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When you have dry, sensitive skin, few moisturizers seem to help alleviate flaky patches and bring hydrating relief. While your friends with oily and combination skin may be cursing certain lotions that they say are so thick they cause breakouts, on you they may not even begin to address the problem that is dry, itchy, and even painful skin, that only gets worse once temperatures drop.
The key to finding a great moisturizer for dry, sensitive skin lies in a careful examination of its ingredients. If your product contains alcohol, it's a no-no — and is guaranteed to strip your complexion of natural oils. Ingredients like ceramides, glycerin, and essential oils can provide long-lasting hydration while actually forming a barrier that traps moisture and protects your skin throughout the day and night.
But not all moisturizers — even those marketed for dry and sensitive skin types — are created equal. We asked women with dry, sensitive skin to give a shout-out to their all-time favorite moisturizers — the only lotions they trust will eliminate flakes and heal dry skin. Here are their top choices.
1 )First Aid Beauty Ultra Repair Face Moisturizer
This vegan moisturizer is free of irritants like alcohol, artificial fragrances and colorants, and mineral oil and is deemed safe for sensitive skin and even eczema.
"This is the only moisturizer that can actually help soothe my eczema breakouts," says Coleen H. "I wear it during the day and at night and I notice a big difference if I go a few days without it. It's the only moisturizer I've ever worn that provides instant relief."
2) Chuda Healing Hydrating Cream
With ingredients like beeswax, rose and olive oil, and anti-inflammatory propolis (which is known for its healing powers), Chuda Healing Hydrating Cream is the moisturizer you'll want to take with you to the beach (it can soothe sunburn) and the slopes (same with wind burn).
"This is the thickest, most luxurious cream in the world," says Dana L. "If my skin gets red and irritated, it actually makes it look normal again."
3) Nubian Heritage Shea Butter Body Lotion
Dry skin isn't limited to your face — your body may need hydration, as well, and this African Shea butter body lotion delivers the goods. It's made with soy milk, vitamin E, frankincense, and myrrh and, according to Samantha R., can transform your skin: "I haven't had dry, scaly elbows or knees since I started using this lotion. It's amazing."
4) Charlotte Tilbury Magic Cream Moisturizer
If you don't mind spending a bit more for a luxury brand moisturizer, some say this is the one that deserves your investment. This celeb-approved Magic Cream relies on hyaluronic acid to seal in moisture, rosehip and camellia oils to make skin brighter and more radiant, and a patented peptide complex that fights free radicals for healthier, more youthful looking skin.
"Some really great anti-aging moisturizers aren't hydrating enough for my very dry skin, but this covers all the bases," says Anna P.
5) Nyakio Soothing Oil
Your skin may be so parched that it requires an additional moisturizing step prior to moisturizer — and that's where Nyakio Maracuja & Yangu Soothing Oil comes in. Free of sulfates, chemicals, and ingredients like mineral oil, this cold-pressed oil is applied after your toner and will absorb into the skin in seconds, leaving it smoother, more hydrated, and better protected against the elements.
"This oil is just gorgeous," says Kiki D. "Your skin feels like glass after using it and it calms inflammation."
6) Dr. Jart+ Ceramidin Cream
It would be a sin for me not to include one of my all-time favorite creams for dry skin — this Korean beauty classic, which is infused with ceramides to strengthen skin, prevent chronic water loss, and give it an intense boost of hydration. A little goes a long way (I've been able to stretch one tube of cream over three months), it's safe for all skin types, and it's free of 10 bad-for-you ingredients like parabens, sulfates, and artificial fragrances and colors. If my skin is feeling even dryer than usual, I pair it with Dr Jart+ Ceramidin Liquid (which I apply as a serum beforehand) and my complexion immediately takes on a glow-from-within radiance.


text: Very spacious and lots of storage home with mountain views! Main floor has full bath, office, huge family room, and a bedroom. Upper level has gas fireplace, living room, and a kitchen with ss appliances; dishwasher and microwave included! Top level has 2 bedrooms, 1 full bath and a master suite with 2 large closets (walk-in) and large master bath with dual vanity and walk-in shower. Very large garage. Date Available: 05/29/2019

subset: commoncrawl


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Smashing UX on a Small Budget
August 15th, 2018
A conversation that often comes up for small businesses is how they can make their site super user-friendly but still appealing and purposeful. There is no magic formula for getting UX (user experience) right, but knowing your customers will be a benefit. Here's a few things both small businesses and designers can do, together, to find the system that works best for them.


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But do you know that not only are some flowers great to look at, they can also add quite the flavor enhancement to your brunch, lunch or dinner plate?
There are quite a number of flowers that are edible and have quite the range of flavors, from subtle cucumber flavoring to licorice flavors, to artichoke flavor, to tangy pepper flavored.
Before embarking on adding flowers to your plate a few words of caution are in order.
Only eat flowers that you are certain without a doubt are edible varieties.
Remember this key phrase: "If in doubt, do without!"
When one starts to add edible flowers to the diet it must be done slowly, and using only one variety at a time,and sparingly in recipes, to prevent intestinal upset, and especially if you may have allergies.
If you decide to add edible flowers to your plate, please be careful, and make sure that indeed the flower variety is safe and edible.
Do not use any types of pesticides or chemicals around any flowers that you intend to grow as edibles.
Do not consume flowers from florists, nurseries, or garden centers, as most of these have been treated with chemicals and pesticides and are not labelled for food consumption.
The same can be said for flowers obtained next to roadways, these very well could be sprayed with pesticides and other chemicals, and may not be safe for consumption.
The best time to harvest your edible flowers is in the early morning when the moisture content of the flower is at its peak.
Shake the flowers to remove any little bugs that may be hidden amongst the petals.
Wash thoroughly and place on paper towels to drain.
Remove the pistils and stamens from all edible flowers before consumption.
Only eat the petals.
Edible flowers can be kept for up to 8-10 days in your refrigerator for later use if you simply lay them out on moist paper towelling and wrap with plastic wrap, or store them between pieces of moist paper towels in a sealed plastic container.
If the flowers start to look a bit wimpy and wilted simply float them in a bowl of ice water for a minute before serving and they'll perk right up.
Below you will find a list of edible flower varieties with flavor descriptions.
Now you can create your own dual purpose flower garden.
Not only will you have flowers to beautify your yard and home, but also flowers that can be used in a variety of culinary dishes.
These are plants known as the flowering onions. All parts of these plants are edible, and some have very pretty flowers.
Plants in the Allium family include chives, garlic chives, leeks, garlic, onions,and shallots.The flower colors can vary from white to pink and add a very nice touch to the salad plate.
All of these flowers of course impart an onion to garlic type flavor, but not as strong as the actual bulb of the plant may have.
Anise Hyssop-
With a flavor reminiscent of root beer and of a slightly licorice flavor.
Often used in Chinese cuisine. The flowers are a pretty lavender-purple color and are attractive to butterflies.
Bachelor Buttons-
Also known as Cornflower these lovely peacock blue colored flowers impart a slight clove,anise flavor to dishes.
The flower also can be used to create a bluish-lavender dye for cake frostings.
Bee Balm-
Also known as Monarda the taste of Bee Balm imparts a citrusy combination of lemon and orange, and is great used as a tea.
In fact the leaves of the Bee Balm are very similar in taste to Earl Grey tea.
If using the wild version of Bee Balm the plant offers a combination of flavors similar to oregano and mint.
The wild Bee Balm leaves can be used in place of oregano in dishes, and the red flowers can be used to add a minty flavor to teas.
A darling star shaped pale blue colored flower which can be used in summer time drinks such as lemonade and punch. The flowers have a cucumber flavor.
Also known as Salad Burnet. This plant has a fern like appearance and is actually related to the rose. It sends up a pretty red flowered stalk from the center of the plant. The leaves can be used in salads and drinks to impart a cucumber flavor.
We also all know these flowers as Marigolds. These brightly colored flowers which vary in hues of bright yellow to orange have a range of flavors from slightly bitter to a peppery taste. They can be used to flavor egg dishes, to add a bit of color to rice and pasta dishes and to add a bit of "sunshine" to salads.
The miniature varieties are known as Dianthus. The Dianthus have a slight clove to nutmeg scent/flavor while the larger Carnations have sweet flavored petals. Make sure that you remove the white base of the flower away from the petals.These edible flowers make lovely decorations on cakes and to decorate tea party plates.
Ranging in flavor tones from tangy and slightly bitter to peppery and even slightly like a cauliflower flavor, these flowers are always a delight to the garden, and now you can add them to your salads as well. Use the petals only and be sure to blanch them slightly before tossing with your salad ingredients.
The flowers and leaves of this plant are both edible. Flowers should be collected when very young for the best flavor. Flowers have a sweet honey like flavor and can be used to create a dandelion flower jelly. The leaves of the Dandelion are best collected when the plant is young as well, as the larger leaves can have a bitter flavor. Steam the leaves like you would spinach, or toss into a salad and use fresh. Also can be sauteed with olive oil and garlic in a saucepan.
This plant contains exquisitely designed flowers that impart a slight acidic flavor,the berries of this plant are also edible. Makes a lovely garnish.
Remove the anthers from these flowers that have a mild lettuce like flavor and use to hold spreads on the salad plate or to hold dessert mousses.
The petals of this flower can be boiled and used to impart a slight cranberry-citrus flavor to teas.
Flowers ranging in colors from yellow, to orange, to red.The flowers have a slight peppery taste and can be added to salads and sandwiches, and are a lovely garnish.
All Roses are edible, but make sure that no chemicals have been used on the roses that you intend to use.Make sure that you remove the whitish colored parts of the petals that are located near the base of the flowers. The stronger the scent of the rose the stronger the flavor will be. Flavor varies from strawberry type flavoring to apple type flavors, to minty and spicy flavors. The darker the rose the stronger a flavor will be also.A wide array of uses for the petals of this plant: from jellies to floating the petals in fruit punches, to garnishing desserts and ice creams, to decorating cakes.
We know that the seeds of the Sunflower are edible, but did you know that if you harvest the young unopened flower bud of the Sunflower and steam it, that it has a flavor very much like artichokes have?
The tender leaves and purplish colored flowers can be used to flavor salads. They impart a slightly sweet flavor. The flowers are lovely floated into drinks and used to embellish many different types of desserts, from ice creams to cakes.Leaves can be cooked like spinach.
Happy Gardenening!
~The Victory Gardener!~


