text:
The Promise of Quantitative Computed Tomography Coronary Angiography and Noninvasive Segmental Coronary Plaque QuantificationPushing the "Edge"
Author + information
- Published online February 7, 2006.
Author Information
- John A. Rumberger, PhD, MD, FACC⁎ (jrumberger{at}healthwisecenter.com)
- ↵⁎Reprint requests and correspondence:
Dr. John A. Rumberger, Clinical Professor of Medicine, The Ohio State University, Medical Director, HealthWISE Wellness Diagnostic Center, 5747 Perimeter Drive, Suite 105, Dublin, Ohio 43017.
Cardiac computed tomography (CT) has undergone a remarkable evolution in the past 25 years. In the past decade, we have seen further progress as first electron beam computed tomography (EBCT) and, later, multi-detector computed tomography (MDCT) were developed, validated, and applied to examine coronary atheromatous plaque.
Quantification of coronary artery calcification (CAC) by CT is now established as a valid "estimator" of total coronary plaque burden, providing medium- and long-term cardiovascular prognostic information separate and significantly incremental to conventional risk factors (1–3). However, although CAC is of confirmed clinical value in risk stratification, 80% (or more) of coronary plaque is noncalcified (4), and CAC provides only minimal insight into segmental stenosis severity (5), largely because of focal vascular remodeling (6).
Computed tomography coronary angiography (CTCA) and the beginning of quantitative computed tomography coronary angiography (Q-CTCA)
Contrast-enhanced CTCA was developed in Germany (7) and the U.S. (8) in the mid-to-late 1990s as a noninvasive method to estimate coronary luminal stenoses. It became apparent that the administration of intravenous contrast additionally facilitated visualization of at least some noncalcified plaques adjacent to and separate from calcified mural plaque. These interesting observations led researchers to muse that CTCA might be a good candidate to pursue noninvasive identification and quantification of focal plaque morphology, that is, it might be possible to move from estimations of global plaque volume and/or the absence/presence of obstructive stenoses toward true segmental Q-CTCA.
There have been two previous investigations evaluating the potential of CTCA to define focal coronary plaque. Achenbach et al. (9) compared intravascular ultrasound (IVUS) obtained during cardiac catheterization with CTCA using 16-slice MDCT. They found that CT had a sensitivity of approximately 82% to detect coronary segments with any atherosclerotic plaque but that it had only a 53% sensitivity to define segments with solely noncalcified atherosclerotic plaque.
Leber et al. (10) also performed a comparison between IVUS and contrast-enhanced 16-slice MDCT. They reported a sensitivity for "soft" and/or fibrous plaque at approximately 78% while maintaining a sensitivity for "calcified" plaque (as had been shown in previous EBCT studies) of approximately 95%. Thus, in approximately 80% of the cases, CTCA was found to provide additional information about noncalcified plaque, but total "atherosclerotic plaque burden" remained significantly underdefined.
The current study
In this issue of the Journal, Leber et al. (11) extend their work using the latest 64-slice MDCT accompanied by further improvement in their analytic methods. Again, IVUS was the reference standard. In their most recent study, they found correct detection of plaque in 83% of all atheromatous types and in 97% of "mixed"-type plaques but no change in the accuracy of defining calcified plaque (still 95%). Perhaps most impressively, the absence of any atheromatous plaque was correctly ruled out by 64-slice MDCT in 192 of 204 (94%) of the coronary segments defined as normal by IVUS. Additionally, in the proximal coronary arteries, the correlation of mean combined vessel plaque volume using 64-slice MDCT with direct mean combined vessel plaque volume by IVUS was significant (r = 0.69).
The edge
These latest results are very encouraging. Basically, the data imply that we have the potential to use CTCA, in a totally noninvasive manner, to define/measure the "edges" that separate hard plaque from soft plaque and, furthermore, distinguish these features from normal vessel wall. However, what do we need to do to move Q-CTCA even further into the realm of clinical practicality? The answer to this question lies in understanding the physics of, and then optimizing the approach to, cardiac "edge" detection with digital methods such as CT.
There are three important "edge" issues regarding the use of CT to quantify hard "calcified" plaque, soft "noncalcified" plaque, coronary mural surfaces, and subsequent stenosis severity: spatial resolution, low-contrast resolution, and temporal resolution. All three figure prominently (but unfortunately not totally independently) in the process.
Spatial resolution
What might explain the considerable improvement from the initial Leber study published only a year ago and the current study? One difference is that the newest 64-slice MDCT scanners have even better spatial (and to some extent temporal) resolution than their 16-slice and EBCT predecessors. Acquiring CTCA in thinner slices now allows image reconstruction into "almost cubic" (isentropic) voxels significantly facilitating three-dimensional calibrations and measurements through an almost infinite number of imaging planes.
The concept of quantifying the cardiac edge using CT goes back to the initial cardiac CT studies performed by University of Iowa researchers more than 20 years ago. The research objective was quantifying left ventricular muscle mass by EBCT. We devised a method to look at the "full-width half maximum" (FWHM) density between ventricular boundaries as a continuum, appreciating that the true physical edge when rendered in image space was half-way between the CT densities of the true myocardium and the adjacent tissues. Once this was determined by direct calculation, the consistency and subsequent accuracy to within 5 g of ventricular muscle mass estimation by CT, compared with autopsy, was established (12,13).
Defining the "edge" for ventricular muscle, a large structure, compared with finding the edge of the much smaller coronary artery is a fundamental issue of "resolution." Heretofore much of the difficulty in resolving a small structure such as the coronary artery with CT had been due to unequal dimensions of the "pixel" (picture element) in the x-y plane related to the dimension defining slice depth in the z-plane; these characteristics define the three-dimensional "voxel" (volume element). Although the x-y spatial resolution of all cardiac CT has remained in the sub-millimeter range for more than a decade, slice width or thickness was, until quite recently, significantly larger.
In a two-dimensional CT image, the border between two physically adjacent objects is composed of an array of pixels that render the image as a gradual array of finite gray scale densities separating the two objects; from a distance, these objects are distinct, but up close, the borders are actually a blur. This transition zone between two adjacent objects in the CT image and the transition "blur" between them is partly a function of the size of the pixel in two dimensions and, more importantly, the size of the voxel in three dimensions. The true edge is distinct in physical space, but in image space, there is a transition of finite dimension. The concept of FWHM defines this boundary as the CT density halfway between the true reconstructed densities (gray scale or Hounsfield units) of each of the separate objects sharing a common "edge." The fidelity of the edge (i.e., the accuracy of a measurement across the edge) becomes one of confidence that is directly related to the pixel/voxel size (and coronary motion blurring and low-density resolution). In the current study by Leber et al. (11), they used a FWHM concept to define the edges of various plaque elements but determined that the fidelity was somewhat in error—this is due, at least partly, to the spatial resolution of the CT data. The current x-y-z voxel for the scanner used by Leber et al. (11) is roughly 0.4 mm × 0.4 mm × 0.6 mm and is still not quite "cubic" but, more importantly, is still not nearly sufficient for confident resolution of the structures in question, where the minimal voxel dimensions (on each side) should be closer to that possible in the catheterization laboratory, 0.1 mm or less.
Low-density resolution
Basically, low-density resolution regards the fidelity of separating two objects of limited differential with respect to CT density. Although some of this ability may be overcome by improved spatial resolution, in the world of CT, the differences are highly dependent on the detector technology used. All of these detector materials (actually ceramics) have a short but finite "memory" after radiation exposure and this defines the potential for afterglow. This is sort of like somebody setting off a camera flash in your eyes; for a short time, the resolution of objects put in your line of site is obscured. Improvements in detector technology will continue to minimize this situation, but the detectors of the older 16-slice MDCT and the newer 64-slice MDCT are basically, for the most part, the same.
Temporal resolution and what's next?
Finally, we begin where it all began. Electron beam computed tomography has been and continues to be the "fastest of all CT" scanners, with scan speeds designed from inception to image the beating heart (50 ms and 100 ms complete acquisition). It actually has significant low-contrast resolution because of its unique detector architecture, but currently it lacks the necessary spatial resolution for complete plaque definition. Multidetector computed tomography has been adapted from general radiological applications that require high spatial resolution of static objects in which temporal resolution is not an issue. Rotational speeds of MDCT have improved considerably and are now approaching 300 ms; however, this is still not ideal for all patients, and the current optimal clinical situation is to have heart rates of 60 to 65 beats/min or slower to minimize coronary motion during acquisition. Although each CT vendor has methods to maximize temporal resolution using innovations such as partial scan reconstruction, these may compound other issues, producing additional artifacts after processing. Optimal temporal resolution for cardiac CT imaging largely independent of normal heart rates remains a major factor in making Q-CTCA a reality applicable across large numbers of individuals.
The goal is to make pixel/voxel image spatial/low-contrast resolution for cardiac CT smaller and better and, at the same time, render negligible the additional confounding factor of motion artifacts such that the confidence in and reproducibility of density measures for all coronary structures are maximized. How will this happen? It is not clear at present. One partial method might be to increase the power of the scanner, but this then increases the radiation exposure (already at alarming values in some MDCT studies). Another is to improve the detector technology. Interestingly, the current four major CT vendors all use different materials for their detectors, each with somewhat-different efficiencies and low-contrast resolution. The flat panel detector, now a feature in some catheterization laboratories, has been discussed as part of the solution. It could significantly improve the spatial resolution of CT, but current flat panel technology has issues of suboptimal low-contrast resolution due to afterglow artifacts. Personally, I feel that the best approach would be to better develop the electron beam concept into a multisource (beam) product and then marry it with improved multidetector ceramic technology, although this is not a trivial engineering challenge. However, incredible advances in MDCT technology have demonstrated that issues only conceived several years ago are now a clinical reality.
Why the fuss?
In the early days of cardiac catheterization, the focus was on the presence of "significant stenoses." Later research showed the potential for myocardial infarction was often greater in complex nonobstructive plaques (14), fostering concepts of the vulnerable plaque/vulnerable patient that figure prominently in current atherosclerosis research. Given the ever-expanding clinical applications for CTCA to define not only coronary obstructive and nonobstructive disease on a segment-by-segment basis but also chamber and congenital anatomy and function, the future is very exciting. Research has proven CAC as a valuable adjunct to defining cardiovascular prognosis in the medium to long term, but we have lacked a reliable means to directly image the coronary arteries noninvasively for prognosis in the short term. It will require a fundamental digital dissection of the plaque process itself—a glimpse of which has been demonstrated in this issue of the Journal. This is a major innovation for the clinical definition of focal plaque characteristics and opens up the potential for Q-CTCA as a research tool for lipid- and plaque-altering medications.
↵⁎ Editorials published in the Journal of the American College of Cardiologyreflect the views of the authors and do not necessarily represent the views of JACCor the American College of Cardiology.
- American College of Cardiology Foundation
- ↵
- Arad Y.,
- Goodman K.J.,
- Roth M.,
- Newstein D.,
- Guerci A.D.
- LaMonte M.J.,
- FitzGerald S.H.,
- Church T.S.,
- et al.
- Taylor A.J.,
- Bindeman J.,
- Feuerstein I.,
- Cao F.,
- Brazaitis M.,
- O'Malley P.G.
- ↵
- Rumberger J.A.,
- Simons D.B.,
- Fitzpatrick L.A.,
- Sheedy P.F.,
- Schwartz R.S.
- ↵
- Rumberger J.A.,
- Sheedy P.F.,
- Breen J.F.,
- Schwartz R.S.
- ↵
- Sangiorgi G.,
- Rumberger J.A.,
- Severson A.,
- et al.
- ↵
- ↵
- Schmermund A.,
- Rensing B.J.,
- Sheedy P.F.,
- Bell M.R.,
- Rumberger J.A.
- ↵
- Achenbach S.,
- Moselewski F.,
- Ropers D.,
- et al.
- ↵
- Leber A.W.,
- Knez A.,
- Becker A.,
- et al.
- ↵
- Leber A.W.,
- Becker A.,
- Knez A.,
- et al.
- ↵
- Feiring A.J.,
- Rumberger J.A.,
- Skorton D.J.,
- et al.
- Standford W.,
- Rumberger J.A.
- ↵
- Falk E.,
- Shah P.K.,
- Fuster V.


