text:
How to protect IGBT from failures and breakdowns ?
Insulated Gate Bipolar Transistors are susceptible to gate insulation damage by the electrostatic discharge of energy through the devices. When handling these devices, care should be exercised to assure that the static charge built in the handler's body capacitance is not discharged through the device. With proper handling and application procedures, however, IGBTs are currently being extensively used in production by numerous equipment manufacturers in military, industrial and consumer applications, with virtually no damage problems due to electrostatic discharge.
IGBTs can be handled safely if the following basic precautions are taken:
Handling Precautions For IGBTs.
1. Prior to assembly into a circuit, all leads should be kept shorted together either by the use of metal shorting springs or by the insertion into conductive material such as "ECCOSORBD™ LD26" or equivalent.
2. When devices are removed by hand from their carriers, the hand being used should be grounded by any suitable means, for example, with a metallic wristband.
3. Tips of soldering irons should be grounded.
4. Devices should never be inserted into or removed from circuits with power.
5. Gate Voltage Rating. Never exceed the gate-voltage rating of VGEM. Exceeding the rated VGE can result in permanent damage to the oxide layer in the gi region.
6. Gate Termination. The gates of these devices are essentially capacitors. Circuits that leave the gate open-circuited or floating should be avoided. These conditions can result in turn-on of the device due to voltage buildup on the input capacitor due to leakage currents or pickup.
7. Gate Protection. These devices do not have an internal monolithic Zener Diode from gate to emitter.If gate protection is required an external Zener is recommended. ECCOSORBD™ is a Trademark of Emerson and Cumming, Inc.


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- Introduction
- Causes
- Signs & Symptoms
- Diagnosis
- Treatment
- Medications
- Surgery
- Prognosis
- Research
What is gastroparesis?
Gastroparesis means weakness of the muscles of the stomach. Gastroparesis results in poor grinding of food in the stomach into small particles and slow emptying of food from the stomach into the small intestine.
The stomach is a hollow organ composed primarily of muscle. Solid food that has been swallowed is stored in the stomach while it is ground into tiny pieces by the constant churning generated by rhythmic contractions of the stomach's muscles. Smaller particles are digested better in the small intestine than larger particles, and only food that has been ground into small particles is emptied from the stomach and then digested. Liquid food does not require grinding.
Ground and liquid food is emptied from the stomach into the small intestine slowly in a metered fashion. The metering process allows the emptied food to mix well with the digestive juices of the small intestine, pancreas, and liver (bile) and to be absorbed well from the intestine. The metering process by which solid and liquid foods are emptied from the stomach is a result of a combination of relaxation of the muscle in parts of the stomach designed to accommodate (store) food, and the pressure generated by the muscle in other parts of the stomach that pushes the food into the small intestine. (Thus, the stomach can store empty food at the same time.) The metering also is controlled by the opening and closing of the pylorus, the muscular opening of the stomach into the small intestine.
When the contractions of the stomach's muscles are weakened, food is not thoroughly ground and does not empty into the intestine normally. Since the muscular actions whereby solid food and liquid food are emptied from the stomach are slightly different, the emptying of solids and liquids follows different time courses, and there may be slow emptying of solid food (most common), solid and liquid food (less common), or liquid food alone (least common).
What causes gastroparesis?
Gastroparesis can be caused either by diseases of the stomach's muscles or the nerves that control the muscles, though often no specific cause is identified.
- The most common disease-causing gastroparesis is diabetes mellitus, which damages the nerves controlling the stomach muscles.
- Gastroparesis also can result from damage to the vagus nerve, the nerve that controls the stomach's muscles, that occurs during surgery on the esophagus and stomach. Scleroderma is an example of a disease in which gastroparesis is due to damage to the stomach's muscles. Occasionally, gastroparesis is caused by reflexes within the nervous system, for example, when the pancreas is inflamed (pancreatitis). In such cases, neither the nerves nor the muscles of the stomach are diseased, but messages are sent through nerves from the pancreas to the stomach, which prevents the muscles from working normally.
- Other causes of gastroparesis include imbalances of minerals in the blood such as potassium, calcium, or magnesium, medications (such as narcotic pain-relievers), and thyroid disease.
- For a substantial number of patients, no cause can be found for gastroparesis, a condition termed idiopathic gastroparesis. Indeed, idiopathic gastroparesis is the second most frequent cause of gastroparesis after diabetes.
Gastroparesis can occur as an isolated problem or it can be associated with weakness of the muscles of other parts of the intestine, including the small intestine, colon, and esophagus.
What are the signs and symptoms of gastroparesis?
The primary symptoms of gastroparesis are nausea and vomiting.
Other symptoms of gastroparesis include:
- bloating with or without abdominal distension,
- early satiety (feeling full quickly when eating), and
- in severe cases, weight loss due to a reduced intake of food because of the symptoms.
- Abdominal pain also is present frequently though the cause of the pain is unclear.
- Reduced intake of food and restriction of the types of food that are eaten can lead to nutritional deficiencies.
The vomiting of gastroparesis usually occurs after meals; however, with severe gastroparesis, vomiting may occur without eating due simply to the accumulation of secretions in the stomach. The characteristic vomiting happens several hours after a meal when the stomach is maximally distended by the presence of food and secretions stimulated by the meal. Since the grinding action of the stomach is absent, the vomited food often contains larger pieces of recognizable food. (This can be contrasted with the more common type of vomiting in which the food appears as small, uniform, unidentifiable particles.)
Other, less frequent effects of gastroparesis are the promotion of gastroesophageal reflux disease (GERD) and malnutrition.
QUESTIONSee Answer
How is gastroparesis diagnosed?
The most common method for diagnosing gastroparesis is a nuclear medicine test called a gastric emptying study, which measures the emptying of food from the stomach. For this study, a patient eats a meal in which the solid food, liquid food, or both contain a small amount of radioactive material. A scanner (acting like a Geiger counter) is placed over the stomach for several hours to monitor the amount of radioactivity in the stomach. In patients with gastroparesis, the food takes longer than normal (usually more than several hours) to empty into the intestine.
The antro-duodenal motility study is a study that can be considered experimental and is reserved for selected patients. An antro-duodenal motility study measures the pressure that is generated by the contractions of the muscles of the stomach and intestine. This study is conducted by passing a thin tube through the nose, down the esophagus, through the stomach, and into the small intestine. With this tube, the strength of the contractions of the muscles of the stomach and small intestine can be measured at rest and following a meal. In most patients with gastroparesis, food (which normally causes the stomach to contract vigorously) causes either infrequent contractions (if the nerves are diseased) or only very weak contractions (if the muscle is diseased).
An electrogastrogram, another experimental study that sometimes is done in patients with suspected gastroparesis, is similar to an electrocardiogram (EKG) of the heart. The electrogastrogram is a recording of the electrical signals that travel through the stomach muscles and control the muscles' contractions. An electrogastrogram is performed by taping several electrodes onto a patient's abdomen over the stomach area in the same manner as electrodes are placed on the chest for an EKG. The electrical signals coming from the stomach that reach the electrodes on the abdomen are recorded at rest and after a meal. In normal individuals, there is a regular electrical rhythm just as in the heart, and the power (voltage) of the electrical current increases after the meal. In most patients with gastroparesis, the rhythm is not normal or there is no increase in electrical power after the meal. Although the gastric emptying study is the primary test for diagnosing gastroparesis, there are patients with gastroparesis who have a normal gastric emptying study but an abnormal electrogastrogram. Therefore, the electrogastrogram can be useful primarily when the suspicion for gastroparesis is high but the gastric emptying study is normal or borderline abnormal.
A physical obstruction to the emptying of the stomach, for example, a tumor that compresses the outlet from the stomach or scarring from an ulcer, may cause symptoms that are similar to gastroparesis. Therefore, an upper gastrointestinal (GI) endoscopy test usually is performed to exclude the possibility of obstruction as the cause of a patient's symptoms. (Upper GI endoscopy involves the swallowing of a tube with a camera on the end and can be used to visually examine the stomach and duodenum and take biopsies.)
Upper GI endoscopy also may be useful for diagnosing one of the complications of gastroparesis, a bezoar (a clump or wad of swallowed food or hair). Because of the poor emptying of the stomach, hard-to-digest components of the diet, usually vegetables, are retained and accumulate in the stomach. A ball of undigested, plant-derived material can accumulate in the stomach and give rise to symptoms of fullness or can further obstruct the emptying of food from the stomach. Removing the bezoar may improve symptoms and emptying.
A computerized tomographic (CT) scan of the abdomen and upper gastrointestinal X-ray series also may be necessary to exclude cancer of the pancreas or other conditions that can obstruct the emptying of the stomach.
An alternative method of looking at gastric emptying is a large capsule (SmartPill) that is swallowed. The capsule measures pressure, acidity, and temperature, and then transmits the measurements wirelessly to a recorder. By analyzing the measurements it can be determined how long it takes the capsule to empty from the stomach, and the amount of time necessary for emptying correlates well with other measures of gastric emptying.
What is the treatment for gastroparesis?
Treatment of gastroparesis includes diet, medication, and devices or procedures that facilitate emptying of the stomach.
The goals of treatment include:
- To provide a diet containing foods that are more easily emptied from the stomach.
- Controlling underlying conditions that may be aggravating gastroparesis.
- Relieve symptoms of nausea, vomiting, and abdominal pain.
- Stimulate muscle activity in the stomach so that food is properly ground and emptied from the stomach
- Maintaining adequate nutrition.
