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Soon after we meet Tony Vallelonga in "Green Book," the Italian-American man tosses out a pair of water glasses because black repairmen drank out of them.
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The living space is probably the only space exactly where you are allowed to experiment with bold and grand components, be it an exaggerated coffee table for crucial gatherings, floor-to-ceiling French windows, or an inviting fireplace. The colorful living area of Emmy Rossum's Manhattan apartment characteristics armchairs by Aerin Lauder , a sofa by Mitchell Gold + Bob Williams featuring a suzani throw by Creel and Gow , a 1940s Maison Baguès cocktail table and an antique Persian rug.
Can't discover the exact table or chest that you want? Just add your personal touches, such as a paint finish or special drawer pulls, to convert an available piece into a 1-of-a-type item. The designer of this living space set a piece of custom-cut stone on leading of the wooden coffee table in the household area, providing it a much more sturdy surface.
If your living space is but to reach its complete prospective, beneath are some pieces of inspiration and design and style suggestions to take note of. You can even believe of Japanese horizontal mullions in the doors, or shoji screens that can make the place more visually attractive and guide observers around the living space. When it comes to choosing something sophisticated, home owners are not supposed to look for a distinct idea, style, or period, but rather to combine the elements they currently have in a cohesive and aesthetically appealing manner.
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Leather: Most "Leather" that you will locate in your bar stool search is in fact fabric-backed vinyl. Due to the added time and cost needed for actual leather seating, the price of the bar stool will generally be $50 to $150 EVEN MORE compared to a similar vinyl yet will last a lot longer and also feel a lot far better due to its ability to "Take a breath". You could buy stool just about anywhere at any kind of cost. A number of the major "Large Box" stores use various designs and heights at very competitive rates. They normally are ready to assemble and also have few, if any alternatives.
Metal bar stools which are bonded whatsoever joints are much less susceptible to these troubles. Furthermore, many business have lots of coatings, choices, as well as materials readily available for a given design. As an example, you could like a stool that is shown on our retail flooring as a fixed (non swivel) stool with arms. In most cases you could custom-made purchase the very same style as a swivel armless, swivel with arms, stationary without arms, and even a backless. Nicer metal bar stools generally have all-welded frames. The only screws you could see hold the seat to the swivel system and also there may be a few screws holding the seat pad to the steel frame. This kind of construction is even more strong than "RTA" stool.
Wood Bar Stools: Wood bar stool are usually used in a few stains or painted shades. Search for chip-resistant finishes and/or stains which are sealed to secure the wood in addition to the underlying finish. Try to find steel guards on the foot-rest as any type of paintinged or completed wood based on the damage of people's feet will wear via gradually. Numerous producers deliberately distress their coatings to give a made use of or put on appearance. Some extra costly wood bar stools showcase abundant, multi-step surfaces that can be custom matched to you certain needs.
As for a dollar amount, the average higher-quality bar stool need to be in the $199 to $349 array regardless of where you store. Stools with unique functions such as tilt-swivel devices, actual natural leather seating, wheels or personalized elevations might cost as long as $400 to $600 each. Some designer hand carved wood stools with multi-step finishes could set you back $1,000 to $3,000 each. If your spending plan permits you, try to update from the RTA bar stool to welded building and construction. They will certainly last longer, be safer for you and your family, AND ALSO need to allow you the capability to customize the elevation, material, as well as complete you want.


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LA River: An Urban Ecosystem Makeover in TransitionPosted on September 16, 2013 | 1 CommentAfter seven years of study, federal officials have recommended a $453-million plan that would restore an 11-mile stretch of the Los Angeles River but leave much of its banks steep and hard to reach. Advocates will continue to press for a more ambitious alternative that would bring more people to the river, improving parks and recreation as well as ecosystems.
Los Angeles River Revitalization: A City Rediscovers its FlowPosted on April 9, 2013 | 8 CommentsThe LA River, an over-engineered concrete "water-freeway," is undergoing a long-term greening and revitalization. A 32-mile greenbelt, developed through numerous projects, promises to improve the health of the ecosystem and the value of the river as a regional public amenity, while managing flows and protecting properties.


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I live in Phoenix where it will hover at 116°F during the summer. I also see a guy selling snow cones and water for a premium. I asked him how business was recently – he smiled and said "Business is gooooooood". Buy a case of water at Costco for $0.12 a bottle and resell them for $2 wherever it is HOT. Who wouldn't pay $2 for ice-cold water during the dog days of summer?
However, it's important to understand that working from home doesn't mean relaxing in your pajamas all day. In fact, you will probably end up working more from home than in-office. And be careful when searching online for remote work, though. There are an estimated 60 to 70 scam jobs for every genuine one. Only use vetted sites such as FlexJobs to ensure you're not being taken advantage of.
If you're good with words, you might be able to find some work as an online freelancer. A variety of publications need online content in the form of stories, product or service descriptions, and reports, and if you have the talent and skill, you could easily be the one to create them. Fortunately, all you need is a computer and Internet connection to get started.
Stress management training can increase a business' profitability by giving employees the tools they need to manage difficult emotions or particularly taxing situations. Hiring a counselor who can impart the wisdom employees need to keep their cool and maintain their quality can be a huge boost to their bottom line and it can even increase employee loyalty.