text: These are in-app offers that (as the name implies) can only be completed once and require that the offer be completed as mentioned in the offer details and terms. Be sure to review this to ensure that your purchase qualifies for these points! Once a one time offer has been completed, it can't be completed again.

subset: commoncrawl


text:
Heading up north soon via North Luzon Expressway (NLEX) and Subic Clark Tarlac Expressway (SCTEX)? Be prepared to avoid several portions of the two expressways as there are road rehabilation works that are currently being done on the major thoroughfares.
Recently, Metro Pacific Tollways Corporation (MPTC), the concessionaire that handles and maintains NLEX and SCTEX, announced that there are several road works and pavement repairs that are currently being conducted along the two expressways this week.
From April 1 until April 5, MPTC will be busy conducting repair works on several southbound and northbound lanes along NLEX and SCTEX. During rehabilation, there will be temporary lane closures on the expressways in order for the engineers to do the necessary repairs.
Soutbound Lane NLEX
April 1 – 2 – Middle lane portions of San Simon
April 1 – 5 – Middle lane portions of Candaba Viaduct
April 4 – 5 – Rightmost lane of San Simon and Apalit
Nortbound Lane NLEX
April 2 – 3 – Middle lane portions of Candaba Viaduct and San Simon
April 1 – 5 – Clark North Interchange, Subic – bound entry ramp and exit ramp from Subic; and Mabiga Interchange, Subic and Tarlac – bound entry ramp and exit ramp from Tarlac


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Meet Luna. She is a cute but mighty AutoCAD battle station. This computer is phenomenal power, stuffed into an itty-bitty living space. This build has actually gone through two different lives. The first one was an idea of a little i5 with a modest R7 370 to do some light desktop work. Then she fell in love with this monitor and everything changed. Immediately it became clear that the 370 was not going to be enough for this. That led to a chain of events that ended with the current build we have today.
I do have to say, I am so glad that this wasn't my first build. The foresight and planning required to put so much power into such a tiny space would have been a nightmare to deal with. I can only imagine how many times I would have had to redo things if I didn't already have that experience. As it is I only had to undo everything once. Turns out, if the radiator and fan are installed, there is not enough space for the motherboard to fit in the bottom of the case.
A note on the pictures: I actually forgot to take pictures until I was almost done, so sorry for no prebuild showcase with all the parts. I tried to take as many pictures as I could from several angles so other people interested in a similar ITX build can have something to look at for reference. I know that was a frustration for me when I was going through and looking at other people's build logs. Also, in case you couldn't tell, I am not a photographer. All of these were taken with my phone so quality varies. For the second picture with the monitor, all the white is from my camera's flash. That isn't back light bleed at all, the monitor is actually off in that picture. Finally, yes I am aware that the cable management looks absolutely horrid, but with such a small space, pretty much I just wanted the power cables to be out of the way of the fan. All the other cables are stuffed in the front under the radiator.l
Mouse This mouse is surprisingly comfortable to use. It takes a little bit to get used to, but is one of the best mice I've had the pleasure to put my hand on. The only downside is that the software support is pretty terrible. Going through all of their online guides, I still wasn't able to get it to work. Basically their software drivers work for about the first 30 seconds of the computer being on then the mouse becomes unresponsive. I had to uninstall it and just use the mouse in basic mode which means we can't remap the buttons. Not a deal breaking problem but annoying for sure. I've reached out to the company but haven't received a response yet.
Desk A glass desk a print of the world on it? It looks just as good as it sounds, which is awesome.
Planned updates Eventually when I have time I will do some benchmarks to get good load temps and a Firestrike score. For right now, the most intensive thing this computer does is Sims 4 and that doesn't really push the boundaries, even with this large of a screen.
Part Reviews
When the decision was made to go for a powerhouse, the i7 6700k was the only option. Even though there probably won't be any overclocking I wanted the extra clock speeds that come with the 6700k versus 6700. And you never know, maybe that will be something that happens in the future. Given the current temps I think it's more than possible.
CPU Cooler
After deciding on an i7 and given the small case, I wanted it to be as cool as possible, especially with the 1070 going in there as well. I used an AIO cooler in my previous build and it was amazing so i decided to try the same for this one. I really wanted to try and fit a 140mm AIO in this case, but everywhere I looked said it wouldn't fit. Having gone through the build I can confirm that a 140mm radiator is just too much. This one barely fit as is. As you can see in the pictures, there is very little space on the bottom if the second RAM slot is filled. I was worried whether I could manage a push/pull configuration but there is enough space behind the front panel to mount an additional fan so I put the original fan that came with the case there. So far everything is working great. There aren't any audible fan noise distortions from using two different fans and in general this is pretty quiet. It's very rare that I ever hear these fans.
I had a nice economical motherboard picked out, but then I found out that M.2 hard drives are pretty much the same price as standard SSDs. Then the hunt for a reliable mobo with proper M.2 support was on. Turns out this was the least expensive one that I trusted. It comes with a lot of neat features and has been working great so far. The WiFi was actually great to get the computer up and running until I was able to get an Ethernet cable for it.
Even though you don't get to see it, I think this ram looks and feels great. The shroud has a nice heft to it and has premium feel to it. Otherwise it's 16GB DDR4. I went with one stick just in case she needs to expand to 32GB in the future.
It's still mind boggling to me that 500GB can fit on a stick of gum. Yet, here it is. For this case, this was an absolute life saver. Not having to run cables for SATA and power for a traditional 2.5 inch saved me so much frustration with cable management. I can't imagine trying to deal with two more cables, on top of everything else. One of the best ideas and highest recommendations I have for anyone else thinking about building in this case.
Video Card
I was planning to go with an R9 Nano, because AMD seems to work better with AutoCAD. I didn't really want to go that route, especially with the power of Pascal being available. But then masa6gcs showed this report to me. It was a relief to see that not only would Nvidia be preferable, but also the GTX cards were generally better performing than their workstation counterparts. Previously I had only had experience with MSI, but it turns out that only Gigabyte has an ITX version of the 1070 that would fit. So far this card has been great. In any ITX build temps are always a concern and so far there hasn't been any concerns. For graphic intensive tasks, besides driving the 34 inches of curved visual majesty that is her monitor, she plays The SIms 4 and as mentioned does AutoCAD for work. This card does all of these things with ease. Over Winter break I'm planning to do a campaign on Civilization 6 just to see what it would be like to see an empire spread across so much screen. I'll provide an update when that happens.
The single thing that drove every other part of this build. I spent quite a while showing her different cases and this was the only one she liked the most. The rest were just meh, but this one appealed for it's small size and great visual appearance. For the price, this case is amazing. Whether you are just doing a basic build, or something more advanced, the case will more than likely give you what you want. Preplanning is required!! I know this is always necessary for ITX builds in general, but everything in this case is so tight that research is necessary to avoid misery and disappointment on build day. Even though it only comes with a single 120mm fan, for this case that feels like a 200mm fan, because of how small the area inside is.
Power Supply
I'm so glad I went with the SFX power supply. It made dealing with cables easier, it didn't block the fans as much, and it left a lot more space open for airflow. I orientated it so that it is acting as an exhaust since there are no dedicated fans for that.
Operating System
Windows 10, 64 bit modern operating system. Yep.
The second most impactful piece of this build. After originally planning a dual monitor setup, that all went out the window when she saw this screen. If you haven't had a chance to see a large curved monitor in person, I highly recommend it. I am extremely jealous and can't wait until I can ditch my old fashioned Acer Predator to get a real monitor like this one. I honestly can't say enough to describe the beauty, the aesthetics, the sheer enjoyment of using this screen. Definitely worth the price, no doubt.
I have a Corsair Vengeance keyboard and she loved getting to use it, so she wanted one of her own with RGB.
- 37 months ago
- 2 points
- 36 months ago
- 2 points
- 41 months ago
- 1 point


