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Everyone knows how exciting camping in a truck can be. Professional Movers Near Me in Boksburg nothing can be better than enjoying the nature by yourself. Having your own spacious ride further supplements the experience. Sleeping in your own truck while enjoying the fresh air is an amazing thing to do if traveling is in your blood. However, it is imperative to have a truck bed tent to ensure a pleasant camping experience. Often we consider securing the tent on the ground using ropes. Setting up such tent can be inconvenient.
Truck bed tents come with a number of benefits that every camper is well aware of. Nevertheless, Local And Long Distance Movers there are numerous options available in the market when it comes to purchasing a Tacoma bed tent. This creates confusion while choosing the best one. Here are some factors everyone must consider while purchasing a truck bed tent: Type There is a wide variety of truck tents to choose from but the ideal one depends entirely on the type of ride. Additional cargo space hatchback tents are the most appropriate for smaller SUVs and vehicles.
Tents designed for pickup trucks can be utilized as well but it is advisable to go for a model that is easier to install. Universal camping tents are available for frequent travelers that can fit on any type and size of the vehicle. Size Size is an important factor to take into account. Even though the size of the tent will depend on your vehicle but make sure you choose a truck bed tent that has enough space for you to sleep comfortably. One of the general rules you can apply while purchasing your option is that select a truck bed tent that has the capacity to accommodate more than one needed.
Temporary Floor Protection - A Product Guide
Durability It is important to look into how durable a truck bed tent is. During the camping experience, you will face harsh climate. There are models designed to protect from external aspects. Go for wind-proof, water-proof and stormproof models. This will enhance the overall comfort. Moreover, Moving And Relocation the overall durability also affects how long your tent will last. If you consider your truck bed tent as an investment, then go for the most durable option in the market. Seasonality Truck bed tents are also designed according to their seasonality. There are usually three season tents in common.
These tents are designed for camping in summer, spring and fall. They are designed to maintain good airflow with sufficient ventilation. Four season tents are designed to resist snow and a bit of cold as well. If you want a tent for camping in winters, then choose four season tent. Features Not all truck bed tents are designed in the same manner. All are not created equal. Each tent has different features associated with it. A tent featuring more facilities would cost a bit higher. Nevertheless, consider the height and length of the truck. This will depend on how tall you are. Another important consideration contains tent poles. Normally, the poles are made of lightweight and durable material like fibreglass and aluminium. Choose tent poles that are ideal for camping.
Aluminum poles are the most common option since they can withstand heavy winds. In today's day and age, we have a plethora of options to select from when it comes to purchasing Tacoma bed tents. There is a wide variety available each of them coming with its own set of features. However, consider the options above and make sure you choose it from a reputable retailer. Selecting the right option would enhance the overall experience. Conclusion: If you want to buy a new truck bed tent then you must have to follow the above-mentioned things in this way you will get a good truck bed tent that will fit your needs.
Professional Movers Near Me in Boksburg ?
Regardless if you hire professional movers or do it yourself, it is good to know how to wrap the furniture and what to expect. We sell moving supplies and often hear questions: - How many moving blankets do I need? Which moving blanket should I use and how do I wrap my furniture?
The way to wrap furniture for moving depends on specifics of your move. Is it interstate move, across the country, or local moving around the block? Loading PODS or international shipping container, or moving to long term storage?
If you are getting ready to move and concerned about safely moving your household goods this series of articles will show in details how to wrap your furniture for any large or small move. People sometimes underestimate amount of packing required for a moving job, but it is important to pack your personal belongings properly. I have been in the moving business for over 20 years, moved hundreds of families personally as a foreman and driver, and then thousands more as an owner of a moving company, both moving locally and moving interstate. I was teaching my movers the best and most efficient ways of handling and wrapping furniture, wrapping with blankets, crating, boxing, you name it.
Movers. Contrary to some statements I came across in other articles, Movers do care about your shipment, in most cases foreman is personally responsible to pay for your damages and movers also know that if something gets broken it is unlikely that they get any tips. At the same time movers do not have any sentimental attachment to your belongings and treat precious to you items as anything else. Their main goal is to secure the goods in a way that it will not break and will be easy to load. Therefore it is important to make a foreman (moving crew leader) which items require special care.
Do not expect movers to see your household goods the way you see it. The movers simply do not have time to consider how delicate each and every item might be. For example a bottle with exotic sand, layered by the color or even in a special design, will be ruined if simply laid on its side. Movers will make sure to pack the bottle that it will be safe, but they might not realize that the sand layers inside the bottle are not fixed and might mix into an ugly mess from vibration in the truck. It is true that most damage occurs while carrying, loading and unloading, but it is also true that if movers (or yourself) do not load the truck properly some items will get damaged in transit.
Plastic Covers. Plastic covers for moving would include Shrink wrap or stretch wrap and Plastic mattress cover, plastic sofa cover or plastic chair covers. Shrink wrap - is widely used in shipping to keep a load on a pallet together as one unit and not to allow it to fall apart or items disappear from shipment. In moving furniture shrink wrap was originally used to keep items with small parts or opening doors or drawers together. Then it became a substitute for plastic covers to wrap mattresses. It is not at all better than a plastic mattress cover, but it is more profitable for a moving company: it cost much less to buy a roll of shrink wrap, but it takes longer to wrap plus mover can charge more for each item wrapped. Movers might even wrap shrink wrap on top of furniture already wrapped in blankets. It looks good, but it is very expensive and absolutely useless. If you put your items to storage shrink wrap is actually damaging to the furniture, because it traps the moisture and the furniture can actually rot under the shrink wrap if stored long enough. I would strongly recommend using mattress covers, because even if it will be wrapped in a blanket - you do not know what was wrapped in that blanket before. And mattress is what you sleep on. Also sofas with light colored upholstery would be better off if you cover it with plastic sofa cove before wrapping in the furniture blankets. Sometimes the color bleeds off the moving blanket onto upholstery.
SUMMARY: When preparing for the move consider specifics of your move and consider the furniture you want to wrap. Need to save space? - Get space savers or paper blankets, need better protection - get premium quality thick moving blankets. Want to keep your fragile safe - pack them in double wall strong boxes with a lot of cushioning materials Want your keep furniture clean - use Plastic furniture covers. In the next article we will go over specifics of wrapping various items of furniture.
Things To Consider While Buying A Truck Bed Tent
When it comes to the decision of whether or not to bring your furniture along with you on your move or sell it off, you need to look at a few things. If the majority of your items have little to no sentimental value, sell them off before you move. You'll save a lot of money on the moving you need to do, and make some spending money for the trip as well. You may even get enough money to pay for your entire moving trip. If the items you have are high-end furniture you may want to take them along so you will not have to pay to replace them when you get to where you're going.
If you have the time to have a proper sale for your items, you'll end up making more money than if you are pressed for time and grab at the first decent offer you receive for your things. Put ads in any free newspapers or circulars in your neighborhood to let people know about your sale. Many of these free publications have little to no rules about the size or length of an ad to be placed, so you can feel free to list every single item you have - in detail if you like!
You should remember to take along whatever tools you have though, because chances are that whenever you get to your new place, there'll be furniture and appliances that will need putting together. With your newfound freedom from the old furniture, you can actually start to think about going out and getting some new things for your new life. This will have a therapeutic effect as you begin to settle into the newness all around you and start to make your new house a home. You can always decide to furnish your home with second hand furniture for the first little while until you can save enough money to buy the newer items you're dreaming of getting for your new home.