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The Great Gatsby
Critical Essay
"The Great Gatsby" by F. Scott Fitzgerald is a novel in which the setting in time and place is a significant feature. In this essay I will show how the writer's use of setting contributes to my understanding of character and theme.
The novel begins with Nick Carraway. He is the narrator if this novel who is from a middle class background. Throughout the novel we make judgements from Nick's perspective and form an opinion from his point of view. The next characters we are introduced to are Nick's second cousin Daisy and her husband Tom Buchanan. We learn that these two characters are from an upper middle class background, however from their morals and decisions you would assume differently. Nick is portrayed to be an honest and genuine character in the novel, far different from Tom and Daisy Buchanan. At the beginning of the novel hints were given about disputes and underlying problems between Tom and Daisy, we then discover that Tom is having an affair with his car salesman's wife Myrtle Wilson from the poor Valley of Ashes. When the character Gatsby is finally introduced we find out that previous speculations were not true. We discover that Gatsby and Daisy have a history together; we find out that they were both in love with each other before Gatsby was shipped off to the war. Since then, Gatsby has spent the last 5 years trying to win back Daisy's love and acceptance by organising parties in hope that she would saunter in and that they both would rekindle their relationship. Before all the elaborate parties there was a poor, young James Gatz whom created this persona of "Gatsby." He has spent most of his life living up to this idea and for him, appearances are everything.
Two significant features in this novel are social class and the American Dream. Tom and Daisy Buchanan both live in East Egg; this particular place is inhabited by "old money", the more sophisticated upper class. The reader would expect the inhabitants...
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It promises to be a cold day in Stockholm, but looking at today's schedule I'll have no problem staying warm. They're busy weeks, my days up here, and that's obviously how I like them. What would be the purpose otherwise?
I've been thinking a lot about balance lately, and how to make work fit with interests, dreams outside of your job, and personal life. Traveling like this, being away from your home for most of the workweek, is both good and bad. It gives focus, because when I'm in Stockholm I'm working (a lot) with 24HR and similar tech related projects. When I'm home I'm not, at least not to the same extent. The problem arises with fringe projects, like my fiction writing for example. What time will that cut in to? How do you balance that sort of thing – and there are plenty – if it's something you need to do both in your work location as well as in your home?
You just do, I guess, it it's important enough. Thought in progress, to be continued I'm sure.


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Or call to make an appointment:
Emily (712) 899-9039
Stacy (712) 204-1715
Emily Pitts
Call (712) 899-9039
is a licensed Massage Therapist and is a 2004 graduate of the Cortiva Institute in Pinellas Park, Florida. She works with a variety of clients, including those who prefer to relax, to those who intend to overcome pain, or to athletes who need to recover and restore their bodies. Emily specializes in therapeutic, deep tissue, myofascial release and aromatherapy massages. She mindfully integrates the various modalities, customizing treatments specifically for each client, and intuitively inspiring natural healing and balance in every session.
Stacy Lessman
Call (712) 204-1715
Emily is very intuitive to my needs by utilizing deep tissue massage techniques that are specific to my needs each time I go to her. Her professional standards and individual focus on my needs is why I continue to go back to Emily. I have gone to Emily for 3 years and each massage is based on my needs vs a standard "one-size-fits-all" approach. -Jeanene Sampson
Emily has worked on me from head to toe over the past two years! I'm convinced she's saved me from carpal tunnel and chronic neck pain as well as keeping me able to continue to exercise and do my job. She also helped save my son's cross country season when his hip was keeping him from running. She is clearly passionate and extremely knowledgeable about her work and she's the first place I turn with pain or a limitation. – Erin Hytrek
As a mommy of two little boys, I was in desperate need of a relaxation massage . Stacy Lessman was fantastic! She addressed all of my problem areas and created a great environment. I left feeling completely rejuvenated. Thank you for the best massage in Siouxland! – Annastasiya F.
Stacy is amazing! I have been going to see her for about 10 years now. I feel like a new person after a session with her! -Lisa Schiltz
Emily and Stacy are top notch! These gals are passionate about what they do and it definitely shows! Not to mention, the environment is clean and relaxing!! If you haven't been to either of them, you're missing out! -Megan B.
These ladies have put together a climate that is professional and truly focused on the needs of their clients. Such a clean and relaxing climate! -Jeanne S.


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I'm brewing another big beer for this year's Firkin Fest beer festival in July. I have a normal gravity Saison in the FV that is more than ready to rack. Today, I'm brewing an imperial saison with spelt and I'll pitch onto the yeast cake from the last saison. Well, part of the yeast cake anyway. This is a Belgian farmhouse style ale so I've just kind of thrown the recipe together to clean up some grains I have and keep true to the farmhouse tradition of brewing with what's on hand.
I'm shooting for an OG of around 1.080 but having never used spelt before, I'm not sure how well it will convert. All part of the fun!


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You are currently browsing the tag archive for the 'Show Kite' tag.
Tag Archive
And The Wind Blows Again
November 7, 2018 in Color in the Sky, Fort Macon State Park, Kite, Kite Flier, Kite Flyer, Kite Flying, Kites, Kites Unlimited, Outdoor, Photography, Recreation | Tags: Carolina Kite Club, Color in the sky, dragon kite, Fort Macon State Park, Kite, Kite Addiction, Kite Club, kite flier, kite fliers, kite fly, Kite Flyer, kite flyers, Kite Flying, Kites, Kites Unlimited, outdoor, Photography, Quad Line Kites, recreation, Show Kite, White Bird Kites | Leave a comment
My new kite from Peter Lynn of New Zealand arrived just before the festival. Unfortunately, the winds were too high for me to fly it. So in the middle of the week we made a trip to the beach to put it in the air for the first time. It is really a kite show in a bag. It is made up of a lifter kite and a fish, a skate and a crab to hang from the flying line. I was a little nervous as I never had flown anything like this before but I'm not nervous anymore. It was a breeze to put up and really looked great. I couldn't stop smiling.
Just like the Carolina Kite Festival this past weekend, the winds were high for the weekly community kite fly. According to a couple different weather apps, the winds were supposed be on the high side in the morning, dropping to more manageable speeds as noon approached. Well, they had it wrong again. The winds only picked up as the day progressed. Since we hadn't unpacked the kites from the truck after the festival, we were able to select some kites which could handle the wind. And the kites of choice were a variety of deltas.
Another type of kite which handled higher winds is the dragon. And the White Bird dragons flown by our friend Steve added to the show.
For the first time in months, I got out one of my quad line kites, the Vertigo Max, vented for higher winds. Stunt kite flying is a lot like riding a bicycle. You never really forget how to fly, you just get a little rusty. And it all comes back quickly. It made for a fun morning.
Fair winds All
The 31st Carolina Kite Festival
November 2, 2018 in Carolina Kite Club, Color in the Sky, Kite, Kite Club, Kite Festival, Kite Flier, Kite Flyer, Kite Flying, Kite Making, Kite News, Kites, Kites Unlimited, Outdoor, Photography, Recreation, Show Kite | Tags: Carolina Kite Club, Color in the sky, Hyperkites, Kite, Kite Club, Kite Festival, kite flier, kite fliers, kite fly, Kite Flyer, kite flyers, Kite Flying, kite news, Kite Stacks, Kites, Kites Unlimited, Quad Line Kites, Show Kite, Stunt Kite | 1 comment
This past weekend was the 31st Carolina Kite Festival at the Sands Villa Resort in Atlantic Beach, NC. This festival is sponsored by my local kite shop, Kites Unlimited & Bird Stuff, Etc., also found in Atlantic Beach, NC. We had no idea how this one would be attended as Hurricane Florence hit us hard and many people are out of work and out of their homes. Also, many of the hotels and condo units were damaged which made accommodations in the area harder to find. But it didn't deter most of our regular out-of-town flyers.
The weekend started with very high winds and chilly temperatures. It rained the Friday before and was cloudy most of the day Saturday. The winds kept a lot of the attendees from flying their single line kites as no one wanted to have a broken kite. Luckily, the winds were blowing steady down the beach which made it much better for the large kites to fly. And there was a grand show of large kites.
The weatherman was both right and wrong about the weather on Sunday. The sky cleared and the sun came out which warmed up the afternoon. But the winds never let up, came across the buildings along the beach and became more turbulent. Fewer big kites were flown. But there were more people with their single line kites out on the field.
A couple of our special guests this year were Ray Wong and Randy Tom. Both are makers of art kites and hail from California. And both brought kites to be sold at the kite shop.. Photos of their kites are on the Kites Unlimited & Bird Stuff, Etc. Facebook page.
The Bay Area Sundowners Kite Team came from San Fransisco to perform both days. They are always a joy to watch. They perform routines flying stacks of thirteen hyperkites in red, white and blue. Many spectators come year after year to see them perform. Saturday's wind was a little too high but they gave it a try anyway and did a good job. The slighter winds on Sunday were better and the team flew a couple different routines throughout the day.
On the third kite field, the stunt kites were flown. Dual line and quad line stunt kites were in the air as the wind and the whim of the flyers allowed. Along with all the flying, there was a kids' kite building table for children to decorate and assemble a small sled kite and a candy drop from a high-flying delta kite. A few brave souls even went out on the beach Saturday night to fly their kites with lights on them. I emphasize "brave" as it was very cold after the sun went down.
Although it seems that I spent most of my time running around with my camera photographing the event, I did get to fly a couple of my single line kites, a friend's quad line kite and visit with kite flyers I hadn't seen in quite some time. The festival was deemed a success and plans are already in the works for next year's event. For more pictures and some video from the festival, check out the Kites Unlimited & Bird Stuff, Etc. Facebook page (Kites Unlimited & Bird Stuff, Etc.).
Fair Winds All
Kite Flying Withdrawal
June 16, 2016 in Color in the Sky, Kite, Kite Festival, Kite Flier, Kite Flyer, Kite Flying, Kites, Kites Unlimited, Outdoor, Photography, Recreation, Show Kite | Tags: Carolina Kite Club, Color in the sky, Kite, Kite Club, Kite Festival, kite flier, kite fliers, kite fly, Kite Flyer, kite flyers, Kite Flying, Kites Unlimited, outdoor, Photography, recreation, Show Kite | Leave a comment
It's been over two weeks since I've flown a kite. I am feeling some withdrawal symptoms. That may sound strange to some people. But flying kites brings relaxation and a sense of accomplishment. Relaxation from watching the single line kites floating in the sky and accomplishment from improving on my control of a stunt kite. And when the weather is good, the wind is right and you don't get out to the kite field, the days seem wasted.
After not flying for a while, it is dangerous to walk into a kite shop. There is inevitably a kite that is new and begging to be flown. And it is sure to be a kite you've been debating about buying for a few weeks. The end result is an addition to the kite bag, a show kite for special occasions and festivals.