Here's how it works: some parents (more than you might think) are incredibly busy with the demands of work. And often, their kids miss out on important skills like learning how to ride a bike, pee in the potty, or throw a baseball. So these busy parents hire a child life coach to fill in; the coach teaches their kids these important skills. You don't need sterling credentials, and the amounts parents are willing to pay for a quality coach is incredible!
Companies of all kinds are looking for mystery shoppers. Mystery shoppers buy in secret, documenting their experiences with the retailer. This can be done at a physical store or an online store. If you do a simple search on becoming a mystery shopper, you can likely locate several services that will assist you. Or, you can simply contact companies directly to pitch your mystery shopping services to them.
Great read Lauren, always looking for extra ways to make cash. I just wanted to share something I've been doing recently. I run an office and have noticed that unused toner was piling up in storage. Looked into returning but that was no good. Tried out the site http://www.tonerconnect.net/ and was impressed. They had quick service and that payout was nice.
43 Translating If you are fluent in a second language, translation services are in demand as UK companies look overseas for new sales. But be warned: it's a serious business and you'll need professional qualifications from an accredited body (such as the Institute of Translation and Interpreting or the Chartered Institute of Linguists) and professional indemnity insurance before setting up.
50 Writing letters to magazines You can make between £10-£200 for a good letter or photograph to a weekly magazine such as Take a Break or Pick Me Up, suggests Birtles. "If you have a really juicy story you can make even more, and you don't even have to write it, she says. Women's magazines particularly are usually desperate for items for their letters' pages, and even quite tame stuff often gets in.
Freelancing can be an excellent way to take your existing skills and channel them in a direction that can generate income. Are you a writer? Consider using freelance writing to fund your startup. Flexible hours, ability to work from anywhere, and virtually no materials needed beyond your computer and internet access—freelancing is a dream side business.
I just had to double back one more time and really take time to read your post here on side hustle business ideas. I really love the fact that your blogging about the side hustle which is my line of work just like yours. I'm one of those people that don't believe working for a company for 20 to 40 years and retiring on a can of beans. Where so much more than that, right? Entrepreneurs a full of creativity. Thought leaders. Leaders for change. Leaders that are positive in your thinking process and inspire people to unleash their full positive potential by getting into side hustle entrepreneurship. And with all of this said, anyone can put their creative ideas they've had on the back burner into action at full strength and start a side hustle business just like us and become more successful than hoped for. Isn't that right, Nick? :-)
Did you major in a subject like English, history, or math in college, or do exceptionally well on the SAT exam? Do you have patience with children? If so, you likely have what you need to tutor kids in particular subjects. Seek out parents or teachers and let them know that you tutor students in a certain subject, and offer materials for them to share, and phone calls will often trickle in. You can get going locally or expand across the country by offering to tutor online.
That's my plan. No kids, no spouse, parents deceased. I'll never be able to retire. On PSLF, but forgiveness not approved until 120th payment. Many are not being forgiven now. I take courses to stay in deferment. FedLoan bases payment on gross; not net. How does that make any sense?! After bills I can't afford the payment. I have 3 grad degrees. Was supposed to be a psychologist. APA & NCE won't accept my 15yo degrees for the national exam. So I teach at a CC. Over 180,000 in debt now and it grows monthly.
18 Garage/garden sales "One person I know holds a garage sale at their house almost every weekend during summer," says Hamm. "They get a lot of regular customers who stop by almost every weekend to see what's on sale. That person then goes to neighbours and friends and offers to sell their stuff for them, splitting the proceeds. People are usually happy to do this since they can get rid of unwanted items and earn a bit of money, too."
Similar to selling on Amazon, eBay is a place to make money selling just about anything you can think of as a side business idea, with the added excitement of using the auction selling model to sometimes get way more than you expected for that antique baseball card you picked up at a local street fair. To turn your eBay selling into a legitimate business idea, look for opportunities where you can buy in-demand products at a discount—and later sell them for a profit. Eventually, you can even take the lessons learned from your eBay store and build a full on blog or eCommerce business like what the team over at Gear Hungry has done.
The most important lesson here is not to leave too early. Take it from someone who got all excited about her income potential and left a great job she probably should've kept working for a few more months. You not only want a healthy amount in savings for the transition, but you want to have a business that makes close to your same level of full-time income.
This kind of goes with Amazon, eBay and Craigslist selling but dumpster diving is a good source of products to sell. I have found a few dumpsters in my area that regularly throw out valuable items I sell on one of the previously mentioned sites. My first week I found a large box of brand new toner bottles that cost $2400 on Amazon. I sold them for nearly $18oo individually over the couse of a month. Printing companies are good sources. I have gotten multiple printers, some working and some not but these are not $100 Walmart printers so even broken they can sell for enough to make it worth it or you can part it out too.
This business is ideal for current and former teachers, which is why many teachers begin their home tutoring business as a part-time job. You must be a people person, as most of the business regards direct, one-on-one interaction with others. It helps to be good with children of all ages, as they comprise the vast majority of your customers. Finally, it helps to be organized and self-motivated: conducting home tutoring as a full-scale business means managing many contacts, reaching out to local schools, and making sure you have enough time during each session for your various clients.
