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Gerstad Builders Wins Sammy Award for Website of the Year
Chicago Real Estate Forum and Marketing RELEVANCE congratulate Gerstad Builders for winning a Sammy Award in Website of the Year.
The Gerstad Builders website is designed to allow new homebuyers the opportunity to learn a little more about the builder as well as the communities and homes that they offer.
Gerstad's new website design features a dynamic map that highlights new communities, a new home gallery that showcases the variety of home designs available and a unique "Search for your Home" feature.
For more information on this site, visit www.gerstadbuilders.com or call Laura Craft at 770-383-3360 x 24.
For more information on Gerstad Builders, please visit gerstadbuilders.com or call 815-385-4495.
The Home Builders Association of Greater Chicago's KEY and SAMMY Awards celebrate their 40th anniversary in 2012. The awards began in 1972 and have grown throughout the years to now feature more than 100 building, remodeling, marketing and personal achievement categories. The KEY and SAMMY awards are the premier awards of Chicago's residential building industry. To see more award winners, visit Chicago Real Estate Forum.


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Naked Girls porn galleries updated every day, hot young girls, naked girls doing hot hardcore porn. The 70-year-old publisher of Hustler has choice words for those considering a career in porn. The Vintage and the Gleaning - Google Books Result. Risk communication is a mature area of research and practice that informs many.
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subset: commoncrawl


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Apparently Dartmouth finally figured me out...they said that with all the budget cuts they couldn't pay me anymore to sit around and answer the phone (please, we all knew that was coming). However, they made sure to tell me that I could come into the office any time I want and work for free! Ha ha, yeah right-even I am not that desperate!
So now my job hunt continues...I have a little bit of fire under me for this new job hunt because I have no more disposable income coming my way and I think that the parental units are about ready to have me move on and up...I got that feeling when they told me they were going to be moving my bed to the new house in FL and that from now on I will be sleeping in the guest room. Talk about pulling the "rug" out from under me...if I had a rug in my room that might be gone as well!
Now my days are filled with searching the web for job leads, writing and tweaking coverletters and resumes and trying to bleed BT dry of all his potential contacts. I know, I'm living the life!
Not that I have no time for some fun, last night (after a minor time confusion) I went and saw Confessions of a Shopaholic! It was fantastic...I have developed a crush on Luke Brandon (aka Hugh Dancy, aka Claire Danes' fiance), he is absolutely delicious!
Hope everyone has a great day!
xoxo workout girl (ha ha...like gossip girl! I crack myself up!)
p.s. no workout tip today-sorry!


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Find your new home in Louisburg, NCYou are viewing homes 1 to 20 of 23 homes for sale
Learn more about homes in Louisburg, NC
About Louisburg, NC
Established in the 1770's, Louisburg is a small town located in Franklin County. Louisburg is about 30 minutes from Raleigh. In July 2007, Louisburg had a population a little over 3600. Louisburg is home to the oldest 2 year co-ed college in the US, Louisburg College.
Louisburg Home inventory breakdown by property type
Of the 23 homes for sale in Louisburg, the breakdown of property types
is as follows:
61% Single Family and 39% Land/lot.
Area details, home facts and figures
Information from in and around Louisburg...
You are Viewing 1 to 20 of 23 homes for sale in Louisburg. These homes are comprised of Single Family and Land/lot. The average list price of these property results is 188,825. Prices are shown as US Dollar. For more information on these homes for sale in Louisburg please contact our member brokerages to schedule a showing or view an open house.
The 23 homes for sale in Louisburg, NC are represented by 2 member brokerages serving the Louisburg area. Member brokerages representing the 23 homes include Allen Tate Company - Raleigh/Durham/Chapel Hill and Fonville Morisey / Long & Foster Real Estate - North Carolina Region.


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A Swedish art project caused a bomb scare when people mistook "carrot explosives" for the real thing.
The carrot bombs had been placed around the city at the request of a local art gallery, as part of an open-air arts festival.
They had only been in place for an hour before police received their first call.
We received a call ... from a person who said they saw two real bombs placed outside the public library," Ronny Hoerman from the Orebro police force, it was hard to tell if they were real or not from a distance.


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Wall Street's skepticism that Legg Mason Inc. can make its landmark business swap with Citigroup Inc. pay off deepened yesterday, with investors driving down the company's stock price about 17 percent for again falling short of earnings expectations.
Legg's stock - which rocketed to nearly $140 earlier this year in the afterglow of the deal - plummeted to $87.15 from $105.31 Tuesday. It was the second-biggest percentage drop on the New York Stock Exchange.
The move signals investors' growing impatience with a mutual fund company that has enjoyed storied success since its beginnings as a stock brokerage more than 40 years ago.


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"I wrote a three page script, the very basic premise of the script," writer/director Rian Johnson says of the first time he came up with the idea to write the new action, sci-fi movie Looper. This film started as a short that was never produced and now stars Joseph Gordon-Levitt and Bruce Willis. Dreams can happen in Hollywood!
After Johnson got his feet wet writing and directing a few other features such as The Brothers Bloom, he decided to go back to this short script about time travel to see if he could make something of it. It had been 10 years, Johnson says, but it was worth the wait.
"It took me a year an half to write the feature," Johnson says of the film which turned into a much longer version of a travel movie about a mobster hit man who is asked to murder his future self. Sound confusing? That's only the half of it.


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From the RCHD:
We need your help!
Richmond City Health District, Virginia Department of Health and Richmond Behavioral Health Authority are teaming up to administer the Virginia Youth Survey in Richmond Public Schools October 26-30. The survey will be conducted in the City of Richmond to identify and measure youth behaviors such as alcohol, tobacco, and drug use, physical activity, eating behaviors, and violence-related behaviors. Approximately 3,500 middle and high school students will be surveyed during this time. We need volunteers to proctor and monitor the classrooms that will be taking the survey. Volunteers will be asked to read a script outlining the procedures, monitor survey administration, and collect the surveys at the end of the class period. We're in great need of volunteers, so signing up for even one time slot is helpful. Here's the link: https://doodle.com/poll/p69mgnrwa29wqnmk. Please email firstname.lastname@example.com if you have questions.
Raymond Googe
Intern/Fellow Coordinator
Richmond City Health District
400 East Cary Street
Richmond, VA 23219


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Today I decided to be awesome.
The first awesome thing i could think of to do was only use one strap on my backpack to hold my books. I felt really cool walking into school just in time for me to turn on the sound for the announcements. For those who do not know i am the sound guy for my high schools television network, it is called RTN. I strolled into the RTN room like i owned the place and started the music, as picked out previously by Luke, to start the announcements intro.
Most of the rest of the morning consisted of playing Sonic and Monopoly on the Sega Genesis we keep hidden in the RTN room. Unfortunately I lost to luke after skipping lunch in order to finish our game. When i went bankrupt the game made me press a button that said "i agree to bankruptcy" I found this button very degrading. The game obviously knows i cant afford to land on his park place with 2 houses on it. I only had my railroads and 246 dollars cash. I had no choice, it was like Check Mate in chess. So why would it force me to push a button that i know will terminate my chances of winning? Stupid Monopoly.
During second period i felt like the man because i'm probably the oldest person in there and the group i was in was probably thinking i was the smartest person in the world. I don't always feel like the smartest person so this was a good change. Also i dissed my teachers favorite team (Greenbay) by saying the cheese head in the room must be why the portables smell. Everyone Laughed in approval of my joke. I love it. Close to the end of class i decided i wanted a candy bar. So i raised my hand and asked to use the restroom. My teacher regrettably let me go so i swung open the door and jumped over the railing instead of using the stairs. All my classmates saw it. Im awesome.
Nothing really awesome happened until i was leaving the school. While pulling left out of the parking lot i gassed it to hard and my wheels spun and with the slick wet ground i slid until i was two inches from the girls car. She was putting he key into the socket and was staring at me in fear for her vehicle. BUT I DIDNT FLINCH. I pulled away as if i planed that bumping 88.3 Lupe Fiasco "Superstar" It was a little to much.
I Took a power nap, which is a lot better than a regular nap, and got ready for work at my house. I usually jump off the third stair, skipping the first two, but today i decided to be awesome so i jumped from the fifth.
I made sure to walk in Old Chicago, my work, with my uniform under my arm real smooth like. I walked in and went right up to the managers to talk, because i'm confident like that today. My managers decided that the restaurant wasn't busy enough for me to work so i go the night off. I think they just knew today i had my awesome pants on and i was not going to work for anybody!
Grandma Work Out
That pretty much concludes my day of awesomeness. I dedicated this post and today to being awesome to prove to readers that i am not always awkward as i said in my first post. I am a normal kid. If your not really impressed by my swag now then i'm sorry but thats as good as it gets. Pretty successful day for me. Ill try not to be so humble in my next post.