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This would portend more corrective activity over the coming days.
The 2nd possibility is that of a flat style correction with Friday's selling being the "c" - and thus last - wave of that pattern:
This would mean a quick conclusion to the selling (if it's not already done) and another ramp up almost immediately. This alternate is the higher probability IMO.
From a longer term perspective the preferred count is showing a major top in the near future:
This count has the ES in Intermediate W5 (purple) of Major W5 (blue) of Primary W III, with Primary W III being a bull market that commenced in 2010 and Major W5 being the bull market of the last 2 years - if true, a significant juncture.
However, the parabolic rise of recent months is more typical of a 3rd wave rather than a 5th wave as labeled above. So the thought is that the pattern from early 2016 thru mid 2017 is a series of nested 1st & 2nd waves with the run up from August thru now being the 3rd of a 3rd of a 3rd of a 3rd wave - i.e. the point of maximum acceleration:
This count has to be given serious consideration - if for no other reason than that there have been no serious signs of topping action as of yet.
NOTE: dotted lines show potential EW structures and are not necessarily accurate price/time forecasts


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PSCU's sixth annual holiday sweepstakes rewards credit union members and representatives with 60-second shopping spree
St. Petersburg, Fla. — (Dec. 11, 2018) — Members or representatives from eight lucky credit unions were chosen as winners of the sixth annual Credit Union Magic Minute™, a program developed and sponsored by PSCU to help its Owner credit unions build even more tight-knit relationships with their members. Winners from credit unions across the country — including one team running on behalf of charity — won an all-expenses-paid trip for two to Chicago late last month, where they had the chance to grab as much as they could from a warehouse stacked with thousands of items ranging from electronics and toys to kitchenware and household products, all in a heart-pounding 60 seconds.
The Credit Union Magic Minute was created by PSCU as a way to help Owner credit unions create stronger loyalty by delivering a unique and unforgettable member experience. Owner credit unions that participate in PSCU's rewards program are automatically enrolled in the sweepstakes. Cardholders in CURewards® average six to seven more transactions per month and 30 percent more spend throughout the year.
"Recently, PSCU reinforced the large role rewards play in determining payment choice for consumers in our Eye on Payments study, in which over 93 percent of survey respondents indicated they receive a reward or benefit when making purchases with their credit card," said Tom Pierce, Chief Marketing Officer for PSCU. "The Credit Union Magic Minute is a fun and exciting way to help our Owners foster member loyalty and strengthen engagement. PSCU is proud to support this unique promotion that recognizes and celebrates the irreplaceable bond between credit unions and their members."
This year's winners were selected from APCI Federal Credit Union (Allentown, Pa.), Aspire Federal Credit Union (Clark, N.J.), Scient Federal Credit Union (Groton, Conn.), SRP Federal Credit Union (North Augusta, S.C.), The Summit Federal Credit Union (Rochester, N.Y.), TruMark Financial Credit Union (Fort Washington, Pa.) and Y-12 Federal Credit Union (Oak Ridge, Tenn.). Each winner brought a guest of his or her choosing to take part in the festivities. Teams loaded up dozens of items, including MacBook Air computers, TVs, game systems, cookware, GoPro cameras and iPads into their winning carts.
The participating credit union with the highest sweepstakes participation among members, along with demonstrating its marketing efforts to promote the campaign, was surprised with the opportunity to run for a non-profit of its choice. Community First Credit Union (Appleton, Wis.) selected Pillars, a collaboration between three organizations addressing the challenges of homelessness, housing and hunger, as the recipient of its sweepstakes items. According to Community First, Pillars' work is a true reflection of the credit union philosophy of "people helping people" and showcases the power of cooperation.
"Community First has been a strong partner for us over the years, and Magic Minute is a fantastic way for us to be able provide additional support to our families," said Pillars Executive Director Joe Mauthe. "We are honored to have such a giving partnership."
To further strengthen the relationship between the member and his or her credit union, representatives from each credit union also made the trip to Chicago. According to several credit union winners, they were both surprised and excited to discover they had won.
"Many of this year's winners spoke to the importance of their credit unions getting to know them on a personal level and providing the services, offerings and guidance they expect from their trusted banking partner," said Annie Cox, Vice President of Loyalty Solutions at PSCU. "For them, Magic Minute is further evidence they are more than just a number at their credit union, and that their loyalty is truly appreciated and valued."
For the sixth year in a row, PSCU teamed up with Hinda Incentives — the longtime merchandise fulfillment partner for its CURewards® program — on the sweepstakes. For more information on the Credit Union Magic Minute, visit cumagicminute.com.
About PSCU
PSCU, the nation's premier payments CUSO, supports the success of over 900 Owner credit unions representing more than 2 billion transactions annually. Committed to service excellence and focused on innovation, PSCU's payment processing, risk management, data and analytics, loyalty programs, digital banking, marketing, strategic consulting and mobile platforms help deliver possibilities and seamless member experiences. Comprehensive, 24/7/365 member support is provided by contact centers located throughout the United States. The origin of PSCU's model is collaboration and scale, and the company has leveraged its influence on behalf of credit unions and their members for more than 40 years. Today, PSCU provides an end-to-end, competitive advantage that enables credit unions to securely grow and meet evolving consumer demands. For more information, visit pscu.com.


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Recap: RoboBoat 2019
Hello all, welcome to our official recap of the RoboBoat competition in South Daytona, Florida! As some of you may know, Blue Robotics and RoboNation have a long, mutually inspiring history and BR has been lucky enough to sponsor RoboSub for 5 years now as well as RobotX for the first time in December, 2018. After years of partaking in the fun, inspiring, and innovative world that is RoboNation, it was only natural to want to join in on more competitions as well, leading us to sponsor RoboBoat for the first time in 2019!(more…)


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Collaborative research model produces the highest quality analysis for any investment in the world at 1% of traditional costs.
- Stage Prototype Ready
- Industry Financial Services
- Location Charleston, SC, USA
- Currency USD
- Founded August 2009
- Employees 5
- Website wikiwealth.com
Company Summary
WikiWealth uses crowd sourcing technology to produce the highest quality investment research at 1% of traditional costs.These reports can cover the 95% of the world's most valuable investment opportunities that Wall Street professionals can't profitably research, but are eager to obtain. For $25,000, we created 6,000 reports and have >100,000 users. With $500,000, we will cover every investment in the world and provide you with an 11 fold return.
David Terrence DurantCEO
David Durant has an MBA in entrepreneurship and marketing from Emory University's Goizueta business school and a degree in finance, with honors, from the University of Florida. After four years on Wall Street and over 18 years of investing experience, David founded WikiWealth.com to harness the knowledge of individual investors worldwide. His self-perpetuating research process is already producing returns.
Kelly PatrickCOO
Kelly Patrick, CHP, is a graduate of Florida State University where he earned degrees in Multinational Business Operations, Management, and Finance. Kelly has experience as a retail equities broker and he is an affiliate member of the CFA society. Kelly runs the client-focused hedge fund based on the fundamental research generated by WikiWealth's platform.
Tommy DominguezAnalyst
Tommy is a graduate of the University of North Florida Coggin School of Business. Tommy works on the qualitative side of the research platform.
Sayed HashimiTechnology
Sayed has a background in technology and is a graduate of the University of Florida. He is a Microsoft MVP who works on our back end data management systems.
Patrick DurantClient Services
Patrick Durant has a MBA from the University of Maryland (College Park). He specializes in client management. Patrick is the client liaison for the WikiWealth hedge fund.
Sklar Law (www.sklarlawfirm.com)LawyerUnconfirmedTBAAccountantUnconfirmed
Previous Investors
Self financed - Investment returns from strategyUnconfirmed