Detailing cars is a great way to make a few extra dollars. You can start this business with a few supplies and some networking. You can start in your local neighborhood, advertise on Facebook, and offer discounts during holidays. This is a great gift people can give new graduates or dads for Father's Day so be sure to mention this when trying to sell people on your service.
As I've already covered with TeeSpring, the T-shirt retailing business is worth millions of dollars. But what if you want to do the manufacturing side of things? T-shirt printing turns out to be quite a rewarding business idea for many each year, but can quickly consume much of your side business idea time—so know what you're getting into before diving in. This multi-billion dollar industry counts big corporate factories as well as home-based part-time entrepreneurs.
AirBnB offers a great resource for people that are willing to rent out a spare room or even their entire home. If you're in a bind for some fast cash, AirBnB offers you an avenue for creating an income. You'll get paid 24 hours after a guest checks in, which is to avoid any problems or potential scams that might arrive. Some people earn their primary income just by renting out rooms or homes on AirBnB.
A greeting card business sells greeting cards to customers. These greeting cards can be for a number of occasions, including birthdays, holidays, reunions and even funerals. Cards can either be sold directly to customers or to retail dealers. If they're sold to a retail dealer, the dealer then sells the cards to customers. Some greeting card businesses operate online, selling cards to shoppers and shipping them.
Starting a website can be a great way to build some side income in a fairly passive manner. Start a blog if you have interesting, unique, and informative stuff to tell your readers. You can then make money on advertising or having people pay for educational products or tools you produce. Or create a website that brings together buyers and sellers of a niche product from which you can charge a subscription or transaction fee. The key is to think outside the box and come up with an idea that can provide a unique solution for people. And even if you want to produce a website that is similar to ones already out there, do it bigger and better and find a way to differentiate yourself!
An effective social media strategy that's focused on attracting new prospects and nurturing leads can take a lot of time to develop and implement. Let alone all the automation, optimization and engagement tools and tactics that a good social media manager needs to master. So while the majority of business owners will strive to have a presence on social media channels, only a few will know how to get the best ROI and tie their social media efforts to the bottom line. Tapping into this need and helping businesses manage their social media accounts could turn out to be a very profitable side business idea.
To be clear, providing care for the elderly often requires a broader set of credentials (as it should) so this business idea isn't one most people can get started with this weekend. These credentials may include licenses, training certificates, business permits, and tax forms depending on which state you wish to operate, the level of care you intend to provide, and whether you plan on running a formal business or just hiring yourself out as an independent worker as a side business idea. If you're already giving unpaid care to an elderly relative or friend, you may want to review Medicaid provisions for some compensation. In all cases, you need genuine affection for the elderly, a lot of common sense, and good knowledge of first aid, CPR, and elderly care basics to excel with this side business idea.
For example, you can promote yourself as someone who is available when others usually aren't – after regular business hours and on weekends. Get your clients used to your schedule by listing your hours on your business cards, stationary, website, and voice mail. If they know in advance not to expect a return call until after five, they won't be irritated when it happens.
Entrepreneurs experienced in the restaurant and bar industry who are looking to venture out on their own are best suited for this business endeavor. Mobile bartenders often work nights and weekends. This offers a more flexible work schedule, allowing you more time to focus on building your business during the week, and also spend time with family and friends.
How much money can you make as a virtual assistant? Most virtual assistants trade their time for money so you might get capped based on the number of hours of work you can do each week. You can choose to set a total monthly earning or get paid by the hour. Some make minimum wage while others might make $35 an hour depending on their skills and experience.
Use your various social media accounts to bring potential customers to your Selz store; and, once you have enough people interested in your services, let them know for every referral there will be a discount or a give-away. This will ensure you build a customer base, and each referral with boost your income. Reach out to past clients for reviews and post them for potential customers to view.
this is weird…but try day care centers. They are always looking for something to keep the older kids (who are only there after school…but ALLLLL summer) busy and interested. group classes could be great in the summer setting…a taste to let the kids (and parents) know if they want to pursue it. Also check out churches…they are always looking for wholesome activities for the youth too. You might even sign up a few adults along the way or offer a night time class for adults….especially one for women only. Good luck.


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Although mortality due to heart disease has declined over the past 15 years, it remains the leading cause of death in the United States (1). The most recent report on hypertension (2), which used data from the National Health and Nutrition Examination Survey (NHANES), estimated that 30% of adults aged 18 and over had hypertension. No significant change was observed between 1999–2000 and 2007–2008. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7)(3) reaffirmed that the relationship between blood pressure and cardiovascular disease is continuous, with increased blood pressure associated with higher risk of heart attack, heart failure, stroke, and kidney disease. In recognition of the continuous risk associated with higher blood pressure, the objective of this report was to estimate the mean and distribution of systolic and diastolic blood pressure for adults 18 and over using data from NHANES 2001–2008. Estimated means and selected percentiles of systolic and diastolic blood pressure are presented by sex, race or ethnicity, age, and hypertension status.
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About this item
- 12 durable shower curtain hooks to secure shower curtains and linings
- Ball shower hooks are easy to install and remove
- Simple design and metal finish goes well with any shower curtain
Putting up a new shower curtain doesn't have to be a struggle with these Threshold™ Ball Shower Curtain Hooks. Installation is as simple as sliding your shower curtain through the small ends of the 12 hooks and just snapping them onto your shower rod. Made of durable steel material, these ball-capped shower curtain hooks can hold up to daily use. With a sleek and modern design, these metal shower hooks will never look out of place in your bathroom.