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Learn More
Yeast Extract, Alfa Aesar™
Used as food additive, flavor enhancer in processed foods of all kinds and as nutrient for bacterial culture media. It is used to create savoury flavors and umami taste sensations.
Brand: Alfa Aesar J60287.36
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Clinical and Echocardiographic Outcomes Following Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement
Meta-Analysis and Meta-Regression
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Background—Transcatheter aortic valve replacement has become the procedure of choice for inoperable, high-risk, and many intermediate-risk patients with aortic stenosis. Conduction abnormalities are a common finding after transcatheter aortic valve replacement and often result in permanent pacemaker (PPM) implantation. Data pertaining to the clinical impact of PPM implantation are controversial. We used meta-analysis techniques to summarize the effect of PPM implantation on clinical and echocardiographic outcomes after transcatheter aortic valve replacement.
Methods and Results—Data were summarized as Mantel–Haenszel relative risk (RR) and 95% confidence intervals (CIs) for dichotomous variables and as standardized mean difference and 95% CI for continuous variables We used the Higgins I2 statistic to evaluate heterogeneity. We found that patients with and without PPM have similar all-cause mortality (RR, 0.85; 95% CI, 0.70–1.03), cardiovascular mortality (RR, 0.84; 95% CI, 0.59–1.18), myocardial infarction (RR, 0.47; 95% CI, 0.20–1.11), and stroke (RR, 1.26; 95% CI, 0.70–2.26) at 30 days. The groups were also comparable in all-cause mortality (RR, 1.03; 95% CI, 0.92–1.16), cardiovascular mortality (RR, 0.69; 95% CI, 0.39–1.24), myocardial infarction (RR, 0.58; 95% CI, 0.30–1.13), and stroke (RR, 0.70; 95% CI, 0.47–1.04) at 1 year. We observed that the improvement in left ventricular ejection fraction was significantly greater in the patients without PPM (standardized mean difference, 0.22; 95% CI, 0.12–0.32).
Conclusions—PPM implantation is not associated with increased risk of all-cause mortality, cardiovascular mortality, stroke, or myocardial infarction both at short- and long-term follow-up. However, PPM is associated with impaired left ventricular ejection fraction recovery post-transcatheter aortic valve replacement.
- aortic valve
- meta-analysis
- myocardial infarction
- permanent pacemaker
- transcatheter aortic valve replacement
What Is Known?
Pacemaker implantation is a common adverse effect of transcatheter aortic valve replacement, and the rates of implantation have not decreased despite recent advancements in this field.
Data are controversial on effect of pacemaker implantation on clinical events after transcatheter aortic valve replacement.
Pacemaker implantation is not associated with increased risk of all-cause death, cardiovascular death, stroke, or myocardial infarction at short- or long-term follow-up.
The comparable risk for adverse events in patients with pacemakers is not dependent on baseline patient and echocardiographic characteristics.
Recovery of left ventricular ejection fraction is impaired in patients with post-transcatheter aortic valve replacement pacemaker implantation.
Transcatheter aortic valve replacement (TAVR) has become the treatment of choice for inoperable patients with symptomatic, severe aortic stenosis and is a viable alternative to surgical aortic valve replacement for high and intermediate surgical risk patients.1–3 However, TAVR is frequently complicated by conduction abnormalities, and between 10% and 40% of the patients undergoing TAVR with contemporary valves require permanent pacemaker (PPM) implantation.4,5 The rate of PPM implantation is significantly higher in patients undergoing TAVR when compared with those undergoing surgical aortic valve replacement.6 A high prevalence of comorbidities and advanced age in the TAVR population and the anatomic proximity of the infranodal conduction system to the aortic valvular complex contribute to this increased risk.7,8 Right ventricular pacing has been linked to an increased composite outcome of mortality and rehospitalization in patients with left ventricular (LV) dysfunction and to tachyarrhythmias and pacing-induced cardiomyopathies.9–11
See Editorial by Franzone and Windecker
Although the factors contributing to post-TAVR PPM implantation have been studied in great detail, its impact on short- and long-term clinical outcomes remains controversial. A recent large cohort study showed significantly increased mortality in patients with PPM implantation, although other analyses have not revealed any substantial survival differences.12–14 Recent literature also suggests that PPM implantation may impair post-TAVR improvement in LV ejection fraction (LVEF) at 6- to 12-month follow-up.15–17 Previous meta-analyses on this topic have been limited by small number of studies, analysis of only mortality outcomes, and inclusion of data at a maximum of 1-year follow-up.18,19 We therefore used meta-analysis techniques in an effort to summarize the impact of postprocedural PPM implantation on a broad assessment of short- and long-term clinical and echocardiographic outcomes such as all-cause mortality, cardiovascular mortality, risk of stroke, risk of myocardial infarction (MI), and improvement in LVEF after TAVR. Using meta-regression techniques, we further evaluated the impact of baseline characteristics such as sex, valve type, atrial fibrillation, renal disease, age, European System for Cardiac Operative Risk Evaluation Score (EUROSCORE), and LVEF on mortality outcomes. To the best of our knowledge, this is the largest and most comprehensive meta-analysis on this topic.
Search Strategy
A computerized literature search of all publications in the PubMed and EMBASE databases was made. We then manually searched the reference lists of included articles. This was last assessed as up-to-date on December 1, 2016 (Figure 1).
Inclusion Criteria
The Preferred Reporting Items for Systematic reviews and Meta-Analyses statement of reporting systematic reviews and meta-analysis was applied to the methods for this study.20
The following inclusion criteria were used:
Studies on TAVR comparing patients with postprocedural PPM with those without PPM.
Studies which evaluated at least 1 of the primary and secondary outcomes of interest.
Studies on all TAVR valve types and TAVR approaches.
The following exclusion criteria were used:
Studies on PPM implantation post-TAVR.
Studies which failed to exclude (or create a separate category for) patients with PPM present before TAVR.
Studies where data pertaining to none of the outcomes of interest could not be extracted.
Studies without a minimum follow-up of 30 days and studies where LVEF was evaluated only in the immediate postprocedure period.
Conference abstracts and studies in languages other than English
Studies with previous PPM use were only included if data for post-TAVR PPM implantation could be abstracted. We did not include patients with previous PPM in our analysis.
Study End-Points
The primary outcome of interest for our study was all-cause mortality at 1 year. Secondary outcomes included (1) all-cause mortality at 30 days, (2) cardiovascular mortality at 30 days, (3) stroke risk at 30 days, (4) MI at 30 days, (5) cardiovascular mortality at 1 year, (6) stroke at 1 year, (7) MI at 1 year, (8) improvement in LVEF, and (9) all-cause mortality at longest follow-up (>1 year).
Data Abstraction and Individual Study Quality Appraisal
Two authors (D.M., S.R.K.) abstracted data from all included studies on to a standardized worksheet. The following data were collected: name of author, study title, year of publication, TAVR access site, study period, number of patients included, number of PPM implanted, type of study, timing of PPM implantation, indications for PPM, total duration of follow-up, percentage of valve type, percentage of certain baseline variables (male sex, atrial fibrillation, and renal failure), mean age, and mean EUROSCORE. Also, data required for comparative analysis of all outcomes were abstracted. For 2 studies,16,21 changes in LVEF were not mentioned in the text and were obtained from figures using the graphical analytic software-Plot Digitizer v 2.1.
Two authors (D.M., S.R.K.) independently assessed the risk of bias of included studies using the standardized Newcastle–Ottawa scale. This validated instrument for appraising observational studies measures risk of bias in 8 categories: representativeness of the exposed cohort (S1); selection of the nonexposed cohort (S2); ascertainment of exposure (S3); demonstration that the outcome of interest was not present at the start of the study (S4); comparability (C1 and C2); assessment of outcome (E1); follow-up long enough for outcomes to occur (E2); and adequacy of follow-up of cohorts (E3; Table I in the Data Supplement). Discrepancies were resolved by discussion or adjudication by a third author (A.K.). For the purposes of this study, a point was given for S2 if controls came from the same hospitalized cohort. Points were given for C1 and C2 if adjusted risk was provided for any of the outcomes of interest, and points were given for E3 if follow-up (or rate of loss to follow-up) was similar between patients with and without pacemaker. Sensitivity analysis was done with inclusion of only high-quality studies (≥6/9) for the primary outcome.
Study Analysis
Categorical dichotomous data were summarized across treatment arms using the Mantel–Haenszel risk ratio (RR) along with 95% confidence intervals (CIs). Continuous data were summarized across treatment arms as standardized mean difference with 95% CI. We evaluated heterogeneity of effects using the Higgins I2 statistic. Fixed-effects model was used except in cases where heterogeneity was significant (defined as I2>40%). In these cases, random-effects models were used. For studies where patients without PPM were subdivided into groups (such as with and without conduction abnormalities), we combined the means and SD of these groups based on formulae specified by the Cochrane Collaboration. In addition, for calculation of improvement in LVEF, there were 3 studies16,17,21 where SDs for change (improvement) in LVEF were not available. Here, we imputed the SD based on other studies in the meta-analysis with similar follow-up duration based on guidelines for systematic reviews provided by the Cochrane Collaboration. We also performed meta-regression analyses for 30-day and 1-year mortality to determine whether effects of PPM were modulated by prespecified study-level factors such as age, male sex, atrial fibrillation, EUROSCORE, previous renal impairment, LVEF, and type of valve (Figures I and II in the Data Supplement). This analysis was not possible for other outcomes because of smaller number of included studies for these analyses. We also performed sensitivity analysis to evaluate how removal of each study impacts overall outcome. To address publication bias, we used 2 methods: (1) visual inspection of funnel plots and (2) Egger test. Publication bias could not be assessed in outcomes where <3 studies were included. Comprehensive Meta-analysis v 3.3.070 was used for meta-analysis and meta-regression. A 2-tailed P value of 0.05 was considered significant for all our analyses.
Our search yielded 23 studies12–14,16,17,21–38 with 20 287 patients and 2553 PPM implantations published between the years 2010 and 2016 (Table).
Primary End Point (1-Year All-Cause Mortality), Mortality at Longest Follow-Up (>1 Year), and Cardiovascular Mortality at 1 Year
