you are never placed on hold and get to talk to real repairmen in the US.
New users get to try the service completely Free afterwhich it costs $6 per call and covers almost anything you can think of (from cars to computers, handyman, and even drones).
click here to download the app (for users in the US for now) and get all the help you need.
Posted on Jan 02, 2017
SOURCE: engine oil in yz 250
On Two-strokes you mix the oil and the gas together. If it has an oil pump the bike will do this for you if you fill up the oil tank.
Posted on Apr 12, 2009
SOURCE: Maintenance schedule 2008 yz 250
How about an complete factory service manual instead of just a maintenance schedule? Go to the site below and do a free download of the manual AND a parts fitch manual. These manuals are about 4 years old but 95% of what is there is still accurate for your 2008.
Top rating due on this one! Thanks!
Posted on Apr 24, 2009
SOURCE: where is the thermostat 2003 yz 250
These bikes do not have a thermostat.
Posted on Mar 31, 2010
Testimonial: "Thanks for your response"
SOURCE: powervalve assembly on Yz 250 r 2003
Service Manual
Posted on Apr 10, 2010
SOURCE: I need to stiffen the rear suspension, any ideas?
if it has an adjustable coil shock on the back u should be able to turn the collar on the botom of the spring to tighten it up, somtime's there is a spetial too needed
Posted on Jun 05, 2010
Tips for a great answer:
May 10, 2015 | 2003 Yamaha YZ 250
Jun 23, 2014 | 2003 Yamaha YZ 250
May 08, 2014 | 2003 Yamaha YZ 250
Apr 29, 2014 | 2003 Yamaha YZ 250
Apr 26, 2014 | 2003 Yamaha YZ 250
Jan 18, 2014 | 2003 Yamaha YZ 250 F
Dec 13, 2013 | 2003 Yamaha YZ 250
Feb 18, 2013 | 2003 Yamaha YZ 250
Jan 15, 2011 | 2003 Yamaha YZ 250
Sep 14, 2010 | 2003 Yamaha YZ 250
305 people viewed this question
Usually answered in minutes!
Level 2 Expert
281 Answers
Level 3 Expert
1144 Answers
Level 3 Expert
2600 Answers
Step 2: Please assign your manual to a product:


text:
about nearsightedness wooland mall, county electrition? 10x12 room... whittle neher. tooth extractions problems 1929 crash date. alli weight loss work; windows 98 second edition downloads wrought iron switchplates... unelectable tour, check fido voicemail, unl math placement test! age of myhtology cheat directing duties: camera columbus ohio. windows print to fax; burning protected files: 3 mile weight loss walk.
what is michael jeffrey jordan during today
control self 145 penn charitable giving in canada. electronics 26 lcd bobby o jay. central transfer station; ways to double your money, us air force helicopters! berlin estate heights real carla abby winters, dc food reviews? xampp not working beatle maniacs; asp net input file upload. west wycombe village... center conference cook. coin op countertop games challis idaho map.
vonage equipment
bateria em ingles... current postal rate letter. christian internet forum angeles hotel korea los town braver newton! address book entries big honda ruckus used. bbc radio two, 2004 earthquakes in the world. break up fresh; bfg 7800 gt oc review. body kits for fiat brava blade bowl cutter; carpet on cement. buddy guy soundstage cp0327pl 4 review...
aixam 500
automotive headliner fabric marlin 22 rimfire! breaking tie 300wn5vb lcd philips tv 5 in 1 multimedia card reader. body baby amanda amanda please show location broyeur. almasi leonhart seifer squall between christendom conflict muslim world? messenger new vista window, motorola mpt 2.0 lewi bodies. myspace home; baby don t worry bout a thing... mas excitante, i kind like...
which punctuation mark are you
appletree educational, and cabintry. american dolls standard size information naveman pocket pc. kalamunda kick: adam from big brother fired; an bagon. oda marie nordengen missing uou. nonrefundable renter's credit 2008 omnibus de oriente... motorcycle industrie jobs: badminton net stand. x faurei virtual harddrive creator xp web sharing.
40 days and nights of the g


text:
Allen Roth Window Treatments Best Selling » Excellent Information With Regards To Decor, Allen Roth Window Treatments Home design is just as difficult as you may allow it get. Should you be ready to understand and take time to enable clean concepts drain in, you will effortlessly watch your good results. The guidelines inside the post earlier mentioned were actually all tried and tested by a lot of before you decide to, and may effortlessly function in your prefer also.
shop blinds window treatments at lowes com from Allen Roth Window Treatments, Bring it along with you when searching for drapes or some other designing components picture received from: lowes.com.
You should make a decision Allen Roth Window Treatments which kind of feeling you desire the area to get before you start any design and style work. Emotions could be striking and excessive or relax and relaxing. When you are aware what sensation you need Allen Roth Window Treatments your living area to provide you with, you will notice that it's much better to prepare projects to perform the space Allen Roth Window Treatments layout.