Number of Pieces: 12
Dimensions (Overall): 2.79 inches (H) x .74 inches (W) x 2.14 inches (D)
Features: Fits Standard Size Shower Curtain Rod
Hook Material: Steel
Care and Cleaning: Spot or wipe clean
Style and color assortment may vary
Item Number (DPCI): 064-08-0054
If the item details above aren't accurate or complete, we want to know about it. Report incorrect product info.
only at target
In stock - free standard shipping with REDcard
Out of stock in stores near you
Ratings & reviews22
Most helpful positive reviews
Best Way To Fasten A Shower Curtain!
(would recommend)
5 out of 5 stars
Miss Noel — 4 years ago
This style is the most effective & sturdy way to fasten a shower curtain. It's simple design & metal look go well with any kind of shower curtain. It's worth the expense.see moreof the reviewer's review
(would recommend)
5 out of 5 stars
Tisienne — 3 years ago
These are, as another reviewer said, heavy. If you have a tension rod for your shower curtain, these might not be the best choice (depending on how strongly it's in there). IF, however, you have a standard rod which is attached to the walls, these are perfect. They're strong enough to hold two show...see moreof the reviewer's review
Great look, easy to use
(would recommend)
5 out of 5 stars
CNJess — 3 years ago
I've struggled with some shower curtain rings that require awkward squeezing to open/close so these simply designed hooks are wonderfully easy in comparison. Besides that, I love their classic look. They've been up in my bathroom for a few months now and none have fallen or rusted yet.see moreof the reviewer's review
(would recommend)
5 out of 5 stars
Becca58 — 2 years ago
I really like these hooks! They sort of snap on the rod so they don't come off when opening/closing the shower curtain like most do. They are heavy and not flimsy. I'm very happy with these hooks.
Most recent reviews
Wonderful Product
(would recommend)
5 out of 5 stars
amnrp — 2 days ago
Great shower curtain hooks. Very substantial in weight. Looks great. And Great price.see moreof the reviewer's review
Easily Breaks
(would not recommend)
1 out of 5 stars
TargetBuyer — 1 year ago
I loved the look of these, but I've had them for three days and two of the balls at the end have already broken off. Not really one to write reviews, but this wasn't a good experience.see moreof the reviewer's review
Good quality for price
(would recommend)
4 out of 5 stars
Kim — 1 year ago
verified purchaser
These are great. Secure and heavy duty. Recommend.see moreof the reviewer's review
Great match for the Waffle Weave Shower Curtain
(would recommend)
5 out of 5 stars
Anthony Maki — 1 year ago
verified purchaser
These shower hooks perfectly match the sleek, modern look of the Waffle Weave Shower Curtain sold by Target. They are sturdy and easy to hook onto the shower rod. No complaints here.see moreof the reviewer's review
Prices, promotions, styles and availability may vary by store & online. See our price match guarantee. See how a store is chosen for you.


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R&B, Soul And Gospel
The horn driven sounds of R&B are sometimes hard to distiguish from Soul and Soul has become a highly diverse field. In this section we offer a wide array of music that ranges from Soul to Gospel and back, as long as its roots in the Blues are still traceable.
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EMBRYO – WAJANG WOMAN "Wajang Woman" was recorded in 1976 at K.H. studios in Port of Spain/Trinidad by Richard 'Nappy' Mayer's band Embryo, originally released on Kalaloo records. It's currently one of the most sought-after island funk tracks from...
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About The Author
Kevin Smith is a New York Times bestselling author and the co-host of the Edumacation podcast. He wrote and directed Clerks and Chasing Amy, directed episodes of The Flash, Supergirl, and The Goldbergs, and produced the Oscar-winning film Good Will Hunting. He lives in Los Angeles.
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Dow's Port, 2011
Vintage Port SINGLE BOTTLE 75cl
Description and Reviews:
"Very inky in hue, this is very tight indeed, with classic Dow dryness/austerity – firm tannins and a yet to be mined concentrated seam of minerals, black currant, berry and cherry. At this very early stage of its life, it means you are more conscious of the spirit, but this positively unshowy Port plainly has a long life ahead given its deep reserves of fruit and imposing structure. Impressively hewn."Sarah Ahmed www.thewinedetective.co.uk
Condition Report:
Bottle size:
Drink Type:
Vintage Port, Vintage Port
2 In Stock
£189.00 inc UK VAT (where applicable) *
* excludes delivery (free standard UK delivery on orders over £100)


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Regardless of how popular the soccer ball is, this is also one of the most durable soccer balls that we reviewed. This starts with the casing, which is made out of PVC. While this is not the best material for touch, PVC is one of the most durable materials used for soccer ball casings. On top of the casing, the lining of the Wilson soccer ball is made of nylon that is stronger than the commonly used polyester alternative. Combined, the nylon and PVC also make this the most water-resistant soccer ball on our list.