There was no evidence of difference in 1-year all-cause mortality between patients with and without PPM implantation (RR, 1.03; 95% CI, 0.92–1.16; Figure 2). Meta-regression showed that age, male sex, atrial fibrillation, EUROSCORE, previous renal impairment, LVEF, proportion of Medtronic CoreValve (Medtronic, Minneapolis, MN) were not significantly associated with the 1-year all-cause mortality (Figure II in the Data Supplement). Sensitivity analysis after removal of low-quality studies did not change the overall result (RR, 1.03; 95% CI, 0.92–1.16; Figure IV in the Data Supplement). Cardiovascular mortality at 1 year was similar between the 2 groups (RR, 0.69; 95% CI, 0.39–1.24) (Figure 2). There was no evidence of difference in the mortality at longest follow-up (RR, 1.05; 95% CI, 0.91–1.22) (Figure 3).
All-Cause Mortality, Cardiovascular Mortality, MI, and Stroke at 30 Days
There was no evidence of difference in all-cause mortality (RR, 0.85; 95% CI, 0.70–1.03), cardiovascular mortality (RR, 0.84; 95% CI, 0.59–1.18), stroke (RR, 1.26; 95% CI, 0.70–2.26), or MI (RR, 0.47; 95% CI, 0.20–1.11) at 30 days between patients with and without PPM implantation (Figures 4 and 5). Meta-regression techniques showed that age, male sex, atrial fibrillation, EUROSCORE, previous renal impairment, LVEF, and proportion of Medtronic CoreValve were not significantly associated with 30-day all-cause mortality (Figure I in the Data Supplement). However, we observed that after removal of the study by Fadahunsi et al,12 patients with PPM had a significantly decreased 30-day mortality (RR, 0.75; 95% CI, 0.59–0.96; Figure V in the Data Supplement).
MI and Stroke at 1 Year
There was no evidence of difference between the 2 groups for MI (RR, 0.58; 95% CI, 0.30–1.13) and stroke at 1 year (RR, 0.70; 95% CI 0.47–1.04; Figure 6).
Improvement in LVEF
We observed that the improvement in LVEF was significantly greater in the patients who did not have PPM implantation (standardized mean difference, 0.22; 95% CI, 0.12–0.32; Figure 3).
Publication Bias
There was no evidence of publication bias in all-cause mortality at 30 days (Egger test P=0.262), cardiovascular mortality at 30 days (Egger test P=0.243), stroke risk at 30 days (Egger test P=0.773), MI at 30 days (Egger test P=0.784), stroke at 1 year (Egger test P=0.243), and improvement in LVEF (Egger test P=0.660). Although visual inspection of the funnel plot for all-cause mortality at 30 days did not reveal publication bias, Egger test indicated possibility of publication bias (P=0.050). Both funnel plot analysis and Egger test suggested publication bias for all-cause mortality at longest follow-up (Egger test P=0.026). Funnel plots for individual analyses are provided in Figure III in the Data Supplement.
In our analysis of 23 studies, including >20 000 patients undergoing TAVR, we observed that PPM implantation does not increase the risk of all-cause mortality, cardiovascular mortality, MI, or stroke at 30-day or 1-year follow-up. We also observed that mortality at follow-up >1 year remains unaffected by PPM implantation. However, we did observe that patients who receive PPM experienced a significantly lower improvement in LVEF.
Conduction disturbances are a frequent post-TAVR complication, and PPM is required in around 10% to 40% of patients undergoing TAVR.4,5 The risk for PPM implantation is 5× higher when placing the Medtronic CoreValve when compared with the Edwards SAPIEN Valve (Edwards Lifesciences, Irvine, CA).4,39 Although use of the newer Accutrak delivery system for Medtronic CoreValve is associated with a decreased need for PPM implantation, close to 10% of patients still require postprocedural PPM.40 Furthermore, the rates of PPM implantation are significantly higher in TAVR when compared with surgical aortic valve replacement and continue to remain high for newer valve types, such as the SAPIEN 3 and the repositionable LOTUS valve system (Boston Scientific, Natick, MA).6,41 Therefore, as the horizon of TAVR expands to include lower-risk patients, it is important to evaluate the clinical impact of this complication both in the short term and at longer durations of follow-up.
In this large meta-analysis, we show that all-cause mortality does not differ between patients with and without PPM. Although our findings are concordant with previous meta-analyses, they are in stark contrast with a recent analysis of over 9000 patients from the Society of Thoracic Surgeons American College of Cardiology Transcatheter Valve Therapy registry. This study suggested that patients with PPM are at significantly increased risk of all-cause mortality on 1-year follow-up (hazard ratio, 1.31; 95% CI, 1.09–1.58). There are several important points to consider relative to this study. First, the 6.7% incidence of PPM implantation in this study was significantly lower than rates reported by previous studies.4,42 In addition, this study showed comparable mortality between the 2 groups at 30 days, indicating that the difference in effect occurs toward the later part of follow-up (30 days to 1 year). However, a review of the cumulative incidence curves for 1-year mortality in this work reveals a significant and unequal loss to follow-up of 76% for the PPM group and 36% for the no-PPM group. Of note, when the results of this study were imputed as RR (thereby removing the effect of time) for the purposes of this meta-analysis, the comparative risk became nonsignificant.12
Our study also demonstrates that the effect of PPM implantation on mortality is unaffected by type of valve, sex, renal failure, presence of atrial fibrillation, baseline LVEF, and age. Of note, we did observe that on sensitivity analysis (after removal of the study by Fadahunsi et al,12 patients in the PPM group had a significantly decreased 30-day mortality. Urena et al16 noted a similar reduction in 30-day sudden deaths and postulated that the presence of a new-onset left bundle branch block leading to complete atrioventricular block may explain the increased risk of sudden death in the non-PPM group.12,16 It is also possible that unrecognized episodic high-grade conduction disease before TAVR resulted in higher mortality in the non-PPM group.43 We also found that although difference in risk of stroke at 1 year did not reach statistical significance, there was a trend toward reduced risk in patients with PPM (RR, 0.70; 95% CI, 0.47–1.04). One possible explanation for this may be unmatched baseline characteristics. Both Dizon et al13 and Buellesfeld et al26 reported a higher prevalence of atrial fibrillation in patients who did not receive PPM after TAVR. Dizon et al13 also reported a higher prevalence of previous stroke/transient ischemic attack at baseline. It is also possible that atrial pacing in patients with sinus node dysfunction may lead to reduced prevalence of atrial fibrillation and stroke at 1 year. Dizon et al13 demonstrated a differential prevalence of atrial fibrillation at 1 year between patients with previous PPM, new PPM, and those without PPM (12.3%, 17.1%, and 20.7%, respectively).13,26,44
We also showed that patients with PPM have a decreased improvement in LVEF. Right ventricular pacing has previously been shown to cause reduction in cardiac output, stroke volume, impaired diastolic relaxation, and increased LV end-diastolic pressure in patients with and without LV dysfunction.10,45 Acute right ventricular pacing has also been linked to significant reduction in LVEF.45 However, for patients undergoing TAVR, this deleterious effect on LVEF has not shown to correlate with diagnosis of clinical heart failure, readmissions, or worsening mortality outcomes. Both Fadahunsi et al12 and Urena et al16 reported similar rates of heart failure readmission in both groups at 12 and 22 months, respectively. There are several possible explanations for this. First, in patients with normal LVEF (who constitute two third of the TAVR population), a long duration of pacing (usually >3 years) is usually required to develop adverse clinical outcomes.46–49 Among studies included in our analysis, only 3 had follow-up longer than 3 years.23,31,36 In addition, higher cumulative ventricular pacing percentage has been shown to be a strong predictor of negative outcomes.47 However, Van der Boon et al50 showed that over 50% of patients with PPM after TAVR are not pacemaker dependent on 1-year follow-up.46,50 Among the studies included in our analysis, Fraccaro et al27 reported that at 6 months, 12 of 17 patients with PPM had a spontaneous rhythm, and mean ventricular pacing percentage was only 19%. Pereira et al30 reported a slightly higher ventricular pacing percentage of 49.5% at 12 months with 26.7% PPM dependency. We therefore suggest that a biventricular pacemaker be considered in patients with low pre-TAVR LVEF who require postprocedural PPM implantation.
Although our large meta-analysis corroborates the safety of pacemaker use in TAVR, there are a few limitations to our analysis. First, this is a meta-analysis performed on study-level data encompassing varying degrees of selection bias that is difficult to ascertain. Second, there was an insufficient number of studies that reported ventricular pacing percentage to include this measure in our meta-regression model. This would be a useful analysis and should be considered in future prospective research. Third, the studies differed in methodology, definition of outcomes, and baseline characteristics. In addition, only 3 of the included studies included follow-up data >3 years which may be required to experience the adverse effects of PPM in patients with normal LVEF. Therefore, it is possible that a difference between the groups may have been evident, if outcomes had been measured at a longer duration of follow-up. Furthermore, we do not have granular data to study other morbidities of PPM implantation, such as infection, pneumothorax, pocket hematoma, etc, which may result in significant clinical consequences outside of mortality. Also, our analysis of cardiovascular mortality and MI at 1 year was limited by small number of studies, and hence results from these analyses should be extrapolated with caution. Last, none of the studies included in our analysis of LVEF recovery had significant LV dysfunction at baseline, and, therefore, our findings may not extend to this subgroup of patients. To address some of these limitations, we performed sensitivity analysis based on quality of studies and by using the one-study removal method. In addition, despite small differences in study methodology, it is reassuring that heterogeneity was low to nil for the majority of our outcomes.
In this large meta-analysis, we show that PPM implantation after TAVR is not associated with increased risk of all-cause mortality, cardiovascular mortality, stroke, or MI at short- or long-term follow-up. However, PPM implantation does result in impaired recovery of LVEF after TAVR.
The Data Supplement is available at http://circinterventions.ahajournals.org/lookup/suppl/doi:10.1161/CIRCINTERVENTIONS.117.005046/-/DC1.
- Received January 25, 2017.
- Accepted May 15, 2017.
- © 2017 American Heart Association, Inc.
- 1.↵
- Leon MB,
- Smith CR,
- Mack M,
- Miller DC,
- Moses JW,
- Svensson LG,
- Tuzcu EM,
- Webb JG,
- Fontana GP,
- Makkar RR,
- Brown DL,
- Block PC,
- Guyton RA,
- Pichard AD,
- Bavaria JE,
- Herrmann HC,
- Douglas PS,
- Petersen JL,
- Akin JJ,
- Anderson WN,
- Wang D,
- Pocock S
- 2.↵
- Kondur A,
- Briasoulis A,
- Palla M,
- Penumetcha A,
- Mallikethi-Reddy S,
- Badheka A,
- Schreiber T
- 3.↵
- Makkar RR,
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- de Jaegere PP
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- Clinical and Echocardiographic Outcomes Following Permanent Pacemaker Implantation After Transcatheter Aortic Valve ReplacementDivyanshu Mohananey, Yash Jobanputra, Arnav Kumar, Amar Krishnaswamy, Stephanie Mick, Jonathon M. White and Samir R. KapadiaCirculation: Cardiovascular Interventions. 2017;10:e005046, originally published July 11, 2017https://doi.org/10.1161/CIRCINTERVENTIONS.117.005046


