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Diagnostic Lumbar Puncture: Page 1
Diagnostic Lumbar Puncture
Aims o To measure CSF pressure in the subarachnoid space. o To obtain cerebrospinal fluid (CSF) for laboratory examination. Indications The utility of lumbar puncture (LP) has been superceded by CT and MRI in the diagnosis of most intracranial mass lesions but diagnostic LP is still useful in the following conditions: o o o o o o o CNS infection (bacterial, viral, fungal, protozoan). Subarachnoid hemorrhage. Encephalitis. Guillain-Barre syndrome. Multiple sclerosis. Systemic lupus erythematosus. Meningeal carcinomatosis.
Contraindications o Skin infection at puncture site. o Bleeding diathesis, including severe thrombocytopenia. o Raised intracranial pressure. The procedure • Confirm identity of patient to have the procedure. • Review his medical history, physical findings, and indication for LP. • Make sure there are no factors contraindicating LP. • Explain the procedure to patient, including potential discomfort and complications. • Obtain an informed consent signed by the patient. • Have an assistant available. • Position patient close to the edge of the bed in the lateral decubitus position with hips, knees, and spine maximally flexed (the so-called fetal position). The sitting position is also appropriate, but only for obtaining CSF specimens and not for measuring CSF pressure.
• Open the sterile inner wrapping of the LP tray and ask the assistant to fill the antiseptic containers with Betadine and 75% alcohol. A line joining the highest point of the iliac crests crosses this interspace or the L4 spinous process. but should be reserved for experienced specialists only. • Don a surgical mask. Spinal tap has been performed safely at higher interspaces. although safe in most instances. Identify this site by palpating for the iliac crest of the patient. L4-5 and L5-S1 spaces are safe alternative puncture sites. Using the L2-3 space for lumbar puncture. and put on a pair of sterile gloves. wash your hands. has the lowest tolerance for error. . • Ask assistant to open the outer wrapping of the LP tray without touching the inner wrapping.Clinical Skills Learning Centre 2009-10 Diagnostic Lumbar Puncture: Page 2 • L3-4 is a common puncture site. The spinal cord may end as low as L2 in some adult patients. double-checking the contents of the containers as it is being done.
Clinical Skills Learning Centre 2009-10 Diagnostic Lumbar Puncture: Page 3 • Also ask the assistant to add to the tray the following equipment in a sterile manner: a 2 or 3 ml syringe. (Test tubes used at the Prince of Wales Hospital in the LP tray are labeled sequentially. obtain a sample of venous blood to check plasma glucose for comparison. • Wash off excess Betadine with alcohol. CSF glucose concentration is normally approximately 65% of plasma glucose concentration. adjust the 2-way stopcock to allow CSF to fill the manometer tube. and read the pressure as mm of CSF as the fluid level stabilizes. If they are not labeled. • Adjust the 2-way stopcock again. Turn the patient supine with the help of the assistant. Bending it will not only not change its direction but also cause it to snap in mid-shaft. • Reconfirm intended puncture site. • Attach the 2-way stopcock and the manometer to the hub of the needle. a 23G or finer hypodermic needle. withdraw the needle all the way to subcutaneous tissue before re-inserting it. put them aside in the correct sequence and labeled them afterwards. • Check the equipment and fill the 2 or 3 ml syringe with 1% lignocaine dispensed by the assistant into the drug dish. (Of the 3 channels in a 2-way stopcock. extending from side to side on the patient's back and from the low thoracic to the sacral level. feeling for the resistance as its tip traverses the supraspinous and interspinous ligaments. . the slightly increased in resistance as its tip penetrates the ligamentum flavum. • Withdraw the needle and apply a dressing to the puncture site. and infiltrate more deeply. The needle is fragile. remove the detachable manometer tube and sample 1 to 2 ml of CSF sequentially into each of 3 plain sterile test tubes. • Square-drape the puncture site with sterile towels. no more than 10 ml of CSF should be lost by the patient in a diagnostic LP. sample 1 to 2 ml of CSF into a fresh and sterile 2 or 3 ml syringe for transfer to a non-sterile fluoride test tube later. May have to readjust the angle of entry if the needle hits bone. If that is the case. After the procedure. CSF should appear drop by drop without hindrance if the tip of the spinal needle is in the dural sac away from the cauda equina. All in all. • Remove the stilette and wait for the appearance of CSF. usually by pointing the needle more cephalad. and the loss of resistance as its tip enters the subarachnoid space. a CSF manometer. Do not attempt changing direction by simply bending the needle. use the 23 gauge needle and the syringeful of lignocaine to raise a skin weal at the center of the interspace. • Sit down comfortably with the puncture site at arm level.) • If measurement of CSF glucose concentration is required. Alternatively pass the tubes to the assistant for labeling as they are filled and maintain sterility until the procedure is completed. Return the stilette into the shaft of the needle if you have to advance it more deeply.) Normal range of CSF pressure ranges between 80 and 180 mm. • Insert the 22G spinal needle with stilette in place at the center of the space with shaft of the needle pointing slightly cephalad. and 3 sterile test tubes. the tap handle points in the direction of the channel being shut "off". • Use the sponge forceps and the cotton balls to apply Betadine around the puncture site widely.