Emptying from the stomach is faster when there is less food to empty, so smaller, more frequent portions of food are recommended. Soft foods (or preferably liquid) that do not require grinding also are emptied more easily. Moreover, in gastroparesis, the emptying of liquids often is less severely affected than the emptying of solids. Fat causes the release of hormones that slow down the emptying of the stomach. Therefore, foods low in fat empty faster from the stomach. In patients with severe gastroparesis, sometimes only liquid meals are tolerated. It also is recommended that the diet be low in fiber (for example, vegetables) due to the concern about the formation of bezoars, and the fact that fiber slows gastric emptying - at least in normal individuals.
Food should be chewed well since the grinding action of the stomach is reduced. Meals should be taken with enough liquids to ensure maximal liquidity of contents in the stomach since liquids usually empty better than solid food; however, if liquid emptying also is slow, too much liquid might create problems. (Only trial and error will determine the effects of increased liquids.) Patients with gastroparesis should have most food early in the day, especially solid food; they should not lie down for 4-5 hours after their last meal, since when lying, the assistance of gravity on gastric emptying is lost. Multivitamins should be taken because of the likelihood of malnutrition and vitamin and mineral deficiencies.
What medications treat gastroparesis?
Stimulating muscle activity
- Oral Drugs: Four oral drugs are used to stimulate contractions of the stomach's muscles, referred to as pro-motility drugs. These drugs are 1) cisapride (Propulsid), 2) domperidone, 3) metoclopramide (Reglan), and 4) erythromycin.
- Cisapride (Propulsid) is an effective drug for treating gastroparesis; however, it was removed from the market because it can cause serious and life-threatening irregular heart rhythms. Despite this fact, it can be obtained for use through the pharmaceutical company that manufactures it (Janssen Pharmaceuticals) under a strictly monitored protocol but only for patients with severe gastroparesis unresponsive to all other measures.
- Domperidone has not been released for use in the US; however, it too can be obtained if approval is obtained for its use from the US Food and Drug Administration.
- Metoclopramide (Reglan) is available without restriction and is effective at promoting muscular activity in the stomach; however, there are side effects of metoclopramide that can limit its use.
- Erythromycin (E-Mycin, Ilosone, etc.), is an uncommonly used antibiotic. At doses lower than those used to treat infections, erythromycin stimulates contractions of the muscles of the stomach and small intestine and is useful for treating gastroparesis.
It has been demonstrated that tegaserod (Zelnorm), an oral drug used for treating constipation in irritable bowel syndrome (IBS), increases emptying from the stomach just as it does from the colon. However, in March of 2007, the FDA asked Novartis to suspend sales of tegaserod ) in the United States because a retrospective analysis of data by Novartis from more than 18,000 patients showed a slight difference in the incidence of cardiovascular events (heart attacks, strokes, and angina) among patients on tegaserod compared to placebo. The data showed that cardiovascular events occurred in 13 out of 11,614 patients treated with tegaserod (0.1%), compared to one cardiovascular event in 7,031 (0.01%) placebo-treated patients. However, it is unclear whether tegaserod causes heart attacks and strokes. Despite this fact, the availability of tegaserod in the U.S. is limited to emergencies.
There are two important guidelines for prescribing oral drugs for gastroparesis. First, the drugs must be given at the right times, and second, the drugs must reach the small intestine so that they can be absorbed into the body. Since the goal of treatment is to stimulate muscular contractions during and immediately after a meal, drugs that stimulate contractions should be given before meals.
Most drugs must be emptied from the stomach so that they can be absorbed in the small intestine. The majority of patients with gastroparesis have delayed emptying of solid food as well as pills and capsules. As mentioned previously, many patients with gastroparesis have less of a problem emptying liquids as compared with solid food. Therefore, liquid medications usually are more effective than pills or capsules.
Intravenous drugs
Occasionally, patients have such poor emptying of both liquid and solid food from the stomach that only drugs given intravenously are effective. In such patients, intravenous metoclopramide or erythromycin can be used. A third option is octreotide (Sandostatin), a hormone-like drug that can be injected beneath the skin. Like erythromycin, octreotide stimulates short bursts of strong contractions of the muscles in the stomach and small intestine. Due to its greater expense and the need for injection, octreotide is used only when other medications fail.
What drugs relieve pain and nausea from gastroparesis?
Drugs used to relieve nausea and vomiting in gastroparesis include promotility drugs (see the discussion that follows) such as metoclopramide (Reglan) and domperidone, anti-nausea medications such as prochlorperazine (Compazine) and promethazine (Phenergan), serotonin antagonists such as ondansetron (Zofran), anticholinergic drugs such as a scopolamine patch (commonly used for treating motion sickness), drugs used for treating nausea in cancer chemotherapy patients such as aprepitant (Emend), and medical marijuana (Marinol).
Drugs used to relieve abdominal pain in gastroparesis include nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) and naproxen (Aleve), low-dose tricyclic antidepressants such as amitriptyline (Elavil, Endep), drugs that block nerves that sense pain such as gabapentin (Neurontin), and narcotics such as tramadol (Ultram) and fentanyl (Duragesic). (Nevertheless, narcotics as a group tend to cause constipation and slow emptying of the stomach, and, therefore, should be avoided or used with caution in patients with gastroparesis.
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Is there surgery to treat gastroparesis?
Electrical pacing
Electrical pacing of the stomach is a newer method for treating severe gastroparesis. Electrical pacing of the stomach is analogous to cardiac pacing for the treatment of an abnormally slow heartbeat and involves the placement of a pacemaker. The pacemaker usually is placed laparoscopically and does not require a large abdominal incision for entering the abdomen. During placement, wire electrodes are attached to the muscle of the stomach. The wires are brought out through the abdominal wall just beneath the skin. The wires are attached to a small, battery-operated pacemaker that is buried in a surgically-created pouch just under the skin. The skin is then sutured so that the pacemaker and wires are beneath the skin. The pacemaker generates electrical impulses that are transmitted by the wires to the muscles of the stomach, and the muscles contract in response to the impulses. Electrical pacing is effective in many patients with severe gastroparesis, but the number of patients who have been treated is small.
Surgery occasionally is used to treat gastroparesis. The goal of surgery is to create a larger opening between the stomach and the intestine to aid the process of emptying the stomach's contents. Alternatively, the entire stomach may be removed. These procedures should be considered only when all other measures have failed because of the potential complications from the surgery. Surgery should be done only by surgeons in consultation with gastroenterologists who are knowledgeable and experienced in caring for patients with gastrointestinal motility disorders (disorders of the nerves or muscles of the gastrointestinal tract that affect digestion and transport of food).
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Controlling underlying conditions and maintaining nutrition
Controlling underlying conditions
High levels of glucose (sugar) in the blood tend to slow gastric emptying. Therefore, it is important to lower blood glucose levels in patients with diabetes to near-normal levels with diets and medications. Individuals with a deficiency of thyroid hormone (hypothyroidism) should be treated with thyroid hormone. If bezoars are present, they should be removed (usually endoscopically).
Maintaining nutrition
Patients with mild gastroparesis usually can be successfully managed with pain relievers and pro-motility medications, but patients with severe gastroparesis often require repeated hospitalizations to correct dehydration, and malnutrition, to control symptoms.
Treatment options for dehydration and malnutrition include:
- Intravenous fluids to correct dehydration and replenish electrolytes if nutrition is adequate but symptoms occasionally interrupt the intake of even liquid food.
- Enteral nutrition provides liquid food directly into the small intestine, bypassing the paralyzed stomach.
- Intravenous total parenteral nutrition (TPN) provides calories and nutrients (TPN is a fluid containing glucose, amino acids, lipids, minerals, and vitamins-everything that is needed for adequate nutrition-intravenously. The fluid usually is delivered into a large vein via a catheter in the arm or upper chest.)
- Doctors generally prefer enteral nutrition over TPN because long-term use of TPN is associated with infections of the catheter and liver damage. Infection can spread through the blood to the rest of the body, a serious condition called sepsis. Catheter-related sepsis often requires treatment with intravenous antibiotics and removal of the infected catheter or replacement with a new catheter. TPN also can damage the liver, most commonly causing abnormal liver tests in the blood. TPN-induced liver damage usually is mild and reversible (the liver test abnormalities return to normal after cessation of TPN), but, rarely, irreversible liver failure can occur. Such liver failure may require liver transplantation.
Enteral nutrition is safe and effective. The two common means of delivering enteral nutrition are via nasojejunal tubes or jejunostomy tubes. The jejunum is the part of the small intestine just past the duodenum, the first part of the small intestine just beyond the stomach. Both nasojejunal tubes and jejunostomy tubes are designed to bypass the stomach and deliver nutrients into the jejunum where they can be absorbed.
A nasojejunal tube is a long, thin catheter inserted (usually by a radiologist or a gastroenterologist) via the nostril into the stomach. The tip of the nasojejunal tube is then advanced past the stomach into the small intestine. Often this must be done during upper GI endoscopy. Liquid nutrients can be delivered via the nasojejunal tube into the small intestine. Nasojejunal tubes generally are safe, but there are cosmetic disadvantages and discomfort of having a tube in the nose. The problems that occur with nasojejunal tubes are primarily accidental or intentional removal by the patient, blockage of the tube by solidified nutritional solutions, and aspiration (backup of stomach contents into the lungs that can lead to pneumonia).
A jejunostomy is a catheter placed directly into the jejunum. It can be done during standard abdominal surgery, using minimally invasive techniques (laparoscopy), or by a specially-trained radiologist. With a jejunostomy, the catheter passes through the skin on the abdominal wall and directly into the jejunum. Before a jejunostomy is placed, a trial of nasojejunal nutrition often is given to be certain that the small bowel is not involved with the same motility problem as the stomach and that nutritional liquids infused into the small intestine will be tolerated.
What is the prognosis (long-term outcome) for patients with gastroparesis?