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Psalms 74:1 {An instruccyon of Asaph.} O God, werfore art thou absent from vs so long? why is thy wrath so hote agaynst the shepe of thy pasture? Psalms 74:2 O thynke vpon thy congregacyon, whom thou hast purchased and redemed of olde: Psalms 74:3 Thinke vpon the trybe of thine enheritaunce and mout Sion wherin thou hast dwelt. Psalms 74:4 Lyft vp thy fete, that thou mayest vtterly destroye euery enemye which hath done euell in the Sanctuary. Psalms 74:5 Thyne aduersaryes roare in the myddes of thy congregacions, and set vp their banners for tokens. Psalms 74:6 He that hewed tymbre afore out of þe thick trees, was knowne to brynge it to an excellent worke. Psalms 74:7 But now they breake downe all þe earned worcke therof wt axes & hammers. Psalms 74:8 They haue set fyre vpon thy holy places, and haue defyled the dwellynge place of thy name, euen vnto the grounde. Psalms 74:9 Yee, they sayed in their hertes: let vs make hauoke of them alltogether: thus haue they brent vp all the houses of God in the lande.
Psalms 74:10 We se not oure tokens, ther is not one Prophet more, no not one is ther among vs that vnderstandeth eny more. Psalms 74:11 O God, how long shall the aduersary do this dishonoure? how longe shal the enemy blaspheme thy name? For euer? Psalms 74:12 Why withdrawest þu thine hand? why pluckest thou not thy right hande out of thy bosome, to consume þe enemye? Psalms 74:13 For God is my kynge of olde: the helpe that is done vpon earth, he doth it him selfe. Psalms 74:14 Thou dyddest deuyde the see thorowe thy power, thou brakest the heades of the dragons in the waters. Psalms 74:15 Thou smotest the heades of Leuiathan in peces, and geuest him to be meate for the people in the wyldernesse. Psalms 74:16 Thou broughtest out fountaynes and waters out of þe harde rockes: thou dryedst vp myghtye waters. Psalms 74:17 The daye is thine, & the nyght is thyne: thou hast prepared the lyght and the sonne.
Psalms 74:18 Thou hast sett all the borders of þe earth, thou hast made sommer and wynter. Psalms 74:19 Remembre this, O Lord, how the enemie hath rebuked, and how the folysh people hath blasphemed thy name. Psalms 74:20 O delyuer not þe soule of thy turtle doue vnto the multitude of the enemies: and forget not the congregacyon of the poore for euer. Psalms 74:21 Loke vpon the couenaunt, for all the earth is full of darknes, and cruell habitacions. Psalms 74:22 O let not the symple go awaye ashamed, but let the poore and nedy geue prayse vnto thy name. Psalms 74:23 Aryse, O God, maynteyne thine awne cause: remembre how the folyshe man blasphemeth the dayly. Forget not the voyce of thine enemyes: the presumpcyon of them that hate the increaseth euermore and more.


text:
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text:
Princess Love Puts Floyd Mayweather On Blast
Put On Blast: Floyd Mayweather's Ex Jawn Princess Love Accuses Him Of Hacking Into Her Social Media Accounts
- By Bossip Staff
SMH. Floyd is out of control.
Princess Love Puts Floyd Mayweather On Blast
Last Week Miss Jackson's Instagram was hacked and all fingers pointed to Floyd. Now Floyd's ex-boo Princess Love is accusing him of the same thing and decided to expose text messages where she asked Floyd to stop hacking her social media accounts.
Floyd just keeps getting caught out there and unfortunately he's not packing. The groupies will still come though.
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text:
Surreptitious Venous Microthrombi Associated with Transient Acute Kidney Injury
Meeting: Hospital Medicine 2016, March 6-9, San Diego, Calif.
Abstract number: 780
Categories: Adult, Clinical Vignettes Abstracts
Keywords: Acute Kidney Injury
Case Presentation: A 27-year-old woman with a remote diagnosis of essential hypertension treated with hydrochlorothiazide-triamterene presented with five days of bilateral flank pain and nausea. On admission she was found to have a creatinine of 4.6mg/dL, from her baseline of 1mg/dL. She denied preceding illness, ingestions other than moderate alcohol use, or other known nephrotoxic insults. Initial exam was notable for mild tenderness to palpation in the bilateral flanks without fever, edema, or rash. Labs were notable for minimal proteinuria, trace hematuria, and absent casts. The patient's creatinine uptrended to 5.6mg/dL, and she was treated empirically with one dose of methylprednisolone, with subsequent levels fluctuating between 3-5mg/dL. A broad serologic workup for antibody and immune-complex-mediated glomerular injury remained unrevealing. Renal ultrasound with doppler demonstrated normal sized kidneys with patent vasculature. Renal biopsy revealed organizing venous microthrombi and glomerular congestion accompanied by non-specific tubular injury concerning for thromboembolic disease. The patient subsequently underwent an extensive thrombophilia workup however this was also unrevealing. She remained largely asymptomatic and her renal function gradually recovered without further intervention, with creatinine normalizing to 0.8mg/dL ten days post discharge.
Discussion: This case adds to a small body of literature recognizing venous microthrombi-associated acute kidney injury (AKI) in young adults. Recent reports describe self-limited AKI associated with arcuate vein microthrombi in young, healthy adults, with spontaneous recovery within roughly two weeks. Recent alcohol consumption was a unifying factor among these cases however it is unclear whether this represents causal association with kidney injury. It remains possible that use of a dual-agent diuretic combined with diuretic effects of alcohol use precipitated microthrombus formation in this case. Given the transient nature of AKI in this and prior cases, it remains unanswered whether affected patients are at risk for recurrence of AKI, may be predisposed to development of chronic kidney disease or to systemic venous thrombosis. Trials of empiric anticoagulation have not been pursued in this population and surveillance guidelines, either with routine chemistry panels or newer kidney injury biomarkers, have yet to be addressed.
Conclusions: This is a case of unprovoked renal venous microthrombi formation associated with self-limited acute kidney injury in an otherwise healthy young woman. Taken together with recent similar published reports, this case may represent an as-yet-undefined mechanism of AKI in young adults and illustrates the need for providers to recognize similar constellations of findings in unexplained presentations of AKI in order to better explore its pathophysiology, surveillance, and treatment.
To cite this abstract:Sartori DJ, Wu M, Weisstuch JM, Adler NM. Surreptitious Venous Microthrombi Associated with Transient Acute Kidney Injury. Abstract published at Hospital Medicine 2016, March 6-9, San Diego, Calif. Abstract 780. Journal of Hospital Medicine. 2016; 11 (suppl 1). https://www.shmabstracts.com/abstract/surreptitious-venous-microthrombi-associated-with-transient-acute-kidney-injury/. Accessed March 31, 2020.
« Back to Hospital Medicine 2016, March 6-9, San Diego, Calif.


text:
Who Is Winning the Democratic Primary and How Many Delegates the Candidates Have
Who Is Winning the Democratic Primary, Delegate Totals
r: Trump is actually not wrong. If election day were made a national holiday (as it is in so many countries), if we made it easier to vote by mail, if we expanded early voting, essentially, if we did more to ensure EVERY legal voter cast a ballot, the Republican party would become functionally extinct. Republicans have known this for about 20 years. They have operated a campaign to both limit voter turnout AND undermine confidence in the legitimacy of elections. To be fair, Democrats worry about a more diverse and pluralistic electorate, too, because it makes pandering to certain groups more difficult. It is sad that the greatest democratic republic on Earth doesn't actually want full participation in elections.