Potential complications • Tonsillar herniation (herniation of cerebellar tonsil through the foramen magnum. the bevel separates the longitudinal dural fibers and the hole it makes seals itself once the needle is removed. disposable needles and blades) into the puncture-proof container.. In the first instance (upper panel). It is good practice to put all contaminated and sharp consumables into the kidney dish for disposal at the end of the procedure. A brain shift that can occur in patients with raised intracranial pressure (ICP) and is the result of an increased in pressure gradient between the .g. patient can resume activities as tolerated. Also leave orders to observe patient's neurological status and vital signs until stable. the bevel cuts the longitudinal dural fibers. More about insertion of the spinal needle As needle is being inserted.Clinical Skills Learning Centre 2009-10 Diagnostic Lumbar Puncture: Page 4 • Dispose of contaminated consumables (e. Breached dural fibers take time to heal. • Leave instructions for the patient to lie flat for about 2 hours and maintain oral fluid intake if not contraindicated. Once condition is stable. • Document in writing what you have done and any difficulties you may have encountered. leaving an opening for CSF leak. manometer. also called "coning"). sponges. In the second instance (lower panel).g.. CSF leak is a major cause of post-dural puncture headache. and syringe without the needle) into the red garbage bag and sharp consumables (e. point its bevel facing the patient's side rather than facing the patient's head or feet.
Immediate relief is reported by 95% of the patients. It is. The oral dose is 300 mg but its effect may be transient. . It was customary to "push" fluid intake after lumbar puncture in the belief that hydration can replenish lost CSF. The discomfort is related to the patient's posture: precipitated by assuming the erect position (sitting or standing) and relieved by returning to the supine position. • Infection. Patients suspected to have increased ICP require urgent CT/MRI and not urgent LP. Its tip is shaped like that of a pencil with a side hole. It was the belief that the hydrostatic pressure of the CSF fluid column at the dural puncture site in an erect patient can delay the healing of the dural hole. Prolonged bed rest should be avoided. and avoidance of probing for the subarachnoid space blindly. Use an opiate if the headache is severe. This invasive procedure is usually performed by anesthesiologists and should be reserved for patients with a debilitating headache refractory to conservative treatment. Typical complaint is neck stiffness or pain radiating to the frontal region. Prescribe an NSAID for mild headaches. (Pencil point spinal needle are commonly used by anesthesiologists for spinal anesthesia. o Bed rest. • Spinal cord or cauda equina injuries. Most treatment modalities are of an empirical nature. he should be encouraged to assume activities as tolerated. The etiology is believed to be intracranial hypotension from CSF leak. Can be minimized by careful identification of landmarks. however. o Autologous epidural blood patch. o Analgesics. o Oral fluid intake. o Caffeine. In this procedure up to 20 ml of fresh venous blood obtained from the patient is deposited into the patient's epidural space at or near the LP puncture site "to seal" the dural hole. Avoidable by practising aseptic technique meticulously. • Post-dural puncture headache. This treatment modality is not evidence based. it will not disrupt the integrity of the longitudinal dural fibers. but any other beneficial effect is only anecdotal in nature. Resting supine alleviates the intensity of the postural headache. Occurs in up to 30% of patients. Since it does not have a bevel with cutting edges. Caffeine is a cerebral vasoconstrictor and relieves post-dural puncture headache in some patients. Once the patient's condition is proved stable after the procedure.) Treatment of post-dural puncture headache The headache is self-limiting once the dural hole is sealed but time is required for the healing process to take effect.Clinical Skills Learning Centre 2009-10 Diagnostic Lumbar Puncture: Page 5 intracranial and spinal compartments following LP. exercising care in needle insertion. Jitteriness and insomnia are some of its unwanted side effects. Prevention is by limiting the size of the spinal needle to 22G and pointing its bevel to face the patient's side. It was an age-old practice to keep the patient in complete bed rest after lumbar puncture. Use of pencil point needles will also reduce the risk of post-dural puncture headache. not unreasonable to maintain normal hydration and definitely avoid dehydration.


