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Faux Cab Adorable Gigantic Mammories Get Banged And Deep-throated
Sislovesme – Instructing My Nerdy Step Sis To Enjoy My Jizz-shotgun
Faux Agent Molten Brief Haired Towheaded Fashion Plumbed Doggy-style On Table
Publicagent Russian Stunner Will Get Pulverized For Money In Her Glasses
Publicagent Vanessa Earns Additional Yuletide Money By Way Of Banging My Meaty Wood
Bi-atch French Stunner, Torn Up For Cash. Ass-fuck
Faketaxi Sizzling Light-haired In Cock-squeezing Jeans Cut-offs
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by Linda
(Ithaca, NY)
Question: I am coming to Florida this winter (2011) and will choose a gym by how well I can get Les Mills classes. There are many Les Mills classes, and they are all good all the time. The choreography changes every quarter, and the instructors stay in top form all the time. No longer does one have to depend on how an instructor is feeling that day, or how creative or knowledgable that person is. You will get a quality and challenging class every single time, and when your body starts getting used to it, the routine changes. You should try very hard to schedule the classes in at "good" times. Offer Body Pump back to back with something aerobic like Body Step or Body Combat, and if you can persuade your members to give it a go say, three times a week, they will become very fit and probably lose some weight too. I can't say enough about this program. We all love it here!
Answer: We love Les Mills from the launches to the consistency of the classes. We would love to offer more class types and classes, but we are having a very difficult time finding instructors. Including Body Pump instructors.
Join in and write your own page! It's easy to do. How? Simply click here to return to Opinion.

subset: commoncrawl


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Showing 1-2 of 2
By: Lee, Laurie
Price: £7.50
Publisher: Cheltenahm, The Cyder Press: 2003
Seller ID: 001673
Condition: New Book
Brought together in one volume - Peasant's Priest, previously available only as an acting edition by a small local printer for the Canterbury Cathedral Festival in 1947, and two previously unpublished radio plays Black Saturday, Red Sunday and I Call Me Adam , both produced for the BBC Third Programme by Louis MacNeice in the 1950s. Introduction by Jane Mack, M.Phil., Lecturer in English, West Cheshire College View more info
By: Rupert Brooke, Lascelles Abercrombie
Price: £5.00
Publisher: Cheltenham, The Cyder Press: 1999
Edition: First Edition
Seller ID: 001757
Condition: New Book
Book Description: Cyder Press / Cheltenham and Gloucester College of Higher Education, Cheltenham, 1999. Soft Cover. Book Condition: New Book. Introduction by Sean Street, Bournemouth University. Two plays by members of the Dymock Poets circle. View more info


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Boss St Bloke wrote:King Sparty - relax - don't tell us what to do.
Take a chill pill and sit in a dark room.
eDWaRD WooDWaRD wrote:Sounds more like cyclists acting as if rules that apply to everyone else don't apply for them for some reason. There, I said it.
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North Carolina lags other states when it comes to using investment crowdfunding as a vehicle for companies to raise funds; and the recent passage of the NC PACES Act gives North Carolina companies another mechanism to raise capital from individuals in a compliant and organized manner. Platforms like Localstake NC have emerged over the last few years to help companies raise investment capital from individual investors. Conversely, these platforms allow all individuals regardless of accreditation to support local companies with their investment dollars. While this mechanism has helped thousands of companies across the country successfully raise capital, to date, few companies in North Carolina have taken advantage of this potential alternative to raising money.
As NC IDEA expands its mission to more actively serve those that are underrepresented and underserved, we are partnering with Localstake NC to test the appetite for investment crowdfunding in North Carolina by offering an Investment Crowdfunding Grant for the first time in Spring 2019 to companies ready to expand their businesses via investment crowdfunding on Localstake NC.
NC IDEA is testing the appetite for investment crowdfunding in North Carolina by offering an Investment Crowdfunding Grant for the first time in Spring 2019.Learn More
The evaluation process for the Investment Crowdfunding Grant is rigorous and competitive. Companies must meet certain criteria in order to be considered.Learn More
NC IDEA is partnering with Localstake NC to support investment crowdfunding in NC. Learn more about whether investment crowdfunding is right for your company.Learn More


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Tom Keating
Ybor City Chamber of Commerce 813.248.3712 x23
Motorized Parade Returns to Guavaween in 2011
Floats, krewes and beads are back!
(Tampa, Florida) The Ybor City Chamber of Commerce is pleased to announce that motorized floats are back for the 26th annual Guavaween celebration. The Ybor City Chamber has taken-over production of this signature, special event held each Halloween in Tampa's Historic Latin Quarter.
"We listened to the voices of our community. And yes, the motorized parade returns this year!" stated Angela Rodante, Chair of the Chamber's Guavaween Committee. "The Ybor Chamber is investing and improving Guavaween and bringing more fun than ever - it's Halloween Ybor City style!"
The Ybor Chamber is bringing the tradition, fun and creativity of the past twenty-five years of Guavaweens to a new generation and inviting "Guava alums" back to their National Historic Landmark District for one of the "top-13 Halloween events in the country." Not to mention "the biggest fall event in the Bay Area."
This year's theme will be built around "superheroes" which has gained so much prominence in recent movie blockbusters. A new "Miss Guavaween Pageant" will be held the week before Guavaween and will likely become a permanent kick-off event. In addition, more of the favorite Ybor-based restaurants will be gourmet street vendors, a concept that worked well during the Chamber's Fiesta Day, now in its 65th year.
"We are suspending the daytime Family Fun Fest this year, to focus our resources on improving the quality of the night time entertainment," said Tom Keating, President and CEO of the Chamber. "Our purpose is to introduce new patrons to the fun, food and creativity that are an everyday part of Ybor City."
Check-out the Ybor Chamber's new website, soon to go live, for more information on Guavaween and other up-coming events in the District, such as our 46th Annual Gala & Gonzmart Award and 2nd Annual Ybor OktoberFest Pub Crawl. - www.ybor.org
The Ybor City Chamber of Commerce has been the champion of Ybor City for 82 years, hosting special events throughout the year from the fall "holiday season" to the spring "festival season."


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problems with salt test - Discussions with Anthony
-----Original Message----- From: Anthony Sent: 28 April 2010 To: email@example.com Subject: problems with salt testHi Jim,
Since our last e-mails I'm pleased to let you know that I did indeed manage to make some outdoor instruments, and had a great summer last year taking them to festivals, often locate dnearby the childrens' space.
Now we're in year 2, and I'm making bigger and better things. So far Ive made a giant copper chime, a pvc batonka, melody the cow bell cow, whispering pipes, tongue drums, a giant triangle, a giant rainstick. Today I finally finished my first giant xylophone. Hooray!!
It's pretty straight forward- 6 notes, A major pentatonic. Made from sapele, 40mm thick, 150mm wide.
I watched your you tube video for finding nodes with salt- something i'd read about. The next day I did exactly as instructed but had some interesting reults--
1- the nodes were not equi-distant from the ends of the bars on any of the 6 bars.
In the end I drilled perpendicular holes 22.5% in from the ends of the bars and this seems to work fine for all but 1 of the bars- the lowest note (A). It was in tune before we drilled the holes, now it's a fraction sharp.
Question- If I sand out a little arch will the pitch be lowered?
Hope you can help.
Anthony James Brown
Hi Anthony - great to hear from you, and thanks so much for taking the time to get in touch and send a photo. Great work by the way!
Ok now for your salt test result findings.
Point one - well the nodes can be a little different in distance from the ends of the bars, although they should not be a great deal so. If they Are different, it might be partially due to those same grain variations but more likely because of an uneven arch shape - but even this should not make a BIG difference between the two ends. If you find there IS a big difference, you may find that you are actually reading one of the nodes in the bar from a different mode of vibration - one of the overtones.
And to answer your last question - yes - sanding a little out of the middle of the bar will definitely lower the pitch - sand just a little though as it should not take too much.
Jim McCarthy
Get These Comprehensive Plans & Instructions with Video!
answers by Jim MCCarthy - 28/02/2008
For more help on instrument building you can email Jim.


text: A public art installation that will span 2 miles of San Francisco's iconic Market St. It will visualize the real-time movement of underground trains, transforming the city's main artery into a scene of wonder and awe for millions. LightRail has been fully permitted by the City of San Francisco. It is currently fundraising and set to premiere in early 2016.