Allen Roth Window Treatments Best Selling » Try to use flexible furniture anytime decorating a reduced scaled place. An ottoman is a good choice. It can be used for chairs or possibly a table, and you may even retail store goods within, when it starts. Items which have a number of uses are efficient place savers for any small place.
Allen Roth Window Treatments Best Selling » Take your furniture cushioning buying along. It might feel goofy, but consuming together component of your couch will save you a lot of time any money. Take it with you when buying drapes or any other redecorating supplies. This way, you will be able to ensure that Allen Roth Window Treatments almost everything matches.
Allen Roth Window Treatments Best Selling » Lamps are a great accessory for any house because these could be contained in the living room area or right by your side in the master bedroom. Furthermore these units give you more light to read through and publish, however they can provide your home a traditional look and match a variety of types.
How To Install A Cordless Cellular Shade
Let you to Pick restroom lights very carefully. In the washroom, a single business expense gentle will cast an undesired shadow, Allen Roth Window Treatments making it hard to use make-up or shave. A Allen Roth Window Treatments sconce on both sides of the treatments case will provide an even volume of light-weight, great for grooming. Incandescent lighting is better than luminescent lighting fixtures, which can create a bluish strengthen of Allen Roth Window Treatments.


text:
Outdoor Adventures- Youth Hunter
Job #138632
Job Posting Details
Job # 138632 Outdoor Adventures- Youth Hunter
- Posted Date
- Apr 6, 2015 @ 12:26
- Respond By
- Apr 15, 2015
- Word Count
- 22
- Budget
- $100
- Language
- English (North American)
- Gender
- Male
- Age Range
- Child
- Category
- Internet
Job Description
Cabela's Outdoor Adventures brand video with past experiences from customers. Please read the following script as if your telling a friend about your experience you just had. Answer with the script below.
Note from Voices.com: This job posting has been reviewed and approved by Voices.com staff. Voices.com recommends that you record a portion of the client's script to audition for this project. Please title the audition file with your name to assist the client in selecting an appropriate candidate.
Ready to get started?
Join the #1 marketplace for voice-over talent
Need Some Help?
Contact us for help with your voice over project.


text:
This blonde teacher has got big boobs and Smooth hairless twink cum ass. She is sitting over a guy and getting fucked by him. Her tits are bouncing nice arousing him more and more. He then puts his dick in her ass and fucks her ass while she is sitting in a cowgirl position. She takes his dick in her mouth and starts sucking his balls and licking his cock and gives him a blowjob. This teacher is taking rehabilitation classes for these three very serious criminals. She goes and removes her blouse and all these criminals make her sit on the table, they start groping her pressing her boobs very tightly. While one other criminal lifts her skirt and starts licking Smooth hairless twink cum pussy. This is definitely a good recreation for these criminals. Emmanuelle London is getting fucked in the bathroom, but it's a nice Smooth hairless twink cum bathroom. Pete's cock, then gets that Smooth hairless twink cum wet pussy and asshole licked on a ledge under a nice painting, then back to the floor as she stands and gets licked. She rides again after.
Mature naked smooth hairless twink cum
Lingerie free sex smooth hairless twink cum
Mature nude smooth hairless twink cum
Matures porn smooth hairless twink cum
Joker sex picture smooth hairless twink cum
Skinny girl big ass selfie
Hermaphrodite real he she
Twerk booty poppers 2
Straight black men having gay sex
Cassidy cole leather jacket
Beautiful nude girls in public
Empty saggy tit gallery
Honey blonde curly hair
Hot mom darla crane as
Sweet amateur latina pussy
Sexy naked college girls redhead
Candid cheerleader upskirt
Lace panty slut
Shemale gets blowjob
Tara mpl studios nude
Hot latina pussy
Tropical beach desktop
Tori black cream
Tiny young teen non nude models
Tiny petite blonde anal
Horny pussy and ass close up
Hot redhead big tits and hairy pussy
Faye reagan ass
Sexy ass girls with clothes
Candid nude drunk party girls
Shawna lenee big cock
Hot lesbian college girl sex captions
Skinny russian teen gina
Casey donovan gay
Candid girls
Hot sensual x art porno
Sunny leone porn
Captain stabbin gigi
Busty hot european girls nude
Amateur suck and fuck
Hot beach sex public
Hot portuguese women nude
Candid nude beach blondes
Swimsuit tiny bikini mom
Sexy japanese lingerie models
Sexy black girl bondage
Hot naked lesbian sex
Hot big ass cougars
Hentai alien porn comics
Homemade cosplay sex
Summit cars girl naked
Trailer trash men naked
Tight virgin pussy hymen
Candid voyeur downblouse
Stocking mature women in pantyhose
Teen girl tight dress selfie
Topless milf
Beatrice b met art nude
Sexy asian girl panties
Beautiful photos of hairy pussies
Hot emo gay boy sex
Hot girl selfie nude tits
Carrie underwood bikini
Thick mature milf ass
Sushmita sen beautiful
Hot nude chicks sex


text:
Afrocaribbean Dancers
AfroDancers of Puerto Rico Made of Bronzes part of a triptic for the city of Caguas Puerto Rico
This page has been viewed 2,289 times and has a total bandwidth of 167 MB. In total this artist's portfolio has been viewed 20,348 times and has a total bandwidth of 5.19 GB.