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31871 / 43435 Adverts
Mill Detached, 1 floor, separate entrance, in a luxury property
from $A123/Night (rates)
4 people 4 adults
2 bedrooms
1 roomLiveable floor area : 90m²
Ground surface : 4 ha
2 bedrooms
1 roomLiveable floor area : 90m²
Ground surface : 4 ha
- View : Unobscured, not overlooked, country side, garden/park, farmland, river
- Children welcome
- Setting : Country setting, Suitable for a relaxing break
- River at <50m
- Horse riding, Fishing
- Exposure : South
Qualité tourisme Touristic region : discover Autunois
Advert No. 1553
For your guidance
Contact by phone
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For safety and quality control reasons, we strongly recommend to contact the owner through IHA Holiday Ads.
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Moulin de ChevannesAdvert 1553Saint-Didier-sur-Arroux - Saône-et-Loire - France
Advert details 1553
Assets House
Advantages : Darts, ping-pong table
Interior Mill with View: unobscured, not overlooked, country side, ...
Receive up to : 4 person(s) (4 adults)
Liveable floor area : 90m²
Interior layout : 1 Room(s), 2 bedroom(s), 1 shower room, 1 WC, living room 35m², american style kitchen, dining area
Sleeps - bed(s) : 4 single bed(s), 1 baby cot(s), 1 possible extra bed(s)
Guest facilities : T.V., hi-fi system, DVD player, board games, book collection, wifi, wardrobe, Hanging wardrobe, hair dryer, Skylights, Curtains, Double glazed, fire alarm
Appliances : Crockery/cuttlery, kitchen utensils, cafetiere, electric coffee maker, electric kettle, toaster, gas cooker, oven, micro-wave oven, refridgerator, freezer, dish washer, vacuum cleaner, iron, ironing board
Exterior Holiday lettings in Setting: country setting, suitable for a relaxing break
Ground surface : 4 ha
Outside accommodation : Terrace 30m², gazebo
Outside setting : Garden > 1000m², lawn > 1000m², wooded park 1 ha, river, stream
Outside amenities : BBQ, garden table(s), 6 garden seat(s), parasol, chaise(s) longue(s)
Rates Calendar Availability Holiday lettings in Saint-Didier-sur-Arroux
Seasons & Availability Mill in Saint-Didier-sur-Arroux
Rates Mill in Saint-Didier-sur-Arroux
Check-in day
Season Night Weekend week 2 weeks Month
Low season - - $A858* Sat - -
Mid season - - - - -
High season - - $A1094* Sat - -
Festive specials - - - - -
Promotional period - - - - -
ServiceFrequencyIncluded / SuppliedSupplementRates
Sheets1 X / per week
Towels1 X / per week
Linen1 X / per week
Quilt(s)1 X / per week
Pillows1 X / per week
Cleaning on departure
Locally produced meals$A30
Picnic basket
For your guidance
Information :
Children welcome
Pets accepted under certain conditions (ask the owner)
Present on site : pets, farm animals, wild animals
Non smoking rental
Mobile telephone network coverage
Personal transport advisable
Water : hot/cold
Local voltage supply : 220-240V / 50Hz
Electricity supply : mains
Booking conditions
Reservation :
Payment made upon reservation : 50% of rental sum
Deposit required : $A157*
rentals :
Service charges included
Day tax in addition
Cleaning charge on departure included
Anticipated supplement for : baby, animals, supplementary bed(s)
Accepted methods of payment :
Bank transfer (wire)
Bankers draft
Leisure, Surroundings, Location Converted property 1553
Leisure Saint-Didier-sur-Arroux - Saône-et-Loire - Autunois
Specific activities on site or less than 5 km/ 3 miles :
HORSE RIDING Saône-et-Loire
FISHING Autunois
Leisure activities less than 20 km / 12 miles : Bathing, golf, pathway, hiking, paragliding, horse trecking, hunting, pétanque pitch
Supervised : Riding school
Attractions and relaxation : Bar/pub, restaurant, park and garden, nature reserve, historical site, museum, summer theatre, antiques & bric-a-brac, cellar and wine tasting
SurroundingsCountryside - Autunois
COUNTRYSIDE HOLIDAYS Touristic region : Autunois
Locality :
Sandy beach at <50m
Creek at <50m
Public swimming pool at 20km
9 hole golf course at 20km
River at <50m
Lake at 800m
Mountain range at 5km
Amenities :
Village centre at 2km
Town centre at 20km
Bike/mountain bike hire
Car rental
Local shops at 7,5km
Supermarket at 7,5km
Internet cafe at 7,5km
Post office at 7,5km
Bank at 7,5km
Cash point at 7,5km
Chemist at 7,5km
Doctor at 7,5km
Hospital at 20km
Location AccessHouse Saint-Didier-sur-Arroux
Moulin de Chevannes D115
71190 Saint-Didier-sur-ArrouxBurgundy
GPS coordinates of accommodation
Latitude 46°51'17.68"N
Longitude 4°6'21.92"E
Access routes Holiday lettings 1553
at 800m / 5min.
Motorway (junction) N81
Saint-Didier-sur-Arroux, Saône-et-Loire, Burgundy, France
Towns close by
Autun (21km)
Étang-sur-Arroux (7,5km)
Chalon-sur-Saône (65km)
Close to Ruisseau de Repentir, Ruisseau le Fontete, Etang de Montaubry, Ruisseau le Rancon, Ruisseau la Corcelles, Bois de Patuet, Selle, Bois d'Avril, Foret de Vanze, Bois de Chevannes, Etang de Breuil, Bois de Montsauche, La Copine, Ruisseau de Blandeau, Etang de Martenet, Ruisseau la Limace, Etang Donjon, Bois de Briffault, Bois de Chaze, Bourbince, Canal du Centre
Towns close by
Nearby places
Photos House 1553
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Alzheimer's disease (AD) is the most common type of dementia among older adults. In the United States it is estimated that one in ten people aged 65 and older (10%) has Alzheimer's dementia.
AD is an irreversible and progressive brain disorder that gradually destroys mental and cognitive skills. The initial symptoms of AD include memory problems, difficulty finding the right words, poor problem-solving skills, vision/spatial issues, as well as impaired reasoning or judgement. As the disease progresses, Alzheimer's patients lose the ability to carry out the simplest tasks and become increasingly disconnected from their environment.
On a neurological level, AD affects the nerve cells (neurons) in the brain. The neurons transmit messages between different parts of the brain and from the brain to the rest of the body. AD hinders the communication between the neurons and also causes neurodegeneration and death. As a result, the brain's functioning is severely hindered.
The earliest manifestations of AD are problems with short-term memory. As the disease progresses, more and more cognitive functions become impaired. In late stages of AD, the disease causes the malfunction and cell death in entire regions of the brain and the brain significantly shrinks in size. At a certain point the brain cannot control the most basic bodily functions such as swallowing or stable breathing, and eventually AD becomes fatal.
Immense resources have been invested in research and development to find a cure for AD. To date, no cure has been identified. In the interim, scientists have developed pharmacologic treatments which aim to slow down the progression of the disease and improve Alzheimer's patients' quality of life.
Neuronix is the only company in the world that has developed a medical device for the treatment of mild to moderate AD. We are proud to be part of the fight against AD, and excited to offer Alzheimer's patients and their caregivers an additional treatment option.


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Summary: from Amazon
Fifteen-year-old Matt Gratton and his two best friends, Coop and Sean, always set themselves a summertime goal. This year's? To see a real-live naked girl for the first time — quite a challenge, given that none of the guys has the nerve to even ask a girl out on a date. But catching a girl in the buff starts to look easy compared to Matt's other summertime aspiration: to swim the 100-yard butterfly (the hardest stroke known to God or man) as a way to impress Kelly West, the sizzling new star of the swim team.
This book? Hilarious! I have never laughed more reading a book than I have with "Swim the Fly". I truly could not contain myself while reading this, I also received stares and weird looks because of it. Its the cutest story of these awkward teenage boys who get themselves into all kinds of trouble throughout the book.
The characters were all equally well done. All of the main characters were hilarious in their own way. You had Matt, who gets in over his head to try to impress a girl, Coop who is all too eager too achieve the boys new summer goal and will go to any extent to get it, Sean with his lame and innocent comebacks, and Matt's grandfather who is trying ask out the old lady across the street who was recently widowed.
Overall, this book was the funniest book I have ever read. It was very well done. I can't wait to read or watch more from Don Calame as he was also the screen writer of "Employee of the Month"


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Did you know if you Register you have access to free search tools including the ability to save listings and property searches? Did you know that you can bypass the search altogether and have listings sent directly to your email address? Check out our how-to page for more info.
Masterpiece! 3.5 acre estate, Buckhead's Tuxedo Park! Exquisite English Manor Mansion w spacious terrace level, pool house, infinity pool & patios, outdoor living space. 2 story foyer opened pair arched staircases both sides overlooking 2 story great room, wall of windows overlooking pool & open kitchen. Unbelievable 2 story master w fireplace, separate closets for him & her. Terrace level includes entertainment, media, exercise & spa. Spectacular 2 story Pool house w bedroom & bath lower level. Buckhead's Finest!
Listing Provided Courtesy Of: GG Sells Atlanta.
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Listing information last updated on December 10th, 2019 at 12:01pm EST.