I bought this ball for a non-traditional use: my miniature donkey LOVES to roll and toss balls, and slightly deflated soccer balls seem to be easiest for him to grab. We've had this one for several months now, and it has withstood his rough play extremely well. In fact, I'm back to buy another so we have a backup in case our first gets lost. I definitely recommend!
This is the best ball ever made for dogs, especially large dogs who can usually rip a ball apart in a matter of minutes, like mine. This is our second one, the first one we had for over 2 years and my pit bull put so many teeth marks in this ball and it never went flat. The pump end eventually fell out and it still stayed round and would bounce. We only had to buy another one because my crazy dog liked to throw it up in the air and it went over the back fence and another dog (or kid) decided to take it home. I also like that I buy one for my dog, and a kid somewhere gets one too. I will never own another brand of ball for my dogs.
Professional soccer ball can be used by everybody. Yeah, it can be used by everybody, but I don't know if everybody will spend more money and after that the ball will be kicked once a month. I recommend this balls to people who are practicing soccer almost every day, to teams & clubs or individuals who want to work on their own and improve their skills. Professional soccer goal is great for training and for match.


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By Ellen Chiocca RNC MSN CPNP,Ellen M. Chiocca MSN CPNP APN RNC-NIC
Now in its moment version, Advanced Pediatric Assessment is an in-depth, present consultant to pediatric-focused evaluation, addressing the original anatomic and physiological variations between babies, young children, and adults as they endure upon pediatric review. the second one version is up-to-date to mirror fresh advances in realizing of pediatric evaluate for PNPs, FNPs, and different practitioners, in addition to scholars enrolled in those develop perform academic courses. This incorporates a new bankruptcy at the integration of pediatric overall healthiness historical past and actual overview, a impressive medical Findings part addressing abnormalities and their medical value on the finish of every evaluate bankruptcy, up-to-date scientific perform directions for universal health conditions, up-to-date screening and future health advertising directions, and summaries in every one chapter.
Based on a body-system framework, which highlights developmental and cultural concerns, the advisor emphasizes the actual and psychosocial ideas of development and improvement, with a spotlight on wellbeing and fitness advertising and health. precious positive factors contain an in depth bankruptcy on acceptable verbal exchange strategies for use whilst assessing young children of alternative a while and developmental degrees and chapters on overview of kid abuse and overlook and cultural concerns in the course of review. The textual content offers approximately three hundred images and valuable tables and containers depicting quite a few often encountered pediatric actual findings, and pattern scientific checklist documentation in every one chapter.
NEW TO the second one EDITION:
- A bankruptcy at the integration of pediatric future health historical past and actual assessment
- Notable medical Findings addressing very important abnormalities and their medical importance in every one evaluation chapter
- Updated medical perform instructions for universal scientific conditions
- Updated screening and wellbeing and fitness merchandising guidelines
- Accompanying scholar case learn workbook (to be bought separately)
- Focuses solely at the overall healthiness background and evaluate of babies, young children, and adolescents
- Provides the great and in-depth info wanted by means of APN scholars and new practitioners to evaluate teenagers accurately and accurately
- Includes kinfolk, developmental, dietary, and baby mistreatment assessment
- Addresses cultural competency, together with particular information regarding the overview of immigrant and refugee children
- Fosters self assurance in APNs new to basic care with children
Ellen M. Chiocca, MSN, CPNP, APN, RNC-NIC, is a medical assistant professor within the tuition of Nursing at DePaul college. She acquired a grasp of technology measure in nursing and a postmaster nurse practitioner certificates from Loyola college, Chicago, and a bachelor of technological know-how measure in nursing from St. Xavier collage. ahead of becoming a member of the school at DePaul college, she taught at Loyola college, Chicago, from 1991 to 2013. Ms. Chiocca's medical area of expertise is the nursing of youngsters. Her learn makes a speciality of how numerous kinds of violence impact children's wellbeing and fitness. She is qualified in neonatal extensive care nursing and as a pediatric nurse practitioner. as well as instructing at DePaul, Ms. Chiocca additionally maintains medical perform as a pediatric nurse practitioner at a group sanatorium in Chicago. Ms. Chiocca has released greater than 25 magazine articles and booklet chapters, and is additionally a peer reviewer for the magazine Neonatal Network. She is at the moment pursuing a PhD in nursing.
Read or Download Advanced Pediatric Assessment, Second Edition PDF
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Extra resources for Advanced Pediatric Assessment, Second Edition
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Advanced Pediatric Assessment, Second Edition by Ellen Chiocca RNC MSN CPNP,Ellen M. Chiocca MSN CPNP APN RNC-NIC
by Richard


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Martian gardens
One of the many challenges involved in sending humans to Mars is figuring how much and what sort of food they'll need. The Antarctic greenhouse EDEN ISS is one of several projects looking into how plant life could be sustained in space.
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First InSight into the interior of Mars


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Welcome to Marie's Nutcracker Sweet, Inc. Nut Roll Online!
We are a family owned and operated artisan bakery specializing in Nut Roll, Poppyseed Roll, and several other flavors of rolls. Located in the East Hills region of Johnstown, PA we are aproximately 60 miles south east of Pittsburgh and we have been serving the retail and wholesale communities Since 1978!