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As you may know, The 13th International Congress on Mathematical Education will be held in Hamburg, Germany in July 2016(http://www.icme13.org/). A discussion group as follows will be organized for this congress to introduce similar structures as mathematics houses with similar aims throughout the world and hope for future co operations among us.
We are expecting to receive contributions and your willingness to attend these sessions by April 1, 2016. You can contact us via the email addresses of the first Co-chair (a_ firstname.lastname@example.com or firstname.lastname@example.com). We look forward to see you in our meetings and have your contributions soon.
Discussion Group on Mathematics Houses and their impact on mathematics education
Tuesday July 26th and Friday July 29th, 2016- (16:30- 18:00 O'clock)
1. Ali Rejali, Isfahan University of Technology, Isfahan, Iran. ( a_rejali@ cc.iut.ac.ir)
2. Peter Taylor, University of Canberra, Canberra, Australia. (firstname.lastname@example.com)
Team Members
1. Abolfazl Rafiepour, Shahid Bahonar University,(Kerman Mathematics House) Kerman, Iran;( firstname.lastname@example.com)
2. Yahya Tabesh, Sharif University of Technology,( Tehran Mathematics House), Tehran, Iran;( email@example.com)
3. Jerôme Germoni, Lyon House for Mathematics and Informatics, Lyon, France (firstname.lastname@example.com)
Since 1999, in Iran, teams of teachers and university staff have established what are called Mathematics Houses throughout the country. "Math House" is a community center that aims to provide opportunities for students and teachers at all levels for experiencing deeper understanding of mathematics and developing creativity through working on real life problems by team working and cooperation.
The Math House programs include workshops and independent studies for exploring the essence of mathematics in the sense of beauty and joy of math and satisfaction of creativity and problem solving. Subjects such as history and applications of mathematical sciences, mathematical games and studying multidisciplinary ideas are considered. Mathematics and art, bioinformatics, mathematics and social sciences, and medical or engineering mathematics are essential.
Later on these mathematics houses have been established in more than 30 cities in Iran. (Barbeau, E.J., Taylor, P. J. (Eds.), Challenging Mathematics In and Beyond the Classroom, the 16th ICMI Study, New ICMI Study Series, 2009. Pages 53, 56, 75, 88, 89- 92 and Challenging Mathematics – Mathematics Houses in Iran, Annex 10 in Challenges In Basic Mathematics Education, UNESCO 2012 pp 84-87, http://unesdoc.unesco.org/images/0019/001917/191776e.pdf).
House of Mathematics has also been established in Lyon, France, Belgium, Mathematicum in Giessen (Germany), the Arhimedes premises in Belgrade and possibly in some other places as well, which can be introduced in this Discussion Group.
Aims of the DG
Introducing Mathematics Houses and similar institutions throughout the world to the audience and discussing their effect on mathematics education and their important impact on promoting team working and popularizing mathematics, as well as looking for some new ways of cooperation and exchange of experiences.
1. What are the novel and interesting ideas of mathematics houses around the world? What are the goals and aims?
2. What kind of contents should be addressed? In what forms?
3. Who are the audiences of such institutes? How can they be attracted and helped?
4. How would these houses affect local neighborhood math education systems, especially school math?
5. What are transmission modes for the addressed contents: self-guided exhibitions vs. human mediation?
6. How should math contests and math Olympiads, research and modeling, and other mathematical activities be also addressed in these houses?
7. How could international cooperation be organized?


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Suffering from back pain can wreak havoc on your life. It can limit your mobility and restrict you from being able to do day to day normal functions. Your overall quality of life can suffer greatly if you are constantly battling with pain in your back. It can affect men and women of any age and can be caused by a wide range of things. If you suffer from back pain, you are not alone. About 80% of adults have experienced back pain at some point in their life. KureSmart Pain Management in Waldorf, MD is here to help you find relief from your back pain. Stop wondering if it will ever go away and call us to see what treatment will work for you.
Causes of Back Pain
Pain in your back can abruptly start due to an accident or incorrectly lifting heavy objects or it can develop over time due to aging or years of bad habits. Most causes are mechanical in nature. Overstretching, lifting heavy object incorrectly, bad posture, or trauma like car accidents can cause many conditions that will lead to back pain. Some mechanical causes of pain in your back include:
Herniated (Ruptured) Discs – Discs provide flexibility in the back and act as shock absorbers for the many bones we use every day. A herniated disc occurs when a disc in the backbone becomes damaged or ruptured. The location of the pain usually pinpoints which disc is herniated.
Disc Displacement – A spinal disc provides cushioning from daily activity while keeping the vertebrae separated. When a disc becomes displaced, that means it has fallen out of its alignment in the backbone. It is no longer able to function in the spine and daily tasks can become painful from lack of cushioning.
Sciatica – The sciatic nerve runs from your lower back through to your legs. Sciatica pain is caused when the nerve roots based in the sciatic nerve are irritated or compressed.
Spinal stenosis – Spinal stenosis can cause chronic pain. It occurs in the back when space begins to narrow. This leads to pressure placed on the nerves, joints, and discs in the backbone
Irregular Curvature of spine and Scoliosis – Over time, discs and joints are unable to support the spine's normal posture and the spine will begin to curve. The actual irregular curve is not what causes the pain. The pain is a result of stressed joints and pinched nerves. Scoliosis is a side-to-side irregular curvature of the spine.
Sometimes back pain can is caused by diseases or other underlying issues such as arthritis, osteoporosis, endometriosis, or fibromyalgia. Degenerative disc disease occurs in the spine when the disc's age begins the process of degeneration. Other conditions we treat include: post laminectomy syndrome, facet joint syndrome, and pinched nerves.
Types of Back Pain
- Middle and Upper Back Pain: Upper back pain is not as common as lower back pain. It can be caused by poor posture, improper lifting, trauma, repeated motion, or simply just sleeping in a bad position. These strains and sprains will cause overuse or overextension of the spine.
- Lower Back Pain: Lower back pain has many people rushing to the doctor every day. The cause of pain in the low back is often hard to pinpoint since it is so common and can be a result of many thing. Most low back issues are caused by injury, aging, herniated disc, arthritis, sickness, or issues with the spine you were born with.
- Pain in the Spine: Pain in the spine refers to a widespread area, with pain manifesting itself in the back. Pain in the spine can be isolated to one of the following regions, or present in several or all of them: Cervical (neck region), Thoracic (middle back), Lumbar (lower back), Sacral (hip/pelvic area).
Back Pain Treatment in Waldorf, MD
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Schedule an Appointment
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If you're in constant pain and need relief immediately, consider innovative prolotherapy to strengthen and repair your joints and connective tissues. The excellent team at Artius Integrative Medicine in Great Falls, Virginia, offers a range of options to alleviate pain. Call the clinic to see if you're a candidate or use the online scheduling option.
Prolotherapy is a promising alternative therapy that your holistic practitioner uses to alleviate pain. It treats musculoskeletal pain that's linked to a problem with your ligaments or tendons or where you don't have sufficient cartilage.
During prolotherapy, your provider injects a mild irritant directly into the soft tissue of the area that gives you trouble. The irritant prompts your body to initiate its natural healing response. Many doctors refer to prolotherapy as a regenerative joint injection or ligament reconstruction.
It's a popular way to combat pain because it doesn't involve surgery or downtime.
Depending on your needs, your Artius provider customizes a solution to inject into the injured or painful part of your body. In addition to the inflammatory irritant, the injectable contains growth factors that go to work rebuilding and repairing damaged tissues. Your inflammation, swelling, and pain quickly subside so you get your range of motion and function back.
Prolotherapy is widely used for back pain, but is also frequently used for:
Some men and women who have arthritis have found long-lasting relief with prolotherapy.
Before your prolotherapy session, you'll meet with your provider to outline a treatment plan so you'll know exactly what type of prolotherapy solution they'll use and how many injections you'll need. Your provider uses an ultrasound to determine the precise source of your pain and gently injects the solution there. You may need to repeat the procedure a few times over the following weeks. You should feel substantial relief from your pain within two or three weeks.
Since it involves an injection, there is a slight sting or pinch, but the sensation doesn't last long and quickly subsides. You may have bruising or swelling for a few days after your injection, but it resolves on its own and shouldn't keep you from going about your normal activities.
To see if prolotherapy is a good solution for you, call the office to book a consultation or use the online scheduler to make an appointment at your convenience.