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Kynurenic acid (KYNA) is a product of the metabolism of L-tryptophan. It has anti-epileptic and anti-excitotoxic properties. From wikipedia:
KYNA has been proposed to act on four targets:
- As an antagonist at ionotropic AMPA, NMDA and Kainate glutamate receptors in the concentration range of 0.1-2.5 mM
- As a noncompetitive antagonist at the glycine site of the NMDA receptors.
- As an antagonist of the a7 nicotinic acetylcholine receptor. However, recently, direct recording of α7 nicotinic acetylcholine receptor currents in adult (noncultured) hippocampal interneurons by the cooper labaoratory validated a 2009 study that failed to find any blocking effect of kynurenic acid across a wide range of concentrations, thus suggesting that in noncultured, intact preparations from adult animals there is no effect of kynurenic acid on α7 nicotinic acetylcholine receptor currents
- As a ligand for the orphan G protein-coupled receptor GPR35. Another tryptophan metabolite, 5-hydroxyindoleacetic acid exerts its effects via the orphan G protein-couple receptor GPR35
KYNA is actually not that bad in moderate amounts., as it can buffer against excitotoxicity and helps mood. The problem is when your L-tryptophane metabolism is KYNA dominant or you have lots of inflammation, where microglia release KYNA in your brain. The symptoms of NMDA antagonism are very similar to schizophrenia, and scientists actually use PCP to induce schizophrenic states in rats. Not surprisingly, KYNA abundance has been implicated in schizophrenia. This makes sense. Now, for the real negative of KYNA: Quinolinic acid.
From wikipedia:
"Quinolinic acid is an excitotoxin in the CNS. It reaches pathological levels in response to inflammation in the brain, which activates resident microglia and macrophages. High levels of quinolinic acid can lead to hindered neuronal function or even apoptotic death. Quinolinic acid produces its toxic effect through several mechanisms, primarily as its function as an NMDA receptor agonist, which triggers a chain of deleterious effects, but also through lipid peroxidation, and cytoskeletal destabilization. The gliotoxic effects of quinolinic acid further amplify the inflammatory response. Quinolinic acid affects neurons located mainly in the hippocampus, striatum, and neocortex, due to the selectivity toward quinolinic acid by the specific NMDA receptors residing in those regions.
When inflammation occurs, quinolinic acid is produced in excessive levels through the kynurenine pathway. This leads to over excitation of the NMDA receptor, which results in an influx of Ca2+ into the neuron. High levels of Ca2+ in the neuron trigger an activation of destructive enzymatic pathways including protein kinase, phospholipase, NO synthase, and proteases. These enzymes will degenerate crucial proteins in the cell and increase NO levels, leading to an apoptotic response by the cell, which results in cell death.
In normal cell conditions, astrocytes in the neuron will provide a glutamate-glutamine cycle, which results in reuptake of glutamate from the synapse into the pre-synaptic cell to be recycled, keeping glutamate from accumulating to lethal levels inside the synapse. At high concentrations, quinolinic acid inhibits glutamine synthetase, a critical enzyme in the glutamate-glutamine cycle. In addition, It can also promote glutamate release and block its reuptake by astrocytes. All three of these actions result in increased levels of glutamate activity that could be neurotoxic.
This results in a loss of function of the cycle, and results in an accumulation of glutamate. This glutamate further stimulates the NMDA receptors, thus acting synergistically with quinolinic acid to increase its neurotoxic effect by increasing the levels of glutamate, as well as inhibiting its uptake. In this way, quinolinic acid self-potentiates its own toxicity. Furthermore, quinolinic acid results in changes of the biochemistry and structure of the astrocytes themselves, resulting in an apoptotic response. A loss of astrocytes results in a pro-inflammatory effect, further increasing the initial inflammatory response which initiates quinolinic acid production.
Quinolinic acid can also exert neurotoxicity through lipid peroxidation, as a result of its pro-oxidant properties. Quinolinic acid can interact with Fe(II) to form a complex that induces a reactive oxygen and nitrogen species (ROS/RNS), notably the hydroxyl radical •OH. This free radical causes oxidative stress by further increasing glutamate release and inhibiting its reuptake, and results in the breakdown of DNA in addition to lipid peroxidation. Quinolinic acid has also been noted to increase phosphorylation of proteins involved in cell structure, leading to destabilization of the cytoskeleton"
If you don't want to read that, then I will give a summary. KYNA is released by microglia when there is inflammation. KYNA is neuroprotective. KYNA is metabolized to Quinolinic acid. Quinolinic acid is a NMDA agonist, and thus can act as an excitotoxin. It also kills neurons via lipid peroxidation and cytoskeleton destabilization. It induces ROS. It blocks glutamate from being metabolized, resulting in more neurotoxicity from excess glutamate. It also blocks glutamate reuptake. It kills astrocytes, resulting in more inflammation. It really fucks the brain. I hypothesize that schizophrenics have a build up of KYNA because they have low rates of the enzymes that metabolize KYNA too quinolinic acid. From wikipedia "Downregulation of kynurenine-3-monooxygenase (KMO) can be caused by genetic polymorphisms, cytokines, or both." Many Schizophrenic people probably have a predisposition towards KMO down regulation, and inflammation probably synergizes with those genes, resulting in excess KYNA and thus dissociative symptoms. Autistic people probably have an overexpression of KMO, or a bottleneck situation like the schizophrenics, just higher up the pathway, resulting in excess quinolinic and not enough KYNA to buffer it. Both have a KYNA dominant L-Tryptophan metabolization. This can be caused by inflammation, which has been noted in autistic and schizo individuals.
Rosmarinic acid is great for autism and good for schizophrenia because it downregulates Indoleamine 2,3-dioxygenase (IDO) via COX inhibition. IDO catalyzes L-tryptophan into N-formylkynurenine. Rosmarinic acid is also a GABA-T inhibitor, which would be great for autism because it would quell the excitotoxic storms that autistic people suffer.
There's also Syrian rue, which has a multitude of beneficial effects, including KYNA downregulation via norharmane/beta-Carboline, which directly inhibits IDO and nitric oxide synthase. Norharmane is also a benzo-site inverse agonist, so it has memory enhancing, anxiogenic, yet doesn't seem excitotoxic. It might break even with quinolinic acid and thus causes less neurotoxicity than it takes away via quinolinic acid. Syrian rue has many other alkaloids, most beneficial in some way, but I suggest you read up on each one before buying it. It could be dangerous to take if you're uninformed. https://en.wikipedia.org/wiki/Harmala_alkaloid#Chemical_forms


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Lessons Learned About Resources
Some Useful Tips in Selecting Driveways If you have decided to finally change the overall
Some Useful Tips in Selecting Driveways If you have decided to finally change the overall look of your driveway, then it is a must that you get to read this article now. If you have not yet decided which driveway design is the best choice, then you can always look for one by making use of the internet or browsing through magazines. With this in mind, you may assume that the entire process is very challenging, but this is not always the case. To keep things running smoothly, all it really takes is some creativity on your part so that your ideas are then turned into reality. Once you let your creativity take charge, you are most definitely going to get the best design for your driveway. With creativity, you get to transform your driveway in accordance with your preferences and personality. This will increase the value of your home, making you gain more profit when you decide to sell it in the future. Not only will you be able to change its design but also you get to make your home more attractive. Make sure to also save some extra space for entertainment. As you embark on this project of yours, make sure to choose the best paving method. Do not just make use of any random method, make sure to only choose the best one. Only get paving materials that are durable and are from reliable companies. Asphalt, paving block, concrete, and stone-crete are just some of the most common paving materials being used. With this kind of project, you must know the basics first when it comes to its installation. Besides determining your paving materials, you have to also learn about its difficulty level. There are some people who can do the installation of their driveways themselves because they think that it is just easy. It is highly recommended to seek the services from driveway installation professionals if you do not know how to do it. It is vital that you only choose a professional who has several years of experience as regards installing driveway designs. If you still think that you can do everything on your own, then you must not forget to maintain it regularly to keep it looking new every single day. Rather than having to deal with all of these things all at once, a lot of people now opt get the services from professionals. They not only do services but also they are great sources when it comes to useful advice and tips. If you have them by your side throughout the entire process, then you are sure to immediately obtain the kind of driveway design you want.
What Do You Know About Options
Because of their expertise, your project is immediately turned into reality right on time. Aside from being on time, you are also going to be saving more of your money. You know you are in front of a professional contractor if they possess the necessary knowledge, skills, training, and experience as regards driveway installation.A 10-Point Plan for Services (Without Being Overwhelmed)


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Interested In This Yacht?
To Learn More Contact
UYS New Jersey
CRYSTAL is a classic Jongert that offers the avid sailor, comfort, safety, and joy in all aspects of the yachting experience.The deck offersFrom the cockpit, down a few steps, into the spacious, light Saloon with ample seating for 8 guests at the dining table on the port side. Starboard side of the Saloon is the navigation station area.Just to the aft of this, the galley kitchen provides plenty of storage space and workspace to prepare those delicious meals for guests.Aft of the galley is the Master Cabin, consisting of two ¾ size berths, with desk area and en-suite facilities with shower stall.Forward of the Saloon is access to the guest and crew area, with two identical guest cabins, port, and starboard, consisting of a single berth and Pullman bunk and fully equipped en-suitebathrooms. In the forepeak lies the crew cabin, comfortable enough for 2 crew.
United Yacht Sales New Jersey would love to guide you through a personal showing of this 72' Jongert 1991. This yacht for sale is located in Baleares Spain and priced at $948,600. For a showing please contact us by filling out the form on this page and we will get back to you shortly!
Cruise Speed:
Max Speed:
Range NMI:
19' 2"
Engine Details:
Engine 1:
Engine 2:
Engine Fuel:
Inboard Diesel
Fuel Capacity:
Water Capacity:
Crystal has been used to sail the med intensively. She is in need of some further upgrading in various areas of the yacht, as the varnish and outside teak and superstructure paint jobs. But all-in-all she is a fantastic all-rounder yacht and with a little love and attention, will be brought back to life and make a family a lovely sailing adventure
Hull ID 369Hull Designer Ron HollandInterior designer JongertExterior designer JongertClassification –SOLAS: III/ QVAT status paidRefit year: 2007Keel: bulb lead keel Displacement: 49,140 tons Gross tonnage: 84,60 TRB Deck Equipment Anchors & chain: CQR plow Anchor Windlass: Lewmar 3500 hydraulic windlass Gangway: BESENZONI Deck-wash system
Engines: MAN ( NEW 2006, installed in 2007) D2866 LX E40 279 Kw. Hours: April 2018 - 1645 Generators:Auxiliary - KOHLER 20kW Cruising – Kohler 7kW Steering: Hydraulic Propeller: Maxprop 4 bladeMaximum speed: 10 knRPM@ max speed 1.800Cruising speed 8.5 knRPM@ cruising speed 1.500 Range 900 nm Consumption 500 l/ph Tankage Fuel: 1400 l Freshwater: 1000 l Water maker: Seafari Escape Aquamatic 450 l Air-conditioning: Frigoboat
RIGGING was out in 2007Reefing system:In mast – Reckman plus 3 Forestay Furlers ( hydraulic)SAILSSails by: NorthSails / DavidMas / Doyle year 2007Genoa m2FockCOD 0Winches: LEWMAR 8 no. 88 hydraulic. 9 no. 68 x3
Voltage: 220/24VBatteries: 12v 18 ( 3 banks) 140Ah each Gel Batteries 12v 6 50Ah each
Sailor VHF TR5022 (2008)Simrad VHF RS86 (2008)Sailor SSB HC4500B (2008)SAT Phone Thrane & Thrane TT-3672A (2008)Koden Radar MDC-1541 (updated 2016)Satellite LEICA MX400GPS (updated 2017)Furuno GPS GP-1650W (updated 2017)Jakob Hatteland Display 2 units Chart Plotter Blackpack Series 2Segatron Autopilot 1991McMurdo Weather Fax ICS NAV6 NAVTEXB&G Wind Instruments
Frigomatic Refrigerator 2 x Frigomatic FreezerAEG electric stoveCATA Oven ( New 2017)Waeco Fridge (2008) Miele W915 90´Washing Machine
3 staterooms, 3 heads, 1 crew cabinMaster Cabin located in the stern has 2 x ¾ berths with en-suite.Guest room STB side 1 single berth with en-suite and a Pullmann bunk.Guest room Portside 1 single berth with en-suite and a Pullmann bunk Crew quarters have 2 single berths located in the Bow, sharing the bathroom with the starboard guest cabin room.
Highfield 290 rubber aluminium hull (New 2017) with Honda outboard 10hp SAFETY & SECURITY All safety equipment revised in 2018 New Bimini and sun awning in cockpit 2018
2018 Hull paintedNewBimini and sun awning for cockpitNew Oven in the galley2017New Highfield 290 rubber aluminium hull with Honda outboard 10hpNavigation equipment new2008New Galley fridge2007Barcelona Nautinordt.Invoices provided on request.MAN Engine NEW 2006, installed in 2007
The company offers the details of this vessel in good faith but cannot guarantee or warrant the accuracy of this information nor warrant the condition of the vessel. A buyer should instruct his agents, or his surveyors, to investigate such details as the buyer desires validated. This vessel is offered subject to prior sale, price change or withdrawal without notice.
This listing is presented to you courtesy of a member of the International Yacht Brokers Association and may be centrally listed with another broker. It is offered as a convenience by this broker/dealer to its clients and is not intended to convey direct representation of a particular vessel.The Company offers the details of this vessel in good faith but cannot guarantee or warrant the accuracy of this information nor warrant the condition of the vessel. A buyer should instruct his agents, or his surveyors, to investigate such details as the buyer desires validated. This vessel is offered subject to prior sale, price change, or withdrawal without notice.