text:
Far as hell and dull as dust, but hey..
Would you rather choke on smog, or say
You're glad you live that far away?
To the tune of: You fill up my senses (John Denver)
Chud-dies, con-tact lennnnses,
Butter Gulkand, Black Forest.
Its always shop-ping time
On Malleswaram, 3rd main.
Stop at Asha's for dessert
Where milk tastes like hand lotion.
The '98 census
Showed alarming brain drain.
To the tune of: Jamaica Farewell (Harry Belafonte)
I wanna party away
MG Road is teeming with angry cops.
You look as hip
As a fashion clip
But at midnight your party is gonna stop.
We can't stay and play,
What is this, I say?
This rule will stay for many a day.
Just simmer down,
Stop hoppin around
And bring the party to my pad at the edge of town.
To the tune of: Country Roads (John Denver)
Migrant haven - Koramangla
Flats with fountains
By a sewage river.
Land is gold there, not so much the trees
A hundred Jacarandas
Mowed down 'fore you sneeze.
Bumpy roads, spell your tome
Not the place, to sing a song
Koramangla - money corner,
I'm staying home, won't miss you loads.
To the tune of: California Dreaming (The mamas and the papas)
Oh to Frazer town,
You shall go away.
Go take a wa...lk,
To Thom's bakery, I say.
The cakes are fresh and warm,
Made at 4 every day.
Should I send you screaming,
Or will you go to-day?
To the tune of: Take it easy (The Eagles)
Oh if youre really very bored
Just hit DVG Road
But just tell me what is on your mind.
Looking for some flowers?
The kem-pe-gowda towers?
There's V.B if you wanna dine.
What's up duuudey?
Are you a fooodie?
Lets get a nice fat benne-dose, outside U.D.
Just get here in a car or van,
Or on a horse with a wedding band
Because it's great in the far off land
Of Basvangoooodi.
Cartoon Translation: "Where will you run now?" (Pun on the word 'Odu' = run)

subset: commoncrawl


text:
Circa 1910
An antique brass cylindrical lantern with a pebble-glass lens, in its original age-darkened patina. Relamping is through a discrete hinged bottom door.
Current height: 38"
Minimum height: 32-1/2"
Overall: 10" diameter
Single Edison socket, maximum 100 watts
Dry UL listing available with modifications; please contact your salesperson for pricing.
1 fixture total available.
Please contact your local showroom about viewing this item.


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Generalized anxiety disorder (GAD) is characterized by 6 months or more of chronic, exaggerated worry and tension that is unfounded or much more severe than the normal anxiety most people experience. People with this disorder usually expect the worst; they worry excessively about money, health, family, or work, even when there are no signs of trouble. They are unable to relax and often suffer from insomnia and an inability to concentrate. Many people with GAD also have physical symptoms, such as fatigue, trembling, muscle tension, headaches, irritability, or hot flashes.
Approximately 6.8 million American adults develop GAD during the course of a given year. It most often begins during childhood or adolescence, but can begin in adulthood, too. It affects women more often than men. Some research suggests that GAD may run in families, and it may also worsen during stressful times.
Research shows that GAD often coexists with depression, substance abuse, or other anxiety disorders. Other conditions associated with stress, such as irritable bowel syndrome , often accompany GAD. Tell your doctor if you have physical symptoms, such as insomnia or headaches, or emotional symptoms, such as constant feelings of worry and tension. This information will help your doctor determine if you are suffering from GAD.What are the risk factors for generalized anxiety disorder?What are the symptoms of generalized anxiety disorder?How is generalized anxiety disorder diagnosed?What are the treatments for generalized anxiety disorder?Are there screening tests for generalized anxiety disorder?How can I reduce my risk of generalized anxiety disorder?What questions should I ask my doctor?What is it like to live with generalized anxiety disorder?Where can I get more information about generalized anxiety disorder?
Revision Information
- Reviewer: Adrian Preda, MD
- Review Date: 12/2016 -
- Update Date: 05/20/2015 -


text:
Client support: Phone: +357 (22) 008796
|remaining time till the new event being published
Market Focus
All posted material is a marketing communication solely for informational purposes and reliance on this may lead to loss. Past performance is not a reliable indicator of future results. Please read our full disclaimer.


text:
This bank is 2 banks of 12 units of 4 PzS 460L Traction Battery Bank.
Traction batteries have long been the "hidden secret" of cheap off-grid installations. Pricing is in general 25% cheaper then dedicated solar batteries and as these batteries are designed to be charged and discharged daily, to power forklift operation, they can take quite some abuse.
Forklift batteries have thicker plates, this is because the heavy discharges caused by forklift operation, can cause the lead plates to buckle. Thicker plates means stronger but less efficient batteries, with less active surface area. Fork lift batteries also use a bit more distilled water then the dedicated solar batteries.
We have customers using forklift batteries, we have been monitoring the performance of these systems for a few years and are now happy to present our "low budget" traction battery range in 12, 24 and 48v configuration.
|Weight (KG)
|Off-Grid Europe
|Delivery Time Europe (Est)
|7-10 working days
|Battery Type
|Flooded Lead-Acid
|Battery Voltage
|Cycles at 50% DoD
|Cycles at 80% DoD
|Watt-Hour at C20
|Amp-Hour at C20
|Warranty Length
|Amp-Hour at C100