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GRIMprov/ Dead Unicorn Ink FUN-raiser!
Good day cyber-world! GRIMprov is proud to announce it's partnership with our friends at Dead Unicorn Ink as we move towards this year's 2013 Fringe Festival! We are doing a fundraiser with some great bands, BEER, DJ Helicase, some live theatre and of course a GRIMprovised performance!
Best thing is is that all proceeds of this amazing event go to us and Dead Unicorn Ink to help us during this year's Fringe Festival, tickets are 15 dollars at the door and only $13 if you buy online!
We hope to see you out there and thank you for supporting emerging Ottawa artists!
Tickets: http://www.brownpapertickets.com/event/363662
Dead Unicron's site: http://deadunicornink.com/


text: 3.11 PADGen 18.104.22.168 http://www.padgen.org Portable Application Description, or PAD for short, is a data set that is used by shareware authors to disseminate information to anyone interested in their software products. To find out more go to http://pad.asp-software.org Jim Singh Software http://flexibeatz.weebly.com Jim Singh email@example.com BlowFly 1.01 10 12 2013 0 Freeware New Release Install Only Win2000,Win7 x32,WinVista,WinXP English Audio Audio & Multimedia::Music Composers Pentium 2, 500MHz, 256MB RAM 144044 140 0.14 N Days stochastic sythesis, noise maker, computer generated music, synthesizer generates a constanly changing soundscape generates a continously changing soundscape within user-set parameters Blowfly is a synthesizer which applies the principles of Dynamic Stochastic Synthesis to a Bezier curve to produce a continuously changing soundscape within user-defined parameters. The parameters are midi-controllable. Creates distinctive samples. Blowfly is a synthesizer which applies the principles of Dynamic Stochastic Synthesis to a Bezier curve to produce a constantly changing soundscape within user-defined parameters. Probability distributions change the shape and length of each cycle of the sound, making each cycle different from the one before. This produces sounds of a distincitve character - ranging from subtle and mellow to bright, angry and distorted. It is midi-controllable. Blowfly is a synthesizer which applies the principles of Dynamic Stochastic Synthesis to a Bezier curve to produce a constantly changing soundscape within user-defined parameters. The user can set values for parameters such as probability distributions and movement limits, and these act on the Bezier curve (which represents a single cycle of the sound), thereby continously changing the shape and length of the curve from one cycle to the next, but all within the defined constraints. This produces a soundscape of a very distinctive character, unique to this type of synthesis - ranging from almost a static tone to a gentle phasing to more pronounced frequency variations to bright, angry and distorted passages. Blowfly rewards patience with its unpredictability (in that the results of some parameter changes may not be evident right away, but after a while...off it goes). You can record its entire output as a computer-genrerated sound piece, or simply select samples for use in your compositions. Blowfly's settings are midi-controllable, for example with a virtual controller application featuring sliders and buttons, with a hardware midi controller, or even with something like a wii-wand. http://flexibeatz.weebly.com/blowfly.html http://flexibeatz.weebly.com/uploads/6/7/8/0/6780531/4472292_orig.jpg http://www.weebly.com/uploads/6/7/8/0/6780531/1742969.jpg?64 http://www.weebly.com/uploads/6/7/8/0/6780531/blowfly.xml http://flexibeatz.weebly.com/uploads/6/7/8/0/6780531/blowflyv101.zip http://www.mediafire.com/?zy1z5d48lverdc2 Please contact Jim Singh via email, if you are interested in mass-distributing BlowFly electronically or via compilation CDs. Under no circumstances may you sell or lease BlowFly, and under all circumstances you must disclose that this is a Freeware application BlowFly Version 1.01. This software is copyright Jim Singh 2013. Copyright law protects this software. Jim Singh retains title to and ownership in the copyright of this software and associated materials. Freeware License Rights: This software is provided as freeware. Freeware products are provided free of charge. The copyright holder may post a request for a donation in support of this software. This type of request does not change the classification of this software as freeware. Freeware software may be used as many times as you like, for as long as you like. You may copy and distribute copies of this program. You must not charge money or fees for the software. The copyright holder reserves the right to reclassify this software as a non-freeware product at a later date (i.e. shareware, licensed royalty software, or public domain). Doing so will not modify the license agreement of previously distributed executables. 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January 16th, 2012, 07:26 PM #1
- Join Date
- Mar 2011
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CTI countdown nearing an end....FINALLY!
What started out at T- 289 days has finally reach T-11 days. I want to give big "thank you" to all the people who post on this message board . Thanks for all of the great information that I was able to find, the beautiful pictures that some have shared & the honest opinions that were given. When I return from our trip I look forward to being able to help out others like I was helped.
Also, I want to say "Hi" to the others that I will soon be meeting . (Jan 27- Feb 3)~Jeniper, Ill see you in Atlanta. ~TNR (tiffany & randy) (darren & monica) We will see seeing you at the airport. Im a short dark hair lady with highlights and glasses. Dave is a taller blonde. Come introduce yourself. ~Clare will be ther on the 28th to join our party, and lastly a shout out to ~Cseguin7130 (claude) who will be joining on the 30th.
Anyone else out there going to be there during this time? It is always neat to meet people from all over. Drop in, leave a line or two and let us know who you are and what dates you will be arriving.
Wearing my long johns in minnesota.... aka Tara