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All prices shown are FOB Johnstown PA. We will be happy to ship your order by the carrier of your choice: USPS Priority Mail, or FedEx. Shipping and Handling charges are easily calculated by selecting the Estimate Shipping button in your shopping cart. You are of course able to arrange for pick-up right at the bakery as long as you enter a Pennsylvania shipping address.
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Tuesday 25 December, 2012
Testimonial By: Valerie Mullins — Jacksonville, NC, United States
Verified Merchant
Fast delivery out of this world taste I will be buying all year long. Margie from Myrtle Beach SC thank you again.
Loved the Nut Rasberry
I felt I should come on and post a giant THANK YOU!!!!. Everything we have tried so far is delicious. But my favorite was the nut raspberry...just...
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This is the best Christmas Gift I have found for my parents of Polish heritage. They love these rolls and look forward to receiving them every month....
I ordered poppy seed and nut rolls for the holiday, but I could not wait to try them. We have not had any since my mother-in-law passed away 12...
Merry Christmas
Loved your Christmas in July special. Shipping was extremely fast and packaging was secure. Of course, nutrolls were delicious--made me forget about...
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More IV Fluids
|What is the purpose of IV fluid therapy?
|Maintenance, to replace or correct deficits, to restore ongoing loss, for meds, nutirtion, phlebotomy, transfusions or blood product therapy.
|What is oncotic pressure?
|Colloids, plasma proteins, albumin
|What is hydrostatic pressure?
|Blood pressure
|What is normal serum osmo?
|280 - 295 or approx. twice that of the serum Na level.
|What can expand the intravascular compartment?
|Hypertonic fluids.
|What is the problem with using hypertonic fluids?
|If done too fast will draw too much fluid into the intravascular, dehydrating intracellular, especially the brain?
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|decreased LOC / Confusion.
|What happend if you expand the intraCellular compartment too fast?
|Deplete the intravascular, decreasing BP and causing edema.
|What are the two basic types of parenteral fluids?
|Crystalloid and Colloid
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|An Electrolyte containing solution.
|What are the three basic types of crystalloid fluids?
|Isotonic, HypOtonic and Hypertonic
|Why are crystalloid fluids called true solutions?
|Because they can pass through semipermeable membranes.
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|Contains proteins and starches.
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|Pass between compartments. They draw the fluid to them.
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|Phlebitis, extravasation and incompatabilities.
|What three things can and LVN NOT do?
|cannot han, flush or change bags on a central line even if certified.
|What can an RN NOT do with a central line.
|Cannot assign to LVN or supervise LVN with anything to do with a central line.
|How do you determine whether it is a central line or a peripheral line?
|Ask the doctor for an x ray order to determine.
|Name some isotonic fluids
|D5W, LR and NS
|Why do you need to be careful with LR and dehydration?
|It is hard for the renal system to process the elecetrolytes.
|What does the liver do to lactate? (LR)
|It metabolizeds the lactate to bi-carbonate which buffers acidosis
|What are two common uses for Normal Saline (NS)?
|To treat hyponatremia and intravascular dehydration.
|Name a HypOtonic solution?
|What is a problem with HypOtonic solutions?
|Use too long and it will lower BP. It is low in solutes so fluid will move out of the vascular space.
|What makes Hyper tonic fluids different than the others?
|It has moce dissolved particles than bldy fluid.
|What does a hypertonic fluid do?
|It moves fluid out of the intracellular and interstitial compartments into the intracascular.
|What are hypertonic fluids used for?
|Hydration and nutrition
|What is dangerous about hypertonic dextrose saline solutions?
|they can move fluids very quickly.
|What is a hypertonic dextrose saline fluid solution used for?
|TPN and PPN. Nutrition.
|What type IV line do you use with Hypertonic dextrose saline?
|10% solutions can go peripheral but all others 20% and above must use a central line?
|Why must most hypertonic dextrose saline solutions be used with a central line?
|Because the fluids are very irritating to veins.
|How do you infuse hypertonic dextrose saline solutions?
|You must use an infusion pump.
|Plasma expanders are not considered what?
|Blood products.
|What do you NOT have to do with plasma expanders?
|Type and cross match.
|Which of the two main categories of fluids do plasma expanders fall into?
|What are Colloids used for?
|Maintenence of blood volume, hypovolemic shock, dialysis.
|In which patients do you need to use colloid product with cautiously?
|renal insufficiency and CHF
|PPN is used in what type of line?
|TPN is used in what type of line?
|What are the components of TPN?
|H2O, PRO, CHO, fat, vitamins, trace minerals.
|TPN usually come in a _____hour supply.
|24 hour supply
|Name some indications for TPN.
|Non-function GI, Bowel obstruct., acute inflam, colitis, Crohns, malabsorption, chemo, burns, sepsis, ooncology, pancreatitis.
|How do you know TPN is working?
|By weighing daily.
|What is the consideration with IVs and glucose?
|Must use the appropriate IV access for concentration of glucose, must use pump, don't play catch up, taper TPN, accu-checks, used micron filters
|What should you monitor with TPN?
|I & O, weight, liver and renal function and electrolytes.
|Why do you monitor liver and renal function with TPN?
|To make sure that they are excreting electrolytes.
|Why do you use a micron filter with TPN?
|to filter out bacterial growth.
|Why do you taper TPN?