text:
Battery Park Senior Apartments Battery Park Senior Apartments
Here's a sample of our volunteer opportunities:VIEW AS
Please wait . . .
Mission Statement
The Mission of National Church Residences is to provide quality housing and care at affordable prices in communities of caring persons.
Our mission has been targeted primarily toward older adults and we have special concern for low- and moderate-income seniors, persons with disabilities, and low- and moderate-income families. We are committed to expanding and funding services in assisted living, nursing homes, and full-service retirement communities. We also plan for thoughtful growth in affordable family housing.
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text:
Principal Proposed Uses
Other Proposed Uses
Probably Not Effective Uses
- Alzheimer's Disease
- Autism (B 6 Combined With Magnesium)
- Carpal Tunnel Syndrome
- Diabetic Neuropathy
- Eczema
- Premenstrual Syndrome (PMS)
- Side Effects of Oral Contraceptives
Vitamin B 6 plays a major role in making proteins, hormones, and neurotransmitters (chemicals that carry signals between nerve cells). Because mild deficiency of vitamin B 6 is common, this is one vitamin that is probably worth taking as insurance.
However, there is little evidence that taking vitamin B 6 above nutritional needs offers benefits in the treatment of any particular illnesses, except, possibly, nausea of pregnancy (morning sickness).
Vitamin B 6 requirements increase with age. The official US and Canadian recommendations for daily intake are as follows:
- 0-6 months: 0.1 mg
- 7-12 months: 0.3 mg
- 1-3 years: 0.5 mg
- 4-8 years: 0.6 mg
- 9-13 years: 1.0 mg
- 14-50 years: 1.3 mg
- 51 years and older: 1.7 mg
- 14-18 years: 1.2 mg
- 19-50 years: 1.3 mg
- 51 years and older: 1.5 mg
- Pregnant Women : 1.9 mg
- Nursing Women : 2.0 mg
The National Institutes of Health's Office of Dietary Supplements offers this list of foods that are high in vitamin B 6 : 77
Vitamin B 6 Deficiency
Severe deficiencies of vitamin B 6 are rare, but mild deficiencies are extremely common. In a survey of 11,658 adults, 71% of men and 90% of women were found to have diets deficient in B 6 . 1 Vitamin B 6 is the most commonly deficient water-soluble vitamin in the elderly, 2 and children, too, often don't get enough. 3 In addition, evidence has been presented that current recommended daily intakes should be increased. 4
B 6 deficiency might be worsened by use of hydralazine (for high blood pressure), 5penicillamine (used for rheumatoid arthritis and certain rare diseases), 6theophylline (an older drug for asthma), 7-11MAO inhibitors , 12 and the antituberculosis drug isoniazid (INH), 13-16 all of which are thought to interfere with B 6 to some degree. Good sources of B 6 include nutritional (torula) yeast, brewer's yeast, sunflower seeds, wheat germ, soybeans, walnuts, lentils, lima beans, buckwheat flour, bananas, and avocados.
Therapeutic Dosages
One study found that 30 mg of vitamin B 6 daily was effective for symptoms of morning sickness. 17 While far above nutritional needs, this dosage should be safe. However, for the treatment of other conditions, B 6 has been recommended at doses as high as 300 mg daily. There are potential risks at this level of vitamin B 6 intake. (See the Safety Issues section below for more information).
Therapeutic Uses
The results of a large double-blind, placebo-controlled study suggest that vitamin B 6 at a dose of 30 mg daily may be helpful for treating nausea in pregnancy (morning sickness). 17
Vitamin B 6 has been proposed for numerous other uses as well, but without much (if any) scientific substantiation. For example, the two most famous uses of vitamin B 6 , carpal tunnel syndrome and premenstrual syndrome PMS , have no reliable supporting evidence at all, and the best-designed studies found it ineffective for either of these purposes. 18,55
Higher intake of vitamin B 6 reduces the level of homocysteine in the blood, a substance that might accelerate cardiovascular disease (heart disease, strokes, and related conditions.) However, there is as yet no meaningful evidence that reducing homocysteine is beneficial, and considerable evidence that it is not. See the full Homocysteine article for more information.
A series of studies suggests that vitamin B 6 may be helpful for the treatment of TD. In the first study, a 4-week, double-blind crossover trial of 15 people, treatment with vitamin B 6 significantly improved TD symptoms as compared to placebo. 51 Benefits were seen beginning at 1 week of treatment. The subsequent follow-up study tested the benefits of vitamin B 6 used over a period of 26 weeks in 50 people with tardive dyskinesia, and once again the supplement proved more effective than placebo. 71
For the following other conditions, current evidence for benefit with vitamin B 6 remains incomplete and/or contradictory: allergy to monosodium glutamate (MSG), asthma , 24,25depression , 23diabetes of pregnancy , 26HIV infection, 27,28photosensitivity , 32 preventing kidney stones , 19-22schizophrenia , 56,57,65seborrheic dermatitis , 35tardive dyskinesia and other side effects of anti-psychotic drugs , 29-31,51,66,67 and vertigo . 33
Despite some claims in the media, vitamin B 6 has not shown benefit for enhancing mental function . 68 Research investigating the benefits of B 6 (in combination with folate and vitamin B 12 ) as a potential treatment for cognitive decline due to Alzheimer's disease (AD) has also shown disappointing results. 74
One study failed to find B 6 at a dose of 50 mg daily helpful for rheumatoid arthritis (despite a general B 6 deficiency seen in people with this condition). 70
Vitamin B 6 , alone or in combination with magnesium , showed some early promise for the treatment of autism , but the best designed studies failed to find it effective. 34,58
Additionally, current evidence suggests that vitamin B 6 is not effective for treating diabetic neuropathy61-63 or eczema , 54 or for helping control the side effects of oral contraceptives . 53
What Is the Scientific Evidence for Vitamin B
Nausea and Vomiting
Vitamin B 6 supplements have been used for years by conventional physicians as a treatment for morning sickness . In 1995, a large double-blind study validated this use. 38 A total of 342 pregnant women were given placebo or 30 mg of vitamin B 6 daily. Subjects then graded their symptoms by noting the severity of their nausea and recording the number of vomiting episodes. The women in the B 6 group experienced significantly less nausea than those in the placebo group, suggesting that regular use of B 6 can be helpful for morning sickness. However, vomiting episodes were not significantly reduced.
At least 3 studies have compared vitamin B 6 to ginger for the treatment of morning sickness. Two studies found them to be equally beneficial, 69,72 while the other found ginger to be somewhat better. 73 However, as ginger is not an established treatment for this condition, these studies alone do not provide any additional evidence in favor of B 6 .
Researchers also investigated whether vitamin B 6 can reduce the nausea and vomiting that often accompanies chemotherapy . 75 One hundred and forty-two women with ovarian cancer who were undergoing chemotherapy were randomized into 3 groups: acupuncture plus B 6 injection into the P6 acupuncture point (located on the inside of the forearm, about 2 inches above the wrist crease), acupuncture alone, or B 6 alone. Those that received both acupuncture and B 6 experienced less nausea and vomiting compared to the other two groups.
Premenstrual Syndrome (PMS)
A recent, properly designed double-blind study of 120 women found no benefit of vitamin B 6 for PMS. 39 In this study, three prescription drugs were compared against vitamin B 6 (pyridoxine, at 300 mg daily) and placebo. All study participants received 3 months of treatment and 3 months of placebo. Vitamin B 6 proved to be no better than placebo.
Approximately a dozen other double-blind studies have investigated the effectiveness of vitamin B 6 for PMS, but none were well designed; overall the evidence for any benefit is weak at best. 40,41 Some books on natural medicine report that the negative results in some of these studies were due to insufficient B 6 dosage, but in reality there was no clear link between dosage and effectiveness.
However, preliminary evidence suggests that the combination of B 6 and magnesium might be more effective than either treatment alone. 42
One double-blind, placebo-controlled crossover study found indications that very high doses of vitamin B 6 may produce beneficial effects in the treatment of autism . 34 However, this study was small and poorly designed; furthermore, it used a dose of vitamin B 6 so high that it could cause toxicity.
It has been suggested that combining magnesium with vitamin B 6 could offer additional benefits, such as reducing side effects or allowing a reduced dose of the vitamin. However, the two reasonably well-designed studies using combined vitamin B 6 and magnesium have failed to find benefits. 58-60 Therefore, it isn't possible at present to recommend vitamin B 6 with or without magnesium as a treatment for autism.
A double-blind study of 76 children with asthma found significant benefit from vitamin B 6 after the second month of usage. 43 Children in the vitamin B 6 group were able to reduce their doses of asthma medication (bronchodilators and steroids). However, a recent double-blind study of 31 adults who used either inhaled or oral steroids did not show any benefit. 44 The dosages of B 6 used in these studies were quite high, in the range of 200 to 300 mg daily. Because of the risk of nerve injury, it is not advisable to take this much B 6 without medical supervision (see Safety Issues).
Safety Issues
The safe upper levels for daily intake of vitamin B 652 are as follows:
- 1-3 years: 30 mg
- 4-8 years: 40 mg
Males and Females
- 9-13 years: 60 mg
- 14-18 years: 80 mg
- 19 years and older: 100 mg
Pregnant or Nursing Women
- 18 years old and younger: 80 mg
- 19 years and older: 100 mg
At higher dosages (especially above 2 g daily) there is a very real risk of nerve damage. Nerve-related symptoms have even been reported at doses as low as 200 mg. 45 (This is a bit ironic, given that B 6 deficiency also causes nerve problems.) In some cases, very high doses of vitamin B 6 can cause or worsen acne symptoms. 46,47
In addition, doses of vitamin B 6 over 5 mg may interfere with the effects of the drug levodopa when it is taken alone. 48-50 However, vitamin B 6 does not impair the effectiveness of drugs containing levodopa and carbidopa.
Maximum safe dosages for individuals with severe liver or kidney disease have not been established.
Interactions You Should Know About
If you are taking:
- Isoniazid (INH) , penicillamine , hydralazine , theophylline , or MAO inhibitors : You may need extra vitamin B 6 , but take only nutritional doses. Higher doses of B 6 might interfere with the action of the drug.
- Levodopa without carbidopa (for Parkinson's disease): Do not take more than 5 mg of vitamin B 6 daily, except on medical advice.
- Antipsychotic medications: B 6 might reduce side effects.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


text: Tuesday, December 20, 2011 House Rejects 2-Month Fix Approved by Senate; Caps and Cuts Remain Unresolved This afternoon, the House of Representatives decided not to vote on the Reid-McConnell Amendment to the Middle Class Tax Relief and Job Creation Act of 2011 (HR 3630), which was passed by the Senate and provided a 2-month fix to the Sustainable Growth Rate (SGR) and the therapy cap exceptions process along with other Medicare provisions. Instead, the House voted to create a conference committee to negotiate the differences between the House and Senate passed bills. If the House and Senate cannot come to an agreement on a package before December 31 the therapy cap will go into effect without an exceptions process on January 1, 2012. Furthermore, a scheduled 27.4% cut to provider payments under the Medicare physician fee schedule will be implemented. It is critical that Congress address these devastating caps and cuts as soon as possible. APTA members are urged to contact their members of Congress to express their support for a package that contains a 2-year extension of the SGR fix and therapy cap exceptions process as outlined in the House bill. If you're not currently part of APTA's Grassroots Network, PTeam, sign up today. PTeam will be the main source of information for legislative updates and breaking news on the effort to pass legislation to extend the therapy cap exceptions process and avoid the 27.4% cut.