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I am an SPG gold member and linked my account to Marriott, then matched as Marriott gold elite now. What would my status be beginning this August? Will I become the new gold elite, as the previous matching policy would terminate? Or will I become the new platinum elite since I am now Marriott gold (already matched from SPG)?
I asked the SPG operator by phone and she replied: "I'm not sure. I just got the paper this morning. You should refer to the terms on wesbite." Is there any specialist here can answer my question? Thank you so much.


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Snack Review
Taste test: These rolled-up, taquito-like creations were crunchy and very tasty, with a guacamole taste at first, followed by a very tasty heat.
The heat was impressive but not killer, and it did linger around for quite a while. Doritos Rollitos are a similar concept, but those are quite a bit smaller and made from triangular tortilla chips, whereas these appeared to be made from round tortilla chips. Each of these was nearly twice the size of a Rollito.
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Smell test: Nice, really spicy smell.
From the package: "Hey! You want crunch? You want Latin Heat? You want big flavor? Get Barcel®. Get real ... Crunch this!" ... "Our Guacamole Super Crunchy Rolled Tortilla Minis" ... "Picture enlarged to show texture"
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Company: Bimbo Snacks USA Ltd.
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This snack was contributed to Taquitos.net by the manufacturer. Review published .
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10 Best Of 2019 Chevrolet Trailblazer – Chevrolet, colloquially referred to as Chevy and formally the Chevrolet Division of General Motors Company, is an American Auto Branch of the American Maker General Motors (GM). Louis Chevrolet and General Motors creator William C. Durant began the company about November 3, 1911 as the Chevrolet Motor Vehicle Company. Durant utilized the Chevrolet Motor Car Company to acquire a controlling stake in General Motors using a reverse merger happening May 2, 1918 and steered back himself into the GM presidency. Right after Durant's next ousting at 1919, Alfred Sloan, with his maxim"a car for every purse and purpose", would choose the Chevrolet brand to become the amount leader in the General Motors family members, selling conventional vehicles to contend together with Henry Ford's Model T 1919 and overtaking Ford because the best selling vehicle within the USA by 1929.
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Chevrolet-branded vehicles are sold in most automotive markets throughout the world, In Oceania," Chevrolet is represented with its Australian subsidiary, Holden, having came back into the place at 2018 following having a 50-year shortage together with all the launch of their Camaro and also Silverado pickup truck. In 2005, Chevrolet was relaunched at Europe, chiefly attempting to sell vehicles assembled by GM Daewoo of South Korea with the tagline"Daewoo was risen enough to become Chevrolet", " a move suspended in General Motors' effort to construct a global fresh across Chevrolet. With the re introduction of Chevrolet into Europe," GM planned Chevrolet for a main stream price manufacturer, whereas GM's conventional European standard-bearers, Opel of Germany, and also Vauxhall of uk would be moved . However, GM reversed the move in late 2013, announcing the newest would be withdrawn from Europe, with the exception of their Camaro and Corvette in 2016. Chevrolet motor vehicles will last to be promoted in the CIS states, for example Russia. After General Motors completely obtained GM Daewoo in 2011 to produce GM Korea, the last using the Daewoo automotive brand had been stopped from its native South Korea and succeeded by Chevrolet.
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In united states, Chevrolet sells and creates a wide assortment of cars, from sub compact vehicles to medium-duty commercial trucks. As a result of prominence and name recognition of Chevrolet as one of General Motors' world wide marques, Chevrolet, Chevy or Chev is used occasionally like a synonym for General Motors or its products, one example being the GM LS1 engine, popularly known by the name or some version thereof of its progenitor, the Chevrolet small-block motor.


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LOS ANGELES — As the boos rained down on Yuli Gurriel in Game 6 of the World Series on Tuesday night, Rich Hill walked slowly around the mound at Dodger Stadium. He fidgeted, he stretched, he went up the mound and back down again. Even for a pitcher who deliberately alters his pace to mess with the timing of opposing hitters, this was obviously different.
"I just wanted to let the crowd speak for itself, and I don't think anything else could have been as loud as that," Hill said afterward.
In all, it took Hill over 30 seconds to fire his first pitch to Gurriel, who is the Houston Astros' first baseman and was leading off in the top of the second inning. It was Gurriel's first at-bat in Los Angeles since his racist gesture toward Dodgers starter Yu Darvish in Game 3 of the Series, in Houston, and Hill, who told reporters afterward that he was "extremely frustrated and upset" by what Gurriel had done, had come up with a way to retaliate: just stall.
"That was the way to go about it, not hit him or anything like that," Hill said.
"Just making sure that things like this shouldn't happen," he added. "I think especially in sports, where you are in such a melting pot in the clubhouse and you have so many different guys from all over the world."
After hitting a home run off Darvish in Game 3 last Friday night, Gurriel, who defected from Cuba last year, sat down in the Astros' dugout and pulled the edges of his eyes to seemingly mock the appearance of Darvish, who is from Japan. He also used an insensitive term in reference to Darvish's heritage. Television cameras caught Gurriel doing all of this, and an uproar ensued.
Gurriel, 33, apologized for his actions, and Darvish quickly forgave him. But Gurriel was hit with a five-game suspension by Commissioner Rob Manfred the next day. It will be served at the start of the 2018 season.
In a World Series filled with drama and headed to a Game 7 on Wednesday night, it seems almost preordained that the Dodgers will now send Darvish to the mound to start the game, which means he will be pitching again to Gurriel, with everything on the line.
Before Tuesday's game, Darvish spoke to reporters about Gurriel and said he had sent a message to him stating that a face-to-face apology for what he had done was not necessary, although Gurriel had expressed a desire to make one.
"I told him, 'Hey, you don't have to do that because you made a comment, and I'm not that mad,' " Darvish said through an interpreter. "So like I really didn't care much about that."
Gurriel's gesture in Game 3 overshadowed a jagged outing by Darvish that night. After allowing only one run in each of his previous two starts in the postseason, Darvish coughed up four runs on six hits in just one and two-third innings. It was the shortest outing of what has been a standout major league career. But after a rough 24 hours for Darvish, his teammates huddled around him in the dugout before Game 4 of the Series and told him, "We're going to win this game for you."
The Dodgers kept their word in a 6-2 victory. And despite dropping Game 5 — the epic 13-12 slugfest — they beat Justin Verlander in Game 6. So now it's Darvish on the mound for the Dodgers in Game 7 with Gurriel batting fifth for the Astros.
On Tuesday, the loud boos for Gurriel meant he had replaced Astros right fielder Josh Reddick as the villain for Dodgers fans. Reddick had heard catcalls earlier in the Series for his comments about fans in Los Angeles not supporting him after his trade to the Dodgers midway through last season. But Gurriel's actions in Game 3 turned Reddick into a footnote.
Instead, the fans booed Gurriel loudly before Hill's first pitch to him and between each pitch. And when Gurriel popped out, the boos were loud all over again. So it went for Gurriel in every one of his at-bats, including his single in the sixth inning. If the forceful reaction from fans bothered Gurriel, he did not seem to show it. But after the game, he left the clubhouse without speaking to reporters.
The Astros' designated hitter, Carlos Beltran, had counseled Gurriel after the incident but said he did not feel the need to say anything to him after Game 6.
"He asked for forgiveness and there's not much left to talk about," Beltran said. Asked about the booing, Beltran said, "Baseball is like that." And it is likely to be like that again in Game 7.


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Chana Masala, also called Punjabi Chana is a delicious and protein packed dish from Punjab, made of chickpeas that are cooked in onion and tomato gravy. A very healthy and nutritious vegetarian option that is also amazingly flavourful with added benefits of the spices used.
Based in the lush green Kullu Valley of Himachal Pradesh, India, Nimkish produces 'ready-to-cook' spice mixes for a variety of vegetarian and non-vegetarian delicacies from many well known Indian cuisines. Nimkish has made an impact in the markets in a short amount of time as it allows users to make their favourite Indian dishes in the most convenient way possible. Simply mix and cook with a few ingredients to create an authentic Indian experience at home. No need to add onions, ginger, garlic or any other spices! Nimkish products are made with the finest, freshest ingredients and is free of preservatives, artificial colours or flavours.
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Welcome to another installment of EconoQuiz, a regular quiz on economics issues in the news.
We'll post the answers at the end of the day today, at which time we'll also name the first reader to answer all the questions correctly. We may also release overall data on how readers answered each question (without names attached, don't worry).
In the meantime, have fun!