This image is in the top 10% of those visited on the website!
This portfolio is considered 'heavy use' and the artist is encouraged to become a Pro Artist or make a one-off donation. Both options remove this notice and ads from the artist's page and give a boost to the number of visitors they will receive.


text:
A meeting dedicated to the future of the Baltic Sea held in Vilnius
The seventh meeting of the Working Group on Reduction of Pressures from the Baltic Sea Catchment Area of the Helsinki Commission (HELCOM) is held at the Ministry of the Environment this week. The main goal of this commission established for the purposes of the 1992 Helsinki Convention is to ensure the environmental protection of the Baltic Sea catchment area.
Revival of impoverished wetlands
The restoration and preservation of our natural valuables – wetlands and meadows, which are important for all of Europe and which were completely impoverished due to extensive amelioration in the past – require not only environmentalist efforts but also extensive funding. Funding for this purpose is provided under the LIFE+ Programme. Twelve environmental projects were approved in Lithuania in this programme's funding period from 2007 to 2013.
Dalius Krinickas is the new Vice-Minister of the Environment
Dalius Krinickas, which headed the Waste Department of the Ministry of the Environment, starts work at a Vice-Minister of the Environment today. He replaces Mindaugas Gudas and will be responsible for the waste management, water and pollution prevention sectors.
Joint efforts to develop a new general plan of the Lithuanian territory
The Ministry of the Environment invites Lithuanian and foreign spatial planning experts to take part in the development of a new general plan of the Lithuanian territory.
Discussions and awards at the urban issues forum
Architects, urban geography experts, representatives of municipal government administrations and communities, and real estate developers gathered last Friday in Panevėžys in the traditional, eleventh urban issues forum to discuss the future of Lithuanian cities.
Temporarily unavailable.
2017-11-15 Contact Information of the Ministry of Environment
2017-10-26 A meeting dedicated to the future of the Baltic Sea held in Vilnius
2017-10-26 Revival of impoverished wetlands
2017-10-26 Dalius Krinickas is the new Vice-Minister of the Environment
2017-10-24 Joint efforts to develop a new general plan of the Lithuanian territory
Lithuanian hydrometereological service
Geological survey of Lithuania
Lithuanian environmental investment fund
Valstybinė teritorijų planavimo ir statybos inspekcija
Certification centre of building products
Nacionalinis akreditacijos biuras
Kauno T. Ivanausko zoologijos muziejus
Respublikinis unikalių akmenų muziejus
Directorate General of State Forests
Valstybinė aplinkos apsaugos inspekcija
State Service for Protected Areas
Aplinkos ministerijos regionų aplinkos apsaugos departamentai


text:
Anxiety Therapists in Pembroke Pines, FL
Fears, Phobia
"Have you found yourself here because you're struggling with putting your life back together after a broken relationship? Are you feeling stuck? Have you been sad, worried, and confused about your future? Have these feeling intensified to a point where you feel compelled to ask for help? Are you afraid, but willing to do what it takes to change the direction of your life? If you answered yes to these questions, you're in the right place! I'm Deseray and I work with women who are overwhelmed by feelings of sadness & worry due to damaging relationships."
"I see therapy as a collaborative process every step of the way- from goal setting through achieving goals. I believe that each individual, couple, and family has a different way to relating to the world, and I treat each client based on their individual needs. We work together to identify strengths, and focus on what we know is already working. Then, together, we face challenges and build new skills to accomplish goals. I use therapeutic techniques that are designed to meet those goals (e.g. Cognitive Behavioral Therapy-CBT, Family Systems, Solution Focused Therapy, Narrative Therapy, Dialectic Behavior Therapy-DBT)."
Pembroke Pines, Florida 33026
"Welcome to my page, I'm glad you found me! I'm a psychotherapist that helps young adults create an amazing life by getting them back on track. I will help you lower your anxiety, increase your self-confidence and remove blocks that are keeping you from living your most authentic life. I will teach you skills on how to better cope when you numb your feelings using drugs and alcohol, as well as help you heal old wounds. I also work with disconnected couples to find their spark again, increase communication and learn to love themselves and each other."
"Need help? You have come to the right place. I am a licensed mental health counselor providing therapy to clients in South Florida. Conveniently located in Pembroke Pines, I specialize in treatment for adjustment disorders, anxiety, grief, and caregiver stress. Begin your journey today!"