|To avoid hypOglycemic shock from cutting of the sugar.
|Can you run other things in the TPn IV tubing?
|No, don't mix with anything else.
|What is an important consideration with albumin?
|May cause anaphylaxis
|What are some potential complications with TPN?
|Fluid imbalances, metabolic acidosis, liver dysfunction, hyperglycemia and infection.
|What lab can you use to monitor liver function?
|What is the first thing that you assess wtih a patient?
|the IV
|What are some items of IV that you should assess?
|What type line, correct solution according to MAR, what time hung, how much left to infuse, correct rate, everything current?
|How long is the IV bag good for?
|24 hours
|How long is IV tubing good for?
|72-96 hours depending on hosp
|How long is a peripheral site good for?
|72 - 96 hours depending on hosp
|Why do you want to know how much infusion time is left?
|So you can be prepared and have the next bag order from pharm and ready.
|Why inspect for blood return?
|Good indicatino of patent IV but not alwyas.
|When you look up an IV drug what is an important item that you will check?
|Y siet compatibility with other drugs you may be administering.
|If you add another drung in and it becomes cloudy what is happening and what do you do?
|It is incompatible and you stop it and throw away the tubing.
|What happens if you see crystals?
|Incompatibility. Stop IV and throw away the tube.
|Who do you determine what is compatible in an IV?
|Use the drug book, call the pharmacy
|How long do you continue a "continous or maintenance" infusion?
|Until the Dr has ordered it stopped.
|How is an IV push administered?
|Usually by syringe.
|Where can you find the drip factor?
|Printed on the bag.
|How is gravity or free flow regulated?
|By roller clamp or clip.
|Does the IVPB hang higher or lower or equal to the regular IV?
|Name an important act you must do with continous infusion ( it's a competency)
|Time tape the bag.
|Continous infusion limits what and is what type of risk?
|It limits mobility because you have to take it with you and it is a fall risk.
|What method of infusion should you not use with a central line?
|Gravity or free flow.
|What anti-biotic can you NOT use with gravity/free flow infusion?
|Name three things you cannot use gravity free flow with..
|TPN, peripheral line and medication administration.
|What does primary rate mean with a pump?
|the running rate of the IV
|What does secondary rate mean with a pump?
|running the medications or antibiotics.
|What is the standard mix for Heparin with an IV?
|25,000 units in 250 ml of D5W
|One ml of Heparin for IV contains how many heparin units?
|100 units.
|What is an important check that you do with Heparin?
|You check the dose with a second person.
|what must you be careful about with the secondary rate of an IVPB?
|You must check to make sure that the rate has been changed back to the primary rate when the secondary has finished.
|What is positive pressure technique?
|closing slide clamp at the same time as flush.
|Infusion time on an IVPB is regulated by what?
|The roller clamp of the primary bag.
|PCA administration can be programed for what three things?
|intermittent (PCA), continous ( basal) or both rates.
|What does the Dr order for PCAs?
|dose/ml, delay time, lockout, patient administered does, basak rate and loading or PRN dose.
|Name six types of IV access?
|Peripheral, central, HICKMAN® catheter, quinton, implanted ports and PICC.
|What is an important intervention with epidural IV?
|Catheter management. Check site of inserting but do not change, pull dressing.
|What is the routine flush times for a peripheral line?
|Q8hr and before and after meds.
|Why do you flush a line before giving the medication?
|To check patency.
|How much is a routine flush of NS for a peripheral line?
|2-3 ml.
|Where is the central line placed?
|Superior vena Cava.
|A Quinton catheter is used for what?
|Short term dialysis, longer and a shunt is placed instead.
|Implanted ports are put in place where?
|Put in and taken out in the OR
|You need to be certified to access what type of port?
|implanted port.
|Implanted ports are used in what population?
|What is a Huber Needle?
|A right angled needle that you must be certified to use and accesses an implanted port.
|What is a PICC?
|Peripherally Inserted Central Catheter
|Is a PICC used for short or long term therapy?
|How many lunmens does a PICC have?
|One or two, two is preferred
|Before placement of a PICC what do you need to have?
|Informed Consent
|You need to flush a PICC if there is no...what?
|Continous infusion. Flush Q8hr.
|Who inserts a PICC.
|Speciality trained RN and dc'd by same.
|What is the amount of NS used to flush a PICC?
|5 ml flush
|What sixze syringe do you used to flush a PICC?
|10 ml syringe
|What approached is used for a PICC?
|The brachial approach.
|What is the problem with a PICC line and the brachial approach?
|It is easliy occluded when they bend their arm (because it is so flexible)and DVTs are becoming more common as a result.
|What are the seven complication of IV therapy?
|Infiltration, extravasation, phlebitis, air embolism, speed shock, fluid overload, infection.
|What is infiltration?
|administration of a non vesicant into tissue surrounding the vein or collapse or vein dissolving.
|What is the difference between infiltration and extravasation?
|Not much except extravasation is infiltration that results in tissue damage and necrosis from the product administered
|S/Sx of infiltration?
|swelling, Coolness, pain, tigh, hard, blanch or red, maybe leaking due to pressure
|What may be a first indication of infiltration?
|Slow or sluggish IV rate
|Infiltration causes:
|loss of vein integrity , catheter dislodgement
|Tx for infiltration..