The prognosis for patients with gastroparesis includes the following:
- If gastroparesis is caused by a reversible problem, for example, pancreatitis, the condition will subside when the underlying problem resolves. In some people with diabetes, better control of their blood sugar will improve the emptying of the stomach.
- If there is no reversible cause, gastroparesis rarely resolves. It may become worse with time.
Gastroparesis is particularly difficult to treat when there are accompanying motility disorders of the muscles of the small intestine.
What is new in gastroparesis research?
The newest experimental treatment for gastroparesis is the injection of botulinum toxin into the pylorus. The pylorus is the narrow channel through which food passes from the stomach to the duodenum. The pylorus, like the stomach, is a muscular organ. The pylorus is closed most of the time due to the continuous contraction of the pyloric muscle. Intermittently it opens and allows secretions from the stomach to enter the small intestine. After meals, the pylorus is very important for metering the emptying of the stomach. In gastroparesis, although the muscles of the stomach are weak all of the time, the muscle of the pylorus remains strong and contracted and the pylorus is relatively closed. It was hypothesized that if the strength of the pyloric muscle was reduced, food might empty from the stomach more readily. Although the initial results were good, subsequent studies have not confirmed the benefit of botulinum toxin. Although the initial results with botulinum toxin were good, subsequent studies have not confirmed the benefit. Its use should be considered experimental.
Although a surgical procedure, termed pyloroplasty, to enlarge the pylorus has been used in the past to treat problems with emptying of the stomach, it is major surgery and has had mixed results concerning its efficacy.
Top Gastroparesis Related Articles
What's Causing Your Abdominal Pain?In general, abdominal pain, which may be in the lower left or right of your abdomen, is a symptom of many possible conditions including appendicitis, ulcers, irritable bowel syndrome, indigestion, and others. It may accompany constipation, diarrhea, vomiting, and other symptoms. Find out the potential causes of pain in the abdomen and learn when you should see a doctor.
Diabetes (Type 1 and Type 2)Diabetes is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Diabetes QuizTake the Diabetes Quiz and learn the causes, signs, symptoms, and types of this growing epidemic. What does diabetes have to do with obesity and diet? Learn about life as a diabetic.
Endoscopy (EGD) Procedure
Endoscopy is a broad term used to described examining the inside of the body using an lighted, flexible instrument called an endoscope. Endoscopy procedure is performed on a patient to examine the esophagus, stomach, and duodenum; and look for causes of symptoms such as abdominal pain, nausea, vomiting, difficulty swallowing, or intestinal bleeding.
Gastric Emptying StudyA gastric emptying study is a procedure that is done by nuclear medicine physicians using radioactive chemicals that measures the speed with which food empties from the stomach and enters the small intestine. A gastric emptying study often is used when there is a possibility of an abnormal delay in food emptying from the stomach. Medically, this is called delayed gastric emptying. The two most common causes of delayed gastric emptying are gastric outlet obstruction and gastroparesis.
GERD (Acid Reflux, Heartburn)Gastroesophageal reflux disease (GERD), also called acid reflux, can cause symptoms like heartburn, chest pain, regurgitation, and nausea. Learn about causes, diagnosis, treatment and prevention.
Acid Reflux (Heartburn, GERD): Symptoms & RemediesHeartburn is a symptom of acid reflux that causes chest pain when stomach acid backs up into the esophagus. Heartburn symptoms may mimic chest pain that occurs during a heart attack. Gastroesophageal reflux disease (GERD) may produce other symptoms.
How Long Does It Take to Recover from A Gastrojejunostomy Procedure?A gastrojejunostomy is a surgical procedure performed under general anesthesia by a gastrointestinal surgeon. The surgeon produces a direct connection (anastomosis) between the stomach and the jejunum, part of the small intestine. Recovery time is generally about six weeks, but you can be home from the hospital in as little as three days if you have a laparoscopic procedure.
Intestinal Gas and Gas PainIntestinal gas and painful bloating are common. Learn about what causes gas pain and how eliminating certain foods from your diet can help relieve symptoms.
Liver Blood TestsAn initial step in detecting liver damage is a simple blood test to determine the presence of certain liver enzymes in the blood. Under normal circumstances, these enzymes reside within the cells of the liver. But when the liver is injured, these enzymes are spilled into the blood stream, and can lead to diseases like fatty liver, type 2 diabetes, obesity, and hepatitis. Several medications also can increase liver enzyme test results.
The Digestion Process (Parts, Organs, and Functions)Digestion is the complex process of turning the food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food. Learn more about digestion and the body parts that make it possible, including the mouth, pharynx, esophagus, stomach, small intestine, colon, rectum, anus, pancreas, liver, and gallbladder.
Thyroid DisordersThere are several types of thyroid disorders including hypothyroidism, hyperthyroidism, goiters, thyroid nodules, and thyroid cancer. Symptoms vary by condition. Diagnosis is made with blood tests, scans, ultrasound, or biopsy. Treatments depend on the disorder and can include medication or surgery.
Illustrations of ThyroidThe thyroid is a butterfly-shaped gland located in the front of the neck just below the Adams apple. See a picture of the Thyroid and learn more about the health topic.
Your Thyroid: Common Thyroid Problems and Diseases ExplainedLearn about thyroid problems such as hyperthyroidism, hypothyroidism, thyroid cancer, and more. Discover symptoms and treatments for various thyroid problems.
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Type 2 Diabetes SignsLearn about type 2 diabetes warning signs, symptoms, diagnosis, and treatment options. Find out why thirst, headaches, and infections could be signs of diabetes. Discover the treatment options for people with type 2 diabetes, including medicines and lifestyle improvements.
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What Is a Gastrojejunostomy Procedure?Gastrojejunostomy is a surgical procedure to create a direct connection (anastomosis) from the stomach to the middle part of the small intestine (jejunum), bypassing or removing the beginning part of the small intestine (duodenum).

subset: commoncrawl


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Try these healthy snack suggestions from MyPlate to create a healthier holiday feast.
- Enjoy all the food groups at your celebration!
Prepare whole-grain crackers with hummus as an appetizer; add unsalted nuts and black beans to a green-leaf salad; include fresh fruit at the dessert table; use low-fat milk instead of heavy cream in your casseroles. Share healthier options during your holiday meal.
- Cheers to good health!
Quench your thirst with low-calorie options. Drink water with lemon or lime slices. Offer seltzer water with a splash of 100% fruit juice.
- Bake healthier!
Use recipes with unsweetened applesauce or mashed ripe bananas instead of butter. Try cutting the amount of sugar listed in recipes in half. Use spices to add flavor such as cinnamon, allspice or nutmeg instead of salt.
- Tweak the sweets!
For dessert, try baked apples with cinnamon and a sprinkle of sugar instead of apple pie. Invite your guests to make their own parfait with colorful sliced fruit and low-fat yogurt.
Source: MyPlate.gov


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What Not to Pack: A Guide to Non-allowable Removal Items
There are some items that professional removal companies won't pack or sometimes even transport. These are non-allowable items that are unsuitable or unsafe for a removal team to move. Every removal company will have their own list of prohibited or non-allowable items which you should inquire about before your moving day.
Compare My Move has created this guide to explain what not to pack in the removals van during moving day. We've compiled a list of the non-allowable items which many movers and packers won't be able to handle, ensuring your move is more organised and efficient. This list includes fragile or sentimental items and even dangerous items. These will either need to be moved by yourself or completely disposed of altogether.
We hope this guide will save you from some last-minute stress so that you can organise everything in advance and separate the restricted items from the moving boxes.
Non-Allowable Items
- Dangerous Items
- Perishable Foods
- Pets and Plants
- Valuable or Sentimental Items
In this guide, we'll discuss the non-allowable items that removal companies cannot handle or transport. From dangerous items to your beloved pets, there are a variety of things that your removal company will not transport. Below, we go through each category explaining what's included in the list, why they can't be transported in removal vans and how you can take care of them yourself.
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Dangerous Items
This first part of the list is the most important as it's about keeping you and the removal team safe during your moving day. Dangerous items are generally flammable, corrosive or even explosive (or any mixture of the three). These can include compressed gasses, radioactive materials and poisonous substances.
If any of these items listed below need to be moved, then keep in mind that you may have to move them yourself as the removals team won't be able to handle them due to various safety legislation. If you have a few fireworks stashed in the attic that you forgot to use on bonfire night, then remember to safely dispose of or handle them yourself.
Part of the list includes common household items you may not have thought of, so it's worth keeping them in mind so you won't have to do any last-minute repacking.
Prohibited household items may include:
- Nail polish remover
- Paints and paint thinner
- Lighter fluid
- Petrol
- Fireworks
- Oxygen bottles
- Propane Cylinders
- Motor oil
- Matches
- Radio-pharmaceuticals
- Cleaning solvents including liquid bleach
- Household and car batteries
- Firearms and ammunition
- Aerosols
- Fire extinguisher
Research in advance and discuss which items are worth bringing with you to the new house yourself and which should be disposed of. Consult the label of any chemicals or materials for instructions on how to dispose of or even transport them. If you're unsure on anything, talk to your removal company for advice.
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Perishable Foods
Simply put, these are the items that may 'go off' or decompose during transit. Perishable food shouldn't be packed onto the removal van and any fridge or freezer will need to be cleaned and defrosted before being packed.
This is because of the potential for mess and the difficult clean-up it requires after decomposing. The removal company might take well-sealed non-perishable foods, however, so it's important to ask questions before moving. But generally, open, frozen, perishable or refrigerated food cannot be taken onto removal vans.