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Entertainment and Showbiz | Dec 25, 2008
A leading British scientist has called for international guidelines to be set up for the ethical and safe application of robots – before it's too late.
Professor Noel Sharkey, of the University of Sheffield, raises concerns over the use of robots in care services, including child minding and care of the elderly.
Sharkey urges his fellow scientists and engineers working in robotics to be mindful of the unanticipated risks and the ethical problems linked to their work.
He believes that robots for care represent just one of many ethically problematic areas that will soon arise from the increase in their use, and that policy guidelines for ethical and safe application need to be set before the guidelines set themselves.
"Research into service robots has demonstrated close bonding and attachment by children, who, in most cases, prefer a robot to a teddy bear. Short-term exposure can provide an enjoyable and entertaining experience that creates interest and curiosity," he said.
"However, because of the physical safety that robot minders provide, children could be left without human contact for many hours a day or perhaps for several days, and the possible
psychological impact of the varying degrees of social isolation on development is unknown.
"At the other end of the age spectrum, the relative increase in many countries in the population of the elderly relative to available younger caregivers has spurred the development of elder-care robots. These robots can help the elderly to maintain independence in their own homes, but their presence could lead to the risk of leaving the elderly in the exclusive care of machines without sufficient human contact," he added.
The report is published in the prestigious Science journal.


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OK, here we are, for Jeff (or any one else) a Horse and Musket campaign using Programmed Wargame Scenarios. The basic idea is that the armies will jockey for position until one is thoroughly defeated or the two armies are exhausted.
Each side picks 15 units as their campaign army. For this purpose, all units are equal and of average type. For every 2 units upgraded to Guard, Heavy artillery, horse artillery, cuirassiers, etc what ever fits, a 3rd unit must be removed. For every 2 units downgraded to militia or similar, a 3rd militia unit may be added. This force is the pool from which you draw units from for the campaign. If your rules/army organization don't match the lists in the scenario book, you will have to work out your own way to equate your troops to scenario units.
For any given scenario you may only use as many units as the scenario calls for. If you do not have enough of a certain troop type then you can substitute what you do have. If you do not have enough units left then you must do your best with what you have. Any units that are routed, destroyed or lose over 50% are removed from the campaign list. Whether or not you wish to replace some or all other losses is up to you and the rules you use.
The campaign begins with a clash of advance guards: Scenario 11 Crossroads. If the game is a draw, then dice off to determine who becomes the defender for the next scenario.
The loser of the 1st game will fall back to a defensive position of his choosing. He must choose one of:: Scenarios 1,2,3,5,6,7,8 or 9 with himself as defender and the winner of the previous game as attacker. If the defender wins or draws or if the attacker concedes without playing then the former attacker will fall back, become the defender and must choose a scenario as above. No scenario may be chosen more than once during the campaign. If there are no scenarios left then the campaign is a draw.
If the attacker wins one of these scenarios, then he will win the campaign but the degree of victory will be determined by the last game. Play Scenario 4, Holding Action with the previous defender as the holding force. If the holding force wins or ties then the campaign is a minor victory for the attacker. If the rearguard loses then the defeated army is crushed by the pursuit and the campaign is a major victory.
Saturday, February 18, 2012
A campaign of positions
Posted by Ross Mac email@example.com
Born and raised in the suburbs of Montreal, 5 years in the Black Watch of Canada Cadets, 5 years at the Collège militaire royal de Saint-Jean followed by 4 in the navy. 25 years with CPC in IT simultaneous with 23 years running a boarding kennel. Inherited my love of toy soldiers from my mother's father. Married with a pack of Italian Greyhounds and 3 cats. Prematurely retired and enjoying leisure to game, maintaining our 160 yr old farmhouse and just living.
4 comments:
Thank you, sir. I have posted a link to this page on my blogs, Ross. It is on a page with all of the other mini-campaign submissions.ReplyDelete
-- Jeff
This looks like an excellent way to try out HofT.ReplyDelete
It could definitely give the rules a much needed work out and trial.Delete
Ross Mac,ReplyDelete
I like the way you have set up this mini campaign and I look forward to seeing the way it unfolds.
All the best,
Subscribe to: Post Comments (Atom)