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Events for December 12, 2018
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12:00 pm
Half Price Vintner's Plate Wednesday at Coffin Ridge
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7:30 pm
Shirley Valentine at The Roxy
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Samsung ProXpress SL-M2071W Printer
Samsung ProXpress SL-M2071W Printer Support
About Samsung SL-M2071w Printer
The Samsung SL M2071W is one of the heavy duty Multifunction Printer which provides a professional quality printing. When you use this printer to print your documents, the text is clearly readable and the graphics stand out with clarity. This printer also enables you to Print or Fax from compatible devices with a single touch. You can easily scan an important document and send it directly to your mobile device. The printer has a Hi- speed USB 2.0 interface. With the mobile printing feature, you can print your document on the go.
Samsung M2071w Features
The Samsung SL M2071W printer has the capability to Print, Copy, Scan, and Fax a document. With an output of 20 pages per minute, the Samsung SL M2071W printer is faster as well as it produces a high resolution print quality which means the document's text is clear and the images provides complete detail and clarity. So obviously no matter how many times your document has been copied, it appears just as crisp and clear as the original document.
The printer's maximum monthly duty cycle is up to 10,000 pages. You have the options to print multiple pages on one sheet, change color to grey scale or even you can skip blank pages.
Connect the Samsung SL M2071W printer and computer via a USB or a Wireless network connection. The printer works with Windows, Mac, Unix, and Linux operating system. It is an Energy Star Certified printer which means the printer saves its energy without compromising its performance.
Samsung ProXpress SL-M2071W Printer Specifications
Functions: Print, Copy, Scan, and Fax
Printing Technology: Laser
Print speed black: Normal: Up to 20 ppm
The printer's first page out for Black is up to 8.5 sec
Duty cycle: Up to 10,000 pages
Print Resolution Technologies: ReCP
The printer's mobile printing capability: Mobile apps, Wireless direct printing, Samsung Cloud Print, and Google Cloud Print
Paper handling capacity: Input tray is up to 150-sheets and the output tray is up to 100-sheets
Supported Media Sizes: A4, A5, B5 (ISO), B5 (JIS), Oficio, Envelope
The printer's processor and memory capacity: It comes equipped with 128 MB memory and 600 MHz processor.
Scan file format: PDF, JPG, TIFF
Copy speed for Black: Up to 20 cpm
Maximum copies: Up to 999 copies
Minimum dimensions:406 x 359.6 x 253 mm
Maximum dimensions : 406 x 421.5 x 253 mm
Weight: 7.4 kg
Package dimensions:447 x 482 x 361 mm
Package weight: 10.05 kg
Samsung Proxpress M2071w Printer Setup Installation
- Once you receive a printer from the shipment, place it on a flat surface and ensure that the printer has an enough air circulation.
- Remove the printer and its components from the shipment box and unwrap all the tapes and stickers from it.
- Place enough paper inside the printer's input tray. After inserting the paper, you have to adjust it based on the width and length of the paper.
- Make use of a power cord to connect the printer to the power supply.
- Press the printer's power icon to switch on the printer. In case the printer doesn't turn on, wait for a while and then turn it on.
- Install the toner cartridge into the respective slot. Make sure that the cartridge is free from dust.