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AfriGeneas Slave Research Forum
William Young Lewis Slave Indentures, New Orleans
New discovery found while researching a divorce in 1831, Louisiana. William Young Lewis was a lawyer & notary in New Orleans who made & notarized indentures of slaves for their masters who were looking to move their slaves from Louisiana to Mexican Texas. Mexico at that time had made it illegal to move slaves into Texas but you could move long term indentured servants there with a notarized document stating they were such, also their names, ages, & the amount of their indenture (really what they were worth on the current market). The one I obtained from LSU Library Special Collection (they have seven indentures) makes it out like the individual slaves know they are going to Texas & are going freely & happy to accompany their master & work off their indenture of ninety years (no joke) in any capacity. The document states that they will be well cared for, etc. It has to be read to be believed. This particular indenture was for one woman & five children, most under 16. It called her their friend & guardian & that she had explained it all to them & they agreed to it. Their owner was sending them to Texas to keep his wife from getting them in a divorce settlement that was going badly for him & the same day the document was drawn up, the slaves were on a ship & bound for Brazoria, Texas. I do not know if there are other of these indentures drawn up by other lawyers in New Orleans or elsewhere for other slave owners moving to Texas between 1830-1836. I do know that when their owner died in Texas in 1836 on his estate inventory the same people were called slaves & inventoried as such, no calling them indentured servants. So just a new place to look for anyone researching slaves in families who moved from or through Louisiana 1830-1836 to Texas may find them in these indentures as there are likely more than the seven I found. The ones in LSU Special Collections in the collection have the names of the owners & what parish in Louisiana they are from & all indentures were done in New Orleans by Lawyer Lewis.


