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Ashcraft's Pediatric Surgery (Fifth Edition), 2010, cervical Adenopathy, enlarged cervical lymph nodes are by far the most common neck masses in childhood. In most instances they are the result of nonspecific reactive hyperplasia.1 The etiology is often viral or is related to an upper respiratory tract or skin infection. The adenitis resolves spontaneously. Many patients are initially seen with bilateral enlarged nodes. Because the anterior cervical nodes drain the mouth and pharynx, almost all upper respiratory and pharyngeal infections have some effect on the anterior cervical nodes. Enlarged cervical lymph nodes are frequently palpable in children between ages 2 and 10 years.
What causes Swelling Of, posterior Cervical Lymph Node how
When posterior fusion is added, the use of lateral mass instrumentation with posterior iliac crest autograft or beginnende allograft bone is recommended. Spinous process wiring can be added at the discretion of the surgeon. Shin-mey (Rose) geist,. Diagnosis and Treatment Planning in tranend Dentistry (Third Edition), 2017, lymphadenopathy (lymphadenitis/lymphoid hyperplasia/calcified lymph nodes abnormal cervical lymph nodes, also known as lymphadenopathy, can be the result of various antigenic stimuli including infectious agents or unidentified agents. The term lymphadenitis refers to inflammatory disease in the nodes, in which the nodes become enlarged or tender. Lymphoid hyperplasia consists of enlargement of normal lymphoid aggregates, often caused by an antigenic stimulus. It is not uncommon for these reactive lymph nodes to become calcified, producing a radiopaque image on panoramic radiographs. Neoplasms can originate in or metastasize to the lymph nodes, causing enlargement of the nodes. Detection and diagnosis of cervical lymphadenopathy can help identify the underlying disease and may greatly influence the outcome, especially in the case of head and neck cancer. The dentist must have the clinical skills necessary for detecting and diagnosing cervical lymphadenopathy and must be able to recognize instances in which the patient should be referred to other healthcare providers. Stephanie acierno md, mph, john.
Irritative lesions involving the cervical articulations may colon in turn irritate the sympathetic nerve plexuses ascending into the head via the vertebral and carotid arteries. Some cases of visual and aural symptoms are related to upper cervical distortion where the arch of the atlas snugly hugs the occiput, thus possibly irritating the sympathetic plexus near the vertebral artery as well as partially compressing the vessel. To appreciate this, note that the visual cortical area of the occipital lobe requires an ideal blood supply dependent on the sympathetics ascending the great vessels of the neck, and this holds true for the inner ear as well. To test this syndrome, de rusha suggests having the supine patient read some printed matter while the examiner places gentle traction on the skull, separating the atlanto-occipital articulations. A positive sign is when the patient, often to his surprise, experiences momentarily enhanced visual acuity or a reduced tinnitus. Cervical nerve root insults disturbances of nerve function associated with subluxation syndromes basically manifest as abnormalities in sensory interpretations and/or motor activities (Fig. These disturbances may be through one of two primary mechanisms: direct nerve or nerve root disorders, or of a reflex nature. When direct nerve root involvement occurs on the posterior root of a specific neuromere, it manifests as an increase or decrease in sensitivity over the dermatome.
After the facet is wired to the spinous process, the patient must wear a stand rigid collar after surgery. Best evidence for Spine surgery: 20 Cardinal Cases, 2012, need for Posterior Fusion, adding a posterior cervical fusion can increase the rate of malicious successful anterior cervical fusion when a multilevel anterior cervical procedure is performed. The potential advantages of additional posterior fusion include greater construct stability and larger surface area for fusion. For patients with symptomatic pseudoarthrosis following an anterior cervical fusion, posterior fusion leads to a high rate of success while avoiding the previous surgical site.24 In a retrospective study, a concomitant posterior approach has also been shown to increase fusion rates in multilevel cervical fusion. Despite the increased rate of fusion success, the addition of posterior cervical fusion is not advocated for most patients undergoing multilevel acdf. It is recommended that posterior cervical fusion be used in patients with traumatic conditions that have resulted in disruption of the posterior ligamentous complex and in patients who have significant dorsal compression requiring additional posterior decompression. The preferred practice is also to treat all symptomatic pseudoarthroses of previous anterior cervical fusions with posterior cervical fusion.
The superficial sensory cutaneous set of the cervical plexus (C1C4) is frequently involved in subluxations of the upper four segments (refer to table.4 particularly when there are predisposing spondylitic degenerative changes. Janse describes four resultant neuralgias: (1) lesser occipital nerve neuralgia, involving the posterior area of the occipitofrontalis muscle, mastoid process, and upper posterior aspect of the auricle; (2) greater auricular nerve neuralgia, extending in front and behind the auricle, skin over the parotid gland, paralleling. Thus, sternoclavicular and acromioclavicular neuralgias may originate in the spinal levels of the supraclavicular nerve. De rusha suggests that dysphagia and dysarthria may at times be due to upper cervical involvement rather than a central nervous system situation. The C1 joins the hypoglossal cranial nerve which supplies the intrinsic muscles of the tongue. It then descends to join the descending cervical which is derived from C2 and. A loop of nerves, the ansi hypoglossi, which supplies muscles necessary for deglutition and speaking, is derived from C1C3.
Posterior cervical lymph node -doctors lounge(TM)
Once a vertebra loses its ideal relationship with contiguous structures and becomes relatively fixed at some point within its normal scope of movement, it is no longer competent to fully participate in ideal coordinated spinal movement. The affected area becomes the target for unusual weight bearing and traumatic stress. In addition to attending circulatory and static changes in the involved area, there is disturbed neural activity that may be exhibited as changes in superficial and deep reflexes, tremors and spasms, hyperkinesia, pupillary changes, and excessive lacrimation. Pertinent functional anatomy of the cervical plexus. The dura mater of the spinal cord is firmly fixed to the margin of the foramen magnum and to the 2nd and 3rd cervical vertebrae. In other spinal areas, it is separated from the vertebral canal by the epidural space. Since both the C1 nerve and the vertebral artery pass through this membrane and both are beneath the superior articulation of the atlas and under the overhanging occiput, atlanto-occipital distortion may cause traction of the dura mater producing irritation of the artery and nerve unilaterally.