text:
2 months ago
4 days ago
Superintendent of Schools
I'm honored toserve as the superintendent of Laramie County School District 1 (LCSD1), thelargest school district in the State of Wyoming. LCSD1 has great employees whowork with the most diverse population of students in Wyoming. We have studentswho speak more than 30 different languages, students who have individualeducation plans, students in gifted and talented programs, students in theInternational Baccalaureate program and students who are taking collegecourses.
I am not onlyproud of the students but the staff who work to make each student the best theycan be.
As of Oct. 1,2019, 14,261 students were enrolled in LCSD1 K 12. The district has seenconsistent growth over the last few years at a rate of 1% to 2% a year,increasing by a total of 109 students over last year. We estimate we willcontinue to grow over the next few years at a similar rate. Student enrollmentin the LCSD1 triads is relatively balanced at the elementary level (K 6); Easttriad 2,557, South triad 2,472, and Central triad 2,642. At the junior highschools (7 8) we are at; East triad Carey Junior High 797, South triad JohnsonJunior High 782, and Central triad McCormick Junior High 708. The high school(9 12) enrollment is at; Central High 1,198, East High 1,414, South High 1,172,and Triumph High 231 students. PODER Academy charter schools enroll 288students K 12. LCSD1 makes up about 15% of the total K 12 population inWyoming.
The districtis in the process of replacing Carey Junior High. The new school will belocated by East High. We plan to openthe school in the fall of 2020. We are working with the Wyoming SchoolFacilities Department (WSFD) on a most cost-effective remedy study to plan forthe increasing student population in the district and updating aging schools.Based on the study completed by a contractor hired by the WSFD, our 2018 19enrollment numbers are over capacity at the elementary level by 221 studentsand at the high school level by 21 students. The WSFD has requested funding foran elementary school in the current legislative budget and in the next legislativesession expansion of all three comprehensive high schools with possibly anadditional elementary. During the upcoming months, the district will moveDildine Elementary to the Eastridge wing adjacent to the old Carey buildingwhile we renovate their elementary school.
The WyomingDepartment of Education holds schools accountable through the state assessmentcalled WY-TOPP. This year Anderson Elementary was rated as our district's firstexceeding school under the new assessment. Eight elementary schools improvedtheir state rating, some by more than one level. Four elementary schools'rating declined by one level. All junior high and high schools maintained thesame rating from last year. Our goal is to continually strive to improve ourperformance on the state assessment while paying attention to every othercontent and social area that help students become well-rounded citizens. We areincreasing the amount of time allocated for core (math, science, language arts,and social studies) courses at the junior high level for the next school yearto allow for more instruction time.
The district'sfour-year graduation rate increased to 81.6% this year, which is the highestgraduation rate in recent years. We are proud to have the increase, but just asproud of our students who have struggled to graduate in five, six or sevenyears. The district staff has put programs and personnel in place to supportstudents who need help to graduate.
Local law enforcement and first respondershave been great partners in helping LCSD1 provide a safe environment for ourstudents. Last year, the district initiated a "See Something, Say Something"campaign through which people can use the statewide anonymous tip line(Safe2Tell, 1-844-996-7233), 911 or call school administration to report safetyissues. As we move through this year, we are piloting software to help withreunification of students and parents in a crisis situation, software to allowbetter communication with stakeholders, and software and hardware to helpreduce reporting time in a crisis. Justa reminder, we need everyone's help to keep our students safe. Please talk toyour students and report any issues that are concerning and encourage yourstudent to visit with school staff if they have a concern.
Mission, Vision and Core Values
Our Schools
Report Card to the Community
Senior Leadership Team
9号彩票代理Strategic Plan


text:
Electrical Auto Repair
Elite Car Care in Orange County
26801 Vista Terrace Lake Forest, CA 92630
Open 6 days a week. M-F: 7:00AM-6:00PM & Sat: 8AM-5:00PM
$25 off first visit ~ 2 year 24,000 mile warranty
Auto Repair Questions: 949-415-5425
Chrysler Electrical Repair Orange
949-415-5425 ~ Chrysler Electrical repair in Lake Forest, Orange County, CA. When you are looking for excellence and your door locks won't work, bring your Foreign or Domestic car to the talented ASE Certified Technicians at Auto Repair Orange. We specialize in: Chrysler, Daewoo, Daihatsu, Dodge, Excaliber, Ford and all other foreign and domestic vehicles.
Our auto repair services also include: Brakes, Electrical, Exhaust, Transmission, Suspension, AC, A/C, Alignment, Tune Ups, Air Conditioning, and all other automotive services. When you live or work in the 92701, 92702, 92703, 92704, 92705, 92706, 92707, 92708, 92711, 92712, 92725, 92728, 92735, 92799, 92840, 92841, 92842, 92843, 92845, 92846, 92626, 92627, 92628 areas and want the best customer service in the industry call the talented team at Auto Repair Orange. In business for more many years. You won't be disappointed with your electrical repairs at Elite Auto Repair. Call us today at 949-415-5425.
Chrysler Auto Electrical Specialists Orange
949-415-5425 ~ Chrysler Electrical specialists for Garden Grove, Orange, and Anaheim as well as all Orange County cities. At some point it happens to everyone, a flashing light telling you there is a problem. At Auto Repair Orange, we know it is imperative that your electrical system work properly and is maintained by the best automotive mechanics. Our ASE Certified Technicians are just the team to get the job done right. Whether you own a popular Ford sedan, Dodge truck, jeep car, or any foreign or domestic vehicle, we will diagnose your auto in our modern repair facility to keep you on the road longer. We have been in business for over many years and offer a complimentary shuttle to take you to or from your office or home. Auto Electrical Specialists Open 6 days a week, we are the cutting edge repair facility with the auto electrical mechanic specialists in Lake Forest, Orange County, CA ~ 949-415-5425.
Chrysler Total Electrical Repairs Orange
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Menopause is a natural part of life and does not necessarily require treatment. Decide how to best proceed by talking with your doctor. A treatment plan must be considered on an individual basis. First, consider how the symptoms are affecting your daily life. Then, talk with your doctor about your family and medical history. Remember to talk about the risks of heart disease, osteoporosis , and breast cancer .
Remember any decision is not final. You can, and should, review it with your doctor every year during your annual checkup. You can see a gynecologist, a general practitioner, or an internist.
It is also important to review current screening tests you may need based on your age, family and medical history.
Treatments for menopause aim to:
- Reduce unpleasant physical and psychological symptoms of menopause
- Reduce your risk of osteoporosis , heart disease, and stroke
Treatment involves the following:Lifestyle changesMedicationsOther treatmentsAlternative and complementary therapies
There are no surgical procedures for menopause.
Revision Information
- Reviewer: EBSCO Medical Review Board Marcie L. Sidman, MD
- Review Date: 03/2018 -
- Update Date: 03/15/2015 -


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Principal Proposed Uses
Other Proposed Uses
- Bursitis
- Collagenous Colitis
- Crohn's Disease
- Tendonitis
- Ulcerative Colitis
The gummy resin of the boswellia tree has a long history of use in Indian herbal medicine as a treatment for arthritis, bursitis, respiratory diseases, and diarrhea.
What Is Boswellia Used for Today?
Growing evidence suggests that boswellia has anti-inflammatory effects. 5-8 On this basis, the herb has been tried for a number of conditions in which inflammation is involved, including painful conditions such as bursitis , osteoarthritis , rheumatoid arthritis , and tendonitis . For the same reason, it has also been tried for asthma and inflammatory bowel disease ( ulcerative colitis or Crohn's Disease ). In addition, boswellia has shown promise for the relatively rare disease of the colon in which inflammation plays a role: collagenous colitis. 14
Furthermore, extracts of boswellia have been studied as an aid to standard care for malignant glioma (a type of incurable brain tumor). 9-11 Use of boswellia appears to decrease symptoms, probably by decreasing inflammation in the brain (as well as through other mechanisms). However, this has not been proven, and individuals with cancer should not use boswellia (or any other herb or supplement) except on physician's advice.
What Is the Scientific Evidence for Boswellia?
Rheumatoid Arthritis
According to a review of unpublished studies, preliminary double-blind trials have found boswellia effective in relieving the symptoms of rheumatoid arthritis . 2 Two placebo-controlled studies, involving a total of 81 people with rheumatoid arthritis, reportedly found significant reductions in swelling and pain over the course of 3 months. In addition, a comparative study of 60 people over 6 months found that boswellia extract produced symptomatic benefits comparable to oral gold therapy. However, this review was rather sketchy on details.
A more recent double-blind, placebo-controlled study that enrolled 78 people with rheumatoid arthritis found no benefit. 3 However, about half of the patients dropped out, which seriously diminishes the significance of the results.
A 6-week, double-blind, placebo-controlled study of 80 people with relatively mild asthma found that treatment with boswellia at a dose of 300 mg 3 times daily reduced the frequency of asthma attacks and improved objective measurements of breathing capacity. 4
In a double-blind study of 30 people with osteoarthritis of the knee, researchers compared boswellia against placebo. 13 Participants received either boswellia or placebo for 8 weeks and were then switched over to the opposite treatment for an additional 8 weeks. The results showed significantly greater improvement in knee pain, knee mobility, and walking distance with boswellia compared to placebo.
The therapeutic effects of boswellia were evaluated in a review of 4 randomized trials. It was associated with significant pain reduction and improved physical function in people with osteoarthritis. 15
Inflammatory Bowel Disease
An 8-week, double-blind, placebo-controlled trial of 102 people with Crohn's disease compared a standardized boswellia extract against the drug mesalazine. 12 Participants taking boswellia fared at least as well as those taking mesalazine, according to a standard score of Crohn's disease severity. A small, poorly designed trial found some indications that boswellia might also offer benefit in ulcerative colitis . 4
A typical dose of boswellia is 300 to 400 mg 3 times a day of an extract standardized to contain 37.5% boswellic acids. Some studies have used dosages as high as 1,200 mg 3 times daily.
Safety Issues
In clinical trials of pharmaceutical grade standardized boswellia extract, no serious side effects have been reported. Crude herb preparations, however, may not be as safe as the specially manufactured extract. Safety in young children, pregnant or nursing women, or individuals with severe liver or kidney disease has not been established.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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Amanzi - Pineapple Swim Cap
Brand: Amanzi
Product Code: 9346946004681
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- 100% Premium Silicone
- One size fits all
- Great for long or thick hair
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Customer Reviews
Product exactly as specified - nice range of swim hats available on site, better than many other places. Customer service was excellent. They went the extra mile after I made an error with my delivery address and the item got returned to them as sender. They resent to me at the correct address at no additional cost. Much appreciated.