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9 Gardner Street
Bond Street
Boyce Street
Brigden Street / Stanford Road
Cheltenham Place
Church Street
East Street
Eastern Road
Gardener Street.
Gardner Street
Gloucester Passage
Kemp Street
Kensington Gardens
London Road
Market Place
Middle Street
New England Road
NOrth Road
North Road
North Road / Regent Street
Here you can browse photographs taken by local resident, David Sawyers over three decades. They all show fragments of signs advertising businesses that used to operate in Brighton. The photographs are a delight if you are interested in old typography.
These are the photographs you have chosen to use.
Choose how you would like to display the photographs.


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Working at Swat, Part II: The Work-Study Dilemma
This article is part of a two-part series on student labor at Swarthmore. You can find the first article, whichRead more
This article is part of a two-part series on student labor at Swarthmore. You can find the first article, whichRead more
On March 21st, the Office of Admissions alerted the campus community to the admission of the Class of 2021 withRead more
On Monday, March 13th, Social Sciences Associate Professor and Department Chair at the State University of New York Empire StateRead more
On Wednesday afternoon, in the Visitors' Room of the nearby the Chester State Correctional Institute, Professor of Political Science KeithRead more
Swarthmore College has sent letters of admission to 963 prospective members of the Class of 2020. Twelve percent of theRead more
At a meeting last week, the college's Board of Managers released its budget for the next fiscal year, adding upRead more
After decades of student and faculty-led advocacy to improve accessibility to child care services among its faculty, the college isRead more
Students and faculty at Swarthmore find the college's astronomy department to be a notable exception to the national trend ofRead more
The college's administration signed an amici curiae brief, supported by 38 elite liberal arts colleges and universities, that was filedRead more
In a Guardian article published on October 8th titled "Could Liberal Arts Colleges become America's Finest Exports?," author Helen LockRead more


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10 Times When My Baby Needed Me That I Will Never, Ever, Forget
Being a mom is not for the faint of heart. For me, their first year goes way too fast and is so full of surprises. Babies seem so easy to manage — especially when they're snuggly and sleepy — until they're not. Honestly, they can go from sleeping soundly and peacefully to needing your full attention in a matter of seconds. And while some of those newborn memories are starting to fade, there are times when my baby needed me that I will never, ever, forget.
For me, the most memorable moments of my kids as babies weren't their first words or first steps. They were the moments when they needed me most. The moment when the doctor told me I had preeclampsia and had to have my baby early; the moment I first heard my baby cry, and how I felt fiercely protective of this tiny person in my care; the moment when I learned that I wasn't making enough breast milk for my baby, and she was literally starving. I felt so helpless and alone, and like I had failed her. I remember my baby's NICU stays, surgeries, and mystery fevers. Babies can't tell you what hurts or what they need, but make no mistake: when your baby needs you, you know. You feel it.
You spend a lot of time as a parent trying to figure things out, especially during your baby's first year of life. While that year will go so fast, there will definitely be more than a few moments when it feels like time stands still. It's in those moments, I think, that I learned what it really means to be a parent. Trust me: you will, too.
When I Had Preeclampsia
I distinctly remember the afternoon when I was diagnosed with preeclampsia. The maternal fetal specialist, who I had just met, nonchalantly threw around words like premature, stillbirth, and maternal death. I remember thinking that he probably should choose another line of work — like maybe a medical examiner — because his bedside manner sucked.
When I Went Into Preterm Labor
Preterm labor was terrifying. I remember feeling so helpless and afraid, but also a bit like I was on autopilot. I don't remember anything from the time I saw red blood all over my bed until I checked in at the hospital, and like 20 different people asked me how far along I was. 31 weeks was not enough. I kept things together and didn't lose my sh*t, but I will never forget that night.
When My Baby Was Starving
When my daughter was born, I had no idea that I wasn't making enough breast milk. As a result, she was literally starving. By day five she became extremely lethargic, jaundiced, and barely able to eat from a bottle. My partner and I took her to the ER and learned that she had lost more than 20 percent of her birth weight, had a bilirubin level of 21, and was dehydrated. In the NICU they gave her formula, put her under phototherapy lights, and gave her IV fluids. She immediately pooped on the table and started to perk up. I never thought hearing my baby cry would sound so good.
When My Baby Had Food Allergies
When my youngest was born, I knew I had undersupply, and planned to combo-feed him with both breast milk and formula. Unfortunately, life with babies rarely goes entirely as planned. We learned that he had food allergies and couldn't tolerate my breast milk or conventional formula. My partner and I tried five formulas before we found one that wouldn't make him sick. I vividly remember the first doctor visit when we learned he actually gained weight. It felt like a huge weight had been lifted off our shoulders and that we were able to give him what he needed to thrive.
The First Time My Baby Cried
There's something magical and terrifying about the moments between your baby being born and hearing them cry for the first time. I know it was only seconds, but to this mom it felt like eternity waiting to know that my sweet baby was OK.
When My Baby Was Sick
When my oldest son was 7-months-old he got seriously sick. He had a high fever and vomiting, and it was so scary. I took him to the ER and had to hold him while the doctors and nurses poked and prodded him. He ended up being OK, but it was ridiculously terrifying.
When My Baby Needed Surgery
My daughter was born with a hemangioma — a benign vascular tumor — on her face. She needed to have it removed, and according to our doctors it was best to have it done when she was a baby. I remember vividly having to leave my baby in the surgical suite and wait for her in the waiting room. They gave her a sedative, but she cried out for me when I left the room.
When My Baby Wouldn't Sleep
The first night my daughter was home from the hospital, she wouldn't sleep unless she was attached to my breast. I walked her, rocked her, and stayed awake the whole night, begging her to sleep and stop crying while I was exhausted out of my mind. It was one of the hardest nights of my life, but I knew my baby needed me in order to feel safe enough to sleep outside the home I had made for her inside my body.
When My Baby Fell Out Of Her Crib
After a few months of listening for your baby on the monitor, you kind of get lulled into believing that they will always be safe. That's usually when they'll climb or fall out of their crib, because of course. The sound of my baby's cries were so startling and caused me to leap out of bed and probably run faster than I'd ever run in my entire life. She was fine, and the next day my partner and I bought her a "big kid" bed.
When I Left My Ex-Husband
Then, there was the day I left my kids' dad. I was terrified — of him and of being a single mom — but I tried to remember that my kids needed me to be brave and to leave him so they could have the best possible life. My son was just a baby when I buckled him into his car seat and drove away. I will never forget that moment.
Watch Romper's new video series, Romper's Doula Diaries:
Check out the entire Romper's Doula Diaries series and other videos on Facebook and the Bustle app across Apple TV, Roku, and Amazon Fire TV.