As you are expected to defrost and clean your fridge and freezer ahead of moving day, why not invite your neighbours over for a final farewell meal? You never know what delicious foods you may uncover from the darkest depths of your freezer. Any foods that can't be used can be given to neighbours, friends, family, donated to charity or transported by you as a moving-in snack. This way you won't unexpectedly find more stuff to move, and when getting removal quotes from house moving companies, you'll know that they are as accurate as can be.
Pets and Plants
Although your dog might love his dog-bed, he certainly won't appreciate being packed away alongside it. Removal vans aren't the most hospitable places and can get very hot, so they aren't suitable for transporting pets. It's also common for animals to experience moving anxiety, so if you're moving with a dog or cat, you'll want to make them as comfortable as possible.
Remember that moving your beloved pet will be your responsibility and so you need to plan accordingly. Contact your vet and talk to the removal company for specialist tips on how best to transport your animal friends. It might be a good idea to ask a friend or family member to pet-sit over the moving period so that you're completely settled in and fully unpacked before your inquisitive pet arrives.
The same applies to household plants as they are living and ultimately fragile things, no matter how careful you are. Plant pots are also heavy and can take up a lot of room. The dark, cramped environment of the back of a removal van is far from optimum for plant life, so make sure your favourite fern is safely transported by you during long journeys. Compare My Move even has a guide to help! Read our article on How to Move Plants for more information.
Compare Removal Company Costs
Save up to 70% on Removal Costs
Valuable Items
All of Compare My Move's removal partners have both Goods in Transit Insurance and Public Liability Insurance as standard. But, as you know, there are many possessions that are irreplaceable, even with the added precautions.
Sentimental and priceless items such as photo albums, birth certificates and family jewellery should be packed separately and moved by you. The same goes for tablets, laptops and computers. It's well worth keeping valuable items at hand because of the slight chance of any possible damage. No matter how experienced or qualified a professional is, there are some items that are too important to risk.
Ensure you have a separate box containing all your important paperwork and documents so that you know where they are at all times. Irreplaceable items need to be safe and with you at all times. Check with your own home insurance provider to see if these valuable items will be covered during the move.
Saving Time and Money on Your Removal
So there we have it, Compare My Move's guide on what not to pack. You should always check with your removal company for specific guidance and information, but we hope this guide gets the ball rolling so you feel prepared ahead of moving day.
To save yourself both time and money on your removal, fill out our quick and simple form to get connected with up to 6 reliable removal companies in your local area. Discuss the moving company's restricted items whilst comparing and don't forget to start packing for your move as soon as possible.


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Blind date: A high-flying look at life and love in San Diego
A high-flying look at life and love in San Diego.
Video by David Brooks
Matchmaking by Jessica Pelligra
In keeping with this issue's home-front theme, Zlata and Scott will soon take a helicopter tour of the coast, soaking in sights of the ocean, skyline and cranes that are taking residential life in San Diego to new heights. At the moment, these two blind-daters are cruising in an Epic Limo to Montgomery-Gibbs Executive Airport in Serra Mesa. Before they get dropped off to take flight, let's review their pre-date interviews.
PACIFIC: Where are you from and where do you live now?
ZLATA: I was born and raised in Moscow, in Russia. I moved to the U.S. when I was 16 and lived in Alaska. I have been thawing out in San Diego for almost four years now. It was a spontaneous move from AK to SoCal, and I have never looked back.
SCOTT: I'm a native San Diegan, third generation, and a recovering Chargers fan. I live downtown.
What do you do for a living?
ZLATA: I am an author, speaker and lifestyle coach. A few years ago, I escaped the 9-to-5 grind, made my hobby my career and founded a virtual fitness coaching company called Sexyfit. Sexyfit was created out of the notion that every woman is sexy in her own way and deserves to feel confident in her body. And with every woman we coach, we deliver a lasting mind and body transformation. I recently released a book called "The Sexyfit Method" and I host a weekly podcast featuring the leading health, fitness and lifestyle experts.
SCOTT: I'm a business and real estate attorney and left the practice of law to partner with the commercial real estate firm The Irving Group. I love my job and being able to help business owners with their real estate — and my legal experience distinguishes me from the rest of the pack.
Why are you going on a blind date in PACIFIC magazine?
ZLATA: Butterflies of anticipation.
SCOTT: I'm a "yes" man.
What do you do for fun?
ZLATA: I've traveled the world for fun and for work, so traveling adventures are always the best way for me to have fun. I also enjoy falling out of perfectly good planes with friends or exploring the deep seas in a scuba suit. Honestly, I can have fun anywhere, at any time.
SCOTT: I like to be as active as possible and make the most of what San Diego has to offer, but also enjoy recharging the batteries on the couch with my guitar and a good Netflix show. I have a lot of fun teaching spin Monday nights at Fit downtown, and like yoga, golf, snowboarding and eating Mexican food. Music is my first love.
What are you best at?
ZLATA: Having fun and finding joy in every moment. While this sounds cheesy, that's just me.
SCOTT: Negotiating and making people feel comfortable in uncomfortable situations. Eating Mexican food over 66.66 percent of the time.
What do you suck at?
ZLATA: Riding a bike — terrible.
SCOTT: Multitasking and listening attentively.
What are you looking for in a date, physically and/or otherwise?
ZLATA: I am looking for a man with ambition, drive and a vision. Also, squats are a man's best friend, if you know what I mean.
SCOTT: I am looking for someone with a great smile and sharp wit. I'm drawn to blondes and like a girl with a sense of humor who doesn't take herself too seriously.
Describe your special brand of sex appeal in five words or less.
ZLATA: Love, sex and magic.
SCOTT: "Smedium" shirts and sense of humor.
What do you like least about yourself?
ZLATA: That, despite my best effort, I'm useless to the world before 9 a.m.
SCOTT: My inability to say "no" to opportunities and focus on what's important.
Rate yourself on a scale from one to 10 for looks.
ZLATA: It really depends on the time of the day.
SCOTT: My mom thinks I'm a 10. Grandma thinks I'm more like an eight and "need to stop trying to find the perfect woman."
Rate yourself on a scale from one to 10 for personality.
ZLATA: I'd hang out with me, but again, it really depends on the time of the day. Before 9 a.m. or a morning coffee, that's questionable.
SCOTT: I go for the baseball approach with humor. If three out of 10 jokes hit, then I'm batting .300 and a Hall of Famer. So, I'd say, on a scale from one to 10 for personality, I'm batting .300.
What's your biggest fear?
ZLATA: My biggest fear is leaving this planet without making a meaningful contribution to the world.
SCOTT: Snakes, divorce, disappointing my family.
What traits could your date exhibit that would be complete deal-breakers?
ZLATA: Acting like a f***-boy man or chewing with his mouth open.
SCOTT: Lack of eye contact, no sense of humor, being on their phone, asking for a salad with no dressing.
Fill in the blanks: I want my blind date to be "blank" and "blank."
ZLATA: Respectful and adventurous.
SCOTT: Engaging and adventurous.
What's the most important thing in the world?
ZLATA: Love.
SCOTT: Being true to yourself.
When their limo drops them off at Corporate Helicopters at Montgomery Field, Zlata and Scott talk over glasses of champagne as they prepare to take flight. Then, as the sun approaches the horizon, they board the chopper for a tour down the coast, from La Jolla to downtown.
What the Hake?
A magical meal and a design do-over
Less than an hour after takeoff, Zlata and Scott return to terra firma, hop back into the limo and head to PROOF, the new cocktail bar and lounge at La Jolla's recently remodeled oceanfront restaurant The Hake. Once they've had a chance to look over the menu and enjoy a round of drinks, they're split for mid-date debriefings.
PACIFIC: How's it going so far?
ZLATA: Going really well. I'm actually kind of surprised. Never thought that I would enjoy a blind date because I am such a control freak.
SCOTT: Good. We're having a lot of fun. She's really funny.
What were you first impressions?
ZLATA: He's really funny. Really funny; like really, really funny, which is a good ice-breaker.
SCOTT: Very pretty. Very proper.
Is this the type of person you'd normally date?
ZLATA: He freakishly looks exactly like my ex-boyfriend, so... ya nailed it.
SCOTT: Not really, but I am really glad that we're here. My mom and my family always give me a hard time for this, but I really like blondes and normally date them. But she has some fire and humor and wit and charm. She's pretty cool to hang out with.
What do you think of the way your date is dressed?
ZLATA: I love the outfit, and he told me that his mom picked it out. So, well done, Mom!
SCOTT: I think she looks beautiful, very sexy.
How was your experience at Corporate Helicopters?
ZLATA: It was amazing. I truly never thought San Diego was that beautiful. I mean, you see it flying in and over the airport, but when you can actually hover and you see the beauty over, like, La Jolla, Mission Bay and downtown, it's just gorgeous. Honestly, it was one of the coolest experiences in San Diego.
SCOTT: I really wanted to be a pilot when I was a kid, so it was very cool to be able to go up there. I kept asking if he would let me fly, but he wouldn't let me. But we had a great time. We could communicate through the headphones. It was super fun, funny — and when she dropped a "that's what she said" joke, I was just like, "This is going to be a great night."
What's the coolest thing you saw from the helicopter?
ZLATA: I think it is really interesting to see downtown from that view, and the bay is so still. Still water, beautiful boats and it was sunset, so it was timed so nicely.
SCOTT: It was really amazing to see the cliffs by Blacks Beach, and the Torrey Pines cliffs were really cool. Also, I have been here 23 years. I was born here — third generation; very rare to be a third generation. It was very cool to see a city that I know so well from a perspective that I've never seen, especially because I am in real estate, so I also got to see the real estate that I put people into from an aerial perspective, which was very cool.
What have you had to eat and drink so far?