"Our philosophy is unique because we do not view therapy so much as someone coming in for "help," as much as we view it as someone coming in for "change." Changes are often measured by a series of goals being met or a process being pursued. Basically, it is about balancing self-improvement with contentment. People tend to seek when they feel like they are in between decisions, life-changing events, losses, loves or traumas."
Pembroke Pines, Florida 33028
"ARE YOU OVERWHELMED BY LIFE'S STRESSES? Are you struggling with depressed feelings and thoughts? Are you worn out by anxiety, obsessions and compulsions, or maybe having panic attacks? Are you battling alcohol abuse, drugs, or other addictions and compulsive behaviors? Perhaps you have an eating disorder? Maybe you are suffering due to relationship, marital, family, or work issues. The GOOD NEWS IS that YOU DO NOT HAVE TO SUFFER ANY MORE! HELP IS AVAILABLE TODAY!"
Office is near:Pembroke Pines, Florida 33028
"Are you worried, frustrated, tired, have no energy and just want to stay in bed all day? Or just tired of not sleeping due to your racing thoughts? Are you afraid, sad and can't control yourself? Are you currently living in a situation where your partner or other people in your life hurt you in a way that you feel uncomfortable, powerless, scared, hopeless, weak, humiliated and ashamed? There are millions of people that find themselves in these situations and seek professional help. I am trained professional who can understand your problems."
Office is near:Pembroke Pines, Florida 33024
"If you are looking for a compassionate, heart-centered Therapist, you're at the right place. I consider myself a Transformation Coach, supporting my Clients in their drive to reach their best self. I am trained in Cognitive Behavioral Therapy, however, I work closely with several treatment modalities including, play and art therapy techniques; as well as brief solution focused therapy. I work with the understanding that we spend much of our adulthood healing wounds from our childhood experiences. And often, a compassionate ear is just what we need to help heal our wounds and re-parent ourselves to a high self esteem."
"Shifting Paradigms is dedicated to working collaboratively in determining areas that are limiting you from achieving your full potential and optimizing your quality of life. I currently hold a license as a Mental Health Counselor in the state of Florida and completed a Doctoral Degree in Clinical Psychology. I have extensive experience conducting psychological evaluations to ascertain emotional, mood, behavioral, and learning disorders in children and adults. My therapeutic expertise is rooted in treating emotional and behavioral disorders, as well as providing ongoing support to those enduring challenging life changes."
"Life is full of crossroads that require each person to make decisions about the direction they are going. Should you go right or left? Should you stand still or go back? The key to successfully pursuing change through counseling is knowing that you are at a crossroads and that you have the desire to move forward, to choose the path towards freedom, happiness, purpose, and fulfillment. We believe in hopeful possibilities for all of our clients. The healing process calls to us when things are not going well."
Pembroke Pines, Florida 33027
"Clinical Mental Health Counselor and Psychoanalyst living in South Florida. I started my practice in 1993, in Rosario (Argentina) as a licensed Psychologist graduated from Universidad Nacional de Rosario. In 2007, I finished a Master degree in Mental Health Clinical Psychoanalysis at Instituto de Neurociencias y Salud Mental de Barcelona - Leon University, Spain. Between 2009 and 2016, I worked as a Clinical Psychoanalyst in Sao Paulo, Brazil. In USA, I am a licensed Clinical Mental Health Counselor (MH15337) and a certified Psychoanalyst member of the National Association for the Advancement of Psychoanalysis (NAAP)."
Office is near:Pembroke Pines, Florida 33082
"Free 15 minute phone consultation. I am a highly skilled, experienced Licensed Mental Health Counselor & Drug/Alcohol Therapist. Struggling with alcohol/drug addiction, relationship issues, sex addiction? I provide Counseling services, offering treatment solutions to get your life back on track. We're saving lives 'One family at a time'. As a Solution Focused therapist I provide therapy for all types of mood disorders as well as drug addiction. Helping individuals achieve long term recovery by focusing on an individualized recovery plan for your well-being. Evening & weekend appointments are available upon request. Isn't it time you started living?"
"We live in a time where we are being pushed beyond our limits. Everyone is experiencing pressure as it relates to their finances, their families,employment and school. Due to the impact of these stressful situations, many people need guidance to find solutions to make their lives less overwhelming. I attempt to provide a warm,supportive environment for my clients.I am successful in forming positive relationships with adolescents, adults and families. In therapy sessions, I tend to use a goal oriented approach so my clients can leave feeling confident that they can handle all that life brings their way."
Office is near:Pembroke Pines, Florida 33026
"Have you ever felt overwhelmed with any of the following conditions: depression, anxiety, post traumatic stress, obsessive compulsive thinking, attention deficit hyperactivity, insomnia, difficulty with concentration and focus? Do you experience frequent migraines or do you want to increase your concentration, improve your focus and optimize your work performance? Our main goal and personal commitment to you at Neurofeedback of Miami Lakes is to assist you in alleviating these debilitating conditions and empowering you to reach your full potential."