De rusha feels that this helps us understand those cases of suboccipital neuralgia where a patient upon turning his head to one side increases the headache and vertigo that are relieved when the head is turned to the opposite side. There is also a synapse between the upper cervical nerves and the trigeminal nerve, which salaris also supplies the dura mater. This may explain why irritation of C1 results in a neuralgia not only confined to the base of the skull but is also referred to the forehead or eye via the supraorbital branch of the trigeminal. The greater occipital (C2) nerve does not tend to do this. It exits between the posterior arch of the atlas and above the lamina of the axis (Fig. 7.48 referring pain to the atlanto-occipital area (Fig. 7.30) and often to the vertex of the head.
C34, T18 head and face T1011 Umbilical area, ovary, c34, T35 Lungs testicle, c34, T67 Stomach, cardiac aspect T1012 Crown of head, scrotum, C34, T810 Stomach, pyloric aspect lower limbs. C34, T79 liver T1012, S13 Prostate. C4 Shoulder girdle, temple T10L1 Kidney, uterine body area t11L1 Urethra, epididymis. C5 Deltoid area t11L2 Bladder neck, descend. C6 Thumb ing colon, c7 First or index finger T11L1 Suprarenal area. C8 fourth finger T12L1, S14 Uterine neck.
T1 Fifth finger T12L2 Ureter, t14 Thorax L1 Groin, t2 Nipple area l13, S14 Bladder body, rectum, T24 Bronchi genital organs. T25 Upper limbs L3 Knee, medial aspect. T212 Pleura L5 Great toe, t45 Mammae bodies S1 Fifth toe. T47 Thoracic aorta S2 Thigh, posterior aspect. T58 Esophagus (caudal) S24 Cervix, note: Authorities differ somewhat as to exact levels, and variances of a segment above or below are commonly stated by different authorities. The above data are a composite of the findings from several sources (Courtesy of Associated Chiropractic Academic Press). Cervical Subluxation Syndromes, subluxations, regardless of region, are difficult to classify under normal categories of trauma because they can involve bone, joint, muscle, ligament, disc, nerve, cord, lymphatic and vascular tissues. Thus, subluxation is a finding and a syndrome and not a diagnosis.
Cervical lymph node diseases in children - ncbi - nih
Selected Clinical Problems amblyopie of omoplate the cervical Spine. A classification of musculoskeletal disorders of the neck is given in Table.6. Classic Locations of Segmental pain. Priority Priority, suspect Suspect, nerve(s) Area of Localized pain Nerve(s) Area of Localized pain. Trigeminal Anterior head and face T512 Peritoneum. C12, T712 Occiput T610 Pancreas, spleen. C23 Forehead T79 Ascending colon, c3, T15 Neck T89 Gallbladder, c34, T13 Aortic arch T910 Small intestines. C34, T15 heart T911 Transverse colon.
had shorter hospital stays, and surgery could be performed through a smaller incision with less muscle trauma. Mehmet Zileli, in, schmidek and Sweet Operative neurosurgical Techniques (Sixth Edition), 2012, facetSpinous Process Wiring Technique. Posterior cervical fixation may be achieved by unilateral or bilateral wiring between the facet joint and the spinous process. The facet joint is first opened by the aid of a curette, and a dissector is placed inside the joint. A hole is then created with a drill through the inferior facet. A wire is passed through this hole, then passed under the spinous process of the caudal vertebra. After the same procedure is performed at all desired levels, small bone grafts are placed inside the facet joints after decortication of the facet cartilages, followed by tightening of the wires (Fig. Facet wires are weaker than sublaminar and spinous process wires biomechanically.19,25,26 In addition, because the facets are very thin structures, especially in osteoporotic patients, the wires can easily cut through the facet bone. This technique is typically used in cases of laminectomy.
A number of other conditions present with lymphadenopathy. In areas with high hiv prevalence the commonest differential diagnosis is persistent generalized lymphadenopathy (pgl which presents as symmetrical non-painful lymph node warm enlargement, often involving the posterior cervical chain or axilla. As it is impossible to investigate all patients with enlarged lymph nodes it is important to distinguish features which indicate the possibility of tb (see box.1). The differential diagnosis includes lymphoma, carcinoma, kaposi's sarcoma in hiv-positive patients, and sarcoidosis. Schmidek and Sweet Operative neurosurgical Techniques (Sixth Edition), 2012, posterior cervical foraminotomy and microdiscectomy is a safe and effective procedure that can be used in the treatment of clinically significant foraminal stenosis resulting from lateral disc herniation or osteophytes. Symptoms improve in more than 90 of patients who undergo the procedure (Fig. 153-1).1-8 Until the late 1950s, this was the predominant approach used in the treatment of herniated cervical discs.
Cervical lymphadenopathy - wikipedia
Cervical lymph nodes are the most common area of involvement, and 60 have mediastinal involvement. From: Hematology and coagulation, 2015, aankomen related terms: learn more about Cervical lymph nodes. Dermot Maher, in, tuberculosis, 2009, tuberculosis lymphadenopathy, cervical lymph node enlargement (regardless of hiv serostatus) is the commonest presentation. Lymphadenopathy can also be found in the axilla and the groin. Initially, lymph nodes are firm and discrete, but later they become matted together and fluctuant. The overlying skin may break down with the formation of abscesses and chronic discharging sinuses, which heal with scarring. In the patient with hiv infection, lymphadenitis can be acute and resemble acute pyogenic infection.


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Plunge into the main concepts of building claim-based security on top of a brand-new platform: ASP.NET Core (with .NET Core).
Latest Security Articles
ASP.NET MVC and Claim-Based Security
Learn about the differences in security measures, both claim-based and role-based access.
Web Developers: Are Your Sites Using HTTPS?
Web sites that need certificates, the secure ones running under HTTPS, are quickly becoming the standard. Get ready to use certificates.
Using Secure Sockets in .NET
Securing regular sockets against tampering isn't that difficult if you follow this lead.
Web Services Security in The .NET Framework
The proliferation of Web Services on the market and their universal acceptance on the Internet makes them more vulnerable to security threats. Therefore, we need to tighten security for our Web Services and pay attention to it. With ASP.NET, Microsoft has provided the necessary features for securing our Web Services and other Web resources. In this article, Mansoor Ahmed Siddiqui explains how to unleash the power of ASP.NET security.