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It's Wednesday. Here's a couple things to smile about:
Mumford & Sons' "Hopeless Wanderer" video. If you don't know who Mumford & Sons are, well... let's say they're a popular folk band. Mandolins are involved. They look like they sound: classy hobos. If you didn't know it, for the first 1:00 you'd think you're watching the boys of the band playing music in a field.
Things start to get ridiculous shortly after the minute mark, when you see them walking down a dirt road carrying way too many instruments and pushing a piano.
And hey, Ed Helms and Jason Bateman. Wait... They aren't Mumford or son...
And isn't that my comedic boyfriend, Jason Sudeikis?
And don't forget about Will Forte.
Parental warning: there is sexy banjo.
Lost on references? Imagine Chevy Chase made a Paul Simon video. Oh... Yeah.
Jimmy Fallon, curator of musical gems from his guests, joined the Roots and Robin Thicke for this winner:
Things I love about this video:
- Robin Thicke's outfit
- how thoroughly everyone seems to be enjoying their roles
- kazoo
- shaky banana (we have one)
- precise xylophone playing
- Questlove's Carlton dance at 3:10
- Jimmy Fallon
- spoons
- everything
Have a great week.
One year ago: Can, I Do It, in which V proves she's awesome.
Two years ago: LLLL, in which I watch my favorite movies.


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If you're just playing with a few friends, family members, or colleagues, the 4 ball package is a great option. You don't need a big group to have fun playing Knockerball® or any other bubble ball game.
Organizing a Knockerball® Bubble Soccer game is truly a blast but we will warn you, organized games generally break down into literal knock down chaos with the only resulting pain being from laughing so hard and having way too much fun.
What's the difference between TPU & PVC?