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|zheng ce bing wang bian ji bu
|Publication by the Office of the CPC Zhejiang Provincial Committee, director of Zhejiang Provincial Policy Office, approved by the State Press and Publication Administration, with a unified Issues of domestic public publications. Publication is a work close to the center of the party, concern Zhejiang rule of law, economic and social development in the field of hot and difficult issues, publicity departments at all levels mediated response Zhejiang reform and modernization of advanced models and successful experiences in the comprehensive publications. Her main features are: guidance and policy. (Translated by machine.)


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VICKSBURG — The Federal Emergency Management Agency has tasked the U.S. Army Corps of Engineers to assist with the disaster relief mission underway in the areas affected by Hurricane Sandy.
Three Vicksburg District employees, Jasper Lummus, Greg Williams and Lamar Jenkins are onsite serving as subject matter experts for debris removal efforts in Philadelphia, Pa., and Colt Neck, N.J.
Jasper Lummus and Greg Williams work in the Vicksburg District River Engineering and Design Branch while Lamar Jenkins is the deputy engineer in the Vicksburg District Greenwood Area Office. These team members have extensive expertise in disaster recovery efforts with previous missions in Joplin, Mo., Smithville and Hurricane Katrina.
Also tasked with the Hurricane Sandy recovery mission is the U.S. Army Corps of Engineers Dewatering Team. This team is being led by Alvin Lee from the Mississippi Valley Division. The Mississippi Valley Division established the Dewatering Task Force in the aftermath of Hurricane Katrina in 2005 to remove trapped or contained floodwaters from flood-affected areas. This team consists of Corps civilian professionals with expertise in civil, electrical, mechanical and hydraulic engineering, contracting, emergency management and public affairs. The mission of the Task Force is to remove water from the subways and low areas in New York City and New Jersey and set the conditions for traditional recovery operations.
… we'd like to ask for your support. More people are reading the Mississippi Business Journal than ever before, but advertising revenues for all conventional media are falling fast. Unlike many, we do not use a pay wall, because we want to continue providing Mississippi's most comprehensive business news each and every day. But that takes time, money and hard work. We do it because it is important to us … and equally important to you, if you value the flow of trustworthy news and information which have always kept America strong and free for more than 200 years.
If those who read our content will help fund it, we can continue to bring you the very best in news and information. Please consider joining us as a valued member, or if you prefer, make a one-time contribution.Click for more info


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WASHINGTON (Reuters) - U.S. Secretary of State John Kerry said on Monday it may be possible to hold talks over the next few weeks on ending the conflict in Yemen.
"Over the course of the next week it may become possible to try to engage in some productive conversations about how to bring that conflict to a close," Kerry told reporters after talks at the State Department with Saudi Foreign Minister Adel al-Jubeir. He did not elaborate, saying only that they discussed the conflicts in Syria and Yemen.
Reporting by Lesley Wroughton and Arshad Mohammed; Editing by Eric Walsh


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The United States: This Sunday, CBS has booked Barak Obama the president of U.S for one last time. This Interview was held on 11th January 2017. In this Interview he made news and revealed himself in front of Steve Koft on 60 minutes.
Barak Obama Last TV Interview on 60 Minutes
Barak Obama will be appeared in network TV Interview in front of Steve Koft this Sunday at White House on 60 minutes. Where he is going to discuss with Steve Koft about his two-term legacy and President-elect Donald Trump. This hour also includes the 44th Presidential Journey through his own words within 60 minutes. Obama has appeared a dozens of time on CBS Prime Time on news magazine series. This Interview was held on 11th January 2017 on Sunday.
The 60 minutes special interview will air on Sunday at 7:00 pm PT/ET on CBS. In the beginning Mr. Obama declared his candidacy in 2007, according to the network. Some of the milestones of Barak Obama on the show have included his first interview as President in November 2008, His first two months in office in March 2009, Facing down opposition to the Affordable Care Act in September 2009, the Democrats losses in the 2010 mid-term elections, Osama Bin Laden's killing in 2011, and his discussion of Syrian Civil War and Russia's involvement in it in October 2015 and so on.
60 minutes is a TV program where Obama has made a lot of news over the years with Steve Koft. It was five days before the Trump's inauguration when Barak Obama the 44th current President of Unites States who recently became a part of The Daily Show, Real Time with Bill Maher, Full Frontal with Samantha Bee, Jimmy Kimmel Live, and The Late Show with Stephen Colbert — delivered his farewell address on Tuesday night.


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Griffin Nathan Lamar died tragically on August 5th, 2016 in the arms of his loving parents Nathan Daniel and Nicole Halsted Lamar of Danvers. For two years, Griffin brought incredible joy to his two sisters, Addison and Margaret, the Halsted and Lamar families, and his large extended network of family and friends. Griffin's infectious smile and joyous laughter brightened the life of all who knew him. His skill with a lightsaber was well beyond his years and everyone that met him wanted to run their hands through his incredible hair – much to his irritation. He completed the Lamar family and the hole left by his passing can never be filled. The Lamar's are incredibly grateful to their friends, family, and the greater Danvers community that have reached out to support them during this excruciatingly painful time. Private services were held for the family on August 13th, 2016.
Griffin's life was itself a gift, and to honor his memory, the Lamar family wants to support the cause that brought Griffin into their lives: ADOPTION. In lieu of flowers, the family asks that you consider a donation to Giffin's Gift, a fund which aims to help potential adoptive families with the initial financial burden of the adoption process.


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Update (15th April 2015) – I've just been alerted to the fact that Cardiff is now a target location (yay), making this entire post pretty much obsolete (boo)! Good news though.
I do a bit of work for Welsh ICE (as mentioned before) and recently looked into the possibility of launching a LinkedIn Ads campaign for them.
Assuming that it would have similar-ish geographical targeting options to Google AdWords (Google's PPC platform), which allows you to target a city/town or a radius around any point (such as a postcode), I was surprised to learn that – as far as the UK is concerned – you can only target 30 towns/cities, ranging from Birmingham to Twickenham, and containing no Welsh or Northern Irish locations such as Cardiff or Belfast. Either side of where Cardiff would (should?) be, we have Cambridge and Chelmsford, the latter of which has half the population of Cardiff, and Hemel Hempstead (another one in the list) only has a quarter of the population of Cardiff. (Wikipedia population links for Cardiff, Chelmsford and Hemel Hempstead.)
Aside from the fact that it seems rather odd that they only offer a select few UK towns/cities, I honestly think that LinkedIn are shooting themselves in the foot by not offering more. While LinkedIn's main focus is on B2B, and a lot of UK B2B businesses could probably cater to a UK-wide customer base, there are still businesses who are restricted by geography. For instance, for Welsh ICE, while they'd certainly like to attract more businesses to Wales as a whole, it makes sense to mainly concentrate on the South Wales region, given that they offer office space and co-working facilities. Similarly, I also have a Cardiff-based cleaning client and a storage facility provider client with two locations in South Wales – they're only going to be interested in receiving leads from South Wales-based prospects as well, as they are also pretty much limited by geography. In other words, there could be a lot more businesses out there that'd happily use LinkedIn Ads if they sorted this out and improved their location targeting options…
However I dug a little deeper, looking at the LinkedIn Ads system's other targeting settings, and while it's not foolproof, I found a way that Welsh ICE can still target on a (sort of) geographical basis. Here's how:
1) Target local/regional university graduates
A lot of people stay and live in their university town after graduating, so one way could be to target the alumni of particular universities. For the Welsh ICE campaign, we could focus on Cardiff Uni, Swansea Uni, Cardiff Met Uni, Uni of South Wales, etc. By doing so, they're effectively saying: "you've graduated in South Wales… now why not start a business here?"
This isn't a foolproof approach, given that you could have someone who graduated from Cardiff Uni but now lives in the Scottish Highlands for example, but it's better than nothing and a good starting point.
2) Target local/regional LinkedIn groups
Additionally or separately, you could also consider targeting group members of local/regional LinkedIn groups. For Welsh ICE, a quick LinkedIn group search reveals the Cardiff Entrepreneur Network (56 members), Social Enterprise Networks Wales (334 members) and Young Enterprise Wales (20 members), to name a few.
If the title of the group actually contains your location (as it does with "Cardiff" and "Wales" in this case), then you can assume that the members are very likely to be based in the area, too. Again, it's not foolproof (e.g. someone could move halfway across the country and forget to remove themselves from their old LinkedIn groups), but it's a strong indication that they might be local to the area.
A quick note about this particular targeting tactic: it makes sense to target as many relevant groups as you can humanly find, otherwise your targeting numbers are going to be very, very low – this is bearing in mind that LinkedIn Ads won't let you continue with the process unless you're targeting enough people (I think that it's at least 1,000, otherwise you get an error message saying: "Your campaign is not targeted to enough members. Please select a larger target audience")…
3) Cross-reference by skill type
In addition to doing one of the two targeting techniques described above (or both!), I recommend cross-referencing them by skill type. So in Welsh ICE's case, only targeting people who have "Entrepreneurship," etc. as a skill on their profile.
The great thing about LinkedIn Ads' skill search is that it opens up suggestions, so it's really easy to find lots of different types really quickly. Typing in "Entrepreneurship" opens up closely-related skills including "Small Business," "Internet Entrepreneur," "Start-up Ventures" and "Angel Investing" – all good potential skills to include in your ad campaign.
Additional (optional) tactics
A few other things to take into consideration…
It's important to keep the geographical targeting to your country (in this case, "United Kingdom"). Otherwise, to reiterate (but alter) my earlier uni graduate example, you could end up with someone who graduated from Cardiff University who now lives in China. At least limiting it to UK-only folk will eliminate those who live internationally, and have even less of a chance of becoming a Welsh ICE member.
Another option you have at your disposal is to target particular companies. It would probably take a while to set up, but if you have, say, 10-20 companies that you'd love as clients, you could enter them all in and try and target them that way – especially if they're larger companies (which would get past the 1,000 people minimum, if you're happy to target anyone/everyone within them).
To recap (using Welsh ICE as a case study)
So if I do the following for Welsh ICE…
Location: United Kingdom
School: Cardiff University, Swansea University, University of Wales, University of South Wales, etc…
Skill: Entrepreneurship, Social Entrepreneurship, Start-ups, Small Business, Angel Investing, Creative Entrepreneurship, Young Entrepreneurship, Early Stage Startups, etc…
Group: Cardiff Entrepreneur Network, Young Enterprise – Wales – Cardiff and the Vale, Cardiff Business Group, Business Scene South Wales, etc…
…Then we're still targeting less than 1,000 people, which isn't enough according to LinkedIn. That's no problem though, as we could consider removing the group targeting, which opens it up to 6,155, or removing the uni (school) targeting, which opens it up to 3,150. If excessive AdWords use has taught me anything, it's that we can even consider trialling (or split-testing) both routes: we could run the former (schools only) for two weeks, then the latter (groups only) for two weeks, and compare the results to see which one performs better. Something to think about.
We haven't launched the LinkedIn Ads campaign for Welsh ICE just yet (it's still under consideration, based on all of the above), but it's good to know that there's a way around their system's currently poor geographical targeting in the UK. Knowing my luck, they'll update and improve it the day after I publish this post(!), but hopefully this will be helpful to people in the meantime…
[Image credits – Cardiff panoramic shot: Nicholas Kaye; fingers on map: Amit Patel]