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elemental god, fantasy romance, Jamaica, novels set in Jamaica, romance, witch, work in progress
The polishing process with my critique partners, the wonderful author Beth Trissel and the imaginative multi-published author Toni Sweeney, is almost finished on this 207 page book.
The Summons is about a witch who doesn't know she has such powers and the spirit she summons from another dimension.
Heather is a romance writer. Eryael is the elemental god of the wind and sea. The book is set in Jamaica. I think I will submit it to The Wild Rose Press, hoping they will contract it as they did Love for Sale. Now, however, my editor has another of my books (the only romance I've ever written in which the hero is human) called Gambler's Choice, a novel about the horsey set.
His name vibrated through his entire being. The intensity of the call shocked him. A sudden, unreasonable fear chilled him despite the warmth of the surrounding air. As he collected himself to respond, again another being's panic seized him. Impossible but he was falling!
He was shrinking, compressing. It was a pleasant feeling, not painful, not frightening but interesting—a hugging together of his nebulous self. Disorientation should have alerted him that he was growing small enough to pass through, but it had been so long he'd forgotten.
This side of the curtain, time had no meaning. He remembered nothing of the other dimension—except that it existed in some vague, prickly memory.
Sofiel was with him, riding high on the crystal winds. His dark brother shot him a puzzled frown. He, too, felt the pull of the Summons. Faraway chants echoed, distant drums beating a seductive rhythm. A scream pierced him. Vague recollections of this tearing apart surfaced. The Summons was not for Sofiel. It was for Eyrael alone. Darkness blinded him, and he imploded.
Eyrael's next awareness was the caress of a warm liquid caressing and supporting him as the air had done moments ago. Not only the water, but he was changing shape, forming, drawing tighter together. He tried to expand, met solid resistance. He found himself inside a grid work of bone and flesh. A flash of light sizzled from the sky to the sea, thunder booming in its wake. Every detail of his previous visits to this place manifested at once. Strange the way that happened. It was always the same. One minute, he recalled nothing; the next, he knew everything. Memories waltzed before his eyes, beckoning him deeper into the mortal fold, the place where the People lived.
Their drums resonated in his blood, chants welding him to their realm. They had named him God of Wind and Sea, but commanded him to their will.
He concentrated on the shape of the People, flexing his arms, stretching his legs. Both too long, he had to adjust. The beach seemed far away, those gathered around the ceremonial fire stick figures. He blew out a breath, and the wind howled. He rethought his height. Finally, he achieved the Eyrael they expected to answer their Summons.
The sea played with his shoulders and his hair. Eryael smiled his Pleasure.
A scream gurgled in the waves ahead. A head split the churning ocean. One of the People. I must rescue. He shook the mane of hair back from his face and considered that, perhaps, he had too much hair. The tiny being reappeared frantically battling itself, spouting water from its mouth. Its cries stabbed him like splinters of darkness, and the pain, as much as any sense of duty, tugged him toward the drowning creature.
"Eyrael!" His name split the night sky, reverberating off the pinpoint stars.
He hated the mortal engaged in a hopeless skirmish with the water. Eyrael was irritated that its despair had somehow torn the curtain between the worlds and brought him over merely to sustain its brief flicker of life.
Silence. She no longer cried. Facedown, the waves washed a slender body toward the shore. A thrill shivered over his entire body. A woman, giver of the utmost Pleasure.
On the beach, dark shapes formed a half-circle around a soaring beacon fire. As one, they dropped to their knees and bent from the waist, their foreheads on the sand. A lone figure remained standing. The multi-colored feathers in the Shaman's headdress danced in the wind of Eryael's passage. Taino, young and virile, wise man, witch doctor, a powerful magic user. The Indian sorcerer pinned Eyrael with eyes cold and hard as onyx.
Ah, the woman is a sacrifice but not to me.
Eyrael was well aware this Shaman revered Sofiel. Taino thought to command Eyrael's dark brother. A generation of the People had grown to manhood while the silence lasted between the spirits and the tribe. The witch doctor had summoned Sofiel, yet Eyrael had been pulled across. How could this be?
Still, he was in the land of the People. Perhaps, there was Pleasure to be had. At the very least, he could enjoy sight in the mortal sense. Sight brought with it emotion. Ah, emotion! Fierce and passionate. Sex with emotion was bliss. Heat throbbed low in his body. An image of a woman writhing beneath him intensified desire. The vision made his shaft grow hard.
The drowning woman bobbed on a wave. "Eyrael," she prayed. "I see you now. I'm coming."
An invisible cord drew him closer to the sacrifice.
Eyrael. The woman, not the Shaman, had Summoned him. Indeed, she must be a powerful witch. He would rescue the sacrifice and foil the Shaman's plans. Delighted, he laughed, the sound startling him. He had forgotten how mirth rumbled from human throats, but laughter like sight was Pleasure.
He lifted on the waves, flowing to the witch. She was still, appeared lifeless but he sensed her essence had not yet departed. He scooped her from the ocean into his arms. Her head drooped over the crook of his elbow, her long, rough gown molding to an exquisite body. Golden hair clung to a pale but beautiful face. Eyrael bent and kissed her mouth. At the touch of flesh on flesh, Pleasure stirred. He opened his mouth over hers, tracing her lower lip with his tongue. Fierce emotions and that wonder passion sizzled through him. She sputtered, coughing. He must revive the woman, carry her to the beach and take her hard and fast, the Shaman and his flock watching him, not Sofiel, enjoy the sacrifice.
He drew back, willing the pretty witch to live. Her eyelids flickered. She choked, another hard cough wracking her fragile body. Large eyes of a beautiful blue fluttered open, widened, and a lightning-like thrill zinged through Eyrael. Blue eyes were his favorite. Maybe he'd have blue eyes this visit. Spellbound, he bent to kiss her. The woman screamed, struggling in his embrace. Her sharp cry hurt his ears.
His arms tightened, cradling her to his chest. She was soft, her flesh yielding, and the feel of her breast against him exciting. "Do not struggle. You are too weak."
What did he look like to this creature? Hair the color of sea foam flowed over his shoulders. His eyes were the color of rainbows in glass. The People never feared him, but this golden-haired witch trembled in terror when she should be grateful. If he didn't yearn to discover how she'd Summoned him, he'd allow his ocean claim her. The drums throbbed, low and angry. The Shaman's resentment and frustration blew bitter on the wind. Dark emotions haunted the moonlit beach where the People paid homage to the wrong god. Soon, Taino would understand he could not command a spirit.


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We are absolutely thrilled to invite you to our one-year anniversary since our launch at Whole Foods Market.
This is going to be a very informal and friendly get-together to give us the chance to personally thank you and all the awesome souls who supported us along the way, by offering heaps of positive energy, precious feedback, encouragement and good laughters.
We are preparing little gift bags (which include also our new Crunchy Bites) for all attendees so we would kindly ask you to RSVP by Friday 12th January!
We cannot wait to see you on Thurs 18th January 2018 at Whole Foods Market (Kensington) and raise a glass to another great year together.
Much love,
Stephanie & Mindful Bites Team


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pRIVATE pARTY
- Exclusive use of the Party Room upstairs during the time slot booked.
- The facility is still OPEN to the public.
- Outside Food and Non-Alcoholic Beverages Allowed. Food Delivery is welcome. We have a fridge and freezer to store your cake if necessary.
- Parties must bring all of your own supplies; decorations, cups, napkins, plates & utensils.
- You may come 15 - 30 minutes prior to your party time slot for set-up if the space in the party room is available.
- You may invite up to 100 guests at no additional charge.
- Unlimited playtime in the playground, ballocity and the rock climbing walls, until we close that day.
- Bumper Car Rides & Laser Tag Games are additional party add-ons. For a quote, please see Private Party Add-Ons below.
- Please vacate the party room 10 - 15 minutes early for staff to clean-up.
- No pinatas, glitter, silly string or confetti are allowed. Otherwise there is a $25 clean up charge.
- No items containing peanuts or alcohol allowed. We are a Peanut Aware Facility. (NO EXCEPTIONS)
- Food items and drinks are NOT allowed to leave the upstairs Party Room. Please also advise your guests.
- $100 non-refundable deposit required at the time of booking.*
*In case of an unexpected cancellation, credit will be given to the next booking or future admission.
Private party


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Epidemiology of Aging
EPI 210 Winter 2018 (2 units)
& Biostatistics
This course will provide an overview of issues and methods regarding the epidemiology of aging with a focus on common chronic diseases in older populations.
Course content will be delivered through weekly interactive lectures. These will take place on Wednesdays from 10:30 AM to 12:00 PM, Jan. 10 to Mar. 21.
All course materials and handouts will be posted on the course's online syllabus.
Grading is based on the following distribution:
UCSF Graduate Division Policy on Disabilities
To apply for this course, please fill out and submit the application below. Course fees are covered by the Department of Epidemiology and Biostatistics. The deadline for application is December 22, 2017. Only one application needs to be completed for all courses desired during the quarter.