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Welcome to EventRebels first ever Rebel Round-Up! This is where we'll be sharing with you what's happening in the events industry and the technology industry all in one place each week. We hope you can find these articles as useful and interesting as we did. 2015 Preview: 9 Event Tech Predictions [BizBash] Google fights Marriott's plan to block Wi-Fi hotspots [CNN Money @DavidGoldmanCNN] More hotels offer free Wi-Fi – but speed costs extra [USA Today] The Future of Digital Media in 2015 [TechCrunch] CES 2015: What the Biggest Tech Trends Will Be [ABC News] Uber Is Going to Eat Your... Read more »
Posts Categorized: Social Media
Mobile Apps: Attendees Looking Down = Attendee Engagement Going Up
You stood in line 6 hours for tickets. You've waited months for this day to come. You're finally seeing that band you love live! You get to your seat, the music starts, and a cloud of smoke erupts from the stage. The band starts to play and you are instantly disappointed. Not because the band isn't everything you dreamed of and more, but because you're watching their performance through the thousands of tiny mobile devices being held up in front of you. Nobody can deny that technology has changed the way we experience live events, and not always for the... Read more »
When You Should NOT Use Facebook for RSVPs
Talk about a total fiasco! What looked like an exciting record opening party for a popular artist resulted in scores of angry people and certainly a black eye for the event planner. The event seemed simple enough. It was to be held in a popular restaurant that could accommodate about eighty people. Since the event was free, the planner simply wanted a list of people attending. She even announced the event on Facebook, which would seem to guarantee that they could easily sell out the event. This is where the problems began. The planner wanted people to bring tickets in... Read more »
Nine Features Your Mobile Event App Must Have!
Apps for conferences and trade shows are red hot. Your attendees expect that your show will have a mobile app that will not only replace the old printed program, but will add some additional modules as a result of being digital. So what are the key features your app must have? Schedule. All sessions and events should be listed in the program including (with few exceptions) those that require an extra fee, pre-registration or restricted attendance. Times should be clearly listed along with the location or room. Itinerary. One of the favorite activities of many conference attendees has been to... Read more »
Webinar: How to Leverage Social Media Throughout Your Event Life Cycle
WEBINAR: How to Leverage Social Media Throughout Your Event Life Cycle
Friday, September 19, 2014, 2:00 PM Eastern Click here to REGISTER NOW In this webinar, learn the value of using social media during all of the phases of your event. Take away specific how-to's that will include social media strategies and tools. Understand the resources you will need and how to add value to your event community. This webinar will be co-hosted with Anne Sigman. Anne is one of the co-founders of SocialToaster, a SaaS platform that manages social media influencer programs. She is also a marketing technology consultant and entrepreneur who works with associations on initiatives that help them... Read more »
How to Promote your Meeting with LinkedIn
LinkedIn is now the premier social media web site for business. If your conference is targeting professionals in business, education and government, LinkedIn is not to be ignored, although they have discontinued the app for creating events. There are still many great ways for your meeting to be promoted on LinkedIn. Post updates on your personal and organization page that link to your online registration form. Use headline terminology, such as registration for your conference "is now open!" Post status updates about meeting news such as speaker updates, the venue, and so forth. Have a LinkedIn icon on your online... Read more »
Product Review: Zoomph, Social Media Hub for Events
EventRebels had the pleasure recently of spending some time with the people at Zoomph and viewing their cutting-edge Influencer Engagement Platform. In many ways we found Zoomph's product like our software – an attractive, flexible and powerful interface for the attendees, but also a very strong back-end management side for the event planners. Zoomph is most well-known as a platform that ties together all social media content from today's most popular social channels (Facebook, Instagram, Twitter), collects and ranks social media content and then streams it to an integrated interface where event attendees can absorb topics, trends, and real-time conversations.... Read more »
Twitter Lists—An Underused Tool in the Event Planner's Belt
Twitter gets a lot of love in the event management world and it's not hard to see why. With hashtags and live tweet streams, Twitter is the perfect platform for quick and powerful communication. But not enough attention is being paid to a Twitter tool with the potential to make a great impact at events—lists. Twitter lists allow you to organize groups of people so that you can follow all of them at once. This is especially useful because you do not need to follow each member of the list individually. Also, list activity will not take up space in... Read more »
Protecting Privacy at Events
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text: Original Articles—Liver and NutritionOctreotide Therapy for Control of Acute Gastrointestinal Bleeding in ChildrenEroglu, Y.; Emerick, K. M.; Whitingon, P. F.; Alonso, E. M.Author Information Department of Gastroenterology, Hepatology and Nutrition, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, U.S.A. Received: February 28, 2002; revised: June 20, 2003; accepted: September 4, 2003. Address correspondence and reprint requests to Dr. Estella M. Alonso, Department of Gastroenterology, Hepatology and Nutrition, Children's Memorial Hospital, 2300 Children's Plaza, Box 57, Chicago, IL 60614 (e-mail: email@example.com). Presented in part at the Annual Meeting of the North American Society for Pediatric Gastroenterology and Nutrition, Denver, Colorado, October 21–24, 1999 (abstract 92). Journal of Pediatric Gastroenterology and Nutrition: January 2004 - Volume 38 - Issue 1 - p 41-47 Free Abstract Objectives To evaluate the outcomes of octreotide use in children with gastrointestinal bleeding with or without portal hypertension. Methods The medical charts of children who received continuous octreotide infusion for the indication of gastrointestinal bleeding from January 1995 to December 2000 were retrospectively reviewed. Results Twenty-one children with portal hypertension received octreotide infusions (1–2 μg/kg/h) during 35 gastrointestinal bleeding episodes. The duration of infusion ranged from 19 hours to 7 days. Bleeding ceased in 71% of children. Post-treatment rebleeding occurred in 52%, and the mortality was 19%. Response to octreotide, rebleeding, and mortality did not differ significantly between patients with or without intrinsic liver disease. Twelve children with gastrointestinal bleeding unrelated to portal hypertension received octreotide during 14 episodes. The duration of octreotide ranged from 3 hours to 36 days. Fifty percent of children had resolution of bleeding during the infusion. Post-treatment rebleeding occurred in 29%, and the mortality was 50%. No major adverse events were observed in either group. Conclusions A high rate of bleeding control was achieved with octreotide during acute gastrointestinal bleeding in children with portal hypertension. However, controlled studies are needed for more definitive description of its clinical effects. The role of octreotide is less clear in gastrointestinal bleeding unrelated to portal hypertension. INTRODUCTION Octreotide is a synthetic somatostatin analog that shares the four amino acid sequence of the natural hormone necessary for biologic effects. It has a longer half-life than somatostatin and thus is preferentially used in clinical settings. Octreotide has been reported to inhibit gastric secretion in humans and to reduce splanchnic and azygous blood flow in patients with cirrhosis and portal hypertension (1–3). It has been widely used to control acute variceal bleeding and to prevent variceal rebleeding. It is less frequently used in the management of gastrointestinal bleeding of other etiologies. Most clinical trials involving octreotide have been performed in adults. Very few reports exist regarding its efficacy in children. In this retrospective study, we present the results of octreotide used as treatment for gastrointestinal bleeding in children with and without portal hypertension (PH). This report represents the largest pediatric series described. MATERIALS AND METHODS Data Collection The pharmacy records of Children's Memorial Hospital were reviewed to identify the patients treated with octreotide between January 1995 and December 2000. This study includes children who received continuous intravenous (IV) octreotide infusion for control of acute upper or lower gastrointestinal bleeding, including bleeding from gastrointestinal stoma sites. Data were collected by medical chart review and included age, gender, primary disease, coagulation status, previous history of gastrointestinal bleeding, sclerotherapy or variceal banding, esophagogastroduodenoscopy (EGD) findings, hemoglobin drop secondary to bleeding, transfusion requirements, and duration of octreotide therapy. Cessation of bleeding during treatment and post-treatment rebleeding were the primary outcomes assessed. A complete response to octreotide was defined as cessation of bleeding, with stable hemodynamic status and hemoglobin concentration for the duration of the infusion. Post-treatment rebleeding was defined as any new episodes of bleeding from any site during the interval between discontinuation of octreotide and surgery, death, or loss to follow-up. Ongoing bleeding and recurrent bleeding during octreotide therapy were considered treatment failures. Data from patients with or without PH and with or without intrinsic liver disease were evaluated separately. Fisher exact tests were used for statistical analysis. Treatment Criteria for initiation of octreotide and the duration of treatment were decided by the individual treating physician and, accordingly, were not standardized. A drop in hemoglobin and changes in vital signs caused by bleeding at initial presentation were the commonly stated indications for initiating treatment. Patients received a continuous IV infusion of octreotide at the rate of 1 to 2 μg/kg/h. Most patients also received an IV bolus dose of 1 to 2 μg/kg immediately before continuous infusion. Octreotide therapy typically was discontinued 24 hours after bleeding ceased, or if there was no clinical response, after 12 hours. Blood products, volume expanders, and vitamin K were used when indicated. Most patients received IV ranitidine therapy during the octreotide infusion. All patients underwent endoscopy for evaluation of acute gastrointestinal bleeding when hemodynamically stable and within 24 hours of their first bleeding episode. For subsequent bleeding episodes, patients routinely underwent endoscopy if a recent endoscopic evaluation had not been performed. Sclerotherapy was performed on patients with Grades III to IV esophageal varices and varices with signs of active or recent bleeding. RESULTS IV octreotide therapy was used in 33 patients experiencing 49 acute gastrointestinal bleeding episodes. Gastrointestinal Bleeding Associated with Portal Hypertension Patient characteristics Twenty-one patients with PH had 35 episodes of gastrointestinal bleeding treated with octreotide. The patient characteristics are shown in Table 1. Intrinsic liver disease was present in 15 patients, whereas 6 had portal vein thrombosis. Eleven patients had previous gastrointestinal bleeding, and 5 patients had undergone variceal sclerotherapy or banding. The median hemoglobin drop from the most recent stable hemoglobin concentration was 2.5 g/dL (range, 0.4–5.5 g/dL). The median total volume of packed red blood cells transfused from onset of bleeding until discontinuation of octreotide therapy was 21.7 mL/kg (range, 0–278 mL/kg). Thirteen patients, 10 with intrinsic liver disease, had coagulopathy at the time of 18 bleeding episodes, and 6 had thrombocytopenia.TABLE 1: Characteristics of 21 patients with portal hypertensionBleeding Source Twenty-six upper endoscopic examinations were performed in the 21 patients, 21 while the patient was receiving octreotide infusion and 5 before the acute bleeding episode. Active bleeding was identified during endoscopy in eight patients and was attributed to esophageal varices (n = 4), gastric or gastrostomy varices (n = 2), portal hypertensive gastropathy (n = 1), and gastric ulcer (n = 1). Overall, endoscopy of the 21 patients revealed esophageal varices alone (n = 6) or in combination with gastric varices (n = 3), or in combination with portal hypertensive gastropathy (n = 6). Two patients had gastric varices alone. Two patients had all three: esophageal and gastric varices and portal hypertensive gastropathy. Thus, 90% of patients had varices visible in one or more areas of the gastrointestinal tract as judged by endoscopic examinations performed during or just before the bleeding episode (see Table 1). Findings also included portal hypertensive gastropathy in 8 patients and gastric or esophageal ulceration (4 were postsclerotherapy ulcers) in 7. One of the gastric ulcers was not visible during endoscopic examination because it was obscured by a gastrostomy tube. This ulcer was later identified at surgery and was ultimately treated by resection. The bleeding source could not be identified in one patient. Outcomes of Octreotide Treatment The duration of octreotide infusion ranged from 19 hours to 7 days. Sclerotherapy of esophageal varices also was performed in five episodes. The results of octreotide treatment are given in Table 2. Complete response was achieved in 25 episodes, including 4 in which sclerotherapy was also performed. There were 10 treatment failures. Post-treatment rebleeding was observed in 13 episodes at a median interval of 1 month (range, 1 day–8 months). Six post-treatment rebleeding episodes occurred within 2 weeks of the cessation of infusion. Two of the rebleeding episodes occurred in patients who also had sclerotherapy. The results of octreotide therapy in patients with or without liver disease are shown in Table 3. The responses to octreotide, post-treatment rebleeding, and mortality rates were not significantly different in these two groups. Four patients with intrinsic liver disease and one without liver disease had sclerotherapy concurrent with octreotide (P = NS, Fisher exact test). Patients with intrinsic liver disease had coagulopathy in 14 episodes and thrombocytopenia in 5 episodes. Those without intrinsic liver disease had coagulopathy in 4 episodes, and thrombocytopenia in 1 episode.TABLE 2: Response to octreotide treatment in 35 gastrointestinal bleeding episodes in patients with portal hypertensionTABLE 3: Response to octreotide treatment in patients with and without intrinsic liver diseaseEleven patients underwent liver transplantation. Six were treated with surgical shunts (5 mesentericoportal shunts and 1 distal splenorenal shunt). Two underwent transjugular intrahepatic portosystemic shunt. One required gastric resection. Definitive treatment was undertaken at a median of 9 days (range, 2–60 days) after the last episode of bleeding. There were four deaths in this population, occurring 3.5 to 35 days after the cessation of octreotide. One patient died of multiple organ failure, 1 died of post-transplant bacterial sepsis, and 2 died in the operating room during liver transplantation (1 with multiple organ failure and pulmonary hemorrhage, and 1 of uncontrollable intra-abdominal bleeding). Gastrointestinal Bleeding not Associated with Portal Hypertension Patient characteristics Twelve patients without PH received octreotide during 14 episodes of gastrointestinal bleeding. Table 4 details the patient characteristics. This patient group included children with a variety of diagnoses that experienced life-threatening gastrointestinal bleeding requiring intensive care support. Two patients were liver transplant recipients (one also had a bone marrow transplant), and two had lymphoma. Leukemia, human immunodeficiency virus infection, systemic lupus erythematosus, total colonic Hirschsprung disease, neurodegenerative disease, necrotizing enterocolitis, Peutz-Jeghers syndrome, and subglottic stenosis were the primary diagnoses in the others. Co-morbidities included renal failure (4 patients), liver injury related to parenteral nutrition (2), sepsis (1), hemorrhagic pancreatitis (1), and gallbladder perforation (1). Two patients experienced bleeding after invasive procedures, one after polyp removal and one after liver biopsy. The patient with subglottic stenosis had received high-dose steroid therapy for several days before bleeding. The median hemoglobin drop from the most recent stable hemoglobin concentration was 3.5 g/dL (range, 1.2–7 g/dL). The median volume of packed red blood cells transfused from the onset of bleeding until termination of octreotide infusion was 47.4 mL/kg (range, 8–326 mL/kg). Five patients had coagulopathy, and three had thrombocytopenia.TABLE 4: Characteristics and outcomes in 14 gastrointestinal bleeding episodes in 12 patients without portal hypertensionBleeding Source EGD was performed in 7 of the 12 patients during the bleeding episode. None of the patients were actively bleeding during endoscopy. Gastric ulcers were identified in 2 patients, and 1 patient had a duodenal ulcer with erosive gastritis. A gastric ulcer was subsequently identified in 1 additional patient at the time of exploratory laparotomy. In the remaining 8 patients, including 3 who underwent EGD, the source of bleeding was not identified. Of the 5 patients who did not undergo EGD, 2 were post-procedure patients and 3 were deemed medically unstable for EGD. Outcomes of Octreotide Treatment The duration of octreotide infusion ranged