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Learn about file access control lists and how to use C# to read and modify them to improve the security of your applications and your IT infrastructure.
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With the addition of the C/C++ extension to Visual Studio Code, you might have what is needed in a small, cross-platform editor.
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New Knowledge Base articles are added for SQL Server 2005, Here are the links
FIX: The performance of a query that performs an insert operation or an update operation is much slower in SQL Server 2005 SP2 than in earlier versions of SQL Server 2005
FIX: You receive an incorrect result when you use a SQL Native Client provider to read the data on the client computer in SQL Server 2005
How to enable the SQL Server 2005 Integration Services process to generate a dump file when the process experiences exceptions
FIX: Error message when you run a query that selects many columns and that joins many tables in SQL Server 2005 Service Pack 2: "The query processor could not produce a query plan"
FIX: An application that is included in SQL Server 2005 may stop responding when you specify a network protocol that is not valid in the application
FIX: Error message when you use Database Engine Tuning Advisor to tune a database in SQL Server 2005 Service Pack 2: "An unhandled win32 exception occurred in dtaengine90.exe [4308]"
FIX: Error message when you use the Bcp.exe utility together with the queryout option in Microsoft SQL Server 2005: "BCP host-files must contain at least one column"
Some or all SQL Server 2005 services are not listed in SQL Server Configuration Manager, or you receive a "No SQL Server 2005 components were found" error message when you perform operations in SQL Server 2005 Surface Area Configuration
Error message when you run a distributed query against a loopback linked server in SQL Server 2005: "Transaction context in use by another session" or "MS DTC has cancelled the distributed transaction"
You cannot upgrade the named instance of SQL Server 2000 Desktop Engine Service Pack 3a that is installed together with Application Center 2000 Service Pack 2 to SQL Server 2000 SP4
New KB articles are added for SQL Server 2005
New Knowledge Base articles are added for SQL Server 2005, Here are the links
About Author:
Hemantgiri S. Goswami is a SQL Server consultant based in Surat, INDIA. He is an active community member, moderator and author of book SQL Server 2008 High Availability
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A Sad Day for Science
When internal fundraising and strategy documents from the Heartland Institute, a conservative group skeptical of man-made climate change, were leaked online last week, global warming activists were ecstatic. That excitement ended today when a prominent climate scientist, Peter Gleick, admitted to using a fake identity to obtain donor and budget records from Heartland, supposedly in order to "confirm" an explosive internal memo on the group's 2012 Climate Strategy, which he claims was sent to him anonymously.
Heartland has disputed the veracity of the memo, which was leaked to the press along with the other documents.
Here's an excerpt of Gleick's confession, which he posted in full at the Huffington Post:
At the beginning of 2012, I received an anonymous document in the mail describing what appeared to be details of the Heartland Institute's climate program strategy. It contained information about their funders and the Institute's apparent efforts to muddy public understanding about climate science and policy. I do not know the source of that original document but assumed it was sent to me because of my past exchanges with Heartland and because I was named in it.
Given the potential impact however, I attempted to confirm the accuracy of the information in this document. In an effort to do so, and in a serious lapse of my own and professional judgment and ethics, I solicited and received additional materials directly from the Heartland Institute under someone else's name.
Gleick says he sent the documents to reporters before the story blew up last week. In a statement today, the Heartland Institute confirmed the legitimacy of the budget and fundraising documents, but maintained – as it has since the beginning – that the climate strategy memo that Gleick says was sent to him anonymously was falsified. Heartland also seemed to imply it would be taking legal action on the matter:
An additional document Gleick represented as coming from The Heartland Institute, a forged memo purporting to set out our strategies on global warming, has been extensively cited by newspapers and in news releases and articles posted on Web sites and blogs around the world. It has caused major and permanent damage to the reputations of The Heartland Institute and many of the scientists, policy experts, and organizations we work with.
A mere apology is not enough to undo the damage. …We hope Gleick will make a more complete confession in the next few days.
We are consulting with legal counsel to determine our next steps and plan to release a more complete statement about the situation tomorrow. In the meantime, we ask again that publishers, bloggers, and Web site hosts take the stolen and fraudulent documents off their sites, remove defamatory commentary based on them, and issue retractions.
Needless to say, Gleick's confession will only fuel suspicions that the initial memo was a fake – and that the scientist may personally have been the one who fabricated it.
But even the staunchest climate change skeptics should have a hard time feeling good about the latest development. Gleick not only disgraced himself, he disgraced his profession, too – and during a time when Americans are increasingly distrustful of climate science. The good news is that Heartland caught onto Gleick's identity fraud quickly, and may be able to repair the damage done to its image. Unfortunately, the damage that Gleick and the scientists involved in ClimateGate have done to the image of climate science may be permanent.
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A Sad Day for Science
Must-Reads from Magazine
How Not to Win Media Trust
Preening doesn't work.
Donald Trump's demagogic rhetoric on the media is dangerous and un-American. When he describes reporters and editors as "enemies of the people," or when he chuckles at Rodrigo Duterte's remark that the media are "spies," the president wounds the dignity of his office and America's already-infirm civic health. The question is what the media should do to check the president's rhetorical excesses.
One answer is for America's mainstream newsrooms to tell the American people that reporters are not, in fact, the enemy and the president should cut it out with his anti-media crusade. For all the commercial pressures they face today, American journalists are still perched by prominent windows overlooking the national public square, which means they still get a hearing from the people down below when they wish.
I suppose that was the bright idea behind Thursday's simultaneous publication of pro-media editorials in the editorial pages of 350 newspapers across the country. Participating outlets included national papers like the New York Times (naturally) as well as scores of regional ones, plus a few magazines and professional societies. If you can bring yourself to wade through one dull editorial after another, by all means: CNN has links to all 350.
But our mostly liberal colleagues in the edit-page business are fooling themselves if they imagine that this latest national teach-in will foster greater trust in the media, especially among the millions of Americans who in 2016 registered their discontent with the country's establishment in toto by sending a vulgarian from Queens to the Oval Office. Those Americans—and not all of them were die-hard Trumpians—had had it with a prestige press that too often saw itself as an adjunct to the liberal cause rather than the cause of truth. They had had it with the subtle and not-so-subtle biases, the servility to liberal politicians, the contempt for their cherished beliefs and condescension for their ways of life.