- To install the software, click on the link provided on our website and follow the prompts to complete the driver installation.
- Try to print a test page to check if the printer setup is done properly. For more help, contact our technical support team at the toll-free number that is displayed on this website.
Samsung M2071w Driver Installation Support
- Make use of the Samsung Printer Software Installer to install an appropriate printer driver and software.
- You can get the full feature printer driver form this website, click on the Driver Download option and enter your printer model number in the given field. Wait until you receive the suitable driver and software.
- Once the Installer screens, choose the Windows icon if your OS version is Windows XP or latest.
- To install the driver, you have to agree to the Terms and Conditions and then select the Next option.
- Select Network Connection and click on the Next to continue. Select Yes, I will set up my printer's network for initial setup or to alter the printer network configuration.
- Select Next and ensure that the printer is connected using an Ethernet cable to a router and then click on Next to continue.
- Now the installer starts to search for all the printer that is connected and then choose the desired printer for installation.
- Choose Continue and select all the software and driver that need to be installed. Select Next to continue.
- Use the guides that are displayed on the screen to complete the installation process. During the installation, some other installer might open based on the printer model.
- Verify each separate installer wizard to install the suitable printer software.
- If you find any difficulty during the driver installation process, feel free to consult our technical experts at the toll-free number that is displayed on this website.
Samsung Proxpress M2071W Printer Troubleshooting Support
Samsung M2071W Paper Jam
- Remove the cassette tray and take out the jammed paper by dragging it straight out.
- After removing the jammed paper, reinsert the cassette tray. Subsequently, open the printer's front door and then close it properly.
- To clear the paper jam inside the printer, you need to open the rear cover door and then access the frame transfer.
- Take out the jammed paper by carefully pulling it straight out.
- Now you have to close the frame transfer and then close the printer's rear door. Make sure that the printer's rear cover is locked properly.
- To remove the jammed paper from the exit area, open the scanner lid.
- Take off the jammed paper by slowly pulling it straight outward. Lock the scanner lid. Try printing a sample document using the printer to check its performance.
Samsung M2071W Printer Offline
- When the printer displays a Printer Offline error message, you have to check the communication between the printer and the computer.
- Verify if the printer is powered on and if you find that a DHCP server assigned an IP address, you have to change it to a static IP address.
- Make sure that the Samsung ProXpress SL-M2071W printer and the TCP/IP port has the same IP address.
- Disable the SNMP feature. On your computer, open Control Panel and select the Devices and Printers option.
- Right- click on the Offline option and select Printer Properties. Select the Ports and ensure that your printer is selected.
- Select Configuration Port and on the Configuration Standard TCP/ IP Port Monitor window, you need to uncheck the SNMP Status Enabled check box.
- Choose Ok and then close the Printer Properties window. Allow your printer to print a sample page and check whether the printer is in an Online mode.
Samsung M2071W LED Indicator Issue
- If you find that the printer's Red LED is solid along with a blinking red Status light, check the level of the toner that is inside the printer.
- To rectify this issue, remove the toner and shake it to redistribute the toner equally.
- To verify the printer's status in Easy Printer Manager, you need to index your printer model into the search text box that you can find in the Easy Printer Manager software.
- From Printer Information, the error message or status of the printer gets displayed.
- If the issue still exists, replace the existing cartridge with a new one. To get more information, contact our technical support team at the toll-free number.
123hp.co is an independent website that provides support information for Samsung Proxpress M2071W Printer Setup, Install and Troubleshooting. The website does not have specific association with "HP" or its services. All information and images furnished on this website are for informational purpose only. We do not sell products or services of HP in any form. We do not provide any warranty or services associated with the manufacturer. You should approach the manufacturer for the same. Users are advised to review our privacy policy before using our website.


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Book Georgian Bus from Tbilisi to Kutaisi from $11.32. There are 2 Georgian Bus schedules from Tbilisi to Kutaisi and you can expect on average to pay $11.37 for a Georgian Bus ticket to Kutaisi. In Tbilisi, Georgian Bus departs to Kutaisi from Pushkin Sq at Tourism Information Center and no other station. In Kutaisi, Georgian Bus arrives at Kutaisi Airport and no other station.