from 3 hours to 36 days. Complete response was achieved in seven episodes, including both post-procedure bleeding episodes. Two patients, one with a duodenal ulcer and the other with bleeding of an unknown source, experienced post-treatment rebleeding within 4 days of the infusion. Treatment failed in seven episodes. Of the four patients who had a discrete ulcer as the bleeding source, two experienced a complete response. Of 12 patients, 3 experienced response to medical therapy alone. Four patients were referred for surgery to control the initial bleeding episode or post-treatment rebleeding. There were six deaths in this group, including one patient who died despite operative management. Three patients died of complications of gastrointestinal bleeding while receiving octreotide. A liver transplant recipient experienced a sudden cardiac event during an acute gastrointestinal bleeding episode. Another patient with systemic lupus erythematosus (SLE) experienced recurrent major life-threatening bleeding while on octreotide therapy, and died during surgery of uncontrollable bleeding from an antral ulcer communicating with a pancreatic pseudocyst. One patient with short bowel syndrome died of bacterial sepsis after receiving octreotide for 36 days to treat presumed small bowel ulceration. The cause of death in the remaining patients included one patient with lymphoma who died of multiple organ failure 5 days after completion of the infusion, and two who died of infectious causes 10 days and 6 weeks, respectively, after completion of the infusion. Adverse events One patient with previous cardiac surgery experienced asymptomatic bradycardia (60 beat/min) while receiving octreotide. Another patient experienced agitation, which led to discontinuation of octreotide, but this patient tolerated octreotide well later in longer durations. One patient, a liver transplant recipient, had experienced intermittent upper and lower gastrointestinal bleeding in the prior week, the source of which could not be identified during endoscopy. Octreotide infusion was started to control recurrent bleeding, which had resulted in a drop in hemoglobin to 2.9 g/dL. The patient experienced a sudden cardiac event 5 hours after the octreotide infusion was started. In the hours before this event, the bleeding appeared to stop, and a normal hemoglobin concentration had been achieved with transfusion. A postmortem examination was not performed, but the clinical impression was that death was caused by massive recurrent gastrointestinal bleeding. The contribution of octreotide to the cardiac event remains unknown. DISCUSSION Gastrointestinal Bleeding Associated with Portal Hypertension Bleeding from esophageal varices is the most serious and potentially life-threatening symptom of PH in children and adults (4). It leads to death in 5% to 9% of children with extrahepatic portal vein thrombosis and in 37% of those with intrinsic hepatic disease untreated by liver transplantation (5,6). Endoscopic sclerotherapy, portosystemic shunts, and liver transplantation are commonly used in the care of these patients. At centers where facilities and expertise to perform these treatments are not available, urgent control of active bleeding and prevention of early rebleeding medically is essential. Variceal pressure has been shown to be an independent predictive factor for variceal bleeding in adults, so agents that reduce variceal pressure have been used in the management of variceal bleeding (7). Octreotide has been shown to reduce splanchnic and azygous blood flow, a reliable index of flow through esophageal varices, and collateral blood flow in patients with cirrhosis and PH (2,3,8–11). Octreotide has been demonstrated to reduce intravariceal pressure by as much as 40% (12,13). However, some studies have shown more modest effects on portal pressure (2,3,8,10,14). Studies of clinical outcomes in adult patients with variceal bleeding treated with octreotide are heterogenous with regard to patient characteristics, outcome measures studied, method of administration, and dose and duration of octreotide. In a recently published meta-analysis (15), octreotide was shown to improve the control of variceal bleeding compared with alternative medical therapies and placebo/no intervention. A 13% absolute reduction in bleeding rate was reported with octreotide. It was shown to have comparable efficacy to immediate sclerotherapy for control of bleeding. Very few reports exist on the use of octreotide in children with gastrointestinal bleeding. Our group has previously reported arrest of acute variceal bleeding within 2 hours of infusion in four children with PH when octreotide was used in conjunction with sclerotherapy (EM Alonso, personal communication). Post-treatment rebleeding was controlled with reinstitution of octreotide in all cases. Siafakas et al. (16) successfully used octreotide in three patients with esophageal/gastric varices who had no response to other treatments. Zellos and Schwartz (17) used chronic subcutaneous octreotide therapy for persistent bleeding from esophageal varices. During 24 months of use, no further bleeding was observed. We report results of octreotide therapy during 35 gastrointestinal bleeding episodes in 21 patients with PH, 90% of whom had varices. Although active variceal bleeding was not visualized in most cases, it was the most likely bleeding source. In the current study, the gastrointestinal bleeding ceased in 71% of 35 bleeding episodes during octreotide treatment. Although the response rate to octreotide (80%) appears to be higher in patients who had sclerotherapy in conjunction with octreotide, this response remains unclear because of the relatively small number of patients studied. In adults with PH, spontaneous cessation of variceal bleeding has been reported to occur in 40% to 50% (18). Bleeding in our series ceased at a higher rate than would be expected spontaneously in adults. Comparison data for children are not available. Our data suggest that patients without intrinsic liver disease may have a higher response rate to octreotide and a lower mortality rate; however, these results did not reach statistical significance in this small cohort. Studies on larger groups of patients may be more revealing. Portal hypertensive gastropathy (PHG) and gastric ulcers are other potential causes for gastrointestinal bleeding in patients with PH (19–21). Kouroumalis et al. (22) showed that octreotide is effective in arresting acute bleeding from PHG within 48 hours. In our study, 39% of patients had PHG in conjunction with varices. The response rate to octreotide in this group was 50%. The only patient actively bleeding at EGD from PHG alone did not experience response to octreotide. Two of three patients with gastric ulcers and four with postsclerotherapy ulcers stopped bleeding during octreotide infusion. PH-induced impairment of the gastric mucosal defenses has been suggested in the pathogenesis of ulcers in patients with cirrhosis, but whether bleeding can be controlled with reduced portal pressure is not yet well established (23). In all our patients with PH who experienced post-treatment rebleeding episodes, half recurred within 2 weeks after the octreotide infusion was discontinued. Since the risk of rebleeding after octreotide therapy is high, more definitive treatments should be explored while patients remain on the infusion. In adult studies, mortality rates of patients receiving octreotide alone or in combination with sclerotherapy range from 15% to 38% (23–27). In the meta-analysis it was concluded that octreotide did not significantly decrease mortality in comparison to alternative pharmacologic and mechanical interventions (15). The mortality rate in our patients with PH was 19%. The lower mortality rate in our study may have been related to the generally better prognosis of PH in children than adults. Gastrointestinal Bleeding not Associated with Portal Hypertension Published experience using octreotide in patients without PH has been primarily in the treatment of bleeding caused by peptic ulceration. Octreotide has been reported to inhibit gastric acid secretion and to reduce gastroduodenal blood flow (1,28–30). Although Christiansen et al. (31) reported that octreotide was not significantly different from placebo in controlling peptic ulcer bleeding, Jenkins et al. (32) reported successful management of massive upper gastrointestinal bleeding from multiple peptic ulceration with octreotide. Lin et al. (33) compared octreotide with ranitidine in patients with peptic ulcer bleeding and showed a significantly higher homeostasis rate with octreotide. In our study, the response rate of gastrointestinal bleeding in patients without PH was 50%. Most of our patients had significant co-morbid conditions, which may have reduced the likelihood of response to medical therapy. However, octreotide appeared to be effective in some of these patients, especially when the bleeding source was a discrete ulcer or a procedure site. Adverse Events Octreotide occasionally can cause nausea, abdominal cramps, diarrhea, fat malabsorption, bradycardia, and hyperglycemia, which usually resolve spontaneously (34,35). Paralytic ileus, thrombocytopenia, and hepatic decompensation also have been rarely documented (26,36). Jenkins et al. (26) reported a significantly higher rate of multiple organ failure in patients receiving octreotide treatment and postulated that octreotide may exacerbate diminished renal and hepatic perfusion during hypotension related to bleeding episodes. Other studies have not supported this hypothesis. In fact, in clinical trials, octreotide has been shown to have an excellent safety profile. In our experience, octreotide was well tolerated. We observed one episode of asymptomatic bradycardia. Three of our patients experienced multiple organ failure. Because these three patients presented with multiple medical problems, it is impossible to determine whether octreotide caused systemic hemodynamic effects that diminished perfusion of vital organs. It is our impression that the benefit of expeditious control of serious gastrointestinal bleeding outweighs the potential risks of altered organ perfusion. CONCLUSION In this series of pediatric patients, octreotide appeared to be effective in achieving high rates of immediate bleeding control in patients with PH, rates comparable to those reported in adults. The role of octreotide therapy as an alternative to emergency endoscopic therapy in pediatric patients requires additional investigation. In addition, more definitive treatments, such as sclerotherapy, banding, shunt procedures, and liver transplantation, should be considered based on the underlying disease process. The effects of octreotide on PHG, ulcer-related bleeding, and gastrointestinal bleeding not associated with PH are not well established and also require additional study. In general, octreotide is well tolerated in children, with minimal adverse events. The hypothetical contribution of octreotide to the development of multiple organ failure requires additional study but should lead to careful monitoring when the drug is used in critically ill patients.REFERENCES 1. Jenkins SA, Poulianos G, Coraggio F, et al. Somatostatin in the treatment of non-variceal upper gastrointestinal bleeding. Dig Dis 1998; 16:214–24. Cited Here | PubMed | CrossRef 2. Pringle SD, McKee RF, Garden OJ, et al. The effect of a long-acting somatostatin analogue on portal and systemic haemodynamics in cirrhosis. Aliment Pharmacol Ther 1988; 2:451–9. Cited Here | PubMed | CrossRef 3. McCormick PA, Dick R, Siringo S, et al. Octreotide reduces azygous blood flow in cirrhotic patients with portal hypertension. Eur J Gastroenterol Hepatol 1990; 2:489–92. Cited Here 4. Karrer FM, Narkewicz MR. Esophageal varices: current management in children. Semin Pediatr Surg 1999; 8( 4):193–201. Cited Here | PubMed | CrossRef 5. Mowat AP. Prevention of variceal bleeding. J Pediatr Gastroenterol Nutr 1986; 5:679–87. Cited Here | View Full Text | PubMed | CrossRef 6. Fonkalsrud EW. Treatment of variceal hemorrhage in children. Surg Clin North Am 1990; 70:475–87. Cited Here | PubMed | CrossRef 7. El Atti EA, Nevens F, Bogaerts K, et al. Variceal pressure is a strong predictor of variceal hemorrhage in patients with cirrhosis as well as in patients with non-cirrhotic portal hypertension. Gut 1999; 45:618–21. Cited Here | View Full Text | PubMed | CrossRef 8. Lin HC, Tsai YT, Lee FY, et al. Hemodynamic evaluation of octreotide in patients with hepatitis B-related cirrhosis. Gastroenterology 1992; 103:229–34. Cited Here | PubMed | CrossRef 9. Navasa M, Bosch J, Chesta J, et al. Haemodynamic effects of subcutaneous administration of SMS 201–995, a long-acting somatostatin analogue in patients with cirrhosis and portal hypertension (abstract). J Hepatol 1988; 7(Suppl):S64. Cited Here | PubMed | CrossRef 10. Eriksson LS, Brundin T, Soderlund C, et al. Haemodynamic effects of a long acting somatostatin analogue in patients with liver cirrhosis. Scand J Gastroenterol 1987; 22:919–25. Cited Here | PubMed | CrossRef 11. Escorsell A, Feu F, Garcia-Pagan JC, et al. Hemodynamic effects of octreotide in cirrhotic patients with portal hypertension. A double-blind study (abstract). J Hepatol 1995; 23(Suppl 1):85. Cited Here | PubMed 12. Jenkins SA, Baxter JN, Corbett WA, et al. Effects of a somatostatin analogue SMS 201–995 on hepatic hemodynamic in the pig and on variceal pressure in man. Br J Surg 1985; 72:1009–12. Cited Here | PubMed | CrossRef 13. Cello JP, Chan MF. Octreotide therapy for variceal hemorrhage. Digestion 1993; 54(Suppl 1):20–6. Cited Here | PubMed | CrossRef 14. McKee R. A study of octreotide in esophageal varices. Digestion 1990; 45(Suppl):60–4. Cited Here | PubMed | CrossRef 15. Corley DA, Cello JP, Adkisson W, et al. Octreotide for acute esophageal variceal bleeding: a meta-analysis. Gastroenterology 2001; 120:946–54. Cited Here | PubMed | CrossRef 16. Siafakas C, Fox VL, Nurko S. Use of octreotide for the treatment of severe gastrointestinal bleeding in children. J Pediatr Gastroenterol Nutr 1998; 26:356–9. Cited Here | View Full Text | PubMed | CrossRef 17. Zellos A, Schwartz KB. Efficacy of octreotide in children with chronic gastrointestinal bleeding. J Pediatr Gastroenterol Nutr 2000; 30:442–6. Cited Here | View Full Text | PubMed | CrossRef 18. D'Amico G, Pagliaro L, Bosch J. The treatment of portal hypertension. A meta-analytic review. Hepatology 1995; 22:332–54. Cited Here | PubMed | CrossRef 19. D'Amico G, Montalbano L, Traina M, et al. Natural history of congestive gastropathy in cirrhosis. Gastroenterology 1990; 99; 1558–64. Cited Here | PubMed | CrossRef 20. Gostout CJ, Viggiano TR, Balm RK. Acute gastrointestinal bleeding from portal hypertensive gastropathy: prevalence and clinical features. Am J Gastroenterol 1993; 88:2030–3. Cited Here | PubMed 21. Kitano S, Dolgor B. Does portal hypertension contribute to the pathogenesis of gastric ulcer associated with liver cirrhosis? J Gastroenterol 2000; 35:79–86. Cited Here | PubMed | CrossRef 22. Kouroumalis EA, Koutroubakis IE, Manousos ON. Somatostatin for acute severe bleeding from portal hypertensive gastropathy. Eur J Gastroenterol Hepatol 1998; 10:509–12. Cited Here | View Full Text | PubMed | CrossRef 23. Freitas DS, Sofia C, Pontes JM, et al. Octreotide in acute bleeding esophageal varices: a prospective randomized study. Hepatogastroenterology 2000; 47:1310–4. Cited Here | PubMed 24. Besson I, Ingrand P, Person B, et al. Sclerotherapy with or without octreotide for acute variceal bleeding. N Engl J Med 1995; 333:555–60. Cited Here | View Full Text | PubMed | CrossRef 25. Sung JJY, Chung SCS, Lai CW, et al. Octreotide infusion or emergency sclerotherapy for variceal haemorrhage. Lancet 1993; 342:637–41. Cited Here | View Full Text | PubMed | CrossRef 26. Jenkins SA, Shields R, Davies M, et al. A multicentre randomised trial comparing octreotide and injection sclerotherapy in the management and outcome of acute variceal haemorrhage. Gut 1997; 41:526–33 Cited Here | View Full Text | PubMed | CrossRef 27. Bildozola M, Kravetz D, Argonz J, et al. Efficacy of octreotide and sclerotherapy in the treatment of acute variceal bleeding in cirrhotic patients. Scand J Gastroenterol 2000; 35:419–25. Cited Here | PubMed 28. Whitehouse I, Beglinger C, Fried M, et al. The effect of an octapeptide somatostatin analogue (SMS 201–995) and somatostatin-14 on pentagastrin-stimulated gastric acid secretion: a comparative study in man. Hepatogastroenterologica 1984; 31:227–9. Cited Here 29. Whitehouse I, Beglinger C, Ruettimann C, et al. Inhibition of pentagastrin-stimulated acid secretion after subcutaneous administration of a new somatostatin analogue. Gut 1986; 27:141–6. Cited Here | PubMed | CrossRef 30. Olson JA, Loud FB, Christianssen J. Inhibition of meal stimulated gastric acid secretion by the octapeptide somatostatin analogue SMS 201–995. Gut 1987; 28:464–7. Cited Here | PubMed | CrossRef 31. Christiansen J, Ottenjann R, Von Arx F. Placebo-controlled trial with the somatostatin analogue SMS 201–995 in peptic ulcer bleeding. Gastroenterology 1989; 97:468–574. Cited Here 32. Jenkins SA, Taylor BA, Nott DM, et al. Management of massive upper gastrointestinal haemorrhage from multiple sites of peptic ulceration with somatostatin and octreotide: a report of five cases. Gut 1992; 33:404–7. Cited Here | PubMed | CrossRef 33. Lin HJ, Perng CL, Wang K, et al. Octreotide for arrest of peptic ulcer haemorrhage: A prospective, randomized controlled trial. Hepatogastroenterology 1995; 42:856–60. Cited Here | PubMed 34. Lamberts SWJ, van der Lely AJ, de Herder WW, et al. Octreotide. N Engl J Med 1996; 334:246–54. Cited Here | View Full Text | PubMed | CrossRef 35. McCormick PA, Chin J, Greenslade L, et al. Cardiovascular effects of octreotide in patients with hepatic cirrhosis. Hepatology 1995; 21:1255–60. Cited Here | PubMed | CrossRef 36. Drouin E, Martin S, Alvarez F. Hepatic decompensation in a child with biliary atresia on octreotide perfusion (abstract). J Pediatr Gastroenterol Nutr 1999; 29:512. Cited Here | View Full Text | CrossRef Keywords:Gastrointestinal bleeding; Octreotide; Portal hypertension © 2004 Lippincott Williams & Wilkins, Inc.View full article text