|dc IV, warm soaks, elevate, check pulse and cap refill,
|Prevention of Infiltration..
|Tape IV site well, special attention if on a pump, and educate pt to watch for signs.
|Patient education for infiltration?
|Watch for cool, swollen hard or painful site.
|Extrasavation is..
|administratino of a vesicant ( blistering) solution into surround tissue.
|A Vesicant is..
|agent capable of causing tissue damage or necrosis to surrounding tissue
|An irritant is..
|an agent capable of producing pain at site
|Phlebitis is..
|Inflammation of the vein
|S/Sx of Phlebitis..
|Pain, erythema, dedma, streak formation, hardness of vein, increased temp.
|When phlebitis damages a vein it is permanent or temporary?
|If the phlebitis shows erythema where is it usually?
|localized, at tip of catheter and on.
|Causes of Phlebitis?
|Poor blood flow around cath, friction, iv left in too long, clotting.
|What is the Tx for Phlebitis?
|d/c IV faster is better, always apply warm compress, watch for infection.
|Infection causes:
|Sever phlebitis, equipment contamination, outdated solutions, poor technique
|S/Sx of infected IV
|pain, tenderness, warmth, redness, elevated temp, chills, purulent drainage, elevated WBC
|Infected Iv Tx?
|d/c IV, culture tip, call Dr
|S/Sx of FVE
|HTN, JVD, Dyspnea, SOB, Rales, cough
|Tx of FVE
|HOB high Fowlers, decrease EV rate temporarily, call Dr.
|Prevention of FVE with IV
|Montior rate, know risk population, watch out if you have a position IV
|What is a positional IV
|One that has multiple positions for drip rate on it. Check all positions for the drip rate to avoid FVE
|Who is the at risk population for FVE with IV?
|CHF, valve replacement surg, new valves, bad valves
|S/Sx of air embolism
|weak, rapid pulse, chest pain, SOB, cyanosis, decease in blood pressure, anxiety
|Air Embolism is a problem with what type line and not with what type line?
|Problem with Central line, very hard to geton a peripheral line as you need lots of air.
|Tx for Air Embolism?
|Clam IV, Place with right side up to trap air in right atrium, ( left side down,) trendelenburg, give O2, call Dr.
|Prevention of Air Embolism?
|#1 is careful priming of IV tubing, dc central lines properly, careful clamping during tube changes, valsalva manuever during changes.
|Speed Shock is..
|sudden increase in plasman level of a drug after administration
|S/sx of speed shock?
|syncope( transient sudden loss of conciousness with inability to maintain upright posture) cardiac arrest and shock
|Prevention of speed shock?
|Know what you are giving and how fast you can administer it, rate of administration
|Name a drug that speed shock can come with
|Home care considerations with IV therapy are?
|careplan, clean house, safe, support, family, who do you teach.
|Most common line for home therapy?
|PICC line
Created by: pamachia


text:
Sharon Lynn Campbell's portrait 'Beautiful Bay.'
Upper Marlboro, Maryland – The artwork of Sharon Lynn Campbell has appeared at many of the country's most prestigious horse shows, including the 2016 Capital Challenge Horse Show. As the newly named official artist of the Capital Challenge Horse Show, Campbell is masterfully creating two paintings for the 2016 edition of the horse show, to be held October 1-9 at the Prince George's Equestrian Center in Upper Marlboro, MD.
The Rochelle, VA based artist's work will appear on the cover of the horse show prize list and on the annual Capital Challenge commemorative poster. Both paintings will be unveiled in August alongside the release of the official prize list.
"I painted the prize list cover art for Capital Challenge for the last two years, and this year, I have created a very artsy composition for the prize list cover art of the same horse that will be used as the jumping portrait for the poster and the horse show program," Campbell explained.
As the winner of the $25,000 World Champion Hunter Rider (WCHR) Professional Challenge and the 2015 $5,000 WCHR Professional Finals at the 2015 Capital Challenge Horse Show, Scott Stewart was selected as the rider to grace both the prize list and poster painting on the horse of his choosing.
"I met with Scott to see which horse he would like to put on the cover, and he choose the Gochmans' beautiful grey gelding Catch Me," Campbell said, referencing the mount on which Stewart earned the 2015 $25,000 WCHR Professional Challenge victory. Campbell has now beautifully recreated a photo of the gelding, captured by James Parker, for the prize list cover.
For Campbell, the opportunity to paint horses like Catch Me for the Capital Challenge Horse Show is an incredible honor.
"I just really love this horse show," Campbell said of Capital Challenge. "It's the perfect transition from the outdoors to the indoors, and I have the opportunity to catch up with my West Coast clients and meet new people from all over the country. It's always a great group of people that come to show. The management for the show are wonderful people, and it's a pleasure to work with them."
Campbell is a lifelong horsewoman, having grown up riding, showing, training, and even shoeing horses at her family's horse farm in Indiana. Her equestrian knowledge and great understanding of the horse's conformation and expression is evident in each piece of artwork that she creates. To learn more about Sharon Campbell, visit www.sharoncampbell.com.
For more information on the 2016 Capital Challenge Horse Show, please visit www.CapitalChallenge.org.
Emily Riden
Jump Media


text:
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