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Title: Discovering & WritingCampus News
Reporter:Hongsong Zhou
Time: 9:00, Thursdaymorning, April 20th, 2017
Venue: Second ReceptionRoom, 21st floor, the Century Building
Zhou, a seniorreporter of the journalist station of China Education Daily in Hebei, hasbeen working closely with many colleges and universities, thus accumulated a wealth of practical experience in discovering and writing campus news.
This is thesecond lecture of a series of activities themed by "Walking with Famous Journalists"and conducted by News Center at YSU. To enrich campus culture and improvestudent reporters' writing techniques, this series invites journalists from famous newspapers and periodicals to share their stories about their jobs.
All students are welcome.
Publicity Office of Party Committee at YSU
YSU News Center
Apr. 19th,2017


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I took note of the Joy Reid (no relation to this guy apparently - but you know - what happens in Vegas...) comment (via Weasel Zippers) about how the Republicans have apparently gone ahead and shot the hostage.
I remember back when Obamacare was being debated. We were told by everyone how we needed to keep it civil. Now that it is under a legitimate counter-attack, I guess all that is out the window. For proof I guess you only have to look at the compilation here about all the violent rhetoric the commander in chief is using (H/T Instapundit).
Remember these that Sara Palin was using that had the left all in a twitter?
And now it's ok to talk about Republicans shooting hostages. What's next - it will be OK for a guy like this:


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COUPONS: Earth's Best
Earth's Best has some great coupons available on their website for organic baby products! Toys R Us frequently has store coupons available for these items, so you can stack the coupons for even greater savings!
Save $1 on any Earth's Best TenderCare Chlorine Free Wipes Tub or Refill
Save $1 on ten (10) jars of Earth's Best Organic Baby Food
Save $1 on the purchase of two (2) Earth's Best Sesame Street Products
Save $0.55 on one (1) box of Earth's Best Organic Infant Cereal
Save $5 on one (1) canister of Earth's Best Organic Infant Formula
**Combine with this Toys R Us Coupon: Save $3 on any two (2) 23.2-oz or larger powder formula (Earth's Best is one of the brands included on this coupon; valid 1/01-1/21/10)
**Deal Scenario: If you have access to two computers, print one Earth's Best coupon on each computer, combine with Toys R Us coupon above, purchase 2 canisters of Earth's Best formula (23.2-oz or larger) and SAVE $13 on two canisters!
These coupons are available to US residents only and there is a limit of one (1) print. If you have access to another computer, you can print another set of coupons.


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Hi, my promise is in 1 Corinthians 15:22 which say's, for as in Adam all die so in Christ all will be made alive.
So this is talking fiscally but in Ephesians 2:5 it says that we are alive in Christ and that is talking about christians we are alive in Christ if we belive that Jesus is our saviour and confess that we are sinners.
God is mercifull and he will forgive your sins.


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(At least we THINK I did.)
Due to the insanity of bureaucratic nincompoops, I've been taking an online Water Treatment Test.
The course was laden with chemical formulas and equations–not my forte. With much apprehension I sat down this morning to take the exam. It ended up going far better than I feared!
My score was an 83%, which we assume to be passing, but it didn't say. It didn't congratulate me, or let me know that my transcript would be in the mail. It just gave the score. I guess I should be grateful that I didn't have to convert my score from cubic gallons or chlorination ratios.
Whew. I'm relieved to have it done. I still need to pass the local certification test, but Ken says that its much easier, and he'll coach me before I go.
So… I now have 15 hours of Water Treatment credit to add to my eclectic college transcripts. And… I'm most of the way toward being qualified to fill a jar with city water to send to an outside lab for testing–just because the city says we have to.


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Available in three sizes—60%, tenkeyless, and full-size—these felt keyboard cases are as stylish as they are protective. Made of heather gray felt, each one is machine-stitched and equipped with an elastic strap to ensure the foldover closure is secure. And thanks to the soft felt interior, your board is safe from nicks, dust, and scratches while in transit.
Note: At checkout you will have a choice of carrying case in either 40% (Planck), Preonic, 60%, 80% (+$1), or 100% (+$2).
All orders will be shipped by Massdrop.
Estimated ship date is Mar 22, 2018 PT.
After the drop ends, payment will be collected. To deliver the best value to the group the request will then be submitted to the vendor up front, making all sales final. Be sure to check the discussion page for updates.


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Stock Images
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It was wonderful having my boot cast removed this week and being told by the surgeon that the broken bones had healed! It felt liberating, transitional, an opportunity to begin anew where I had left off more than two months ago. But then he said I would need the walker and later, a cane before I could expect to walk free. And I couldn't drive again until after seeing him again in another four weeks. "What do you mean?" I wanted to shout. " If I'm healed, why can't I walk?"
Probably the most surprising thing about that day was when I put my foot down to use it—it REALLY hurt! Now, I'm not a woos about pain and had actually not had any serious pain since the surgery. I tried not to complain too much because nobody wants to hear it. But now was when the pain started!
Every fiber in my being wants to kick up my heels, scamper down my front steps and skip up the block. Or so I thought, until I started taking my initial painful steps. This did not feel good. It was very tempting to sit down in the wheelchair and go back to rolling around my house.
Today, on my first visit to the physical therapist since having the big cast off (I still have an air cast), she ran me through a litany of exercises a page long. Some were just uncomfortable and others really hurt. She's ordered me to give up my big wheels and walk on my own two (well, maybe one and a half) feet.
It's a bit of a metaphor for life itself. For a long time, I have been wanting to gain gallery representation but putting myself out there to the galleries was a really painful step. But, with some special encouragement from painter-friend, Cathy Hegman, I put myself out there. Result—my work is being represented by a charming establishment in Albertson, Long Island, NY called The Robley Gallery (174 I U Willets, Road, 516-746-5960). I hope you'll go visit if you are in the area. Here are some pictures.
Here's a closer look at the painting in the window–"Forest".
Try that next step, it won't be painful for long. Are there any that you've been hesitating to do because of the pain?