ZLATA: I am dying over this restaurant. I have no idea how I have never been here before. It is the best seafood I have tasted in San Diego, by far. And I am from Alaska, so I am a seafood snob, and it's amazing. The charred poke tuna tostada was off the charts, the Hamachi was insanely amazing, octopus was really good and they make a fish chorizo. Fish chorizo? Like, come on — it is amazing. Everything is amazing.
SCOTT: We had the tuna tostadas, which were one of top 10 things I ever had in my life. We had the Hamachi, which was great, then the bone marrow, which was a delicacy. They have lots of tequila drinks, too, so I am happy.
What's the most attractive thing your date has done so far?
ZLATA: He ordered; he took the lead. I like that.
SCOTT: She's just so funny. I laughed more on this date than I have laughed on cumulative dates in the past.
Rate your date on a scale from 1 to 10 for looks
ZLATA: Nine.
SCOTT: Nine.
And for personality?
ZLATA: Ten.
SCOTT: Nine.
Do you want to kiss your date right now?
ZLATA: I would, but not tonight.
SCOTT: Twenty minutes ago and 20 minutes from now.
Does your date want to kiss you?
ZLATA: Hopefully.
SCOTT: Yes.
Oh, so is that like an in-the-limo type of thing? Is that the vibe I'm getting?
SCOTT: We already thought about it. She doesn't know that, but we did.
So you guys have kissed?
SCOTT: No, not yet, but we thought about it. It helps when there is a whole bottle of champagne in the helicopter. Yeah, the sunset and the helicopter, really, it's a recipe for kissing.
Do you think there will be a second date?
ZLATA: Up to Scott. I hope so, though.
SCOTT: Yeah, I think so. She's cool. And we live close to each other.
Sea You Later
The motion of the ocean, a four-legged Greek god and the chance of a second date
After the mid-date break, Zlata and Scott enjoy a lavish dinner, sitting close to each other as plate after plate emerges from The Hake's kitchen. When dessert arrives, the magazine crew finally leaves the couple alone to enjoy the rest of their evening away from the camera. The next morning, we call to see what we missed.
How was the rest of your experience at PROOF at The Hake?
ZLATA: Ah-mazing! Their seafood everything is to die for. Their staff was very accommodating and knowledgeable. I honestly didn't look at the menu, and everything that we had was phenomenal.
SCOTT: Awesome. I really like the remodel, and the ambiance was on point. Our server was professional and kind. The food was amazing.
What's the best thing you had there?
ZLATA: My favorite dish was the octopus, and the strawberry dessert was to die for.
SCOTT: Everything and anything. Pretty sure the tuna tostadas are in my top 10 of all time. They had quite the array of tequila and mezcal drinks.
Where did you go and what did you do for the rest of the evening after dinner?
ZLATA: We walked my dog together.
SCOTT: We went back downtown and took her dog, Zeus, out for a walk.
When did you get home?
ZLATA: Shortly after 10
SCOTT: Around 10.
Was there a kiss or romantic exchange?
ZLATA: What's a romantic exchange?
SCOTT: Romantic Exchange would be a great band name, and a true gentlemen doesn't kiss and tell. Chivalry is not dead.
How and when did the date end?
ZLATA: As silly as this might sound, we walked my dog together.
SCOTT: After we took Zeus for a walk.
What's the funniest thing that happened during the date?
ZLATA: It was a really fun experience as a whole.
SCOTT: We laughed the whole time. I'm a pretty goofy guy, and it was fun to be with someone who can throw it back at me and laugh off the seriousness of life and awkwardness of having a camera around. The funniest thing was probably when our limo driver kept the divider down, and I just nonchalantly closed it while he was talking to us. Either that or us talking like truckers over the microphone on the helicopter ride.
What was the best part of the date?
ZLATA: I really enjoyed the helicopter tour, because it was a totally new experience to me.
SCOTT: Helicopter ride. It was so amazing to see the city from that perspective, and she was really fun.
Will there be a second date?
ZLATA: I would go on a second date with Scott, yes. I appreciated his sense of humor and easygoing attitude.
SCOTT: Definitely. She's very cool, down to earth, intelligent and has an amazing sense of humor. That and we live five blocks from each other, so why not?
What's one thing your date really should know before going on another date?
ZLATA: That I am going to ask him all these questions on our official first date.
SCOTT: I usually have a thing for blondes.
What could have made this date better?
ZLATA: It was a perfect blind date.
SCOTT: If it wasn't a school night, and I could have added an energy drink to my tequila.
AFTERMATCH: Despite Scott's blond ambitions, it seems he may be open to turning to the dark (hair) side. "I think she looks beautiful, very sexy," he said of Zlata during the mid-date break. He also laughed all night and said the helicopter and champagne were "a recipe for kissing." Zlata, on the other hand, got what she was used to. "He freakishly looks exactly like my ex-boyfriend, so... ya nailed it," she said. The fact that both daters look forward to a second date suggests Zlata didn't catch Scott, "acting like a f***-boy man or chewing with his mouth open." He did roll up the divider while the limo driver was talking to him, though, which may not have been a deal-breaker for Zlata, but does count as a small mark against his karma... or maybe a "smedium" one.
For your own high-flying blind-date adventure, email a photo and a couple sentences about yourself and what you're looking for in a date to email@example.com.
Thank you to (and promotional consideration provided by): Epic Limo, 858.270.LIMO (5466), epiclimo.com; Corporate Helicopters, 858.505.5650, corporatehelicopters.com; PROOF at The Hake, 858.454.1637, thehake.com.
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Showing results for tags 'communication'.
Found 4 results
Ayudo con español (Spanish help)
Mikala posted a topic in Language LearningHola no sé si debo escribir en español o ingles pero espero poder encontrar alguien en linea que sabe espanol. Es duro conocer personas que hablar la idioma en mi locacion. Si hay es alguien que quiere ayudar, por favor me informa. Lo siento si mi español es terriblé.
english speaking course learn english speaking, learning english language, english teaching courses, english speaking classes, best institute for english speaking course, learn english grammar, english communication course, business english course, englis Importance of Mastering English Language
Eltis posted a topic in English GrammarIn a vast yet diversified country like India where dialect and languages vary for every couple of hundred kilometres, English and Hindi remain among the most widely spoken, understood and recognized languages. Along these two languages, English generally connects a lot of people who hail from areas where spoken local languages are completely different from each other i.e. Tamil and Marathi. In such cases, English acts the bridge between the individuals and enables them incommunicating with each other easily. For all other practical purposes also, English is widely hailed and used as a common language across the globe. Therefore learning English language becomes pertinent for any individual who aspires to build his/her career in today's globalized economy. English language acts as a stepping stone towards success for students of all streams as well as working professionals across all the industry verticals. Developing command over any language including English comprises of developing deep understanding of vocabulary, grammar and pronunciations. Generally English is considered as a funny language because its pronunciations and vocabulary vary alot. Often similarly spelt words have different pronunciations and alphabets remain silent in many words which make the pronunciations very peculiar and it takes consistent time and effort to remember and master them. This primarily happens because roots of large quantum of English wordsoriginate from other languages like Latin, French, Spanish etc. This trait also adds lot of diversity to the language and makes it easy for people across the globe to adapt it. ELTIS which stands for English Language Teaching Institute of Symbiosis is a Pune based institute which has been instrumental in training students from 25 plus countries in developing command over English language. ELTIS offers wide range of courses for International as well as Indian students which help them in developing command over written and spoken English. They also provide specific focus on Business English which enables the students in exceling in competitive corporate environment.ELTIS also offers specific courses for Indian students who want to learn English speaking. Institute boasts competent and qualified faculty which also helps students to learn English grammar which is often considered as one of trickiest aspects of English language.Institute also offers short term crash courses, summer courses and year long diploma courses which cater to needs of college students as well as working professionals. They also offer a course specifically designed for students who want appear in IELTS exam which provides admission gateway to 9000 plus universities worldwide. ELTIS is part of Pune based renowned Symbiosis International University and it has been at helm of helping out many individuals from diverse backgrounds in mastering the spoken and written English.
Hello Everyone, My name is Emmanuel Skourtis and I am the author of a new line of lexicons about English - Spanish business communicating. Whether you are confident with your use of English and are just looking to add the finishing touches or have some anxieties about expressing yourself on key occasions, this book can be your safety net or your guardian angel. It is in your hands. By carefully studying the contents page, you can match your need with a particular set of phrases and expressions, tailor-made for very specific situations down to the very last detail. You can come back to it time and time again; it will never let you down.. Meetings, presentations, closing deals and pretty much everything else are situations covered by our books. What makes these business English books different? It deals with a series of subjects and scenarios straight from the authentic working environment. It is full of real and relevant everyday situations; Given that many of you might want to get a taste of our books here is a 89 pages free ebook covering materials from all the series, and figure out for yourself if it fits your needs. I would greatly appreciate your feedback and anything else for that matter. Don't forget to drop by Businessenglishbook.com and check the whole book collection.


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Dept. of Computer Sc. » Pattern Recognition » Courses » SS 15 » Interventional Medical Image Processing [IMIP]
Interventional Medical Image Processing [IMIP]
This lecture focuses on recent developments in image processing driven by medical applications. All algorithms are motivated by practical problems. The mathematical tools required to solve the considered image processing tasks will be introduced. In addition to the lectures, we also offer exercise classes. The exercises consist of theoretical parts where you immerse in lecture topics. But we also set emphasis on the practical implementation of the methods.
Dates & Rooms:
Tuesday, 12:15 - 13:45; Room: H15
Thursday, 12:15 - 13:45; Room: H15
Oral Exam
The oral exams are scheduled for the following dates, please note that not all of them may be available anymore:
Mon 27.7.2015
Wed, 23.9.2015


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At Peoples Bank of Alabama, community is everything. And a big part of what makes our communities special are the businesses that reside there and provide jobs for our friends, families, and neighbors.