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Traditional working cattle ranch well-improved with, headquarters, numerous corrals, and wells. This is a solid desert ranch ready to go with great improvements and excellent access.
Well developed farm with shallow water, easy access to I-10, home, barns and workshop all in a lovely setting with mature nut, fruit and various other trees including large cottonwoods.
Great prospect for a guest ranch on 1480 deeded acres surrounded by BLM. This property seemingly transports you back in time.
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A jewel of the finest caliber, the 99 Bar is a productive cattle ranch in an exquisite setting with some of the finest grazing land on 7,346 private acres along with a State of Arizona Grazing Lease and U.S. Forest Permit. The Headquarters and ranch are well improved, impeccably maintained, and have been held by the same family for almost a quarter century.
Beautiful cliffs and rolling hills define this cattle ranch which is conveniently located just south of I-40, +/- 20 miles east of Kingman, AZ.
Traditional working cattle ranch nestled between Aravaipa Canyon and the south-western slope of the Santa Teresa Mountains near the historic town of Klondyke, AZ.
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By Martin Gilens
Can a rustic be a democracy if its govt in basic terms responds to the personal tastes of the wealthy? In an awesome democracy, all voters must have equivalent impact on executive policy—but as this publication demonstrates, America's policymakers reply nearly completely to the personal tastes of the economically advantaged. Affluence and Influence definitively explores how political inequality within the usa has advanced during the last a number of a long time and the way this turning out to be disparity has been formed through curiosity teams, events, and elections.
With sharp research and a powerful variety of knowledge, Martin Gilens appears at millions of proposed coverage alterations, and the measure of help for every between negative, middle-class, and prosperous americans. His findings are outstanding: while personal tastes of low- or middle-income american citizens diverge from these of the prosperous, there's nearly no dating among coverage results and the wishes of much less advantaged teams. against this, prosperous Americans' personal tastes express a considerable dating with coverage results no matter if their personal tastes are shared via lower-income teams or no longer. Gilens exhibits that representational inequality is unfold extensively throughout diverse coverage domain names and time sessions. but Gilens additionally indicates that below particular situations the personal tastes of the center classification and, to a lesser quantity, the terrible, do appear to topic. specifically, drawing close elections—especially presidential elections—and a fair partisan department in Congress mitigate representational inequality and enhance responsiveness to the personal tastes of the wider public.
At a time whilst monetary and political inequality within the usa purely keeps to upward thrust, Affluence and Influence increases very important questions on even if American democracy is actually responding to the desires of all its voters.
Read or Download Affluence and Influence: Economic Inequality and Political Power in America PDF
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Extra info for Affluence and Influence: Economic Inequality and Political Power in America
Sample text
In sum, the magic of aggregation cannot be assumed to cancel out all the random error inherent in measures of political preferences (nor, of course, can it help alleviate nonrandom errors based on shared ignorance or misinformation). But to the extent that the moderating bias toward more centrist aggregate views that results when aggregating asymmetric preferences influences the results presented in the following chapters, this bias works to dampen the differences observed across income groups.
The difference between 10 percent and 5 percent unemployment appears large because the former is twice as big as the latter. 58 These sorts of framing effects have led many scholars to doubt whether the public can plausibly be said to have preferences on the underlying policies. But other scholars point out that such framing effects in survey experiments take place under highly artificial conditions. In the real world alternative ways of characterizing a policy choice are typically encountered not in isolation (as in survey experiments) but simultaneously as part of the political debate.
The results of the National Issues Convention study suggest that on the topics addressed, participants' preexisting aggregate preferences closely resembled the well-informed preferences they expressed after four days of education and deliberation. But these conclusions hinge on the specific information provided to the deliberating respondents. If the information provided was not new to the participants, was not different enough from what they already knew, or was not relevant enough to the policy judgments they were asked to make, then the possibility remains that different information might have shifted aggregate preferences to a greater degree.