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The Larks Head Knot is an amazingly simple yet useful knot!
The great
thing about this one is that no matter how tightly it gets stressed
while holding all the tension of a flying line, it is fairly easy to remove. The thicker the line, the easier it is to loosen the knot.
Knowing your knots is particularly handy if you make your own kites at home...
The Big MBK E-book Bundle is a collection of downloads - printable PDF files which provide step-by-step instructions for many kites large and small.
The Lark's Head starts with the Loop knot.
Regarding getting this knot loose again, here are a couple of tricks I have discovered from experience...
The lighter the line, the more useful those tips might prove to be! When you need reading glasses, 20 pound Dacron line is pretty hard to work with. Personally, I use natural vision improvement techniques to improve the situation a lot, but that's another story...
Just about every MBK kite uses a short connecting line between the bridle and the flying line. It's part of the bridle really. The flying line is attached to this connector with a Larks Head Knot, making it easy to swap the line from kite to kite.
Where else might you use a Lark's Head? Well, I use it to connect the lower bridle lines of the Roller and Dopero kites to their keels. In those cases the knot stays done up all the time. That's because the kites can be packed away after carefully pulling some of the lower bridle lines' length through the slits in the sail.
One more application. I use the Larks Head Knot to attach tensioning lines to the upper and lower horizontal spar bow-lines of the Dowel Sode kite. What a mouthful that was :-) With the 2 bowed spars tensioned away from each other, the kite has a tighter sail and flies much better.
One last point about flying line attachment. For smaller kites, the Larks Head can be done with a Simple Loop Knot - as in the illustrative photos at the top of this page.
However, you can get a significantly stronger connection between a flying line and a BIG kite by using a Double Loop or even a Figure Eight Knot instead.
I once called this one the Anchor Loop, before discovering that it was more properly known as the Cinch. However, this really neat method of attaching a kite line to a sand bag anchor belongs on this page, since it resembles the Lark's Head knot. It's even simpler since you start with a loop in the line that is not already knotted!
As you will soon find as you look around flying fields, other objects besides knotted sand bags will offer themselves as handy cinch points. A tap, a short pole with a cap on top and so on.
Don't forget to have a look at all my kite designs...
The Big MBK E-book Bundle is a collection of downloads - printable PDF files which provide step-by-step instructions for many kites large and small.
I'm referring to Simplest Dowel Kites, my popular kite-making download. It's a printable PDF file. Make a diamond, delta or sled. Each kite is capable of flying hundreds of feet up for hours on end.
Could you do me just a small favor though?
Please sign up for my free monthly publication, "Tethered Flying". No other emails will be sent, and your details are safe with me. You need to be at least 16 years old. There's...
We earn a small commission if you click the following link and buy something. The item does not cost you any more, since we are an "affiliate" of Amazon.
Click here to buy anything you need. Just use the Search box in there if you need different weights or lengths of line, for example.
P.S. Keep an eye out for books by kite author Glenn Davison, a prominent kite person in the USA.
Apr 02, 20 07:20 PM
The kids might be making diamonds, but check out the more advanced designs on the wall... ---------------------------------------------------------------- Originating during the Spring and Autumn Peri…
Wind Speeds
Light Air
1-5 km/h
1-3 mph
1-3 knots
Beaufort 1
Light breeze
6–11 km/h
4–7 mph
4–6 knots
Beaufort 2
Gentle ...
12–19 km/h
8–12 mph
7–10 knots
Beaufort 3
Moderate ...
20–28 km/h
13–18 mph
11–16 knots
Beaufort 4
Fresh ...
29–38 km/h
19–24 mph
17–21 knots
Beaufort 5
Strong ...
39–49 km/h
25–31 mph
22–27 knots
Beaufort 6
High Wind
50-61 km/h
32-38 mph
28-33 knots
Beaufort 7
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Heinrich Himmler Biography
Nationality: German
Famous: Military Leaders German Men
Died At Age: 44
Sun Sign: Libra
Also Known As: Heinrich Luitpold Himmler
Born in: Munich, Kingdom of Bavaria, Germany
Famous as: Nazi Commander
Height: 5'9" (175 cm), 5'9" Males
political ideology: National Socialist German Workers' Party (NSDAP)
Spouse/Ex-: Margarete Himmler
father: Gebhard Himmler
mother: Anna Maria Himmler
siblings: Ernst Hermann Himmler, Gebhard Ludwig Himmler
children: Gerhard von Ahe, Gudrun Burwitz, Helge Potthast, Nanette Dorothea Potthast
place of death: Lüneburg
City: Munich, Germany
Ideology: Nazis
Cause of Death: Suicide
education: Technical University of Munich
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Heinrich Himmler was a German Nazi military commander and a close associate of Adolf Hitler. He rose to power during the Second World War and is known as one of the very few men responsible for one of the most notorious holocausts in the known human history - the massacre of Jews. In 1925, he joined the Nazi party and by the next decade, he made his place as the Reichsfuhrer of the SS, and was later appointed as a police commander. Under his command, SS grew larger than ever in terms of manpower and force. By 1934, he had made his place among the most feared and respected Gestapo officers. He became the second most important officer of the Gestapo after Hitler, and on his orders he set up and controlled the concentration camps. He formed Einsatzgruppen and on behalf of Hitler, he laid the foundation of extermination camps and hence, he was held responsible for the brutal massacre of the Jew that followed, ending the life of about six million. Hitler had immense faith in him and made him in-charge of Army Group Upper Rhine and Army Group Vistula towards the end of Second World War. In April 1945, Hitler held him responsible of conspiring against him and had him arrested, and on 23rd May 1945, Himmler committed suicide in British custody.
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- Heinrich Himmler was born on 7th October 1990 in a German Roman Catholic family at Munich. His father, Gebhard Himmler, was a school teacher and his mother, Anna Maria Himmler, was a devotee catholic woman. Heinrich received his education from a grammar school; his father was the principal of the school.Himmler despised athletics as a kid and was a studious kid. He was shy and awkward as well and seeing that, his father forced him to work hard in sports in order to make him strong, but Heinrich never felt comfortable doing athletics. Instead, he dwelled himself in the studies of religion, mysticism and sex.As a teenager, Himmler showed immense patriotism and wanted to serve his country in the ongoing First World War. At the age of 17, his father got him enrolled into the reserve Battalion of the 11th Bavarian regiment using his connections with the royal family. However, those were the very last days of the First World War and Germany was already on the verge of losing.He continued with his education after the war and became seemingly interested in the mystic studies and German myths. Somehow, he wanted to be a doctor but his parents refused to pay for his education and he went on to attain a diploma in the agricultural studies. He did a few jobs here and there and quit everything in 1923, to fulfil his military aspirations.Continue Reading BelowYou May LikeRecommended Lists:
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- He became interested in the actions of the rightist paramilitary organizations and went on to meet Ernst Rohm in 1923, joined Reichskriegsflagge, and participated in Hitler's abortive Beer Hall Putsch, which took place in Munich in November 1923. He slowly moved up the ladder, joined the Nazi party in 1925 and was later elected as a deputy in the German Parliament, Reichstag. He was just 30 years old by then and this success was not small, but when he began his term as Reichsfuhrer for the SS (Hitler's elite bodyguards), his stature further grew.Under his command, SS became a strong force and its manpower increased to more than 50,000 within a very short period of time. When Hitler rose to political prominence in 1933, Himmler was made the head of Munich police and it didn't take him much time to become the commander of all German police apart from Prussia. Doing his duties and following Hitler's order, he came up with the first concentration camp for the Third Reich in Dachau.Hitler appointed him the assistant chief of Gestapo in 1934, enabling him to attain the control of all the police forces in Germany. He also played a major role in SS vs SA, which the former won, giving Hitler the control of German army. Under his command, SS grew larger to be the most powerful armed body after the army, which also happened to be under Hitler's command by then. They had become invincible and when finally the Second World War broke out, Germany looked up to Himmler, along with Hitler.Meeting everyone's expectations, Himmler grew SS to make it practically impenetrable and in 1941, Hitler ordered him to invade Soviet Russia. A widespread massacre took place when Himmler got the chance to do anything he willed in order to wipe out all the political enemies of the 'Third Reich'. He organised extermination camps in the German occupied Poland, and systematically slaughtered millions of Jews. Another place where Jew murders took place was Babi Yar in Ukraine.Until then, everything was fine but the downfall of Himmler started in 1943, when Hitler appointed him the interior minister of Reich administration. He then indulged in the expansion of Waffen SS, it grew as large as 35 divisions, close to army in terms of manpower. He also managed to attain the control of intelligence units, military armaments, Volkssturm and later a guerrilla force named Werwolf. He also got the command of two army groups.With growing power under his command, Himmler's aspirations rose beyond military and he started planning for a SS industrial empire, a step which was protested by Albert Speer, who wanted to concentrate only on the war. Himmler's recurrent stomach illnesses had him ignored by the Hitler' entourage quite a number of times and in a fit of rage, he started plotting to overthrow Hitler's empire in mid 1945, but Hitler came to know his intentions.Final Days
- Hitler ordered Himmler's arrest, but he hid and while planning an escape disguising as a common soldier, he was caught, not by Hitler, but by the British Army. In their custody, he committed suicide by taking poison.Legacy
- Heinrich Himmler was one of the key reasons causing Hitler's rise to power and remained devoted to him till the last few weeks of his life, but somehow, a clash in ideals and distrust resulted into parting ways from Hitler. He set up the concentration camps, played a huge role in growing the manpower of the SS by inspiring the common Germans to fight for their country, and during his reign, he wiped out most of Hitler's enemies within and outside.Personal Life
- Heinrich Himmler met Margarete Boden in 1927, and the couple started dating and got married the next year. Margarete Boden gave birth to Himmler's son, and the couple adopted one boy.Although, he was in a happy marriage with Margarete, he got attracted to his secretary, Hedwig Potthast, and kept her as his mistress for a year in 1939. His wife protested, but eventually gave up and didn't even consider a divorce, staying loyal to him. Meanwhile, Hedwig gave birth to two of his children - a son and a daughter. Both the women admired Himmler for what he did for his country and hence, remained loyal to him till the very end.Translate Wiki to Spanish, French, Hindi, Portuguese
How To CiteArticle Title- Heinrich Himmler BiographyAuthor- Editors, TheFamousPeople.comWebsite- TheFamousPeople.comURL- https://www.thefamouspeople.com/profiles/heinrich-himmler-4818.phpLast Updated- July 26, 2017
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Here is a classic 2008 article raising concerns around vaccines. As of today, March 26, 2019, it's still up on the CBS site although the accompanying video has been deleted. All signs point to the fact that the article, too, will soon be gone, which is why I'm pinning it here. The medical-industrial complex is making it harder and harder to access the truth. Even stories tangentially related to natural health are being deleted from social media (Facebook, Twitter, Instagram etc.)
Sharyl Attkisson, CBS
July 25, 2008
For years some parents and scientists have raised concerns about vaccine safety, including a possible link to autism and ADD. Many independent experts have sided with government officials and other scientists who say there's no possible connection. But how "independent" are they? CBS News investigative correspondent Sharyl Attkisson shares here's what she found.
They're some of the most trusted voices in the defense of vaccine safety: the American Academy of Pediatrics, Every Child By Two, and pediatrician Dr. Paul Offit. But CBS News has found these three have something more in common - strong financial ties to the industry whose products they promote and defend.
The vaccine industry gives millions to the Academy of Pediatrics for conferences, grants, medical education classes and even helped build their headquarters. The totals are kept secret, but public documents reveal bits and pieces.
Keep reading: https://www.cbsnews.com/news/how-ind...__JQil1SnBQ1Gg