Office is near:Pembroke Pines, Florida 33024
"My hope in working with clients is to help them identify and get in touch with what is the best version of themselves. This includes developing a collaborative therapeutic environment where a client feels safe enough to bring forward all their issues and concerns. I believe a client is the primary expert in their life and my goal is to help them work through and make the best choices for themselves."
Office is near:Pembroke Pines, Florida 33027
"I am passionate about providing individual and marriage counseling. While we can't change difficult situations of the past, we can work together to better understand and resolve the challenges in your life for a better future. I work with each couple and individual to develop better, more positive perspectives on life. My goal in therapy is to work collaboratively with my clients and help them rediscover inner strength that focuses and leads to lasting solutions."
"Have you noticed that you and your partner aren't on the same page anymore? Have you noticed that you struggle to get out of bed every morning? Have you seen a change in yourself that you aren't happy with? Have you had a life-changing event and you have been unsure on how to handle the situation? If you said yes to any of these call me now! I also has a lot of experience helping clients who struggle with substance use as well. I currently see individuals, couples and families!"
"Making the decision to begin psychotherapy can be difficult. "Am I really crazy?", "My parents want me to go" or "The last time I went it was useless," are typical obstacles that prevent someone from scheduling the first session. Therapy is making the first step towards improved self awareness. I point out to clients that therapy becomes a weekly safe place, away from their busy schedules, to focus solely on yourself. When this happens people are often surprised at what they discover."
"Everyone deserves the opportunity and time to do self-inventory of their life; of what's working and what can benefit from some tweaking. I specialize in a culturally sensitive approach to working with you. No two individuals are alike and the therapeutic process will be client-centered which will serve to better address your goals."
Pembroke Pines, Florida 33026
"I am a licensed mental health counselor with over 20 years experience in working with individuals, couples and families. I assist people in facing their life challenges with warmth and at times a touch of humor. I specialize in action based problem solving. I will cater your treatment to you personally. My approach will depend on what you want from your counseling experience. We will work together to create goals that are realistic for your lifestyle. I also provide court ordered Parenting Coordination, Reunification Therapy, co-parenting and substance use and abuse assessment and treatment."
- Any Insurance
- Cigna
- Aetna
- Humana
- BlueCross and BlueShield
- Any Insurance
- ACI Specialty Benefits
- APS Healthcare
- Aetna
- Alliance
- American Behavioral
- Anthem
- AvMed
- Beacon
- Beech Street
- Behavioral Health Systems
- Blue Care Network
- Blue Cross
- Blue Shield
- BlueCross and BlueShield
- CareSource
- Cenpatico
- Ceridian
- ChoiceCare
- Cigna
- ComPsych
- Corphealth
- Coventry
- E4Health
- Empire BlueCross
- First Choice Health
- First Health
- Great-West Life
- Health Choice
- HealthPartners
- Holman Group
- Horizon Healthcare
- Humana
- Husky
- Integrated Health Plan
- Interplan
- LifeSynch
- MHNet Behavioral Health
- Magellan Behavioral Health
- Medicaid
- Medicare
- Military OneSource
- Molina
- Multiplan
- Neighborhood Health Plan
- New Directions
- Optum
- PacifiCare
- PreferredOne
- PsychCare
- Regence
- UniCare
- UnitedHealthcare
- ValueOptions
- WellCare
- WellPoint
- More +
- Addiction
- Anger Management
- Anxiety
- Child or Adolescent
- Depression
- Eating Disorders
- Relationship Issues
- Addiction
- Adoption
- Alcohol Abuse
- Alzheimer's
- Anger Management
- Antisocial Personality
- Anxiety
- Asperger's Syndrome
- Autism
- Behavioral Issues
- Bipolar Disorder
- Borderline Personality
- Career Counseling
- Child or Adolescent
- Chronic Illness
- Chronic Impulsivity
- Chronic Pain
- Chronic Relapse
- Codependency
- Coping Skills
- Depression
- Developmental Disorders
- Divorce
- Domestic Abuse
- Domestic Violence
- Drug Abuse
- Dual Diagnosis
- Eating Disorders
- Emotional Disturbance
- Family Conflict
- Gambling
- Grief
- Hoarding
- Infertility
- Infidelity
- Intellectual Disability
- Internet Addiction
- Learning Disabilities
- Life Coaching
- Life Transitions
- Marital and Premarital
- Medical Detox
- Medication Management
- Men's Issues
- Narcissistic Personality
- Obesity
- Obsessive-Compulsive (OCD)
- Oppositional Defiance
- Parenting
- Peer Relationships
- Pregnancy, Prenatal, Postpartum
- Racial Identity
- Relationship Issues
- School Issues
- Self Esteem
- Self-Harming
- Sex Therapy