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Dmytro wrote:Then where from he got the term 'mindfulness'? Coined it independently?Sekha wrote:However, when he started to teach in English and he looked for the appropriate translation of sati, he chose "mindfulness". I don't think anyone can reasonably consider that the Sayadaw merely followed Rhys Davids' choice, and few people can be considered as being more knowledgeable than him in both theory and practice, Margaret Cone certainly not being among them.
I am not saying he made the choice of that word totally independently from Rhys Davids' choice, I am saying that given his level of knowledge, he has certainly made a thoughtful choice, and it is not the case that he just followed Rhys Davids' choice, as has been suggested above:Sekha wrote:I don't think anyone can reasonably consider that the Sayadaw merely followed Rhys Davids' choice
Dmytro wrote:if Margaret Cone will interpret the word 'sati' as 'remembrance' in her new dictionary, this interpretation will be used in new translations, and then by meditation practitioners and teachers.
I agree, but the main purpose of comparing Pa Auk Sayadaw with Cone was to underline the fact that the opinion of the latter is worth being listened to. I don't think anyone thinks of opposing Buddhaghosa to the Pa Auk Sayadaw, since the Pa Auk Sayadaw considers himself as a teacher of Buddhaghosa's system.Dmytro wrote: Discussions of who is more knowledgeable, for example, Ven. Buddhaghosa or Ven. Pa Auk Sayadaw, will lead us nowhere.
My whole point is actually to say that the most reliable source of the meanings of Pali terms used by the Buddha is one's own practice, and therefore the opinion of those who are serious and effective meditation teachers is worth taking account of. I could easily quote here the Kalama sutta and so many passages where the Buddha states that direct knowledge will always be superior to other sources of knowledge.Dmytro wrote: Pali passages are the most reliable source of the meanings of Pali terms, and I hope we'll discuss Pali passages in this forum.
To be sure I get understood, I repeat that I appreciate and respect all your efforts, but there is another approach to the one you have chosen, which is complementary, and it is also worth paying some attention to it.


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Principal Proposed Uses
Other Proposed Uses
The term Qigong refers to various systems of breathing exercises and physical postures that are thought to improve general health by following the principles of Traditional Chinese Medicine . More precisely, this is internal Qigong, or Qigong practiced by a person for his or her own benefit. Expert Qigong practitioners may also use their training to treat other people, a practice called "external Qigong," or, alternatively, "Qi Therapy."
Internal Qigong is said to increase one's overall vitality and health by facilitating the free flow of Qi in the body. The term "Qi" refers to a supposed underlying "energy" in the body, as conceptualized in the ancient medical systems of East Asia. (There is no scientific evidence for the existence of Qi.) Those who practice External Qigong claim to have developed so much mastery of Qi they can project it into others.
Methods related to modern Qigong are mentioned in Chinese texts dating back more than three millennia. Qigong bears a close relationships to the martial arts traditions of East Asia, but, like Tai Chi , it has been adapted primarily for health rather than fighting. Qigong also has strong historical connections with metaphysical and religious traditions, but it has become popular more recently as a purely secular exercise. This evolution is similar to that of yoga .
Cults may form around practitioners of external Qigong. The present-day Qigong master Li Hongzhi can, reportedly, turn invisible, levitate, teleport himself through space, and control people's thoughts. His tens of millions of followers, known collectively as the Falun Gong, have achieved sufficient political power in China to have been banned.
What Is the Scientific Evidence for Qigong?
Mainstream scientists do not accept the concept of "Qi," but internal Qigong can be seen merely as a form of exercise and studied as such. External Qigong, however, does not strike most scientists as plausible; it has nonetheless undergone some study.
To date, all of the research published on either type of Qigong suffers from significant flaws. This is to some extent the fault of researchers who may possess a type of personal devotion to Qigong that impairs scientific objectivity. However, even with the best of intentions and the most implacable dedication to objectivity, a researcher will find it difficult to properly study Qigong. This results from a problem intrinsic to the treatment: it is difficult, if not impossible, to conduct a true double-blind, placebo-controlled study of Qigong.
For the results of a study to be truly reliable, some participants must receive real treatment (the "active group"), while others receive placebo treatment (the "control group"). In addition, both participants and researchers must be kept in the dark ("blind") regarding which group is which. Without blinding, the placebo effect and other confounding factors will inevitably and significantly skew the results. (For detailed information on how this occurs see Why Does This Database Rely on Double-blind Studies? )
When conducting studies of herbs, supplements, or drugs, it is relatively easy to achieve blinding: some participants receive the real treatment in a capsule, while others receive a fake treatment in an identical capsule, and neither researchers nor participants know which is which. The capsules are coded, and the code is not broken until after the study has been completed. With Qigong exercises however, as with many other alternative therapies , there is no simple equivalent.
Consider internal Qigong. While some participants can be assigned fake Qigong exercises, it is difficult to make sure they do not know that the exercises they are practicing are fake. One would need to first train a group of people to teach the fake exercises, and do so without letting them know the exercises are fake; in turn, they would teach the participants in the placebo group. However, the duped participants and duped teachers would have to be prevented from learning about real Qigong, because if they gained such knowledge it would destroy the necessary deception. Such a complex feat would be challenging to achieve! Perhaps it would be more practical to compare Qigong exercises against an equally impressive but ineffective intervention, such as fake ultraviolet laser acupuncture or fake ultrasound treatment. However, a review of the literature failed to find any such study of Qigong.
External Qigong presents a somewhat different but related challenge. Since Qi is said to be invisible, a practitioner of external Qigong could simply convey Qi to certain participants and only pretend to convey it to others. However, practitioners would know what they themselves were doing, and the history of medical research tells us that by subtle, even unconscious cues these practitioners would convey emotional confidence when providing real therapy and lack of confidence when providing fake therapy. In turn, this "confidence differential" would create placebo effects and other confounding factors. One proposed method to overcome this problem involves using actors to confidently provide a fake therapy; however, again, no such study could be found in the published literature.
Given the above caveats, here is a summary of the evidence as it exists so far:
Internal Qigong
In controlled studies, use of internal Qigong has shown at least a hint of potential benefit for:
- Asthma 1
- Cancer treatment support 2,23
- Depression 3
- Fibromyalgia 4-5
- Hypertension 6-8,18,20
- Parkinson's disease 9-10
- Enhancing General wellness11-14
- Chronic obstructive pulmonary disease (COPD) 21,26,28
- Chronic heart disease 27
However, consistent and convincing evidence of effectiveness is lacking for all of these conditions.
In one study, Qigong was no more effective than conventional physical therapy exercise techniques in the treatment of chronic, non-specific neck pain. 19 However, some benefits were found when Qigong was combined with movement exercises in a review of 27 randomized trials with 3,005 adults chronic neck pain. Most of the trials reviewed had biases that may have affected the final results.29
A review of nine clinical trials and observational studies found insufficient evidence to support Qigong for treatment of type 2 diabetes. 22
A review of seven randomized trials and one nonrandomized trial with 540 chronic heart disease patients found improvements in physical symptoms, functional capacity, blood pressure and/or electrocardiographic findings in those using quigong exercises either alone or with other treatments for cardiac rehabilitation. 27
External Qigong
One study reported that, as compared to placebo treatment, external Qigong affects heart rate in a positive way. 15 External Qigong also reduced symptoms of PMS in another study. 16 However, both of these studies suffered from problems in statistical analysis.
Another randomized trial compared the effects two Qigong practitioners and a sham practitioner (administering fake or placebo Qigong) on 106 patients with osteoarthritis of the knee. Interestingly, compared to the sham group, only those subjects treated by one of the true Qigong practitioners showed significant improvement. 21 This suggests that something other than the Qigong itself imparted benefit.
Intuitively, it would seem that internal Qigong would be a better choice for osteoarthritis, though there is no scientific support to date. In a 3-month trial, 50 people with chronic pain (from osteoarthritis and other causes) were randomized to receive either external Qigong or equivalent amount of attention time without Qigong, along with any ongoing treatment. 24 Those in the Qigong group experienced a signicantly greater reduction in their pain immediately following the sessions, but the effect did not last.
Safety Issues
Qigong, when practiced in moderation, is most likely generally safe. However, people with severe heart or lung conditions may put themselves through excessive stress by attempting vigorous breathing exercises.
There are numerous anecdotes in which practitioners of Qigong have developed serious mental problems ("Qigong Psychosis") as a result of practicing the method to an extreme, and/or with insufficient or inept guidance. However, it has been reasonably suggested that some people with latent mental illnesses have been drawn to extreme forms of Qigong, rather than that the Qigong practice itself caused the mental illness. 17
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 09/2014 -
- Update Date: 05/04/2015 -