Affluence and Influence: Economic Inequality and Political Power in America by Martin Gilens
by David


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We loved the Grand Flordian but we lucked out and got upgraded to the concierge building (Sugar Loaf Key) Our only problem was the long wait for our room (two hours) Breakfast, lunch snacks and dinner snacks were served in the main lobby (daily) and cocktails were served in the evening. The room was lovely and the maid service was wonderful. I enjoyed it very much and I feel it was worth the $500.00 per night. I'm thankful we didn't experience some of the horror stories I've read on this review board .. I most enjoyed the quick transportation (monorail or boat) to MK and Epcot.
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"But how do I feel gratitude? I get stuck with thinking it and it doesn't make any difference!" This fabulous question was asked by one of my readers this week. It's time to talk about the elephant in the room – why so often positive thinking isn't enough; it doesn't work. In fact, it can make us feel […]Read More
This super-common gratitude mistake can actually make us feel worse – yet nearly all of us are doing it. Find out how to spot it – and how to avoid it – plus some ninja-tips for taming your inner critic on your passionate world changer journey: And when you've watched this, I'd love to […]Read More
In today's #theschoolrunsdone inspiration for Passionate World Changers, we're talking about stinky sports socks and gratitude – and why this is a metaphor for how positive thinking can be a waste of time: So, were you trying to dilute that stinky sock water with a thimble-full of positive thinking? Are you ready to pull the […]Read More


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There either is or is not, that's the way things are. The colour of the day. The way it felt to be a child. The saltwater on your sunburnt legs. Sometimes the water is yellow, sometimes it's red. But what colour it may be in memory, depends on the day. I'm not going to tell you the story the way it happened. I'm going to tell it the way I remember it.
The Lizzie Bennet Diaries is an innovative, original episodic video and social media series produced for the web. Adapting Pride and Prejudice to the modern era, Lizzie Bennet tells the classic Jane Austen tale from the point of view of an Elizabeth "Lizzie" Bennet who grew up in a world of cell phones, video cameras, and social media. The series was created by popular YouTube personality Hank Green and Streamy Award winning web video writer Bernie Su.
The holiday season is bringing more than cheer for actress Jessica Capshaw. The Grey's Anatomy star announced on Monday that she and her husband, Honest Company co-founder Christopher Gavigan, are expecting their fourth child. "The holidays have certainly arrived … All of our lives are being added to by the lights, the music and cheer!!" she captioned a photo of her family at a Christmas tree farm on Instagram. "This year our family has reason to further broaden our smile … baby number four is on the way!! I am a lucky, lucky girl…"
The quickest way to tell whether an actor is serious about his or her career is to look at their "headshot".Is it a professional photo? Or is it a snapshot taken on prom night? If you're using a snapshot, it's like showing up to race the Indy 500 in a VW Beetle. Nobody is going to take you seriously. I'm sorry, people… you can send me as much angry e-mail as you want about this, but it's true! Don't tell me you're destined to be a major Hollywood star but you cannot scrape together the cash to get professional headshots.
The Grinch from Dr. Seuss' How the Grinch Stole Christmas! The Musical stole the spotlight at the Empire State Building's 86th Floor Observatory December 14, 2012, to promote the musical's limited holiday engagement. Discover the magic of Dr. Seuss' classic holiday tale as it comes to life on stage. Featuring the hit songs "You're A Mean One, Mr. Grinch" and "Welcome Christmas," The Grinch discovers there's more to Christmas then he bargained for in this heart-warming holiday classic.
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The X Factor hopeful Lauren Platt has insisted that she has no hard feelings towards creative director Brian Friedman.
The 17-year-old struggled with her choreography last week and was seen crying in her VT, with Friedman later criticising her in his column for The Mirror.
"She didn't embrace it," he said. "She got on stage at the live show and threw it away. She could have had a stellar performance. I thought it would be a standout moment in the show and it did let me down. Now we know her limitations."
Speaking to Digital Spy at the X Factor studios yesterday, Platt admitted that she is frustrated by her struggles.
"The annoying thing for me is I am trained in dancing – I've just never danced on a stage in front of millions of people before and I felt like it was a very risky place to do it for the first time," she said. "But I'm cool about that now."
Platt added that she is "totally fine" with Friedman, saying: "I saw some stuff on the internet last night about how he doesn't like me and stuff which is so not true, and I think he posted a picture of me and him on Instagram and he was just like, 'You need to be a tough coach'.