text:
Katrina Kaif to Sizzle in a Music Video!
Now for the intro, it's none other than her Mere Brother Ki Dulhan co-star, Ali Zafar. Who would have thought that?
Rumor has it that Katrina will be featuring in one of Ali's forthcoming music videos and the promise was based on the success of their last film, and now that it's declared a hit, Kat has to keep to her word. Sounds like an interesting deal!
So after having sizzled in item songs like, Sheila Ki Jawani and Bodyguard, Katrina's next stop is likely to be music videos.
On the contrary, Ali who will be composing the track wants his video to be even hotter than 'Shelia Ki Jawani'. Wishful thinking Ali, after all many filmmakers and choreographers have tried to do the same previously! How about coming up with something original this time?
What say peeps are we bored of watching Katrina taking center stage yet, or do we still want more from her?
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Zulu Records.
Ranking 8/10
Continuing their release onslaught with what they say is "probably one of our favourite tracks of this year," Brighton – based Zulu Records are taking things up a notch with this next one
A hands in the air party – starter from DJ and producer Koala T. MDE's (My Digital Enemy) Zulu Records has the unique ability to bring some of the freshest house sounds around week – in – week – out, and now on their 165th package, they're introducing another debutant to the mix.
Already accumulating some heavy support from the likes of Amine Edge, Sam Divine and Thomas Gold, it's clear that this record will do the business on the dancefloor.
Heavily influenced from 90s sounds with the clanging piano hooks and driving backbeat, "Feel The Power" is infused with era – defining genres. With solid floor – filling bass, addictive vocal stabs and intricate euphoric melodies, it ticks just about every box there is to tick.
Zulu Records have delivered yet again and they want you to get involved. Will you 'Feel The Power' with them?
Feel the Power is out Monday 17th June exclusive to Beatport.com, grab your copy here.
Check out our other reviews here.