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Although most cases of COPD are preventable, it cannot be cured. Once lung damage occurs, treatment focuses on preventing additional damage, reducing symptoms of the disease, and enhancing the quality of daily activities.
The disability from COPD can cause dramatic changes to your quality of life. Treatment of its symptoms, prevention of complications, and progression of the disease require attention to a variety of behaviors. Because of these factors, some people seek out their treatment through a comprehensive pulmonary rehabilitation program. These programs provide guidance and support as you learn to manage your COPD through medications, good nutrition, appropriate exercise, and good lifestyle choices. These programs work well for some people and may help optimize quality of life.
Treatment involves the following:Lifestyle changesMedicationsSurgeryOther treatmentsAlternative and complementary therapies
Revision Information
- Reviewer: Michael Woods, MD, FAAP
- Review Date: 03/2018 -
- Update Date: 03/30/2018 -


text:
- Info for HK12 AAA
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Do CFLs Still Pass the Test?
A version of this article appears in the May/June 2010 issue of Home Energy Magazine.
May 03, 2010
Energy Star cracks down on deficient CFLs.
Chris Granda (Image credit: Grasteu Associates) Glenn Reed (Image credit: Vermont Energy Investment Corporation) The combined efforts of lighting manufacturers, retailers, energy efficiency program sponsors, and the Energy Star for CFLs program have succeeded in moving CFLs from the margins to mainstream. Energy Star-labeled CFLs still promise some of the cheapest and easiest energy savings available. What do we know about CFL performance, and are manufacturer claims credible? On January 26, 2010, the Department of Energy (DOE) sent out its latest delisting letter, removing 34 CFL models from Energy Star because independent, third-party tests showed that actual performance did not comply with program requirements. The results of four years of this performance testing on 121 models confirm that CFLs are big savers, but also raise concerns about the reliability of some manufacturers' products. A Little Background Before the Energy Star for CFLs program debuted in 1999, energy efficiency program managers often set their own technical criteria for CFLs, and the criteria differed among programs. Energy Star provided a common, consistent standard for CFL performance, and by 2001 most U.S. energy efficiency programs were using the Energy Star specification as a minimum requirement. Non-Energy Star-qualified CFLs are available, but due to the market-driving effect of ...
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text: Thursday, January 03, 2013 APTA Alerts Members to Upcoming Activity on MPPR; Members Advised to Monitor Legislative Action Center In response to a troublesome provision included in the fiscal cliff package passed by Congress on Tuesday, APTA is advising members to monitor APTA's website and the Legislative Action Center specifically for upcoming action alerts regarding efforts to avert the increased multiple procedure payment reduction (MPPR) included in the American Taxpayer Relief Act of 2012 (HR8). Set to be implemented on April 1, the provision applies the MPPR to therapy services at 50%, up from 20% for office settings and 25% for facility settings. APTA estimates the application of a 50% MPPR policy will reduce payments by approximately 6%-7%. This reduction will be partially offset by a 4% increase that resulted from the Centers for Medicare and Medicaid Services' (CMS) use of new survey data of practice expenses conducted by APTA. Coupled together, APTA expects the net overall decrease for outpatient therapy services to be between 2%-3%, a lower cut than expected. Nevertheless, APTA will advocate to fix this flawed policy. The association soon will call on APTA members to make their voices heard on Capitol Hill. The increase to a 50% MPPR was recently endorsed by the Medicare Payment Advisory Commission (MedPAC). Despite months of aggressive lobbying efforts to reject the provision, Congress ultimately included this and a number of other spending cuts in the fiscal cliff package to offset other health care related provisions, including the prevention of the 26.5% fee schedule cut and the extension of the therapy cap exceptions process. Once policy options are assessed, APTA will issue additional alerts to PTeam. If you're not a member of PTeam, sign up today to receive the alerts. In the meantime, APTA members are encouraged to learn more about this and other important provisions included in the legislation through the resources provided on APTA's 2013 Medicare Changes: January 2013 webpage at www.apta.org/Payment/Medicare/2013/Changes/. These resources include a statement by APTA's president on HR8, a congressional summary, a 2013 Medicare therapy cap FAQ, and a 2013 Physician Fee Schedule and MPPR FAQ. Additionally, APTA has updated the MPPR calculator to help association members determine their reimbursement for services based on the MPPR only.


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Cold Fusion
Product Information
|Mix up and then put back together again
|Level 8 - Demanding
|Oskar Van Deventer
|Oskar van Deventer, Plastic Interlocking Puzzles
|1.97 in a 1.57 in x 1.18 in / 5 cm x 4 cm x 3 cm
Product Description
This was Oskar van Deventer`s exchange puzzle at the IPP32 Washington 2012.
There is a limited supply of this puzzle, as no more will be made.
Cold Fusion is a six-piece fusion of interlocking rings. Sliding and rotation are the fundamental ways of turning the pieces in this interlocking puzzle. The rings are notched. The object is putting the puzzle back together after turning it apart.
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SpyBluetooth Walkie Talkie Earpiece in Bellary
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Experience Luxe Hotels, a standout among luxury hotel brands designed for the savvy corporate guest and astute leisure traveler. Boasting world-class amenities and personalized service in a boutique atmosphere, our hotels are equally comfortable and chic, classic and modern, affordable and affluent, resulting in a hospitality experience unparalleled at every turn. Luxe manages to present an array of inexpensive luxury hotels without compromising the superior service our repeat guests have come to expect.
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Wedding dresses\\
Wedding and wedding dresses\\
On the wedding day, all women want to be uniquely charming, tender, sweet and have the unique wedding dresses\\. To do this, all possible sorcery are used: irresistible makeup, elegant hair, fashion shoes, vintage accessories. But the best way for brides to be the most original is to choose unusual wedding dresses, such as a wedding dresses\\!
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The Loop (Games)
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Where to BuyEdit
From any of these tradeskill recipe merchants:
- Tradeskill Recipe Saleman (in guild halls that have this hireling amenity)
- Devona Ironforge in Qeynos Capital District, North Qeynos
- Matthias Zoe City of Freeport, West Freeport
- Ralika Mekkila in Kelethin
- Dilxena D'Xeep Neriak City of Hate (near Dockside Market)
- Dvarkor Ska'nin in Gorowyn
- Jalfa Eiskairn in Frostfang Sea, near the broker
| EQ2i credits this article at Census for the info in this article.
the last update on Census for this item was:
Tue, 19 Sep 2017 15:32:56 +0000
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Hockey Bags Accessories
Hockey Equipment Bags
You can find a wide range of hockey bags to suit every purpose at Great Skate Hockey Supply Company. If you're running drills for your team, for example, you may want to pick up one of our hockey puck bags to stay organized. For players, we have hockey equipment bags and hockey stick bags in many different styles. Browse top styles from Bauer, CCM, Easton, Grit, Reebok, Vaughn and Warrior.