To regain that trust, it will not do to condemn and condescend some more.
Jesse Brenneman, a New York City radio producer, understands this perfectly. In an ongoing satirical video series posted to Twitter, Brenneman documents his mockumentary-style road trip in "Trump country." The aim is supposedly to understand the frustrations that led to Trump. But Brenneman mostly ends up yelling at the Trumpians from his driver's seat, as his car zooms through regions like Central Pennsylvania: "WHY DID YOU DO IT? WHY DID YOU DO IT? WHY DID YOU DO IT? WHY DID YOU VOTE FOR HIM? WHY? WHY? WHY? IS IT ABORTION? DO WE NEED TO HAVE FEWER ABORTIONS? WHY DO YOU WATCH FOX NEWS? IT'S NOT TRUE, MUCH OF IT!"
Brenneman is gently chiding his own media comrades. But the 350 editorials amount to a self-serious version of the same thing: Trust us. We're the media. What's wrong with you!
Regaining trust requires something else. It requires factually sound reporting and the pursuit of the truth wherever it leads. It calls for reporters who conduct themselves professionally on social media, who don't give vent to their anti-conservative animosities at every turn. And pundits who don't change their minds about an issue merely because they find themselves on the same side as Trump. In short, it requires a return to journalism basics.
That's hard work. Hectoring editorials are easier.
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Why America Is Great
Yesterday, today, and tomorrow.
Andrew Cuomo, the governor of New York, told a stunned crowd on Wednesday that the United States of America "was never that great." He followed that flat-footed line with a series of bromides about how America will "reach greatness" when mankind ceases to stereotype, discriminate, and degrade one another, but the damage was done. Cuomo's primary opponent, the progressive insurgent and former actress Cynthia Nixon, mocked the governor for failing in the attempt to mimic "what a progressive sounds like." That is a telling admission. Presumably, Nixon's idealized "progressive" would more adroitly explain why American greatness is overstated.
You might think that President Donald Trump would take the opportunity presented by Cuomo's faceplant to wrap himself in the flag, but he opted only to mock the Empire State's executive for "having a total meltdown." The president's instincts are equally revealing. After all, the phrase "Make America Great Again" concedes that America is, at present, not all that great. This is an earnest conviction on Trump's part.
In accepting the GOP presidential nomination, Trump painted a portrait of a country that was weak and failing. Shackled by political correctness, riddled with violent crime, beset by dangerous migrants and violent refugees, subverted by craven politicians, and plagued by a crisis of confidence in its mission; Trump's vision of the country was best summed in the most memorable line from his first inaugural address: "American carnage." Just 19 months later, the president insists that the nation has been made whole again, which is more a function of his competence than the national character.
These two provisory expressions of patriotism share more commonalities than distinctions. Everyone has their own definition of patriotism, and love of country should not be blind. Unwavering reverence is an expression of faith, not gratitude. Patriotism must know prudent limits, or it may come to justify venality and violence. But patriotism is distinct from an understanding of what makes the United States a great and exceptional nation.
American greatness is established in its Constitution. The nation's founding charter endures because of two conditions that prevailed at the close of the 18th Century. First, the collection of sovereign states that hammered out a national government was careful to premise a prospective Union on decentralization and federalism. That diffusion preserves local social and legal customs and, thus, domestic harmony. Second, the Constitution's framers operated on the assumptions espoused by the Enlightenment's leading luminaries, among them Lockean notions of legitimacy derived from the consent of the governed. These two assumptions led James Madison to conclude in Federalist 51 that "the rights of individuals, or of the minority, will be in little danger from interested combinations of the majority" even while "all authority in it will be derived from and dependent on the society."
It was also in Federalist 51 in which Madison articulated a truth about human nature that has vexed prideful technocrats since the dawn of time: Mankind is flawed. The species cannot be perfected. Thus, "Ambition must be made to counteract ambition." The revolutionary movements that followed America's founding held this capitulatory revelation in low esteem. They sought to create "ideal" societies in which mankind's contradictions and baser impulses would dissolve into a new social consciousness. It is no coincidence that those "ideal" revolutionary societies eventually descended into bloodshed, oppression, and disunion while America endured.
The Constitution's amendments are equally exceptional. With a few lamentable deviations, the amendments are a set of negative rights that proscribe governmental action rather than establish that which the government can do. That is a paradigmatic triumph; it established as America's baseline ethos the idea that human freedoms not expressly enumerated in the Constitution are implied. They do not flow from the beneficence of some far-off potentate. They are God-granted. The concept of unenumerated rights is as revolutionary today as it was in the 18th century, and it remains an alien notion outside the Anglophonic world.
America is capable of astonishing violence and repression, but it equally adept at reconciliation and renewal. That capacity is rooted in Americans' remarkable facility for compromise. The story of the United States is, in many ways, a story of compromise, and not all of those compromises are worthy of celebration. The facility Americans have for negotiation and concession has, however, forged a government and kept it. It is what has made the United States the most successful experiment in cultural intermixing in human history. It is what fortifies its incredible capitalist dynamism. And its commerce remains the greatest vehicle for achieving equality, meritocracy, and human flourishing ever devised.
So much of what America's critics lament about the country's inherent flaws—its hostility toward collectivism, the ruthlessness of its entrepreneurial spirit, its manic bouts of isolationism and extroversion on the world stage, and the tensions between old and new immigrants—are outgrowths of the traits that make it extraordinary. The nation's commitment to pluralism, egalitarianism, and unity around shared principles rather than cultural, tribal, or subnational bonds is what makes America unique among nations. It will never stop striving to achieve the ideals of its founding; ideals are, after all, often unattainable. But its shared creed is the North Star toward which the United States has looked for a quarter millennium.
All these things that make America great are hardly immutable traits, and some careless future generation may one day abandon them. But despite America's weakness for fad and experimentation, those fundamental tenets have proven resistant to change. As Jonah Goldberg observed in Suicide of the West, Thomas Jefferson's assertion that "all men are created equal" cannot be improved upon. Any effort to amend that claim would be a regression to a more primitive state. That and the many other gifts that the founding generation left behind ensured that the United States was a uniquely magnificent nation on day one. Don't let any politician tell you otherwise.