Through our business banking products and services, Peoples Bank of Alabama has helped local businesses grow for more than 40 years. Business owners love Peoples Bank because we understand their businesses almost as well as they do. Our line of products and services are tailored to business owners who need the full capabilities of a national bank, but with the down-home connection to a local, community bank. We offer the best of both worlds to local businesses.
Checking accounts made specifically for businesses and nonprofits.
Money market and savings accounts designed for business owners to nurture wealth.
Business loans and lines of credit to help start, grow, or expand.
Since every business is unique, we want to get to know you, your business, and the marketplace in which you compete every day. Peoples Bank of Alabama prioritizes a personal visit to you and your business from our team. After all, we believe in personal connections, even in business - they make all the difference.
We strive for personal connections with every business owner we work with - because we believe working with you is a partnership, which means our relationship with you is of utmost importance.
We believe people are the core of any business.Find a Banker
No matter the size of your business, we have a checking solution to meet the needs of your business.
Everyone needs to save - even businesses. Our Savings & Money Market solutions provide the flexible savings options you need.
Our team of experts give you the time, expertise and personal service you deserve. We provide a variety of commercial lending options designed to help your business achieve its goals.
Managing cash flow is an essential step to maximizing your business growth and profitability. We are dedicated to helping you understand the overall payables/receivables cycle and to providing solutions that help you effectively manage your cash flow.


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Prairie Hill Puppies Proudly Recommends
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text: Hyundai has announced a nationwide free car care clinic in India. The 10th nationwide free car care clinic will be held from March 5th to 14th 2011. Attractive gifts and exciting prices are available for the customers attending the camp. The prices include eight 1.5 ton Window ACs, sixteen other exciting awards and daily free extended warranty. Apart from this one lucky customer will get a Bumper prize of a 40 inch LCD TV.


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Recently in general Category
Portfolio III
Yes, this portfolio will be relatively brief.
Include an entry on your own term project, the term paper peer review activity, and a cover entry that reflects on your accomplishments since January.
After you have seen your peer term project presentations, add another blog entry that reflects on some of those presentations. (Also, please leave 2-4 comments on your peer's term project blog entries. I will remind you of this during class Thursday -- I realize you can't do this part until after you've seen your peer's presentations.)
Term Paper First Draft
A polished document, 10-12 pages long. I will not mark grammar or MLA style issues, but I will give you feedback that will help make your ideas stronger.
Term Paper Peer Review
Even if your paper is not ready, plan to come to class anyway in order to participate in the peer review activities.
Recent Comments
Katie Vann on Term Project: Class Presentations
Angela Palumbo on Term Project: Good job everyone! http://blogs.setonhill.edu/Ang
Mara Barreiro on Term Project: Great job everyone!!
Ellen Einsporn on Portfolio III: Last blog portfolio...ever! And my reflections on
Erica Gearhart on Portfolio III: Take a look at my final blogging portfolio and my
Derek Tickle on Term Project: Excellent work class! http://blogs.setonhill.edu/
Jenna on Term Project: Great job, class! http://blogs.setonhill.edu/Jenna
Jenna on Portfolio III: Portfolio 3- Just in time for summer http://blogs.
Bethany Merryman on Term Project: Thanks to the class for making this semester FUN a
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Online communication is all very well, but when it comes to face-to-face meetings, it's the little things that can make all the difference.when it comes to face-to-face meetings, it's the little things that can make all the difference
In these days of instant communication, when messages bounce off screens and mobile phones at the speed of light and so many transactions and connections happen online, it's sometimes easy to forget that personal relationships are still a vital part of business life.
That first face-to-face meeting with a new client or business prospect can often be the clincher to our future dealings with them. How did we come across to them? And how did we feel about their response to what we had to say?
I recently visited a lawyer in a large legal practice in the Melbourne CBD. I had come with a copyright-based enquiry, related to my 'second life' as a playwright. When he opened his office door to meet me, he clearly looked bored. We had hardly begun our meeting when his phone rang. He immediately took the call –another client – and kept me waiting for 15 minutes while he dispensed advice via his Blackberry. When the call ended, I outlined the reason for my visit. He never once looked at me but kept his eyes glued to his Blackberry, responding to emails while I talked.
I ended the meeting, angered by his arrogant assumption that this is how business is conducted in the 21st century and that I should just put up with it.
Ok – dismiss me as some old fuddy duddy with outdated ideas, but I still believe in the value of making a client feel special. I don't view myself as a file or case number with an allocated number of dollars attached. I'm a person, with an individual request and if I seek professional advice, I want to feel I'm the most important person in the room for the duration of a consultation.
There's no difference between a salesgirl busy gossiping with her colleagues while customers wait for service, or a lawyer with bigger clients on his mind: lack of client focus is a huge problem for organisations. Yet, putting the client at the centre of your commercial universe is one of the first precepts of marketing and the first step in doing this is the way you introduce yourself.
5 customer service tips for face-to-face meetings
1. When you first meet a client – smile: it may sound obvious, but a smile is a wonderful ice breaker. It shows you're considerate and approachable. And when you smile, your client will smile back.
2. Shake the client's hand firmly: A wishy-washy or half-hearted handshake is a real turn-off. A strong, firm handshake shows you are professional and ready to do business.
3. Look interested: again, a no brainer, but your clients will soon sense if you look as if you'd rather be somewhere else and are bored by what they have to say.
4. Taking calls and playing with your Blackberry? I don't think so: of course it's rude and nothing is more off-putting than a blatant disregard for the person in front of you.
5. At the end of the meeting, thank clients for their time: your clients have chosen YOU but they could have gone to thousands of other organisations, retail outlets or consulting firms, each one probably offering a similar range of merchandise, qualifications and experience. Your clients pay your salary, so treat them with respect. They deserve it.
Dina Ross
Dina Ross is Public Relations Director at Evergreen Advertising & Marketing in Melbourne, Australia, specialists in communicating to the 50+ market. A PR and crisis communications expert, she has held senior editorial positions at BBC UK and The Age , headed her own award-winning PR consultancy and is the author of "Surviving the Media Jungle", a guide to PR. Melbourne, Australia.
Featured image: thetaxhaven


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ZamZam Travels Paribahan All Counters Number, Location, Route Map And Others Info
Introduction and Routemap-
ZamZam Travels Paribahan is a popular bus in Bangladesh. The bus is plying regularly Dhaka To Nalitabari service on the route. This is an AC bus service. Travel on this bus at a low cost.
Quality and features of the bus-
ZamZam Travels Paribahan is running the service on the mentioned highway. This bus is ready to get the title of the best service provider of the mentioned route by combining all the AC, comfortable, safe, and fastest time to finish one of the best finishing adequate compact seats, luxuries, service.
Prices information-
The buses we are assisting you with information have fixed fares. The amount of fare remains the same even if the demand for passengers decreases and increases. So there is no complaint about the fare of the bus.
Find other bus information-
Click here to get other bus information. If you scroll a little, click on the bus services option on the right-hand side and you will get information about more than 200 buses.
Attention To All Passengers-
Note: There are different types of buses in Bangladesh, so many people can not find the right bus because of the similarity of the name with the name. Such as Saudi in place of Saudia Paribahan, Haanif Enterprise in place of Henif or Hanifa. Try to book tickets with this in mind. Find out by setting the location on our site to know about the various places of interest in Bangladesh, travel, fares, counters, online tickets, hotel bookings, etc. Have a nice trip. Thank you so much for staying with Kemnejabo.com.
Dear Passengers, Kemnejabo.com has provided numerous, counter locations, mobile numbers, and hotel (residential) numbers. We have collected this information from the internet, Bus counters and Direct companies. If you have made any financial transactions at the above counters and hotel numbers, then it's fully in your jurisdiction. In that case, if any kind of harassment is admitted, Kemneyabo.com authority will not be responsible. So be careful while making your transaction.
All the information related to ZamZam Travels Paribahan will be available below, such as contact numbers, counter locations, area-based bus counter locations, and all updated information. But there are some practical problems that may occur sometimes, such as location changes, contact number changes, and services may have temporary issues. Moreover, some counters stop their services after their scheduled time; Your complaint, your advice to solve all these problems, is desirable for us, so if you want, you can inform us by e-mail at this address- [email protected].
Counters of Dhaka District
Gulistan Bus Station Counter, Bangabandhu Stadium, Dhaka District City, Phone: 01323-535357..
Counters of Sherpur District
Nalitabari Upazila Bus Station Counter, Sherpur District, Phone: 01323-535359.
Attention! Kemnejabo.com always tries to provide the latest information. Any company can change their counter and contact number anytime. If a company does this , we may have given a wrong information. For this, we are sincerely sorry. Thank you for your cooperation for the right information.
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Published November 30th 2017 - Written & posted by Roman Korobkin
You think you found the right house. Now what?
Posted & Written By Roman Korobkin - November 30th, 2017
You've been searching for some time now and you think you found the perfect house you've been looking for or at least it matches most of your criteria. So what do you do now? Professional Realtor will guide you through all the steps and will explain the sequence of events, but I want to give you an idea of what to expect so that you are ready.
Taking a detailed look at recent comparable sold properties to establish market value is crucial to making sure you are not overpaying which can cause mortgage issues down the road. Most banks these days are asking for appraisals to be done for almost all purchases. If the appraisal valuation comes back lower than the purchase price, you may have to make up the difference. For example, you bought a house for $800k and you've been pre-approved for a $640K mortgage with 20% down payment of $160K. You will be OK only if the appraisal comes back with the value of $800K. If the house is appraised at $760K you might need to cover the $40K difference on top of $160K that you budgeted. For some buyers this can be a major issue since they may not have the extra funds for a safe "buffer zone" and, therefore, may not be able to obtain the mortgage. Thus, it is important to use the Realtor that knows the area and can suggest you a reasonable market price for the house.