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So today is October 1st! I am going to actually be planning in my bullet journal for this month and using a mood tracker. So I wanted to share how I decided to set up everything.
I'm not much of a Halloween person but I do love Fall! Therefore I tried my best with some pumpkins (and a squash)! I messed out a little on my overview calendar for the month, I counted wrong lol but that's okay. On the next page I drew a tree with little circles around it as my mood tracker( I got the idea from here). Now...I'm not sure if this is going to work at all. But I want to try, mostly because life has been a little wonky and I need to focus on my mental health a bit more. I'm hoping that taking a moment to think about it every day will help(:
I'm really happy with how this turned out especially mixing colors on the trees, because I feel like I suck when it comes to creativity
The brush pens that I used were the Artist loft pens (the two in the picture), my hard tip Tombow Fudenosuke calligraphy pen, and Huhuhero Fine Line Drawing pen.
Let me know if you bullet journal and share your spreads with me. I would love to see them(:
Until next time!


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Classic flanging re-imagined:
The Fix Flanger is versatility personified—this flanger is capable of both classic guitar pedal style flanging with a automatically swept flange as well as direct interaction in the manual mode. A VSO mode features unprecedented hands-on control with emulated servo motor bounce. Added features such as tap tempo sweep, unique stereo widening methods and selectable delay polarity makes the Fix Flanger the swiss army knife of flangers.
Doubling made simple:
The Fix Doubler delivers texture and extraordinary richness to vocals and polyphonic instruments. The algorithms of the Fix Flanger, combined with a streamlined interface and Paul Wolff's unique Auto Double algorithm, makes it easier than ever to get lush chorus and rich layers to your vocal track.
- Fix Flanger delivers the sound of classic flanging, with extreme control and flexibility.
- Unprecedented hands-on VSO flange control, with servo motor bounce emulation.
- Fix Doubler provides lush chorus and rich textures to your vocals.
- "Auto Double" uses a unique method of accurate phase-cancellation to make a natural sounding doubler effect.


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Moisturizing and radiance booster
For dehydrated sensitive skin
Rebalances and softens the skin
Rosa damascena flower water 70 %
Galactomyces ferment filtrate 10 %
First product is this toner which contains rose water. I was a bit scared to try this one at first because I've had really bad experience with a toner that had rose water. But I trust Korean skin care and their ingredients more and that is why I wanted to get this one.
Rose is one of my favorite scents but at the same time it can be one of the worst scents if the scent is too strong. Especially in skin care. I was worried for nothing because this doesn't have too strong scent and it doesn't irritate my skin either. The scent is really pleasant and disappears after the product is absorbed.
The texture is just like water but a bit thicker. This is not the type of toner you can pour on your hands and pat on the skin. At least I prefer to use this one with cotton pads. It absorbs quite fast and leaves the skin looking bright and ready for the next steps. This one didn't give me any extra redness and it helped to calm my skin. Usually my skin gets a little red for a while at the toner step – but that's mostly because of the cotton pads I use as they are too rough.
The INCI list is really clean and all the ingredients are on the green scale regarding safety. Click here to check out the ingredient analysis on COSDNA. This toner is really good for people like me who have really difficult skin. If your skin is dry, acne prone, super sensitive – give this one a try !
Nourishing and pore control
Powerful Moisturizing
Whitening and wrinkle Care
Galactomyces Fermentation Water 50 %
Rose Water 10 %
Second product is this serum which also contains rose water. This serum has much fainter scent than the toner which also wasn't too strong as I already mentioned above. The serum comes in a glass packaging but it's not too heavy so points for that. This serum is a dropper type and I usually use 3-4 drops and it's more than enough for my whole face.
The product applies really smoothly, absorbs quickly and doesn't leave sticky residue. This is moisturizing enough to be used alone without any creams or lotions afterwards. Sometimes I also do that – especially in the mornings – and my skin doesn't scream for extra moisture during the day. This makes it really good to use under makeup.
I've been using this 1-2 times a day for almost 3 months now and I'm only halfway done using this. The toner is almost finished so this should say something about how little you only need to use this serum at once. Just like the toner this one also doesn't irritate my skin at all. Although it has few potential irritants it's still really safe on the COSDNA scale. You can check out the ingredient analysis here.
Beta-Glucan 3,000mg
Hyper Moisturizing
Whitening and Wrinkle Care
Double Functional Cosmetics
The third product – also a surprise product for me – that I got is this moisture cream. This cream has really faint scent but no matter how I smell it I can't really say what it smells like. So it basically has no scent at all – which is good for people like me who are sensitive with scents in skin care.
This cream comes in a tube which is nice and easy to use. I personally think this is a bit too heavy for my skin during the days when I use makeup. I usually use this during the night and on the days when I don't go anywhere. It absorbs quite fast and applies nicely but I personally prefer using this one at the night time.
This has definitely helped to fix the moisture balance on my skin. iUNIK recommends this cream for people with dry and sensitive skin and I can totally relate to that. My skin is dry and sensitive but gets oily around the nose and cheek area during the day. Which is another reason why I prefer lighter moisturizers during the day time and then I soak my skin in richer creams during the night. If your skin is similar with mine – I suggest you try this one as night cream.
Out of all three products this cream has the longest INCI. According to COSDNA it's still really safe although there are few potential acne causers and irritants. Click here to check out the ingredient analysis on COSDNA.
Where to buy iUNIK products?
Good question and you're lucky because I have an answer to that. You can buy iUNIK products from Unique4U and they ship worldwide. Their English site has all the information you need. They also have 1+1 deals going on and if you spend more than 20$ you can get 10% OFF. Rose is the code you want to use to get the discount.
The best part about their products is that they're not too expensive. All the products I received are less than 20 dollars ! I love when skin care products are cheap and good for my skin. Who doesn't love that? Have you tried iUNIK products before?


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Think about the last time you got some bad news. And I mean real bad, not some "my mom says I can't play with you anymore"
Usually, you have a face-to-face meeting. Other times it's a phone call. Maybe it's a text that says "Hey call me later, important"
But a voicemail? That is next-level savagery. Hell, a fax is better.
Former Chiefs wide receiver Jeremy Maclin learned that his services were no longer required by Kansas City via voicemail. John Dorsey was the bearer of bad news here.
From ProFootballTalk.com
"Through a voicemail," Maclin said. "[From General Manager] John Dorsey. I was upset, I was shocked. Apparently, they had been trying to trade me for two or three months. Which who knows if that's true or not? I would just think that … a guy who is going into his ninth year would know if he's being shopped or not. It is what it is. I still have respect for Big Red (Andy Reid), still have respect for the organization. I'm not going to bad mouth anybody or talk any dirt on anybody. It was an unfortunate situation. They felt like they didn't want me as a player anymore, so it is what it is. I'm happy with where I am right now, and I think that might be the last time I talk about what I call my former life. So I don't think I want to talk about that anymore."
Ouch. Andy Reid and Maclin have an extensive history together, so you would think this would not be high on the list of preferred methods.
Maybe they tried to reach out to Maclin before, but at this point, it's not even he-said, she-said, because first of all they're both men involved, and second of all only Maclin is talking.
From a numbers standpoint, it makes sense why the Chiefs would move on from him. Per Spotrac, cutting Maclin would save the team about $10 million in cap space. For a team like Kansas City that is itching for flexibility, this is a no-brainer.
And going by what Maclin also had to say, it might not even be about the dollars and cents anyway. Talking to Pro Football Talk, the Chiefs never even asked him to take a pay cut.
Sounds like a three and out to me.