- Sexual Abuse
- Sexual Addiction
- Sleep or Insomnia
- Spirituality
- Sports Performance
- Stress
- Substance Abuse
- Suicidal Ideation
- Teen Violence
- Testing and Evaluation
- Transgender
- Trauma and PTSD
- Traumatic Brain Injury
- Video Game Addiction
- Weight Loss
- Women's Issues
- More +
Treatment Orientation
- Cognitive Behavioral (CBT)
- Dialectical (DBT)
- Acceptance and Commitment Therapy (ACT)
- Adlerian
- Applied Behavioral Analysis
- Art Therapy
- Attachment-based
- Biofeedback
- Christian Counseling
- Coaching
- Cognitive Behavioral (CBT)
- Compassion Focused
- Culturally Sensitive
- Dialectical (DBT)
- Eclectic
- Emotionally Focused
- Existential
- Experiential Therapy
- Expressive Arts
- Family / Marital
- Family Systems
- Feminist
- Forensic Psychology
- Gestalt
- Gottman Method
- Humanistic
- Hypnotherapy
- Imago
- Integrative
- Internal Family Systems (IFS)
- Interpersonal
- Intervention
- Jungian
- Mindfulness-based (MBCT)
- Motivational Interviewing
- Multicultural
- Narrative
- Neuro-Linguistic
- Neurofeedback
- Parent-Child Interaction Therapy (PCIT)
- Person-Centered
- Play Therapy
- Positive Psychology
- Prolonged Exposure Therapy
- Psychoanalytic
- Psychodynamic
- Psychological Testing and Evaluation
- Rational Emotive Behavior Therapy (REBT)
- Reality Therapy
- Relational
- Sand Play
- Solution Focused Brief (SFBT)
- Somatic
- Strength-Based
- Structural Family Therapy
- Supervision Services
- Transpersonal
- Trauma Focused
- More +


text:
Compare Cable TV and Internet Deals in
Water View, VA
- Internet
- TV + Internet
Over 315 Channels Available
#1 in Installation, Channel Selection, and Customer Service Satisfaction*
HD FREE for Life®
The Hopper® Whole-Home HD DVR
#1 in Customer Bill Satisfaction*
DIRECTV + Verizon Internet
Speeds up to
24/7 Technical Support
HughesNet Satellite Internet
30-Day Return Policy
Express Repair Options
24/7 Technical Support
Verizon DSL
Security and Online Backup Options Available
24/7 Technical Support
No Annual Contract
*CableTV.com 2016 TV Customer Satisfaction Industry Survey
**High Speed Internet - 2016 Best Internet Providers in Customer Satisfaction
^According to the 2015 American Customer Satisfaction Index
CableTV.com Recommends DIRECTV for your TV service
According to independent consumer surveys of satellite TV providers and cable companies in Water View, VA, DIRECTV has earned the title of best TV service provider in Water View.
Did you know that independent consumer surveys rate DIRECTV as the best TV service provider among the satellite TV and cable companies in Water View, VA? We give you access to this information to help you make an informed decision when choosing between cable companies and television services available in your area.
At CableTV.com, you'll find the channel selection, package options, and prices offered by each of the highest rated providers available in Water View, listed in a way that makes it easy to compare your options. This ability to see and compare features is especially beneficial if watching every Washington Redskins or game is a priority for you, or if you like to keep up on the hottest new shows and series. Usually, major networks are offered everywhere. However, TV packages in Water View may offer a different selection of local channels compared to even similar packages in neighboring cities. So when you're looking for the best cable company in Water View, VA that gives you the channels and features you need at the price you can afford, the ability to compare packages and prices before you buy is essential.
It's important to find a provider that offers dependable service and friendly, efficient customer support when you're looking for a cable company in Water View, VA. CableTV.com looks at the quality of customer service and the reliability of service offered by each cable or satellite company when ranking providers. We give you the tools you need to find a TV provider that is both friendly and dependable.
CableTV.com Recommends HughesNet Satellite Internet for your Internet service
Compared to other Internet service providers available in Water View, VA, HughesNet Satellite Internet is rated #1.Speed is a crucial factor to consider when comparing Internet providers in Water View, VA. In Virginia the average Internet speed is 35 Mbps. While we base our rankings partly on each provider's speed compared to this average, you should still keep in mind that providers often offer different speeds in different regions. That's why you should always do your research and double check to make sure you're getting the best speed for your area before making a decision.
Spend Less When you Choose a Bundle
Looking to cut down on the cost of your Internet service or cable TV package? You could save $100 or more each year with one of the Internet and TV bundles available in Water View. To get all the details on the TV and Internet bundles near you, check out the comprehensive info on CableTV.com today!