It is a pretty straightforward and simple process. The typical conditions that protect the buyer are (1) financing (see point 1 above), (2) inspection and (3) status certificate review for condos. If you are submitting an offer in a multiple offer situation (meaning there is more than one offer at the same time), the sellers will be looking at several factors to determine which offer is stronger. Factors include the closing date, deposit strength ( see point 3 below), conditions and, of course, the price. To make your offer stand out you would try to provide the seller with the closing date that works best for them, a strong deposit (ideally same day), no conditions and a strong price. Each situation is unique so establishing what is in the offer is done on an individual basis to protect the buyers' interest but at the same time making the offer attractive to the seller.
You would be required to provide a certified deposit cheque within 24hr / next business day from offer acceptance. In the GTA market, this is approx 5% of the purchase price. You may have this money tied up in other investments or on accounts that are not quickly accessible. It is important to make arrangements for these funds in advance so you are not caught off guard.
Hopefully, this gives you a glimpse of what will happen once you are ready to put an offer. I've been helping buyers and sellers for over 14 years and will gladly help you with any real estate questions you might have. Feel free to reach me via email at firstname.lastname@example.com or by phone at 416-6242124.
Published November 21st 2017 - Written & posted by Roman Korobkin
Are you eager to start a search for the home of your dreams? Whether it's your first purchase or you are looking to upgrade to something bigger as your family expands, or you are considering another neighborhood, you need to stop and evaluate your budget first. You don't want to get into a situation when you fall in love with a home and realize that you can't afford it or can't get mortgage approval from the lenders.
If you don't have a preferred lender already, your Realtor should be able to recommend you a reliable mortgage broker that will help you shop around for the best deal. It may not take long to get pre-qualified for a certain amount, but don't stop there. You might as well print the pre-qualification letter yourself as in the end, it does not mean anything. You need to devote some time to get an actual pre-approval from the lender. This process involves a review of your pay stubs, tax returns, credit report and other documents required by the lender. Try to be proactive and ensure that all the documentation is available upfront in order to not delay the pre-approval process. Documentation will be required for all the borrowers on the loan.
Once you are pre-approved for a certain amount be prudent in assessing your own budget. Banks don't know your full financial situation and can actually pre-approve you for a higher amount rather than the one you can afford. Therefore, go through the documents and see how much the monthly payments would be for the principal and interest on your mortgage. Say you are pre-approved for $600K, thus, at 3.5% fixed interest rate / over 30 years your monthly payment is approximately $2,700. Now, if you are looking for a house, add on property taxes and homeowner's insurance. Of course, over the years things need to be replaced like windows & shingles and many maintenance related items will need to be addressed. Depending on the house age, size and its current conditions you need to budget at least a few hundreds of dollars per month as well. If you are buying a condominium/condo townhouse see how much the maintenance fees are. These costs usually include landscaping of common areas, maintenance of indoor common spaces, costs related to recreational amenities such as pool, gym, tennis courts, and water, sewer, and garbage removal costs. Keep in mind that some maintenance fees include utility costs for heating and air conditioning and some do not.
In general, rule of thumb is that your housing expenses (including mortgage payment, property taxes, and insurance) should be at a maximum of 30% of your pre-tax income and your total monthly debt service payments (such as car lease payments, student loan, visa/line of credit payments and the mortgage) should not be higher than 40% of your pre-tax income.
So now that you are pre-approved for a mortgage & have assessed your ideal budget, it's time to start the search! Be clear with your Realtor as to what your maximum budget is and stick to it.
Feel free to reach me via email at firstname.lastname@example.com or by phone at 416-624-2124. I will gladly help you with any questions you might have.
Written & posted by Roman Korobkin
First things first. Sitting down with an experienced mortgage broker and getting pre-approval is crucial to understanding your financial ability to buy. It's wise to get this step out of the way so you know your budget which is the starting point in the home search adventure.
There are a number of factors that would guide you in finding the ideal neighbourhoods to consider. Ask yourself the following questions:
1. How will you be commuting to work?
Say you work downtown at Bloor and Bay and considering Mississauga as an option. If you are planning to use public transportation it means taking GO train which will cost you approximately $16 per day not including TTC pass and potential parking costs if you have to drive to GO train station. This adds up to a minimum of $450 per month. Also, consider the fact that some of the GO train stations don't have enough parking spots which means either reconsidering your travel time to make sure you get a spot or making other arrangements ( drop off/ pick up). Is that doable?
2. What amenities are of importance to you?
There are several things to consider: shopping, parks, restaurants and entertainment, bicycle lanes, ski hills, community centres etc.Think how often you do grocery shopping. What is your shopping style? For example, if you like buying little to keep it fresh and usually shop for a meal on a daily basis, you probably want something in a walking distance so you can quickly pop by anytime by foot. Downtown, High Park and East End would be ideal locations to search for as more of an outskirts areas would require you to take a car for an errand.
3. What do you value more - bigger lots or proximity to Downtown?
Let's take High park as an example. Yes, it is a beautiful area, but if you are originally from burbs you will probably feel cramped in a narrow lot spaces and small yards. Meantime, you will enjoy the proximity to the parks, downtown core, public transportation etc.
Also, think about the garage space. Do you have a car? Or maybe 2 cars? There are almost no options that would suit your needs as the garages are really small there and in some cases, they don't exist. You would think, that's ok, as I can park outside, but you might not get much luck as, firstly, there might be no more permits available for sale ( sometimes the waitlist is for 2 years), or there is just no spots left, period. I can only imagine coming home in winter night and not being able to park nearby making you carry all the bags with food you bought through the snow. On the other hand, if you cycle most of the time that would be an ideal location for you.
4. What is the social demographic / household income in the area?
Do you prefer to live in a certain community? For instance, you are of an Italian heritage and actively engage in cultural events and gatherings. Probably Markham area would not be a place for you. Think of what neighbours would be your ideal neighbours. I would recommend driving around the neighbourhoods during after school time, around 3:30 pm just to see who lives in the area.
There are also statistics available that shows things such as what language is mostly spoken in the area, what the average household income is, whether the majority of the houses are owners' occupied or tenanted and what professional fields' the majority of residents are in.
5. What are the schools in the area?
If you have kids or are planning to have kids I am sure you already thought about this. It can definitely be overwhelming, but there are tools available to help you with the research, such as Fraser Institute rating performance and historical EQAO. Additional things to take into consideration is whether you are looking for Catholic, Public, Private, French Immersion or French-language schools.
6. How safe is the neighbourhood?
There is a map created by CBC that shows 8 different types of criminal categories presenting statistics relating to assault, sexual assault, break and entry, robbery, drug charges, stolen vehicles, theft $5000+ and murder in Toronto neighbourhoods. It is based on the statistics dated from 2004 to 2011 which is a bit outdated but is still worth checking out.
By looking at your neighbourhoods from this perspective you will quickly narrow down the top picks on which you should focus on. I will gladly help you if you have any questions. I could be reached via email at email@example.com or by phone at 416-6242124. I help people buy and sell real estate throughout GTA.
Copyright© 2023 Jumptools® Inc. Real Estate Websites for Agents and Brokers


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Oak Bluffs emergency management director Peter Martell said this week that he went through proper channels when he signed off on over $27,000 in no-bid repairs to the fire and police rescue boat, Red, White and Blue. He added that he acted in the interest of public safety.
Tuesday night, selectmen spurned Mr. Martell's request for reappointment to a full two year term as emergency management director, the post he has held for the past 37 years, and appointed him to the end of the year.
In a recent interview, Mr. Martell said he went to great lengths to save the town money, including paying more than $15,000 out of his own pocket, and he bristled at the notion that he did anything wrong.
The issue of the cost of boat repair arose at a meeting on July 9 between Oak Bluffs selectmen and the town's finance and advisory committee called to make $55,020 in year-end transfers to balance the books at the end of fiscal year 2013.
Walter Vail, chairman of the selectmen, said Mr. Martell ordered the extensive repairs without competitive bidding, as required by state procurement laws, and without the knowledge of the selectmen or town finance officials.
"Peter Martell takes full responsibility," Mr. Vail told the gathered town officials. "He's not going to do that again."
Town administrator Bob Whritenour also assured the elected officials that department heads are now aware of proper procurement procedures.
At the time Mr. Martell ordered the repairs, the town was under scrutiny by the office of the Massachusetts attorney general for faulty bidding procedures.
Sole source
Responding to the criticism, Mr. Martell cited sole source vendor policy — a procurement policy that requires that when time is critical and the specialized expertise of the manufacturer is needed, no-bid contracting is permissible.
"Sole source vendor is an accepted practice with public safety vehicles," Mr. Martell said. "If we had to go through the normal bidding laws, that boat would have been out of service for 18 months, because you have to go to town meetings, it gets voted in April but you can't use the money until July, then another four months to get it done. That was unacceptable. The turnaround to get everything done was four months."
Mr. Martell also denied that he acted in secrecy, saying, "When this happened, the town administrator [Michael Dutton] was well aware of it. So was the town accountant. There were no secrets. We discussed it."
Notwithstanding Mr. Vail's comment, Mr. Martell said that if the boat were to break tomorrow "and I need to get it fixed, I'm going to get it fixed."
No waiver allowed
Not so fast, Mr. Whritenour said in response to a question from The Times about the sole source vendor process.
"I would require that three quotes be procured for this level of work, whether emergency or non-emergency," Mr. Whritenour said in an email to The Times. "If a qualified marine metal fabricator responds that they are unable to perform the work, that counts as a quote. In the future, if it becomes necessary to make a sole-source procurement, the reason for the sole-source will first be certified in writing by the chief procurement officer, which is me."