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Comba offers a wide array of enterprise grade wireless hardware products to bridge the in-building coverage gap. Take a look through our extensive product portfolio or see how our products provide solutions for various industries.
19 July 2019
How FirstNet™ Requires Considerations for Emergency Responder Radio Communication System (ERRCS) Designs
What is FirstNet? FirstNet is a nationwide public safety LTE broadband network that provides data services to first responders in…Read More
24 February 2019
The Importance of Preplanning of a Public Safety Communications System
Installing an in-building public safety communications system is more than just simply mounting a BDA/Fiber DAS along with a donor…Read More


text: My mouth shall speak wisdom, And the meditation of my heart shall give understanding (Ps 49:3)~ We have a choice every time we engage another person, especially in the heat of an intense situation. In our human flesh we seek the vindication of giving someone a piece of our mind and while in some cases a strong conversation may be warranted, in most cases it's very apparent that we probably need every 'piece' of our mind we can hold on to because of what ends up coming out of our mouth. As we deal with each other, we must take into account… each other. We must seek to approach the other person with an understanding heart because the situation we're in may be their plea for the help of wisdom and if we are in a heated situation and just let our words fly off of our tongue without the discernment of wisdom, it truly shows in the enunciation that follows. We pray that God creates in us a clean heart we seek to have the mind of Christ and out of abundance of the heart, the mouth speaks! Therefore what we speak must be life-giving, fruitful and uplifting. The cleanliness of heart and the wisdom of mind filtering what we speak, we can actually give a 'peace' of the mind of Christ rather than a 'piece' of the mind of man – and the outcome of that situation will be very different than it could have been! The tongue carries the power of life and death – what shall you speak?


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Guest Blog
Today's post is contributed by Jo Ellen Thomas. She is a volunteer with Hardin County Animal Shelter located at 220 Peterson Dr. in Elizabethtown.
Jason: "Namaste," says Flynn the floating dog. Okay, he's not really floating in this picture but he sure had me fooled when I first saw it.
Flynn is a wonderful dog and he has been at the Hardin County Animal
Shelter since before I resigned my position. I would estimate that he's been there since the beginning of April.
Jo Ellen: Flynn is a male kelpie/border collie mix who is one of the shelters longest residents. Flynn is desperately looking for an active, high energy friend. Flynn is 2-3 years old and is totally spring loaded. He would make a great running buddy or even may excel in agility. Flynn is a friendly dog but plays a bit rough for smaller dogs. Flynn loves playing fetch and gets excited over his toys and thrives on a bit of attention. If you would like to meet this handsome fellow, he accepts visitors at the Hardin County Animal Shelter.


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A US study finds that one in every four times a PICC is inserted to intravenuously deliver medicine or nutrition, the patient didn't need it long enough to justify the risks that it can also pose.
Many hospital patients get medicine or nutrition delivered straight into their bloodstream through a tiny device called a PICC. In just a decade, it's become the go-to device for intravenous care. But a new study finds that one in every four times a PICC gets inserted, the patient didn't need it long enough to justify the risks that it can also pose. In fact, in just the five days or less that they had a PICC implanted in their vein, nearly one in ten of these patients suffered a blocked line, an infection, a blood clot or another complication linked to the device.
One in three short-term PICC patients also had serious kidney problems that could make them potential dialysis candidates, the study also shows. They face special risks from the devices, which can harm blood vessels and jeopardize a patient's ability to receive dialysis later, if their kidneys fail.
The study is based on data from 52 hospitals around the state of Michigan taking part in a massive quality improvement and patient safety effort. It's a detailed analysis of records from 15,397 PICC placements over a two-year period from 2014 to 2016, just before and after guidelines for safe and appropriate PICC use made their debut.
The study is a large-scale examination of real-world use of PICCs, or peripherally inserted central catheters, and the factors associated with their short-term use. It highlights the need for efforts to reduce short-term use of PICCs and help medical care teams understand current practice and consider other alternatives for short-term IV access that pose less risk.
"When PICCs first came out, they became an 'easy button' for vascular access, and the safety issues weren't recognised," says Dr David Paje, the University of Michigan hospitalist who led the research team. "Now the dynamics have changed, and we need to be more thoughtful with their use."
Paje, an assistant professor of internal medicine, also helps lead the Medical Short Stay Unit at Michigan Medicine, U-M's academic medical centre.
For the new study, he worked with senior author and division of hospital medicine chief Dr Vineet Chopra, and co-author Dr Scott Flanders, who directs the Michigan Hospital Medicine Safety Consortium that provided the data for the study. Colleagues from several Michigan hospitals are co-authors.
Based on previous studies of PICC-associated risks, the team assembled an expert panel that developed a guideline for choosing IV devices appropriately, called MAGIC. They unveiled it in 2015, and turned into a mobile and web app in 2017.
Hospitals in the Michigan consortium, which is funded by Blue Cross Blue Shield of Michigan, began receiving training in MAGIC during the study period, but were still implementing it.
MAGIC guides clinicians to the appropriate option for the individual patient they're treating. For instance, instead of a PICC, it recommends that patients who will need intravenous access for less than five days should receive a different form of IV device, such as a midline or peripheral IV.
"This study helps illustrate how medical devices such as PICCs can be both helpful and harmful," says Chopra, who led the development of MAGIC and is a member of the U-M Institute for Healthcare Policy and Innovation. "Understanding how best to balance appropriate use – using tools like MAGIC – is the way to safe and better patient care."
As part of the study, Paje and his colleagues looked at which patients were more likely to receive a PICC for short-term use. The strongest factor was difficult vascular access – a catch-all phrase that means it had been hard to start an IV in the patient in previous visits or earlier in the hospital stay.
Clinicians may default to choosing a PICC in these patients in order to keep an intravenous access point open, rather than having to find a vein each time, Paje says. Or, some experienced patients may even ask for a PICC to avoid so many "pokes."
Patients whose physicians ordered a multi-lumen IV device, to avoid contact between different medications or nutrition solutions, were also more common among short-term PICCs. But Paje notes that few of the patients' records actually said that they were receiving multiple IV substances that had to be kept separate. And patients who had a short-term multi-lumen PICC were much more likely to suffer a complication.
Interestingly, patients treated in teaching hospitals were more likely to receive a short-term PICC than those treated in non-teaching hospitals. This could actually be seen as an opportunity to address the issue of inappropriate short-term PICC, if hospitals make a plan to teach their residents about the risks and benefits of PICCs and other IV devices.
A recent paper by members of the consortium showed that at one hospital that implemented MAGIC, inappropriate PICC use decreased compared with hospitals that didn't implement it, and PICC-related complications also decreased modestly.
Paje notes that the body's own reaction to foreign material, and the mechanical stress put on veins when a PICC is inserted, can combine to damage veins and increase the risk of clots or scarring. The damage can keep a dialysis candidate from being able to successfully establish a vascular fistula, which would have been the preferred way to receive long-term dialysis.
In all, 9.6% of the short-term PICC patients experienced a complication, including 2.5% who experienced a blood clot forming in their vein that could have broken off and caused more serious consequences, and 0.4% developing a CLABSI, or central line associated blood stream infection.
"The use of PICCs exploded because the safety issues were not initially recognised, including those associated with clots and infections," says Paje. "Now we're coming back full circle, and we need to adapt and implement quality improvement processes to be more judicious with their use. We need to recognise that PICCs are not without any consequence, even for short-term use."
He notes that most of the reasons cited for PICC use in the patient records used in the study – such as delivering antibiotics – do not require the deep access to the central bloodstream that PICC provides.
Even as clinicians get the word about the MAGIC guidelines and implement measures to right-size PICC uses, Paje calls on patients and family members to speak up and ask questions before a PICC gets placed.
"Patients or their representatives should be actively engaged, and informed," he says. "Find out what lines they're putting in, and ask questions."
Background: The guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated duration of use is ≤5 days. However, short-term PICC use is common in hospitals. We sought to identify patient, provider, and device characteristics and the clinical outcomes associated with short-term PICCs.
Methods: Between January 2014 and June 2016, trained abstractors at 52 Michigan Hospital Medicine Safety (HMS) Consortium sites collected data from medical records of adults that received PICCs during hospitalization. Patients were prospectively followed until PICC removal, death, or 70 days after insertion. Multivariable logistic regression models were fit to identify factors associated with short-term PICCs, defined as dwell time of ≤5 days. Complications associated with short-term use, including major (eg, venous thromboembolism [VTE] or central line-associated bloodstream infection [CLABSI]) or minor (eg, catheter occlusion, tip migration) events were assessed.
Results: Of the 15,397 PICCs placed, 3902 (25.3%) had a dwell time of ≤5 days. Most (95.5%) short-term PICCs were removed during hospitalization. Compared to PICCs placed for >5 days, variables associated with short-term PICCs included difficult venous access (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.40-1.69), multilumen devices (OR, 1.53; 95% CI, 1.39-1.69), and teaching hospitals (OR, 1.25; 95% CI, 1.04-1.52). Among those with short-term PICCs, 374 (9.6%) experienced a complication, including 99 (2.5%) experiencing VTE and 17 (0.4%) experiencing CLABSI events. The most common minor complications were catheter occlusion (4%) and tip migration (2.2%).
Conclusion: Short-term use of PICCs is common and associated with patient, provider, and device factors. As PICC placement, even for brief periods, is associated with complications, efforts targeted at factors underlying such use appear necessary.
David Paje, Anna Conlon, Scott Kaatz, Lakshmi Swaminathan, Tanya Boldenow, Steven J Bernstein, Scott A Flanders, Vineet Chopra
Michigan Medicine – University of Michigan
Journal of Hospital Medicine abstract