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Read this thread from this forum of a guy who don't know shit about cars
trying to say how good his fwd nissan SSS pulsar is lol. :laughing:
Thread (http://www.canberracruises.com/forum/showthread.php?t=664)
whoa, they didn't flame him right off, maybe we could learn a lesson..
We could learn a lesson, but he was an idiot...we woud have flamed him
within the first page :laughing:
:orglaugh: :orglaugh: That was just priceless
nice its always good to start off a day with a sip of morning stupidity
Hahaha, he's like their newyorker....they took care of him much quicker though. Such efficiency...
Send in VWHobo!
Chrisv and Hobo would have demolished him and then we all would have agreed.
Who could agree with him anyway?
that could be newyorker on that site
I was a bit worried there for a moment, I thought it might be one of my trolls. Whoever it was, he was taking the piss. When I hit the scooby forums with one of my alias' the members go ballistic and ask for me to be banned.... too bad the admins know who I am . :mrgreen:
haha thats pretty funny...
tee-hee...I do that also, on this one forum I made a second acct, and told an admin I was going to start a flame war with myself...and I did. And to this day on that forum, we make fun of my alias. :laughing:
Your Message


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DNA from an Ohio prisoner has been linked to evidence taken from the rapes of two women in Hamilton and Warren counties.
Hamilton County prosecutors used that evidence Wednesday to indict Sean B. Price, 25, a convicted burglar from St. Bernard, on charges of aggravated burglary, rape, aggravated robbery and attempted murder in the Oct. 17, 1999, attack on a 29-year-old Symmes Township woman.
More charges are possible against Mr. Price, in the Aug. 28, 1999, rape of a 45-year-old Deerfield Township woman. That case is scheduled to go to a Warren County grand jury Friday.
The DNA match involving Mr. Price was the first time the new database identified a suspect, state officials said.
Police earlier linked the cases through the use of DNA evidence, but could not identify a suspect.
The DNA in the Symmes and Deerfield attacks did not match that of what police said is a serial rapist tied to the sexual assaults of four girls and a 27-year-old woman since 1998 in Mason, Colerain Township and Montgomery.
Mr. Price, now incarcerated at the Correctional Reception Center in Orient, Ohio, was released from prison on shock probation by Judge P. Daniel Fedders of Warren County Common Pleas Court three months before the first attack.
He had served less than five years of a five-to-25-year sentence for a 1994 burglary in Warren County's Hamilton Township.
He was sent back to prison last June after he was convicted in a December 1999 burglary and theft of prescription drugs from another home in Hamilton Township, court records show.
In both of the rapes, the suspect entered condominiums through unlocked windows or doors.
The Deerfield Township woman, who lived on Millbank Row, told detectives she woke up and found a man standing in her bedroom about 5 a.m. When she tried to scream, he covered her face with a sheet. She could not provide a clear description of the man.
In the Symmes attack, on Brisben Place, the rapist beat and choked the victim and placed a pillow over her face when she tried to fight him off. The woman described her attacker as white, 20-30 years old, 5-feet-10 to 6 feet tall, with a medium build and a tattoo of a wing on his bicep.
According to Warren County Jail records, Mr. Price has a tattoo of a flying dragon that runs from his bicep to the middle of his back.
Sean B. Price was indicted on a rape charge in a 1999 attack.
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Above the Clouds – A Berkeley View of Cloud Computing : Highlights
I have been reading through the report by RAD Labs of University of Berkeley. It is an interesting body of work . Please feel free to get a copy for youself from the link provided at the end of this post. I will summarize a few interesting lines from the report here:
- 1000 servers for one hour costs no more than 1 server for 1000 hours
- Cloud Computing is the sum of Software-as-a-Service (SaaS) and Utility Computing but does not include Private Clouds (Clouds for internal organizational use)
- Quick Preview of Top 10 Obstacles to and Opportunities for Growth of Cloud Computing
- Cloud Computing is a new term for a long-held dream of computing as a utility, which has recently emerged as a commercial reality.
- Cloud Computing is likely to have the same impact on software that foundries have had on the Hardware Industry
|Availability of Service
|Use Multiple Cloud Providers;Use Elasticity to Prevent DDOS
|Data Lock-In
|Standardize APIs;Compatible SW to enable Surge Computing
|Data Confidentiality and Auditability
|Deploy Encryption, VLANs, Firewalls;Geographical Data Storage
|Data Transfer Bottlenecks
|FedExing Disks; Data Backup/Archival;Higher BW Switches
|Performance Unpredictability
|Improved VM Support; Flash Memory;Gang Schedule VMs
|Scalable Storage Invent
|Scalable Store
|Bugs in Large Distributed
|Systems Invent Debugger that relies on Distributed VMs
|Scaling Quickly
|Invent Auto-Scaler that relies on ML;Snapshots for Conservation
|Reputation Fate
|Sharing Offer reputation-guarding services like those for email
|Software Licensing
|Pay-for-use licenses; Bulk use sales
This paper basically answers the following questions:
- What is Cloud Computing, and how is it different from previous paradigm shifts such as Software as a Service (SaaS)?
- Why is Cloud Computing poised to take off now, whereas previous attempts have foundered?
- What does it take to become a Cloud Computing provider, and why would a company consider becoming one?
- What new opportunities are either enabled by or potential drivers of Cloud Computing?
- How might we classify current Cloud Computing offerings across a spectrum, and how do the technical and business challenges differ depending on where in the spectrum a particular offering lies?
- What, if any, are the new economic models enabled by Cloud Computing, and how can a service operator decide whether to move to the cloud or stay in a private datacenter?
- What are the top 10 obstacles to the success of Cloud Computing—and the corresponding top 10 opportunities available for overcoming the obstacles?
- What changes should be made to the design of future applications software, infrastructure software, and hardware to match the needs and opportunities of Cloud Computing?
[Technical Report No. UCB/EECS-2009-28 ] Obove the Clouds : A Berkeley View of Cloud Computing by Michael Armbrust, Armando Fox, Rean Griffith, Anthony D. Joseph, Randy H. Katz, Andrew Konwinski, Gunho Lee, David A. Patterson, Ariel Rabkin, Ion Stoica, Matei Zaharia of Electrical Engineering and Computer Sciences department of University of Berkeley
2 responses to "Above the Clouds – A Berkeley View of Cloud Computing : Highlights"
Soumya says :
Hey Venu your posts are getting more detailed and you seem to have put in a lot of time in summarizing the material. Good Stuff.


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I recently took up my old hobby of shortwave listening. It has changed a lot since the '70s. In some ways it's not as interesting, as budget cuts and the rise of the Internet have driven many broadcasters from the air.
In other ways, it's got a lot to offer. I had always wanted to get a really nice receiver, of the traditional transistor variety. However, a type of radio called an SDR (software defined receiver) is popular these days, and I bought one, the Winradio Excalibur.
The 'radio' is just a receiver the size of an external hard drive that converts radio waves into a digital spectrum that can then be processed by a modern PC. This gives the user a ton of flexibility in defining filters, setting automatic gains, doing recording at specified times, etc. You can even record a chunk of spectrum and go back and analyze it later. You could get the entire AM band from 540 to 1700 kHz and look at it later for rare DX catches!
Here's a look at the interface – there are three spectrum analyzers that can also be used as waterfall displays.
I'll have more to say about this in future posts, until then
'73s and good DX!


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This sountrack is from the visual novel game Narcissu! (Yes, it doesn't end with an S. 😆) This is one of my favourite soundtracks to listen to when I'm writing a quiet scene in a novel, often one of self-reflection; it's such a simple piece, yet beautiful and touching. 🙂
With a title like "Suppressed Lies" and a quiet tune, it makes me imagine of a quiet night where one has no company but the moon. It starts off slow but steady, like thoughts that keep on coming, lies that one keeps suppressed yet unconsciously believes. It pauses about two thirds in, and speeds up as though the suppressed lies are being shaken up, like another thought seeks to expose them for the lies they are. Then the music slows back down to a quiet ending, leaving us to wonder if the lies are being suppressed once more. 🙁
Hope you enjoy it! I love gentle music like this. 😀
~Nicolle ❤
A Short Self-Compassionate Letter
Dear Self,
It's great that you're sharing one of your favourite soundtracks, especially one as beautiful as this. ❤