text:
Service Areas ❯ Acworth, GA
Acworth Class A Motorhomes
Are you looking for a motorhome that is more like an actual home? Our Class A RVs are up to 45 feet long and provide the ample space for your and your family. Class A Motorhomes can sleep 8-10 people, have luxurious amenities such as separate master bedrooms, sofas and dining sets with larger bathrooms and more space to move around. Our Acworth Class A Motorhomes are like a home on wheels.
Book Acworth Class A Motorhomes for quality and luxury RV rentals.
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Are you looking for a motorhome that fits up to 4 people with all the same amenities of large RV, but also looking for something easier to drive and better on the gas mileage? The good news is our Acworth Class C Motorhomes are built on a truck or van with an attached cab making the driving much more similar to your day-to-day car. It doesn't hurt that the Class C RV sports a much friendly price tag as well!
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Acworth Travel Trailer Rental
Are you looking to rent an RV for a home away from home, but still have a car to drive around town? Our Acworth Travel Trailer rentals can be pulled by a pickup or SUV and some of our smaller units can be pulled by a car. Depending on the model and floor plan, some units sleep up to 10 people with luxurious master bed, couches that turn into beds and a full scale kitchen for all your meal planning.
Book Acworth Travel Trailers for quality and luxury RV rentals.
Marietta RV Rental Reviews
"Marietta RV Rental was great! They are easy to work with and their affordable rental prices really helped with my budget. I would highly recommend their RVs to anyone."
– Marty H Acworth, GA
Travel In Style
Acworth's Home Away From Home!
Our rental fleet is kept up to date with the modern amenities needed when renting the finest, luxury RVs available. These stylish RVs have a lodge like feel and enhance that outdoor adventure you are craving.
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Featured Rentals in Acworth
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text:
THE PURGE Season 1, Episode 2 [Review/Recap]
"Take What's Yours" trades suspense for exposition, as most of the subplots established in The Purge pilot are left treading water or barely moving forward.
"Take What's Yours" trades suspense for exposition, as most of the subplots established in The Purge pilot are left treading water or barely moving forward.
A new year begins for Injustce 2 and with it a new story arc focusing on Hal Jordan's fall from grace. The road to redemption begins here!
Stephanie Brown is not a superhero. Not anymore. Superheroes, in Stephanie's considerable experience, are more concerned about the next fight with the next costumed madman than they are about people they supposedly protect. It's a lesson that was driven home to Stephanie following the loss of the love of her life, Tim Drake, and a […]
"The Button" concludes with an emotionally-charged issue, asking DC fans to brace themselves for what comes next.
The hosts of Geek History Lesson, Ashley Victoria Robinson and Jason Inman, launch a Kickstarter campaign for their new, all-ages comic – Jupiter Jet!
This Sunday, TNT's highly acclaimed show, The Last Ship will return for its second season. To bring those of you who may have missed out season 1 up to speed, we've compiled here a brief recap of the show thus far. The Last Ship follows the USS Nathan James, a NAVY destroyer commanded by Captain Tom […]
Get your first look at 'Sons Of The Devil', an original psychological horror series from New York Times Best Selling writer Brian Buccellato and artist Toni Infante.
What we wear identifies us even more than what we read or watch. When you're out and notice a total stranger wearing a Batman t-shirt, it's like finding a kindred spirit amongst the anonymous masses. And for niche communities like comic book and sci-fi fans, those t-shirts become proof of membership. "Hey, you like that […]