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Leave Jack Phillips Alone!
The limits of religious liberty.
Jack Phillips once more finds himself on the sharp end of liberal "tolerance." He was the Colorado baker at the center of the Masterpiece Cakeshop case, the one who in 2012 refused to bake a cake for a same-sex wedding. A state civil-rights commission censured Phillips and ordered him to undergo ideological retraining. But a 7-2 majority of the U.S. Supreme Court found that the commission had exhibited such overt hostility to Phillips's religious views as to have violated the state's "obligation of religious neutrality" under the First Amendment.
But it appears the commission didn't get the message. The Alliance Defending Freedom, which represented Phillips in the original case, reports:
On June 26, 2017, the same day that the Supreme Court agreed to take up Masterpiece Cakeshop v. Colorado Civil Rights Commission, an attorney asked Phillips to create a cake designed pink on the inside and blue on the outside, which the attorney said was to celebrate a gender transition from male to female. Phillips declined the request because the custom cake would have expressed messages about sex and gender identity that conflict with his religious beliefs. Less than a month after the Supreme Court ruled for Phillips in his first case, the state surprised him by finding probable cause to believe that Colorado law requires him to create the requested gender-transition cake.
This time, however, Phillips and the ADF are taking the fight to the state. On Tuesday, the ADF filed a lawsuit against Colorado Governor John Hickenlooper and the members of the commission, alleging anti-religious bullying and harassment of Phillips aimed at ruining his business and livelihood.
Many religious conservatives see this new case as an opportunity to "firm up" the Court's Masterpiece holding. If it makes it to the Supreme Court, especially one with a Justice Kavanaugh, there is a good chance that Americans will end up with sturdier protections against illiberal liberalism than former Justice Anthony Kennedy's whimsical jurisprudence permitted.
But by my lights, the renewed persecution of Phillips also reveals the limits of "religious liberty" as a sword and organizing principle for the right. As I predicted when the original decision was handed down,
the inner logic of today's secular progressivism puts the movement continually on the offensive. A philosophy that rejects all traditional barriers to individual autonomy and self-expression won't rest until all "thou shalts" are defeated, and those who voice them marginalized. For a transgender woman to fully exercise autonomy, for example, the devout Christian, Muslim, or Jew must recognize her as a woman. People of faith and others who cling to traditional views must publicly assent to what they don't believe.
And here we are. "Religious freedom," without a substantive politics that offers a vision of the common good, can easily allow liberalism to frame traditional moral precepts as little more than superstitions best relegated to the private sphere of the mind. Under the banner of liberty, religious conservatives might win procedural victories here and there. But they will be cornered in the long-term.
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The Lies Republicans Tell Themselves
Whatever Donald wants, he's gonna get it.
What do Republicans believe? Whatever Donald Trump tells them they should believe, it seems.
In survey after survey, self-described Republicans—admittedly a severely truncated demographic in the Trump era—are surrendering not just principle but common sense to whatever Trump needs them to say at the moment. The positions Republicans adopt to prop up the president are often so outside the American right's traditional credo that it's hard to believe they're being honest.
According to a June Axios-sponsored SurveyMonkey poll, a whopping 92 percent of Republicans believe the conventional press deliberately runs with false or misleading stories. That's not especially surprising. Republicans have a long-standing grievance with the mainstream media, and nearly three-quarters of all respondents in this survey agree with them. What is unique and, frankly, disturbing is the apparent resolve of GOP voters to do something about it.
A Quinnipiac University survey released last week showed that a majority of Republicans agree with the Trump White House's determination that the press is the "enemy of the people." An Ipsos poll released around the same time confirmed that close to a majority of GOP voters believe "the news media is the enemy of the American people." That same poll showed that a significant plurality of GOP voters—43 to 36 percent—think Trump should have the expressly unconstitutional authority to shutter media outlets with which he disagrees. Or, rather, "news outlets engaged in bad behavior," whatever that means.
The GOP base also seems generally unfazed by Donald Trump's bizarre rhetorical deference to Russian President Vladimir Putin. An Economist-backed YouGov poll in early July showed 56 percent of the GOP said that "Donald Trump's relationship with Vladimir Putin is mostly a good thing for the United States," while only 40 percent said that the United States should remain a member of the NATO alliance. In 2014, only 22 percent of Republicans thought of Russia as friendly toward or allied with the United States. Today, via Gallup, that's up to 40 percent of Republicans.
Given that, it's no surprise that 70 percent of self-identified Republicans broke with the vast majority of the public and gave the president high marks for his press conference alongside Putin, in which he disparaged his own Cabinet and intelligence officials and heaped praise upon the autocrat in the Kremlin.
Donald Trump's rhetorical servility toward Putin contrasts greatly with his administration's admirably hawkish posture toward Moscow, but don't ask Republican voters to reconcile these contradictions. A July Fox News poll found that 57 percent of GOP voters think that Trump's toughness toward Russia is "about right." So, which is it?
"An attack on law enforcement is an attack on all Americans," Donald Trump said to the applause of Republicans as he accepted the party's presidential nomination. Ever since, the president has occupied his time attacking law enforcement, and Republicans are with him all the way.
Seventy-five percent of Republicans in a recent poll agree with the president that the special counsel's office established by a Trump-appointed deputy attorney general is conducting a "witch hunt" targeting him and his allies. This position concedes that the 12 Russian nationals, 13 Russian intelligence officers, and five Americans who pleaded guilty to various crimes as a result of Robert Mueller's work retain the president's full faith and confidence. But perhaps that conclusion takes the average Republican voter literally and not seriously.
More seriously, six in ten Republicans tell pollsters that they believe the FBI is actively trying to frame the President of the United States for a crime. Logically, then, it stands to reason that most in the GOP believe that law enforcement is a politicized institution that is waging an underhanded campaign to de-legitimize an election and carry out something akin to a coup. In February, Reuters/Ipsos found that 73 percent of Republicans believe just that. But if the coup narrative were true and an existential threat to the foundations of the Republic had been uncovered, would Republicans really behave as they are—placidly allowing Democrats to out-raise, out-organize, and out-campaign GOP candidates consistently for over 18 months?