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Iliotibial band syndrome (ITBS) is an overuse injury. The iliotibial band (ITB) is a thick band of fibrous tissue. It runs from the hip down the outside of the thigh and attaches to the tibia (shinbone).
ITBS is caused by repetitive friction or rubbing of the iliotibial band against the bone on the outer side of the knee. This excessive rubbing can irritate the ITB and/or the tissue underneath.
Causes of the excessive friction include:
- Structural abnormalities, such as a short, tight IT band
- Problems related to the foot, ankle, or hip
- Opposing muscle imbalances, such as the quadriceps stronger than hamstrings or weak gluteal muscles
- A prominent lateral femoral epicondyle, the bony structure on the outer side of the knee
- Inward rotation of the leg
- Angle where the knee flexes
- Legs of different lengths
- Bowlegs
Risk Factors
Factors that increase your risk of getting ITBS include:
- Certain sports with repetitive motions, such as running and cycling
- Incorrect training technique
- Increasing cycling or running mileage too quickly
- Running up and down hills
- Overtraining
- Using damaged or worn out equipment or footwear
- Wearing improper shoes for a sport or athletic activity
- Athletic equipment that is not properly fit to the user, such as a bicycle
Symptoms of ITBS include:
- Dull aching or burning sensation on the outside of the knee during or after activity
- Sharp stabbing pain on the outside of the knee during or after activity
- Pain that shows up in the hip, known as referred pain
- Progressive, worsening pain
- Snapping, creaking, or popping when the knee is bent and then straightened
You will be asked about your symptoms and medical history. In most cases, diagnosis can be made with a physical exam.
Your ITB function may be tested. This can be done with:
- Ober test—determines the tightness of the ITB
- Rennes test—specifies the area of pain while full weight is placed on the bent leg
- Nobles test—determines the area of pain while the leg is flexed at a certain angle
Images may be needed of your leg. This can be done with an MRI scan .
Talk with your doctor about the best treatment plan for you. Recovery time ranges depending on the grade of your injury. Treatment steps may include:
Supportive Care
The IT band will need time to heal. Supportive care may include:
- Rest—Activities may need to be restricted. Normal activities will be gradually reintroduced as the injury heals.
- Ice—Ice therapy may help relieve swelling. Heat therapy may be advised when normal activities are reintroduced.
- An orthotic device may be advised to help control rotation of the foot and stabilize the knee.
Prescription or over-the-counter medications may be advised to reduce pain. Corticosteroid injections may also be advised in some cases.
Physical Therapy
A physical therapist will assess the IT band. An exercise program will be created to help recovery and to stretch and strengthen the muscles.
Surgery may be needed in cases when other treatments are not effective.
To reduce your chances of ITBS, take these steps:
- Learn proper training techniques.
- Increase mileage from running gradually.
- Wear appropriate shoes for each sport.
- Replace athletic shoes as they show signs of wear.
- Be aware of running surfaces.
- Use properly fitted equipment.
- Strengthen your quadriceps, hamstrings, and gluteal muscles.
Revision Information
- Reviewer: EBSCO Medical Review Board Teresa Briedwell, PT, DPT, OCS
- Review Date: 03/2018 -
- Update Date: 03/04/2015 -


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Many fibroids do not cause symptoms. If a fibroid does cause symptoms, it may be because of the size or location of the fibroid.
Symptoms range from mild to severe. Large fibroids can produce symptoms, such as:
- Pelvic pain
- Low back or leg pain
- Feeling of pelvic pressure
- Pain during sex
- Frequent need to urinate
- Constipation
- Bloating
- Enlarged uterus, giving the appearance of pregnancy
- Infertility by blocking the fallopian tubes
Bleeding symptoms include:
- Heavy menstrual bleeding
- Clots in your menstrual flow
- Long periods
- Bleeding between periods
- Increased cramping during periods
- Miscarriage
If heavy bleeding continues for a period of time, iron-deficiency anemia may develop. Symptoms of anemia include:
- Weakness
- Fatigue
- Shortness of breath
- Pale skin
- Lightheadedness
Revision Information
- Reviewer: Beverly Siegal, MD, FACOG
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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The Changing Role of a Rater
A version of this article appears in the January/February 2014 issue of Home Energy Magazine.
December 29, 2013
In the fall of 1995, I was the assistant project manager for Channen Construction, overseeing construction of the new Arizona Science Center for the city of Phoenix, when my friend Howard Bashford called to talk to me about a grant he'd just been awarded by EPA. Howard had been my professor and college advisor in the Del E. Webb School of Construction at Arizona State University. The grant from EPA was one of four given nationally to jump-start the new Energy Star Certified Homes program. What I did not know 18 years ago was how much that phone call would change my life. Howard asked me to return to ASU as a graduate assistant to help him launch the Energy Star for Homes program in Arizona, and in January 1996 I left my well-paying job in the commercial construction industry for a job—focused on helping builders to make their homes more energy efficient—paying half the salary. How different our industry was back then!
To read complete online articles, you need to sign up for an Online Subscription.
Once an order has been placed there is an automatic $10 processing fee that will be deducted with any cancellation.
The Home Energy Online articles are for personal use only and may not be printed for distribution. For permission to reprint, please send an e-mail to email@example.com.


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| 7°C Belfast
The Conservatives should be deeply concerned about the party's thrashing in the Wythenshawe and Sale East by-election, Labour leader Ed Miliband said after his party held the seat comfortably with 55% of the vote.
Mr Miliband described it as a "very good result" as he claimed the Tories had significantly lost support after polling over 20% of the vote in the seat in 1997.
Former councillor Mike Kane won the Greater Manchester constituency for Labour, polling 13,261 votes, while the UK Independence Party surged from fifth place to second despite leader Nigel Farage complaining the campaign had been "as dirty as they come".
The eurosceptic party's success and the 11% decline in the Tory vote was yet another by-election blow to Prime Minister David Cameron, who saw his candidate defeated by Ukip for the sixth time since the 2010 general election.
The Liberal Democrats were dealt a humiliating blow when they polled just 1,176 votes - not enough to hold their deposit.
Mr Cameron denied the result represented a breakthrough for the Opposition and said the Tories were never expecting to do well in a rock-solid Labour seat.
But Mr Miliband claimed the Tories were not addressing the issues affecting voters in the constituency such as the cost of living and the NHS.
Speaking in Wythenshawe, Mr Miliband said: "Last night was a very good result for Labour. We added to our share of the vote, we gained support.
"We saw the governing parties - the Conservatives and the Liberal Democrats - in total retreat.
"This is a constituency where even in 1997 the Conservatives were polling over 20% of the vote. So I think they should be deeply concerned.
"They've been telling people that everything's fixed, that the economy is fine, that the cost of living crisis isn't there. The people of Wythenshawe and Sale East know differently.
"They know that there is a deep cost-of-living crisis and a deep issues around the National Health Service. Labour is addressing those issues. In the by-election our opponents weren't, and that's why I think we got such a good result."
The by-election was brought about by the sudden death of serving MP Paul Goggins on January 7, at the age of 60.
In his victory speech, Mr Kane said voters had "sent a very clear message" to the Government.
"They have rejected the failed policies of the out-of-touch Tories, they have rejected the isolationism and scaremongering of Ukip.
"It's a result which emphatically demonstrates that people here know the NHS is not safe in David Cameron's hands, and that we've had enough of his utterly out-of-touch Government."
Mr Cameron described the result as unsurprising.
"Obviously, the Wythenshawe by-election was in a very safe Labour seat and there was never much doubt about the result," the Conservative leader told ITV1's Daybreak.
"When people know that there is a by-election they know that the Government isn't going to change, but obviously messages are sent and signals are sent and protests are made. Government should always listen to those and I always do.
"Obviously, one would prefer to come second rather than third, but I don't think this is a particularly surprising result in Labour holding this seat.
"I don't think it was the sort of breakthrough that people were talking about."
Wythenshawe is the latest in a number of by-elections that have seen Ukip take second place, including South Shields and Eastleigh last year.
Mr Farage, speaking from the count at Manchester Central convention centre, said he was pleased with how his party performed but complained forcefully about the way the election was run, with postal votes issued just three days after the poll was called.
"The point about democracy is you should see who the candidates are, see what their agendas are and then form an opinion," he said. "That is not happening and it is reducing, frankly, these by-elections to farces.
"It is a system that allows the incumbent party to call the by-election at a time of their choosing and it doesn't give a free, open contest to anybody else."
Mr Farage said that Ukip's performance in increasing its share of the vote by 14.5% to 18% represented "really good, solid, steady progress".
Ukip candidate John Bickley said he was "over the moon" with the result and claimed his party was "in better shape" than the Conservatives.
Labour increased its share of the vote by 11% to win by an emphatic margin of 8,960 votes.
But the figures made gloomy reading for the Liberal Democrats, with the party's vote share plummeting by 17 percentage points to take them below the crucial 5% needed to hold their deposit.
Liberal Democrat president Tim Farron said that the party's result in Wythenshawe was "genuinely very disappointing", describing it as part of a pattern of "patchy" results which have seen the Lib Dem vote hold up in areas of strength but collapse elsewhere.
He told BBC Radio 4's Today programme: "The reality is that in by-elections in the past Liberal Democrats were often the none-of-the-above party, and the reality is now we are one of the above."
Some 24,024 votes were cast - a turnout of 28.24%.