"And you do need to be a tough coach because I promise you, some of the people in this competition wouldn't be as good in their performances if it weren't for him."
The X Factor continues tonight (November 8) at 8pm on ITV.
Watch our X Factor Top 9 power rankings below:


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Militant Anti-Colonialism in Africa and the West: Annotated Bibliography
It was on September 6, 1808 when Abd el-Kader was born in a place near Mascara in Algeria. At the time of his birth, Algeria had been under the Turkish rule. Abd el-Kader is known as the founder of the Algeria state and a religious and military leader who led the Algerians in their struggle against French domination. Even before joining military, Abd el-Kader had gained fame as an educated and religious person, capable of exciting his fellow religion followers with poems. Moreover, he was well known for his physical handsomeness and simplicity
During his youth, in 1830, Algeria was invaded by France and the French colonial surpassed the Ottoman Empire. Abd el-Kader …show more content…
While in Damascus, he saved several Christians from being killed by Druze. This was in 1860 after a conflict arose between the Druze and Maronites of Mount Lebanon. The conflict resulted into several Christians being killed by Druze. Abd el-Kader and his personal guards saved many Christians, offering them safety in his house. This action earned him honor and respect and the French increased his pension. He later died at Damascus on May 26, 1883 and was buried in Damascus.
The biography of Gamal Abdel Nasser as outlined by Witte 2004
On 15th January 1918 in Alexandria, Egypt, Gamal Abdel Nasser was born, being the first son of Abdel Nasser Hussein. During his childhood, he attended a primary school for the children of railway employees until 1924 when he went to live with his uncle in Cairo. His mother died when he was only eight years old. Thereafter, Gamal Abdel Nasser attended various schools in Alexandria, Cairo and Helwan.
His political interest developed and grew when doing his secondary education. During his teenage years, he was elected chairman of the Young Egypt Society. On 12th November, 1935, Nasser was involved in a demonstration against the British where afterwards, he was arrested and detained for two days. This, according to Witte (2004), was mainly developed by his attending schools in different cities because he was able to realize the class divisions
African Colonialism And Its Effects On Africa1669 Words | 7 Pages
into, this happened to many places including Africa. Colonialism was a time when countries took control of another land, which they then governed through direct or indirect rule depending on the country. During this time, Africa was most sought after due to its resources and its uninhabited land. Due to this, all colonial powers scrambled to get their hands on a piece of Africa in order to expand their areas of rule. As a result of the scramble for Africa the Berlin Conference was held. At this conference…
Code-Switching Annotated Bibliography932 Words | 4 Pages
Wonguk Cho SLS 380 Annotated Bibliography García, O. (2008). Bilingual education in the 21st century. (1st ed., Vol. 1, pp. 42-71). Chichest, England: Wiley-Blackwell. This chapter of the book deals with translanguaging, which is an approach to explain bilingualism where speakers switch from one language to another. The author thinks bilingualism is not the simple sum of a language and another language, but more complicated ability that is involved in a complex processing of human brain…
Colonialism And Its Impact On Africa1206 Words | 5 Pages
Colonialism is the establishment of the political and economic control of one state over another state. This establishment had one of the biggest impacts on Africa. This experience of colonialism began to take effect between the 1400s and 1800s. It started when the Europeans arrived to Africa and set up trading posts. In the late 1800s and early 1900s the increase of European power took over most of the continent. The legacy of the colonial experience will influence the history of the continent.…
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1. At the end of Week 6, your annotated bibliography is due. What is an annotated bibliography? How will the annotated bibliography help you as you write the research paper? Provide an example of one entry from your annotated bibliography including the citation. An annotated bibliography is a record of citations to books, editorials, and papers. Each citation is followed by a short summation, which are about 150 words by and large, explanatory and evaluative paragraph, the annotation. The intention…
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Kelsey Ball English 201 February 1, 2014 Annotated Bibliography Carlson, Scott. "Is College Worth It? 2 New Reports Say Yes (Mostly)." Chronicles of Higher Education. 60.11 (2013): A25. Web. 1 Feb. 2014. . Scott Carlson, a talented writer studied English Literature in college and then went on to win first prize for beat reporting from the National Education Writers Association. Not long after in 1999, he joined the Chronicle of Higher Education. While here he wrote a scholarly journal article…
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IMPACT OF COLONIALISM ON AFRICA In this view of the circumstances that existed during history in regards to colonial Africa. I venture to examine how colonialism is viewed, introducing you to a variety of texts which expose you to different views and debates about what Africa may well have been like today, had the colonization never taken place. The African resistance to colonialism put another perspective on the colonization of Africa by the Europeans and the Western influence Africa faced. Each…
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Annotated Bibliography Agocs, C. (1997). Institutionalized resistance to organizational change: Denial, inaction and repression. Journal of Business Ethics, 16(9), 917-931. This article discusses the pros and cons of advocating change within the workplace. It also discusses the reason (s) individuals are said to resist change because of habit and inertia, fear of the unknown, absence of the skills they will need after the change, and fear of losing power. OD approaches to organizational change…
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Getting Started in Confluence Academies
District Financials
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Bitcoin Cash Price Prediction: Will BCH Hit $4,000 Again? Tuesday, October 2nd
Bitcoin Cash Price Analysis: Will Bitcoin Cash Hit $4,000?