Even in trifling matters in which the stakes are so low that they hardly merit the effort it takes to lie—like the president's baseless claim that "between 3 million and 5 million people voted illegally in the 2016 presidential election," thus robbing Trump of a popular vote victory in 2016—a majority of Republican voters are willing to compromise themselves. And only to spare the president from the shame of trivial embarrassment.
Some contend that these results are an outgrowth of the fact that voters have deciphered the pollster's game. Respondents are savvy enough to know when survey-takers are genuinely trying to take the public's temperature on an issue and when they are merely seeking to exacerbate tensions within the GOP camp. Thus, this line of reasoning goes, respondents who support Trump are more likely to answer questions in a way that demonstrates their fealty toward the president even if they don't necessarily hold that position. In other words, these are all lies. Maybe that's true, but it's cold comfort. The lies we tell ourselves become our truth if we tell them often enough.
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Apartment Mar\'ina Roshcha is located in the Tverskoy district of Moscow, 60 metres from State Historical Museum and a 3-minute walk from Red Square. Guests staying at this apartment have access to free WiFi.
Providing access to a balcony with garden views, the apartment consists of 2 bedrooms and a fully equipped kitchen. A flat-screen TV with cable channels is provided.
Popular points of interest near the apartment include Lenin Mausoleum, GUM Department Store and The Kremlin....
|4-th street of the marina grove ap. 9/11 4th floor


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Shopping for low cost homeowners insurance in Danforth, IL does not have to be difficult. We are here to help you find and compare multiple providers. Simply enter your Zip in the form above and you will be taken to a page which will list the top most reputable home insurance companies in your Iroquois county.Home insurance is something that you absolutely need to have, if you want to be prepared for any surprises you might encounter as a homeowner. While it is not mandatory by law in Illinois, it is required by most lenders, if you are paying mortgage on the house. Some people think they do not need it because nothing could ever happen to their house. However, the truth is that things can and do happen and so you will want to be prepared.
Thankfully for you, there are many insurers out there that specialize in homeowners insurance. In this article, we are going to walk you through the different types of coverage and tips for finding the best insurance product.
The coverage mentioned above is a basic form of coverage that you absolutely need to have. There are optional coverage items that you can add, such as guaranteed replacement cost, which provides the most complete coverage. If your house gets totally damaged, the insurance company will pay for the cost of building it. However, as you might expect, most insurers require you to meet specific underwriting requirements and pay a higher premium. This brings us to another important point: How much does it cost to insure your home in Danforth, IL?Well, that really depends on the whole myriad of factors such as type of house you have, your area, how many carbon monoxide detectors your home is equipped with and so on. Generally the home coverage premiums are lower than car insurance, but this greatly depends on many factors. The best way to find out how much insurance plan for your home will cost is to do a quote comparison. Our website is here to help you do just that, simply enter your Zip Code at the top of this page.
There is always a way that you can get lower premiums. Do not be content with getting a quote from one Illinois insurer alone. Make sure to get a quote from at least three insurance companies. In order to make your life easier, make sure to use HomeInsuranceSaver.net comparison.
When you do get the quotes, make sure to compare them, not just on the basis of the premiums, but on the basis of their coverage. The coverages we mentioned above are an absolute must, however, it does not mean that all insurance companies offer them as basic coverages right from the get go. Some, in fact, offer general liability as basic coverage and offer the rest as add-ons. It is up to you to look at the offers and see what is actually covered with the price that you need to pay.
To get cheap Danforth, IL home insurance quotes use our simple comparison tool and you will be ahead of most regular consumers who do not do their own comparison or rely on an agent to do it for them.
More Homeowners Insurance Tips for Danforth, Illinois
Catastrophe can strike wherever, at any time. That is why it is so critical that your residence is insured. You never know when something could take place to it, so you want to be geared up should anything at all occur. In the subsequent report, you are heading to be offered guidance that will aid you to be completely ready.
When contemplating insurance coverage for your house, be confident to have your valuables previously appraised. This will make sure that if they require to be changed, you will get a honest substitution value in a quicker volume of time. To do this, have a expert appraise the belonging and then ship the official appraisal to the insurance coverage business.
Many homeowners want to decrease their yearly premiums. One way to lower premiums is to boost your deductible. Your rates will be decreased if you improve your deductible. Just be confident you have sufficient income on hand to consider care of more compact repairs that you will now have to spend for.
When purchasing a homeowner's insurance coverage, what is excluded from protection is often more critical that what the coverage does protect. Flood protection, for instance, is not generally protected in most homeowner's guidelines, but can be obtained as a different policy. The identical is accurate for other all-natural disasters these kinds of as earthquakes.
When you acquire a house, keep in mind flood insurance. Numerous property insurance policies do not go over floods, and flooding can arise in the most unexpected areas. A flooded property and the ensuing damage can be traumatic, so make certain your insurance policies prepare includes coverage for floods to protect you from an prevalence.
When you are searching into home owners insurance policy there are things that you can do to aid with the fees of your quality. 1 of the things that you can choose to do is to make your deductible increased. It will reduced your high quality but you ought to hold in head that smaller sized things these kinds of as a damaged window could have to be paid out of pocket by you.
When getting insurance policies for your genuine estate you must speak to many brokers ahead of making the decision. Most brokers can give a discount for a number of procedures currently being prepared for a single client so the notion that they could get all your company would have some becoming much more competitive on the charge.
There are many issues that can trigger your property to drop benefit. You can count fire as one particular of these issues. Make positive that your policy shields you in the occasion of a hearth and other disasters if you are vulnerable to them in your region. Seem at your plan, and then question your agent any concerns you have to be positive your property is properly secured against these damages.
Remain absent from swimming pools and trampolines. Whilst your little ones may possibly really like to jump on the trampoline or swim in the pool, these little extras are insurance policy nightmares. Insurance businesses will up to double the rates of a homeowner who installs both of these products. Continue to be absent from extras with the likely to harm!
Many individuals are surprised that when they spend off their mortgage, their residence insurance coverage rates drop. There is a remarkable drop in the expense of home insurance coverage when you own your residence outright. This is most likely owing to the reality that insurers feel that if you personal it, you are likely to take much better care of it.