Mr. Whritenour said there is no "public safety" waiver of the procurement process. "I estimate that it would have taken an afternoon to get three qualified quotes, so that wouldn't create a delay," he said.
Shocking discovery
The boat damage was discovered in August, 2011, when the boat was hauled out of the water for annual maintenance.
"Normally we haul this boat out every year in April or May at Packer's [R.M. Packer in Vineyard Haven] because he refuses to send us a bill," said Mr. Martell. "But his railway was broken, so in August we took it to Edgartown Marine and we picked it up and got the shock of our life. Holes 1/8 of an inch, patches of bottom paint had come off, the zincs [zinc plates that mitigate hull corrosion] were eaten alive. The damage was from electrolysis. We can't tell you how or why, but the electricity in that corner [of the harbor] got worse. There was no way we could have known."
While all salt water harbors are teeming with electrical current, several people familiar with Oak Bluffs harbor said it is especially conducive to electrolysis — more accurately galvanic corrosion — due to the widely fluctuating electrical current. Boats that use shore power, as is the case with the Red White and Blue, are additionally prone to galvanic corrosion.
Mr. Martell said Edgartown Marine was not equipped to do the repairs, so he contacted the manufacturer, MetalCraft Marine, in Cape Vincent, New York. A representative from MetalCraft determined that the quickest fix was for MetalCraft to fabricate pieces for a new hull in Cape Vincent and to replace them on Island. But it quickly became apparent there was no quick fix. "They came down to do the work but the aluminum was like shredded wheat," he said. "It wouldn't hold a weld. So the next best thing was dismantle the mast, put it on a trailer and haul it to MetalCraft Marine."
Money walks
Initially, Mr. Martell said, there was every indication from federal officials that the town would receive a $45,000 repair grant. "Then it goes to Washington and next thing I know we've been approved. Problem solved, everybody's happy. A week later I get a call from a bean counter in Washington. He discovered that we started the work a month before the grant period, so we lose the money," he said. "A week after I get a call from some lady in Washington wanting to know the routing number for the town's bank account. I thought we got the grant back, so I give her the number and I'm all smiles. Two days later I get a call that the grant has been disapproved. So all of a sudden we're out a lot of money."
Mr. Martell said MetalCraft was very accommodating after he gave them the bad news. "They extended the usual payment period from one year to three, which I thought was damn nice of them. I'd sent MetalCraft a check for $6,500 to bring the crew to work here (for the first attempted repair). Since they couldn't fix it, they credited us for that too."
The $27,000 bill to the town was only for the hull restoration at MetalCraft Marine. According to Mr. Martell, he personally paid an additional $15,000 for hauling, transporting, and mechanical repairs. In addition, he covered the costs of preventative maintenance equipment, isolation transformers that regulate the current from the shore hook-up, and a gauge for the wheelhouse that indicates galvanic corrosion, which were also purchased.
"I invested $15,000 of my money in this boat which nobody wants to recognize. I've got the receipts to prove it," Mr. Martell said, piqued at the notion the he's a rogue spendthrift with taxpayer money.
Mr. Martell said that he checks on the boat almost daily and that OBPD officer Jeff Labell, operations officer of the boat, is also keeping a close eye on it.


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Another, former Guantanamo Bay detainee was re-arrested this time in Moscow for blowing up a gas pipeline in January of 2005:
A former Guantanamo prisoner has been arrested in Moscow on charges of blowing up a gas pipeline in Russia's Muslim Tatarstan Republic in 2005, Interfax said Thursday.
Two residents of Naberezhnye Chelny, Ravil Gumarov and Fanis Shaikhutdinov, and local resident Timur Ishmuratov disrupted a gas pipeline in the centre of Bugulma, not far from the local Federal Security headquarters, in January 2005, according to the investigators. The explosion however caused neither casualties nor serious damage.
A trial by jury ruled that the Gumarov and Shaikhutdinov's guilt had not been proved and set them free in September 2005, but the Supreme Court of Russia anulled the ruling and called for another trial. The trial was scheduled for February 2006, but had to be delayed for the absence of the defendants, who now have been detained.
Gumarov and Ishmuratov were engaged in terrorist groups' activities in Afghanistan and served terms at the Guantanamo base in Cuba with other Taliban and terrorist suspects.
Last year another former Guantanamo detainee was arrested for being part of the largest terrorist organized assault on a city when Nalchik Russia was attacked.


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How commonly an afternoon do you take a look at your smartphone? Don't rely upon it; it'll simply make you depressed. We all want to unplug more frequently. Disconnect, escape from Twitter and Snap, and the countless churn of awful news. This week, the hosts discover the first-class strategies for disconnecting from the massive oil' mobile internet. David shares pointers for hiding apps from yourself when you're on vacation, Arielle discusses proper smartphone manners in social situations, and Michael tells us how to live mentally gift at a live performance without getting too arrogant approximately it.
Some notes: David's story about the minimal cell phone. Rene Chun's assessment of the Punkt dumb phone that only does calling and texts. Dogtrekker lists dog-friendly businesses in California. If you stay someplace else, attempt Bringfido.Com. Recommendations this week: Detour, Dynalist, and Weather Underground.
Prostate Milking – How to Intensify Orgasm and Enlarge Erection Size Instantly
Prostate milking is a way used to massage the prostate gland for sexual pleasure or medical advantages. When your prostate is stimulated, it'll cause an excessive degree of sexual pride and powerful orgasm. This article will teach you how to conduct prostate milking nicely to depth orgasm and make bigger erection length.
Getting Started
It's highly advocated to involve your accomplice to help you with prostate milking for max pleasure. Before rub down, empty your bladder to keep away from urination in a later stage. If your companion has long nails, have her trim them. Alternatively, she can use a latex glove to serve as the barrier to keep away from the pain for your prostate. Next, watch a grown-up film collectively and make yourself comfy and excited.
External Prostate Milking
Your prostate may be inspired externally and internally. External prostate milking includes stimulating your perineum. The perineum is the small diamond-like spot among testicles and anus with sensitive erectile nerve.
Here's how outside milking work: have your partner massage your buttock with warming lubricants. Then, she lightly rubs your perineum in gradual and steady movement.
Internal Prostate Milking
Have your partner slide her finger interior your anus. As you exhale, her finger slides as much as locate your prostate. She will discover a bean-like lump approximately 2 inches away from the base of the penis, which is your prostate. Then, she lightly strokes your prostate with crooked hands until you reach orgasm.
Tip: When she does her job, strive to squeeze your PC muscle even though you're doing Kegel Exercise. It will exponentially intensify the feeling.
Final word: If you need to increase the orgasm depth and duration, it is advocated which you practice penis exercise and prostate milking frequently. Penis exercise is designed to grow sexual stamina, accentuate orgasm, and make bigger erection length. According to a survey conducted with the aid of pegym.Com, men who practiced penis work out located growth of forty-two %.
Warning: Size does depend! See how I enhance erection and grow 2 inches to penis size certainly in just 1 week, click on right here. I've wasted thousands of dollars and hours in crappy male enhancement merchandise and subsequently found a powerful method without tablets, devices, and surgical procedures.


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Tomodachi Collection is more a toy than a game in that very special Nintendo way: your own mad little island full of Miis that you never knew you wanted but you suddenly find yourself unable to live without, and while it may be the five-year-old prequel to the upcoming English language Tomodachi Life, that doesn't mean the original Japanese DS game is short on bizarre events to keep you smiling, not to mention occasionally a little scared.
Your starting point is your island that can be filled full of shops, an expandable apartment block and a selection of other places and buildings. The shops are probably where you'll be spending the most time, scouring the shopkeeper's wares for that perfect spacesuit to force an unliked Mii into or hunting for a demanding resident's favourite dessert. There are room themes available to buy as well, ranging from the sensible-but-impractical gym to one that makes it look like your Mii lives in an infinite rainy fog.
Once you've finished tending to the desires of your little community (for the moment, that is) it's a good idea to go and check in on some of your other residents and find out what they're up to – some will be asleep, others will be chatting with other Miis and in one instance we discovered one female Mii in a classy kimono trying to teach herself to wink in a slightly alarming manner.
Should playing cards or watching your Miis enthusiastically headbang while performing rock music (or rap and J-Pop) somehow grow tiresome, Nintendo is on hand to provide more Mii entertainment around the island, including a daily schedule of time-sensitive events by the fountain that include musical performances for you to clap at and the frankly painful "Let's Speak English!" sessions that render English words and phrases via Japanese pronunciation filtered through the Mii's computer-generated auto speech programming. Other activities include the ability to find answers to life's most important questions: Curry or ramen? Glasses or contacts? Mountains or the sea? Fear not, for your Miis will be happy to let you know which choice is more popular and help ensure you never make another social faux pas again. Perhaps you've always wondered what sort of job a particular Mii would be best at? There's a place you can find the answer to that question too, with your chosen Mii's face crudely pasted onto a picture of anything from a stuntman to a traditional craftsman.
As mentioned at the very beginning of this feature, Tomodachi Collection isn't really a game at all in the traditional sense; it's more of a bizarre but strangely endearing Mii theme park. It's easy to be sceptical of "non-games" because they're so easy to get wrong, but Nintendo knew exactly how to pitch Tomodachi Collection and the end result is as fun as it is strange. It's a shame that we never got to experience a localised version of this DS original, but at least Nintendo is making up for it with the forthcoming 3DS sequel. Tomodachi Life adds holidays, babies and many more new items and events to the mix, and we're sure it's going to be a hit with both new and old Nintendo fans as soon as the English version hits the shelves.