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Adhesive capsulitis is a tightening in the shoulder joint. It decreases the range of motion in the shoulder and causes pain. This condition is also known as frozen shoulder . It is caused by tightening of the soft tissue and formation of scar tissue.
During this arthroscopic surgery, the doctor cuts and removes scar tissue around the shoulder. The goal of the procedure is to improve range-of-motion by breaking up scar tissue
Reasons for Procedure
This procedure is done to:
- Relieve pain
- Restore range of motion in the shoulder joint
- Break up scar tissue
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Bleeding
- Infection
- Pain
- Nerve injury
- Damage to soft tissue
- Instability or stiffness in joint
- Fracture
- Reaction to anesthesia used
Factors that may increase your risk of complications:
What to Expect
Prior to Procedure
Your doctor may do the following:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
Leading up to the procedure:
- Arrange for a ride to and from the hospital, and for help at home after the procedure.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- If told to do so by your doctor, on the day of the surgery, shower using a special antibacterial soap. Do not use deodorant.
General anesthesia will most likely be used. You will be asleep during the procedure.
Description of the Procedure
Three small incisions will be made in your shoulder. A special tool called an arthroscope will be inserted. An arthroscope is a flexible tube with a light at the end and a camera attached. This will allow the doctor to view the inside of the shoulder on a screen. Tiny instruments will be inserted into the other incisions. The doctor will then cut and remove scar tissue. The incisions will be closed with stitches.
Immediately After Procedure
You will be taken to a recovery room after surgery. You will be monitored for any adverse reactions to surgery or anesthesia.
How Long Will It Take
About 1-½ to 2 hours
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay
If there are no complications, it may be possible to leave the hospital on the same day. Talk to your doctor to see if this is an option in your case.
Post-procedure Care
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
Your shoulder will be sore for a few weeks. It can take 3-6 months to fully recover.
When you return home, you may be asked to do the following to help ensure a smooth recovery:
- Use a sling if told to do so by your doctor. You may not need to use one, because it can cause stiffness.
- Work with a physical therapist at home to focus on range-of-motion exercises.
Call Your Doctor
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
- Signs of infections, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
- Cough, trouble breathing, or chest pain
- Severe nausea or vomiting
- Pain becomes worse or swelling increases
- Tingling or numbness that will not go away, especially in arms and hands
If you think you have an emergency, call for medical help right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM
- Review Date: 11/2018 -
- Update Date: 12/20/2014 -


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Spokane wrote:LymonHawk wrote:Spokane wrote:Yes to Tebow as a Seahawk! He is what we need! Or do you know more then PC about the team? If so blab on why we don't need him.
Do you have a link where PC says he wants Tebow? Or do you have a special 'source'?
No where did I say "Pete said yes to Tebow" It is stated everywhere that Pete has said " I want a guy like Wilson"
No other QB is as close to Wilson as Tebow. You should know that and not nit pick.
WTF, are you Huggyprelag?


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The total number of advisors registered with the Securities and Exchange Commission managed to tick up slightly from 10,511 last July to 10,533 as of April despite the fact that 2,000 federally registered advisors completed their switch to state registration, according to the Investment Adviser Association and National Regulatory Services just-released Evolution/Revolution report.
The 2,000 SEC registered advisors with from $25 million to $100 million AUM who switched to state registration under the Dodd-Frank Act were replaced by 1,500 "private fund advisors" under the Investment Advisers Act who became newly registered investment advisory firms with the Commission, according to the 13th annual report.
While the latest total is a significant drop from 11,539 who were SEC-registered in 2011, SEC-registered investment advisors in 2013 reported $54.8 trillion in aggregate regulatory assets under management, a substantial increase of 10.9% from $49.4 trillion in 2012.
"Our report underscores the fact that the Dodd-Frank Act has had a profound effect on the composition of the investment advisory profession," said David Tittsworth, executive director of the IAA, in a statement. "The law has shifted regulatory responsibility for hundreds of smaller firms to the states, while requiring larger private fund advisors to register with the SEC. These dramatic shifts have yielded a net decrease in the number of SEC-registered investment advisory firms. However, many of the core characteristics of the advisory profession remain fairly constant."
Other key findings from the report, which are based on information on file with the SEC as of April 12, include:
- SEC-registered investment advisors in 2013 reported $54.8 trillion in aggregate regulatory assets under management (RAUM), a substantial increase of 10.9% from $49.4 trillion in 2012. This increase is particularly notable given that the number of SEC-registered investment advisers has not changed significantly. This increase in RAUM managed by advisors may be attributable to both rising markets and organic growth in the industry, evidenced by the increase in the number of clients served.
- More than one-third of all SEC-registered advisors (38.1%) reported that they manage at least one private fund. Private fund advisors reported a total of 26,752 private funds with collective RAUM of $8.5 trillion – up from $8.1 trillion in July 2012.
- Hedge funds comprise 40.8% of all reported private funds while private equity funds comprise approximately 32.5%.
- 4,530 SEC-registered investment advisors (43%) reported that they or a related person are deemed to have custody of client assets.
- Less than 1% of advisors (99) reported acting as a qualified custodian (that is, having actual physical custody) in connection with their advisory services.
Check out Brush Up on IRA Business Models Ahead of Fiduciary Rule, Warns Matrix on ThinkAdvisor.


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Kensington's tailor-made journeys are carefully crafted to deliver a personalized adventure like no other. We build in extraordinary, enriching experiences curated just for you and then we put the best private guides at your service, 24/7. We do all this with award-winning attention to detail and unbeatable value for your travel dollar.
What's the secret sauce behind every one of our tailor-made experiences? A passionate team of destination specialists intimately versed on the new, the old, the different, the must-sees, the off-the-beaten track and the out-of-this-world. Our specialists curate and customize each and every itinerary to exacting specifications based on an understanding of what's important to you, what makes your heart pump, your brain fire and your butterflies flutter. Meet our Experts.
Experienced local guides, finely attuned to your personal expectations and connected to the people and culture, deliver breathtaking moments. This is the simple truth that guides Kensington Tours. The best spot to find the black rhino, a secret cafe and a favorite local dish, a personal account from a defining cultural and a local tradition shared – these are the experiences that endure.
Our guides are complemented by our global network of in-country offices to give you 24/7 support and peace of mind from start to finish.
" We really enjoyed all of the tours that were set up. All the guides made us feel very welcome. Thanks again for helping us pull it together! "