Make specific to insure your house and private home adequately for substitute. You absolutely do not want a disaster using place, but not have the cash to fix or rebuild your home owing to inadequate coverage. Don't forget that the resources used to build and renovate your property can also impact insurance rates.
Choosing the right amount of home proprietor protection, demands heaps of thing to consider. Maintain in head that the policy's purpose is not to pay out off your mortgage loan in situation of a catastrophe, but to pay for correcting the damages. Select an sum that easily handles the comprehensive rebuilding of your residence, without having you having to insert too significantly from your money reserve.
If you are searching for a new homeowner's insurance plan, you need to appear for consumer welcoming organizations. You will want to deal with a organization that is able to effortlessly approach any promises you could have. Verify out testimonials from existing, as well as previous, clients of the insurance policies businesses you are considering for some impartial opinions.
You require to make specified that your family and your home are protected, but you also want to guarantee that the insurance policy plan you have just isn't just a bottom-of-the-barrel piece of paper that says you happen to be insured. You require an ironclad plan that will actually spend off when you want it to. Stick to the tips you just read here and make it occur.


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Peace Pals International
May Peace Prevail On Earth
We would like to give gratitude and thanks to the International Judges who took time from their busy schedules and selected our top 52 Winners and Finalist. Please visit their websites to learn more about our International Judges.
Désolé, cet article est seulement disponible en Anglais Américain.


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When you are renting a 5, 10, 15, 20, 30 or 40 yard dumpster, you want a company you can trust with prices that make you smile. Give us a call today and see the difference we can make in your next construction or clean out project.
Simply give us a call and we will help you figure out your dumpster rental needs.
Our dumpsters usually go out same-day or next-day depending on when you call.
We provide top-notch service, while going easy on your bottom line. What more could you ask for?
Our trained operators are here to give you a fast and hassle-free experience from start to finish.
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Our staff is here to help whenever you need it. Simply pick up the phone and give us a call.
Most cities or municipalities do not have many regulations regarding dumpster rental as long as you keep the dumpster entirely on your own property during the rental period. If you need to place your container on the street in any way, you will likely have to obtain a permit from the appropriate building permit office in your town. You can check with your local public works department to be sure.
Most dumpster rental companies will take care of securing this permit for you if you rent from them. Make sure that if you're planning to put the dumpster on the street, the company has made the appropriate arrangements. You should also ensure that you get the permit in a timely manner and at the correct cost. If you thought the dumpster company was getting a permit and they did not, you will be the one who will have to pay the fine that is issued by the authorities.
This paper gives information on promising applied sciences for quantity discount of waste from storage and therapy of hazardous, radioactive tank waste at U.S. Division of Energy (DOE) websites. There are several kinds of containers various in dimension from 10 cubic yards to forty cubic yards obtainable in Tolleson AZ. Open high containers, which are containers and not using a high or lid, are particularly environment friendly for accumulating Tolleson construction, demolition, roofing, remodeling and different kinds of bulky waste. The results of air pollution on the surroundings might be tackled by dealing with the piled up trash successfully. Heavier canisters will likely be a very good deal dearer to haul and dump as in comparison with smaller canisters and that is reflected in the fee. There comes one other idea of landfill disposal of waste which is one other issue that determines the price of renting a dumpster. Preserving the following pointers in mind when renting a roll-off container will save everyone from hassle, wasted time, and possibly fines. One of many largest steps to accomplishing that's being positive your waste is being disposed of in a neat and timely manner. For individuals who have doubts concerning dangerous waste disposal, seek steering and recommendation from the Bemidji metropolis offices that deal with environmental safety Lastly, keep away from overfilling your waste canister. Be sure to ask in regards to the weight limit, since you may get hit with additional fees when you overfill your dumpster. Keep drapes, furnishings and ground coverings from blocking cold and warm air return openings. You can't load the dumpster any greater than the sides of the dumpster You can't construct up the sides with wooden, and so forth. Hopefully, by now you will have a good idea of how dumpster leases work and the ways you can save your self and the surroundings from paying a hefty worth as you process your trash. These bins can be utilized on a temporary foundation or for ongoing industrial trash disposal. If you plan to have a dumpster dropped off in your driveway, be certain to guard that space. What's most dear to Purple River is that we offer a constant and dependable waste and recycling collection service to you the client. Clearly, larger containers carry more waste materials, so they may cost more to hire. If it is advisable maintain the container past the two week rental it is a $25 per week charge. Something above that will have to be eliminated by hand and there will likely be an additional charge for that no matter weight. For new home construction or remodeling, 10- and 15-yard containers are commonly used. Typically used for two-car garage cleanouts, basement renovation, small home or garage siding, and light-weight deck elimination or a large amount of moving debris. Similar to its larger brothers, this dumpster is extremely robust but compact, and it is equal to 2-three full loads in a pickup truck. This makes it simple for staff to load a wide selection of debris into the dumpster. These dumpsters can really are available in useful and save you a complete lot of effort. There are no hidden supply fees or fuel surcharges - Just honest and transparent Rent a Construction Dumpster in Warrenton, NC MN costs! Check With Your Neighbors - Putting a dumpster at an inconvenient place may trigger problems along with your neighbors or sure HOA's (Homeowner's Affiliation). All of our representatives will enable you determine which dimension of roll off container will greatest suit your needs.