Bitcoin has been criticized for lacking the ability to scale. Currently, bitcoin only accommodates for seven transactions per second. Wary of its future, a few miners and developers sort to develop Bitcoin Cash with the aim of improving its scalability. This came after a disagreement with users who voted to incorporate SegWit2x technology.
The developers of Bitcoin Cash felt that this wouldn't address the real issues facing future scalability issues and compromised on decentralization and democratization of the currency.
So how successful has Bitcoin Cash been and is it poised for mass adoption?
Bitcoin Price Prediction
After its launch in mid-2017, the coin was trading around $590 and after falling to a new low in October- $315, shot back up towards the end of the month to hit an all-time high of $4,000 by the end of the month. While most coins hit their all-time high at the beginning of the year, Bitcoin Cash was steady at $2500. When the bearish market hit, it dramatically fell below $2,000. After a steady couple of months trading above $1,500, the coin again fell below $1,000 in April. The coin however made a correction and regained its footing above $1,000.
In the last couple of months, it has been slipping further and further below and at the time of writing this is trading at $533.87. This a 1% surge in the last 24 hours. So, this is not only miles away from the $4,000 all-time high, but also the $1,000 mark. Will we see the coin make its way back to its all-time high?
The coin will require a forward momentum that triggers a price surge toward the $1,000 mark. Currently, the coin has a resistance level of $1,500 and a support level of $500, and only after breaking this resistance level can the coin be able to soar to its all-time highs.
BCH/(USD,BTC) Price Chart:
Follow TokenTops on Twitter to stay notified about new articles, cryptocurrency news, ICO announcements and price predictions and analysis.
Legal Disclaimer: Please remember that trading, buying or any other type of investing in cryptocurrencies should be consider risky and may lead to the loss of all of the invested money. For further information visit Terms and Conditions section on TokenTops. We do not encourage our readers to any kind of financial decisions. Neither tokentops.com nor its parent companies accept responsibility for any loss, damage, or inconvenience caused as a result of reliance on information published on, or linked to, from tokentops.com. We believe that everyone should make their own and in depth research on the particular topic in various sources before making any financial decision and this person should be the only one responsible for the outcome. Our writers do their best to remain unbiased and don't actively support any project. The research is done with various sources, the predictions are based on own believes, analytical skills, experts and community discussions and is intended to convey general information only.
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I agree to have my child follow all Diocese and EYC guidelines and understand that any violation on my child's part may result in their not being able to participate.
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Printwrite Custom Card Shoppe
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AboutPrintwrite Custom Card Shoppe is located at the address 18709 Fairport St in Detroit, Michigan 48205. They can be contacted via phone at (313) 527-2525 for pricing, hours and directions.
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For maps and directions to Printwrite Custom Card Shoppe view the map to the right. For reviews of Printwrite Custom Card Shoppe see below.
Phone: (313) 527-2525
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Cincinnati Bell ABAP Developer in Fairfield, Ohio
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