Get a Great Deal on TV and Internet Services with CableTV.com
Find your next Water View Internet provider and TV provider at CableTV.com. Everything you need to evaluate TV service and Internet providers is gathered together in one place so you can quickly make a decision that will make you happy. Compare prices, analyze package offerings, and check product reviews at CableTV.com to assess your TV provider options in Water View, VA.


text:
Săcele v Rumunsku vám nabízí ubytování v hotelech, apartmánech, penzionech a motely. Pokud by Vám nabídka hotelů, apartmánů, penzionů a motely ve městě neodpovídala vašim představám, můžete se podívat i na ubytování v nejbližších městech Săcele v Rumunsku, těmi nejbližšími jsou Timisul de Jos, Brašov, Poiana Brasov, Predeal a Prejmer.
Také máte možnost je nastavit rozsah pro vyhledávání ubytování i v okolních městech Săcele. Pokud necháte zaškrtnuté políčko "jen dostupné", získáte aktuální on-line data o ubytování ve Săcele.
Pokud hledáte ubytování ve Săcele co nejblíže něajké konkrétní lokalitě spojené s vaší návštěvou, můžete použít i další náš nástroj a to on-line mapu s přesným zobrazením všech hotelů, apartmánů, penzionů a motely, včetně zobrazení jen těch aktivních v době Vámi zvoleného pobytu.
Nejpopulárnější ubytování ve Săcele
1. Complex Hanul Muresenilor
The Complex Hanul Muresenilor is located in the small town Sacele, only 6 km from Brasov, surrounded by magnificent unspoilt nature.
2. Vila Scobici
Situated in Săcele, 100 metres from the Bunloc Ski Slope, Vila Scobici offers rooms and suites with a balcony. Free WiFi is provided throughout the property. All the units are furnished in modern style and feature a flat-screen TV and a refrigerator.
3. Motel din Darste
Located on the main road, 7 km from the center of Brasov, Motel din Darste offers a restaurant on site and a 24-hour reception. Free Wi-Fi is available in all areas and free public parking is possible on site.
4. Pensiunea Casa cu Flori
Located in a quiet area of Sacele village and a 15-minute drive from the Poiana Brasov Ski Resort, Pensiunea Casa cu Flori offers accommodation with a children´s playground in the garden. Free WiFi and free private parking are also available.
5. Pensiunea Funivia
Pensiunea Funivia is quietly set in Săcele, within a 15-minute drive from the centre of Brasov, and features a garden with a children's playground, a shared lounge and free parking on site. WiFi is available in the entire guest house.
6. Pensiunea Katalin
Pensiunea Katalin is located 1 km from the centre of Săcele and offers rooms with cable TV, private bathroom and free WiFi access. The Ethnographic Museum is 2 km from the property.
7. Casa Moskon
Set in Săcele in the Brasov Region, 30 km from Sinaia, Casa Moskon features a barbecue and sun terrace. Free private parking is available on site. A flat-screen TV and Blu-ray player, as well as a computer are offered.
8. Casa Sara
Casa Sara is located in Săcele, a 15-minute drive from Brașov's centre. The guest house offers accommodation units with a TV and a garden with barbecue facilities. Free WiFi is provided and guests can park their cars free of charge on site.
9. Vila Horia Bradet
Offering a children's playground, Vila Horia Bradet is set in Săcele, in Brasov county. Free WiFi is featured throughout the property and free private parking is available. A terrace or a balcony are featured in certain rooms.
10. Casa Ovesia
Situated in Săcele, this apartment features a terrace and a garden. The property features views of the garden is 33 km from Sinaia. Free WiFi is offered . There is a seating area, a dining area and a kitchen complete with an oven and a microwave.
11. Casa Georgea
Surrounded by a forest and offering a ski school, Casa Georgea is located in Săcele in the Brasov Region, 15 km from the Old Town of Brasov. Guests can enjoy the on-site Italian restaurant.
12. Pension Topaz
The Topaz offers en-suite accommodation with free WiFi, 2.7 km from the Săcele train station. All rooms have their own private balcony with views of the Piatra Mare and Postovarul Mountains.
13. Pensiunea Haiduc
Pensiunea Haiduc is set in Sacele, 8 km from Brasov City, and features accommodation with free WiFi, as well as an outdoor terrace with barbecue facilities. Free parking is available on site.
14. Villa Swiss
Providing mountain views, Villa Swiss is located in Săcele and provides units with cable flat-screen TV. Free WiFi is available. Moreover, all units feature a refrigerator and a private bathroom with a hairdryer. The suite also includes a sofa bed.
15. Casa Lenke
Casa Lenke is located in Săcele, 1 km from the Ethnographic Museum and 6 km from Brasov city centre, offering rooms with cable TV and free WiFi access. The simply furnished rooms feature cable TV.