We hire dumpsters in Charles Metropolis, Colwell, Rudd, Rockford, Marble Rock, Floyd, New Hampton, Nashua, Alta Vista, Ionia, Lawler, Osage, St. Ansgar, Mitchell, Carpenter, McIntire, Elma, Fredericksburg, Shell Rock, Allison, Dumont, and Clarksville. Our dumpster measurement information explains all the things it's good to know in regards to the four most typical container sizes. With regards to transforming debris, a roll-off dumpster 's going to be your greatest wager: reasonably priced, dropped off and picked up for you, and each massive enough on your trash however compact enough on your area. Some will give you 1 free refill and others will charge you each time to have roll off trash bins refilled. The cost of the Roll-off rental is diminished when the container is crammed with just one sort of recyclable material. Rolloff dumpsters only require a rental price for the time that you just simply keep the dumpster on the job. Be sure you call Arwood Waste first at 912-882-1095 to get roll off Rent a Construction Dumpster in Warrenton costs or for every other development dumpster and waste hauling needs in Savannah, GA. They helped get me out of a jam after I needed an additional empty dumpster to keep my project on observe. Whereas it might be extra convenient to simply hire online, the professionals on the rental company will guarantee that you've the best dumpster for the best functions. Alpha Workforce KC dumpster dimensions for a 20 yard dumpster are: 12 ft. lengthy by 8 ft. extensive by 6 ft. excessive. It could seem to be all waste is similar, however there are literally quite a few varieties of trash. Wood waste hundreds can include only raw dimensional lumber, pallets or packing crates freed from paint, stain and different treatments and freed from strapping, shrink wrap, transport labels and hardware (nails OKAY). Whenever you contact how a lot does a dumpster price to hire corporations in Minden, ask them how lengthy their durations are. We are able to both come to you with our dumpster or you can come to one in all our two places in Lansdowne, PA or Darby, PA. We expect it might be the straightforward load door Every Sam's Rent a Construction Dumpster in Warrenton includes a vertical container with a hinged door on the front. For example, a property that pays for 6 carts (primarily based on 50 percent of complete number of residential models), however only uses 3 carts, is allowed to set out 6 cubic yards of bulk material for pickup. Dumpsters are sometimes rented for disposing of family junk, furniture, landscaping debris, and renovation/development debris. I've seen a couple make a renovation to their dwelling without a development container and piled up the debris on the side of their dwelling. Sure varieties of adware have the aptitude to seize or transmit private data. Then again, in the event you need a roll-off container (like what we provide) then you are looking at a minimum price of practically $300, and it goes up. This publish discusses all of the options and components as an entire for this service. C. Storage or accumulation of debris, rubbish or trash seen from the public right of approach for more than twenty four (24) hours. Renting a 40 yard dumpster will get you a container that holds about 40 cubic yards of waste. Regardless of what your aim is, renting a dumpster is a straightforward and worry-free resolution to rid your self of trash. In case you plan to clean out the entire dwelling, then you probably need a 20-yard roll off dumpster. You may ask us, or every other Rent a Construction Dumpster in Warrenton Minnesota company, in regards to the landfill the place we dump the trash and use that data to check their fees. I rented one just a few weeks in the past and we had a variety of old drywall in the dumpster and it started to rain. Anticipate to pay extra costs each day, in the event you preserve the bin over the rolloff company's customary rental time. No stable waste assortment service can be provided on New 12 months's Day, Thanksgiving Day, or Christmas Day. Length of Rental Period - your price will always be partly determined by the period of time you will want the container. Dumpsters positioned on the public right-of-approach without a license can be presumed to be abandoned and topic to removing. Sure materials will not be acceptable to dispose of in our dumpsters or trash containers. You're capable of select from many alternative roll-off containers in the event you stay in Idaho. When renting a dumpster, know that there's a sure weight restrict and you cannot simply fill the dumpster with exceedingly heavy waste, similar to grime and concrete. Please call Valet Waste regarding any bagged gadgets that exceed that measurement, or that weight. Dumpster brokers typically appear to be native haulers, however they are really are out-of-state middlemen that don't personal any dumpsters. You're in search of a roll-off bin that is massive enough to do away with all the debris created by your job, and but not so big that you're going to be paying to get a container that finally ends up being only partially full.
Click right here for a map of the day (Monday-Friday) rubbish is picked up in your area. It's best to put plywood under the dumpster if you are apprehensive about leaving marks on your property. Landfills usually charge by the ton and that price gets handed on to the person getting the container. Emboldened by the yogurt find, we keep looking via the luggage, but Hernandez has gone via seven or eight with no luck and loses interest. This dumpster is an efficient alternative for small-scale projects, together with little home cleanouts. When you choose not to get in touch with the hauler, the supply might be on the posted date someday across the middle of the day. Knowing ahead of time how how much does it price to rent a dumpster in Granger features will make issues less complicated when you start the process. Dumpster service Blue Bell PA are discovered in lots of cities and are simply accessible to many inside their respective hometowns. Estimate how much particles or trash you will need to get rid of and then choose the suitable dumpster dimensions. Definitions in laymen's terms, price issues, photos and issues you want to know. If you have a tiny undertaking, like clearing out a garage or basement, you'll be able to likely profit from a ten-yard or 20-yard dumpster. With our gasoline efficient, small, highly maneuverable trucks, we are capable of place our waste containers in tight locations which might be unreachable for bigger industrial vehicles. This trash may be simply disposed of via a construction Rent a Construction Dumpster in Warrenton, NC Wilmington. Hernandez tells us the man is homeless, one of many many he has made a point to talk to and show how one can dumpster dive. Superior Roll Off won't ever depart a dumpster where it should not go. If we don't do our job understanding this up front, it is our fault and we'll repair it. The charge for getting a roll off container will fluctuate based on elements corresponding to location, waste disposal requirements, garbage weight, usage period and the price of disposing waste materials in New Orleans. After choosing the dumpster dimension you need , you need to tell our Rent a Construction Dumpster in Warrenton, NC company the exact time when you want the dumpster to be delivered for your undertaking as well as the number of days you'll use the dumpster. July 1, 2015 - residents and businesses won't be allowed to put electronic waste of any type in trash carts. Inexperienced Bay Dumpster Rental provides on-line dumpster and roll-off ordering, a wonderful addition to our already simple ordering process. With fast and dependable supply, you may be assured of quality service with our skilled staff ready to assist determine one of the best dumpster dimension for the job and how one can control your undertaking by way of trash elimination. Please contact Accurate Trash Removal at 610-284-6600 to report the stolen container as soon as potential. As soon as you place the gadgets in your roll off rental dumpster, you'll be able to chill out realizing that your unwanted gadgets might be hauled away for you, and your yard will stay immaculate. When you uncover that your dumpster is starting to creep excessive, although, be protected and order an additional dumpster. A dumpster roll off company will guarantee that your star will not be temperamental, and will do the job assigned to it. Go rent your roll off and purchase a head start on your following undertaking. When you've gotten lots of waste, and have to sort out a construction or demolition job, the 30 yard dumpster is the way to go. In case you are beginning the process of a major construction job, or full large family renovation, the 30 yard dumpster will get the job done.
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