text:
Normacleanse Cleanser
240 mL / 8.0 Fl. Oz.
This refreshing and comforting formula works with a highly advanced surfactant matrix and peptide/collagen boosting complex. It helps to firm, nourish and calm the skin as it removes impurities.
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We have three walkers, each being able to accommodate five horses at a time.
They are used for 'warming up' and 'cooling down' but have also been a valuable part of our team during the snow and ice.
Oliver Greenall
Stockton Hall Farm
Oldcastle, Malpas, SY14 7AE
View our latest newsletter
© 2020 Oliver Greenall. All Rights Reserved


text:
Luxury apartment living in the heart of Sydney CBD.
This stunning 2 bedroom apartment offers all the luxuries a CBD resident could desire. Every room is finished to the highest standard, with breathtaking city views throughout. Enjoy a life a convenience, surrounded by everything that Sydney has to offer. Woolworths, renowned cafes, restaurants and designer shops all on your doorstep. Moments from Darling Harbour, Central Station, Chinatown, UTS, Sydney University and more.
- Generous sized bedrooms with built in robes
- Designer bathrooms, both with frameless glass showers and baths
- Gourmet kitchen with stone bench-tops and European appliances
- East-facing balcony capturing views over Darling Harbour and the city skyline
- Sky garden, gymnasium and outdoor BBQ area
- Resort style facilities and 24hr concierge
- Ducted air-conditioning throughout
- Separate laundry facilities
- Security access, video intercom and on-site building manager
- LUG parking with additional storage cage
Property Features
Northern Aspect
Level 8
Large open-plan design
Light filled living areas
Stunning view throughout
Close to St Leonards St
Bath and shower options
Moments from Crows Nest
178 Thomas Street, Haymarket NSW 2000


text:
By Shelly Ellis
I have a confession to make and it's a secret I've kept from all my editors: I'm not a linear writer. What does that mean? Well, basically, I write my stories in pieces. Whenever anyone asks, "How far along are you with your novel?" I stay vague and say, "Oh, I'm about 70% done," or, "Four more chapters to go!" What I don't tell them is that the 2nd, 7th, 13th, and 25th chapters still aren't written.
I write like I'm constructing a jigsaw puzzle, mending the disjointed chapters and scenes together to make a completed work in the end. Writing this way has benefitted me, enabling me to finish stories faster than when I tried writing chapters in sequence. But I know there are pros and cons to this method and it may not work for everyone.
The Downside:
• It works better for plotters, rather than "pantsers."
You have to have a rough mental outline, sometimes even a written chapter outline, to do this well. Otherwise, remembering the story arc can get confusing. As I write, I keep a checklist of chapters with a brief description to help me remember.
• You sometimes forget the details of the book, from character descriptions to emotional shifts.
It's not just plot points that can get lost. When you jump around, you often find yourself going back or leaping forward to previously written chapters to remember little details about the characters, conversations, and setting to make sure they're consistent.
The Upside:
• Each chapter seems fresh.
Some novels suffer from loss of momentum as the story progresses. They start out strong and go flat by the end or become bogged down in the middle. It's hard to do that with this method because each chapter is the first chapter from your perspective.
• It's a good way to combat writer's block.
Ever get stuck on how to start a chapter or how to rewrite a scene that just isn't working? Skip it and go onto another scene, even if it's ten chapters away! The solution will come eventually. Meanwhile, you're not wasting time trying to figure it out or settling for weak writing just to move onto the next chapter.
• It forces you to be conscious of the flow of the story.
I do a lot of rereading and editing for this method. Writing in pieces forces me to go back and read my novel critically for consistency, tone, and momentum. I'm constantly approaching previously written chapters with fresh eyes, like a reader would.
So that's the method! Again, this isn't for everyone, but if you're looking for a way to re-energize your storytelling, the writing jigsaw puzzle may be worth a try.
Shelly Ellis is a romance and women's fiction author. Her latest release is Can't Stand the Heat (May 2013) with Kensington Publishing Inc. Visit her at shellyellisbooks.com.


text:
Game Night!
The Evangelism Committee would like to invite the congregation to our monthly Game Nights on the last Sunday of each month from 6-8 p.m. All are encouraged to attend, and we would love for you to bring a friend (or several) as well. Bring a snack to share, your favorite board game, a deck of


text:
I've seen film documentaries of a number of photographers from the heroic age (between the world wars), including Paul Strand, Henri Cartier-Bresson, Dorothea Lange, and Rondal Partridge. The 2002 "American Masters" one about Ansel Adams (1902-84), directed by Ric Burns, is the most revealing one, detailing an unusual childhood on the northwestern edge of the San Francisco peninsula, being injured in the 1906 earthquake, being what was not yet labeled "hyperactive," spending a year at the Panama-Pacific Exhibition, and throwing himself into playing the piano before taking up photography. His courtship was prolonged and the documentary delves into a major marital crisis involving a darkroom assistant. And lots of self-doubts, ending in years in which he stopped taking photographs, but was a Sierra Club activist, especially involved in getting King's Canyon set aside as a National Park.
There is footage of him playing the piano. I recall only one video interview of him, though there are ones of his son and daughter (and Carl Pope, longtime head of the Sierra Club).
There are also a lot of striking Adams photographs. My unease is that a whole photograph is rarely on display. The Burns brothers (Ken and Ric) style of panning in and out and back and forth means that the composition Adams made (often as much in the darkroom as choosing a shot) are pretty much not available in the documentary. (I have seen prints on museum and other walls, and reproductions in books, but…).
The narration is pessimistic about the preservation of wilderness. Some of the access to the Yosemite Valley has been rolled back and I think there are still remote, quite wild areas in Yosemite and Kings Canyon National Parks (if not in Sequoia).
The standard Burns mix of interviews and actors reading letters (plus some home movies) also typifies this documentary. With even less criticism by anyone of the person considered (there is mention of criticisms of Adams and Weston during the Depression for not making socially "relevant" photos, and, oddly, no mention of the photographs Adams took of the Japanese-American concentration camp a Manzanar, east of Mount Whitney, that Adams took).
(1947 photograph of Adams, probably taken by J. Malcolm Greany that first appeared in the 1950 Yosemite Field School yearbook and is in the public domain)
Also, other than chronicling encouragement from Alfred Stieglitz, there is little about other photographers (mention of advice from Strand and the apolitical rap made of Weston and Adams), though Adams was involved (founded) a group, f64 (named for sharp focus).
©2017, Stephen O. Murray