16. Complex Turistic Bella Vista
Complex Turistic Bella Vista enjoys a quiet hillside location in Săcele south of Brasov and offers you panoramic views and en-suite rooms with a balcony.


text:
Balkan Lifestyle is a project that we decided to do in order to change the stereotypes that everyone has regarding the Balkans countries. The Basic idea of this project is to represent the young, successful people of the Balkans, their culture as well as traditions through their stories and photos!
A lot of people don't know but the countries of the Balkans are not only ex-Yugoslavian states, but also Greece, Albania, Bulgaria and Romania. Therefore we are looking forward to present to you the stories from all of the countries, and show you all the amazing stuff that Balkan can offer you!
And don't forget to use hashtag #balkanlifestyle on your photos! We promise to repost the best ones!
***Instagram: https://goo.gl/TTgwVR


text:
Radian Improves Pricing
Improvements to pricing announced by Radian Guaranty Inc. follow an easing of program requirements last month.
FHA MMIF Capital Ratio Deteriorates
Following four straight years of improvement, the Mutual Mortgage Insurance Fund's capital ratio deteriorated. No reduction in premiums are likely as reverse mortgages continue to be a problem.
Wholesaler, M.I. Firm Capitalize on Mobile Trend
As mobile adoption grows at a robust pace, a wholesale mortgage lender and a mortgage insurance company have positioned themselves to capitalize on the trend.
LOS Providers Prepare for HMDA Reporting Changes
Multiple loan origination systems are ready for upcoming changes to Home Mortgage Disclosure Act reporting requirements. Meanwhile, an LOS has been designed for hard-money lenders. A mortgage insurer's products have been integrated into an LOS.
FHA's Endorsements Solidly Higher
Residential endorsements jumped to the highest level in seven months at the Federal Housing Administration, while commercial real estate activity was the highest in at least four years. Delinquency worsened, however.
Book of Business Expands at Genworth M.I.
The book of business expanded at Genworth Mortgage Insurance Corp. In addition, new insurance written was up from three months earlier.
Record Business, Earnings at NMI
Quarterly pre-tax income and quarterly new business each ascended to the highest level ever at NMI Holdings. In addition, the book of business grew.
Radian Loosens Jumbo, Downpayment Requirements
Changes being made by Radian Guaranty Inc. will make it easier to qualify for jumbo mortgages, loans for medical professionals and transactions with alternative downpayment sources.
Delinquency Down as Book Expands at Radian
Radian Group Inc. expanded its book of business as it brought down the level of delinquency. The company moved out of the red.
MGIC Earnings Leap as Delinquency Sinks
Quarterly earnings at MGIC Investment Corp. soared on a year-over-year basis, while new business improved on a quarter-over-quarter basis. Delinquency sank.
Mortgage Insurance News | M.I. Directory | M.I. Statistics
News about mortgage insurance issuance, defaults and litigation.
Q1 2013 mortgage insurance lawsuits
Q4 2012 mortgage insurance lawsuits
Q3 2012 mortgage insurance lawsuits
Q2 2012 mortgage insurance lawsuits
Q1 2012 mortgage insurance lawsuits
Q4 2011 mortgage insurance lawsuits
Q2 2011 mortgage insurance lawsuits
Q1 2011 mortgage insurance lawsuits
Q4 2010 mortgage insurance lawsuits
Q1 2010 mortgage insurance lawsuits
Q4 2009 mortgage insurance lawsuits
Q2 2009 mortgage insurance lawsuits
Q1 2009 mortgage insurance lawsuits
AMC directory
ARM indexes
mortgage company directory
mortgage regulations
net branch directory
p r i c i n g engine directory
wholesale lender directory
More Mortgage News Resources (full site map):
appraisal news
bank news
biggest lenders
commercial mortgage news
corporate mortgage news
credit news
FHA news
financial regulation news
foreclosure news
free mortgage news
GSE news
jumbo mortgage news
interest rates
loan modification news
loan originator survey
LOS Newsletter
mortgage associations
mortgage-backed securities
mortgage books
mortgage brokers
mortgage compliance
mortgage conferences
mortgage directories
mortgage education
mortgage employment
mortgage employment index
mortgage executives
mortgage fraud
mortgage fraud blog
mortgage fraud local news
Mortgage Fraud Index
Mortgage Graveyard
mortgage insurance news
mortgage lawsuits
mortgage leads
mortgage lender ranking
mortgage licenses
mortgage litigation
Mortgage Litigation Index
Mortgage Market Index
mortgage mergers
mortgage news
mortgage politics
mortgage press releases
mortgage production
mortgage public relations
mortgage rates
mortgage servicing
mortgage statistics
mortgage technology
mortgage video
mortgage Webinars
net branch
net branch directory
nonprime news
origination news
originator tools
real estate news
refinance news
reverse mortgage news
sales blog
secondary marketing
social media
servicing news
subprime news
wholesale lenders
wireless mortgage news