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Most loan types fall into one of two loan categories – secured loans and unsecured loans. To clarify we've defined each type of loan below.
What is a Secured Loan?
Secured loans are loans that are protected by an asset or collateral of some sort. The item purchased, such as a home or a car, can be used as collateral, and a lien is placed on the item. The finance company or bank will hold the deed or title, for which it has been used for collateral, until it has been paid in full, including interest and all applicable fees.
As the term implies, a secured loan means you are pledging something of value as an assurance that your loan will be repaid according to the agreed terms and conditions. It's important to remember, if you are unable to repay a secured loan, the lender has recourse to the collateral you have pledged and may be able to sell it to pay off the loan.
What are examples of secured loans?
- Mortgage
- Home Equity Line of Credit
- Auto Loan (New and Used)
- Boat Loan
- Recreational Vehicle Loan
What is an Unsecured Loan?
Unsecured loans are loans that are approved without the need for collateral. They include things like credit card purchases, education loans, or personal (signature) loans. Lenders take more of a risk by making such a loan, with no property or assets to recover in case of default. If you have been turned down for unsecured credit, you may still be able to obtain secured loans, as long as you have something of value or if the item you wish to purchase can be used as collateral.
When you apply for a loan that is unsecured, the lender believes that you can repay the loan on the basis of your financial resources.
What are examples of unsecured loans?
- Credit Cards
- Personal (Signature) Loans (note that they can be secured depending on the financial institution and the individual's financial status)
- Personal Lines of Credit
- Student Loans (note that tax returns can be garnished to repay delinquent student loans)
- Some Home Improvement Loans
Apply for a secured or unsecured personal loan
If you are currently in need of an unsecured personal loan, contact your local Mariner Finance branch today to learn more about the different loans we offer. A member of our knowledgeable staff will be more than happy to answer any questions you have and to help you find the perfect loan that meets your needs.
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A Recap of College Fashion Week: Boston
College Fashion Week (CFW) is a fun fashion show event that Her Campus Media has hosted since 2012. Each year, they bring together a number of sponsors to provide fun activities, giveaways and shows filled with the latest fall trends. This year, they held two CFW events: one in Boston and one in New York City. As part of their commitment to diversity, the shows featured real college women on the runway. The Boston event was held at the Revere Hotel on October 13 and we got a chance to go! Here is a brief overview of how CFW went down in Boston:
From a DIY friendship bracelet bar to the hair and makeup bar sponsored by Ulta, there was no shortage of things to do in the dazzling hour before the shows started. Primark had a number of photo booths set up with clothes and cute decor. Each booth had a description of one of the company's values written along the outside of the booth: current, engaging, ambitious and inclusive. EOS had a pit filled with purple EOS balms, ready for cute pics. By Chloe., the adorable vegan bakery, catered cookies and banana bread for the event while Almay handed out fun flavored popsicles.
Upon arrival, each collegiate attendee was handed an Ulta goodie bag as well as a CFW tote filled with other surprises. The Ulta bag had a combination of drugstore and high-end cosmetics and skincare products. A few notable items were the Too Faced Pineapple Paradise Strobing Bronzer, the Tarte Lip Architect Lipstick and Liner duo and the Maybelline Electric Shine Lip Gloss. Meanwhile, the tote carried a more varied selection including an RX Bar, Pop Chips, a Diva Cup and a $5 Primark gift card.
Sabre, a safety brand that sponsored the event, gave out bags of their own with practice pepper spray bottles, drink testing kits and keychain personal alarms. They also had a program where they would donate a dollar for Breast Cancer Awareness for every picture posted with their hashtag.
The first show was entitled Modern Nomad, by the presenting sponsor, Primark. The clothing gave a super bohemian chic vibe. Featuring outfits with statement jackets paired with hats and accessories galore, the clothes were perfect for this fall season as well as the winter.
Following a break, the second show began. The socially-conscious brand Matter created Printed Paradise, featuring Primark accessories. The show offered a modern take on heritage prints, true to the Matter brand, and a fun sample of geometric patterns. The staple piece was a pair of printed pants with large angular pockets. Several models wore these in various prints, which carried a comfortable yet fashionable feeling.
As all good things must come to an end, the event ended with the third show: Power Pose. This girl power show featured clothing from the HCXO.shop, Ali & Ariel, Feminist Goods, Sleep Riot and Primark. There were a number of t-shirts sporting empowering phrases. There was even a cute moment when two girls, wearing t-shirts that said "Peanut Butter" and "Jelly," respectively, fist bumped. The important idea of girls supporting other girls threaded into the final show really sums up what Her Campus is all about.
Nia: As a freshman in college, I've never been to College Fashion Week before, but I have attended Her Campus' Her Conference and I love the style of their events. College Fashion Week definitely met my expectations. I'm so excited to try out all of the free products they gave us. My favorite part was probably the number of photo opps – the EOS balm pit looked so Insta ready! I would definitely recommend this event to anyone who's interested in fashion or beauty at all. In addition to all of the looks on the runway, there were so many well-dressed girls at the event. It's just a really fun event to bring together the local collegiate community and I really appreciate that.
Ilana: I went into College Fashion Week with no expectations or idea of what the event would be or look like. Upon arriving at the venue, I was blown away! The amount of planning and thought put into the event was obvious, even down to the smallest details. College Fashion Week was a true celebration of women, and I loved how feminist-forward the event was! In contrast to many fashion shows, College Fashion Week featured women who reflect what women look like in real life. Body positivity at its finest! From the amazing giveaways to the sheer number of photo opps, the night was a success and I already know I want to go back next year!


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Web Developer Checklist
από madskristensen
Copyright 2017 Mads Kristensen & Sayed Hashimi Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.
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- Get Help From a Specialist
- Learn about all your Financing Options
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Call 24/7 1-800-748-4024
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There are 13 memory care communities in Salem, OR and 15 memory care communities nearby. The average cost of memory care in Salem, OR is $3,788 per month.
Call 1-800-991-9257 for details
Nestled into the hills of West Salem, Orchard Heights Senior Community provides assisted living and memory care with a lovely view of both downtown and the mountains.
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Often the mental demands of those struggling with Alzheimer's disease can take over the emotional needs and at Brookstone Alzheimer's Special Care Center we are here to help.
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Brookdale Salem focuses on specialized support, based on the need of each individual, in providing care for Alzheimer's Disease, dementia or other types of memory impairment.
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OUR GOAL at FOUR SEASONS is to create an atmosphere where residents will be treated with dignity and respect allowing them to retain their individuality and independence while receiving all the care they require at a fraction of the price…
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At Four Seasons, we've created an atmosphere where residents can expect to be treated with dignity and respect. Our care setting is able to support those who can no longer live at home, yet are not ready for a nursing home.
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Boone Ridge has been designed to provide a continuum of care on campus. Whether our residents are able to live independently and care for themselves or need higher levels of care, our community is designed to exceed your needs at…
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Nestled in a friendly residential neighborhood, The Woods at Willowcreek in Salem provides area residents with excellent assisted living and memory care services.
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Call 1-800-991-9257 for details
Tierra Rose Care Center is an Intermediate Care (Nursing) Facility providing professional level nursing services to residents 24 hours a day. Most residents at this level of care have acute and/or chronic medical needs. Tierra Rose Care Center provides this…
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Windsong at Eola Hills is a residential care facility created from a vision on how people with Alzheimer's disease and other dementias can, and should still, live their lives.
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Call 1-800-991-9257 for details
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Call 1-800-705-4148 or Request a call
The median cost of memory care in Salem for a single-occupancy apartment is $3,788/month (SeniorHomes.com - 2015). This monthly cost typically includes rent, utilities, dining, housekeeping and transportation.
|Starting Price
|Brookstone Alzheimer's Special Care Center
|Four Seasons Residential Care Facility
|Prestige Senior Living Orchard Heights
|Windsong Memory Care at Eola Hills
|Starting Price
|Blue Haven RCF - Independence
|Cedar Crest Alzheimer's Special Care Center
|Elite Care at Fanno Creek
|Fircrest Senior Living
|Pacifica Senior Living McMinnville
|Tanner Spring Assisted Living Community
|West Linn
|The Cherrywood Memory Care
|Willamette Springs Memory Care
Clairebridge is a unique Memory Care community with a "town courtyard" which is absolutely beautiful. The staff is professional and friendly, but more importantly it's obvious that they truly love the residents. The food is good and many activities are provided that accommodate the varying abilities of the residents. D...Read more Brookdale Salem reviews
This is an exceptional Memory Care community. The building is beautiful, but more importantly, the staff is friendly and enthusiastic in providing care that allows dignity and as much independence as possible. Varied activities are provided for residents of varying ability.Read more Brookstone Alzheimer's Special Care Center reviews
Brookstone was beautiful and amazing but too expensive. The facility was so well kept, and the dining area was set up like a restaurant.Read more Brookstone Alzheimer's Special Care Center reviews
The thing that sticks out the most right when you walk into Brookstone is that every staff member knows every resident by their name and knows what their care plan is. They look at and talk to the residents the way I would talk to a close acquaintance when we meet somewhere. The place is perfect, clean, very well-maint...Read more Brookstone Alzheimer's Special Care Center reviews
Brookstone was excellent. The lady who showed me around was very knowledgeable and personable. We toured the main area, the dining room, and some living quarters. It was a very thorough visit. The room that they showed us was nice. The grounds were nice too. The dining area was OK; it was appropriate for what it was. T...Read more Brookstone Alzheimer's Special Care Center reviews
Orchard Heights is an older building which is not overly welcoming in it's feel. The staff is friendly, but rather casual. The food is adequate at best. Parking space is minimal.Read more Prestige Senior Living Orchard Heights reviews
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This 2 part series aims to educate individuals and companies that are about to venture into a new site, or redesign their existing website. The web is filled with lots of bad SEO advice, and as a responsible internet marketing company, we hate to see another company fall victim to bad SEO advice.
If you think you are "buying SEO" from a web designer for an extra ~$500 dollars, or trying to save money by managing your web design and SEO efforts separately PLEASE KEEP READING!!
If You Build It, They Won't Come
A big misconception on the web, even in 2010, is "if you build it, they will come". Unfortunately, the last time this strategy really worked was when Kevin Costner operated a small farm in Iowa.
Competing for search engine rankings today is harder than it was just 5 or 10 years ago. Back then, your competition didn't employ an SEO to improve their ranking above yours, or perhaps they didn't have a site at all.
Today the web is growing rapidly while the amount of search volume for your keywords is remaining relatively the same. This means in order to out rank your competition your website architecture is very important. Gone are the days of simply building a site and having it rank well. Now you must understand how to properly build and market your site in order for search engines to rank you well.
Web Designers Don't Know SEO Like A True Expert:
Often times web design firms will say "SEO, sure we do that". When all this really means is for an extra ~$500 bucks they will do a hack job on your sites title and meta tags. SEO consists of much more than title tags and meta tags, and you really are getting what you pay for when you go this route.
Sweet Spot has great relationships with several web design firms across the nation. Our intent is not to put down web design firms when we say they don't understand SEO. We need them to build us great looking web sites, but that is typically where their expertise ends. Sweet Spot strongly recommends hiring a true online marketing professional to take a look at your SEO goals before you even get locked into a particular web design.
SEO is a term that is loosely thrown around these days without any real standards. With several articles released every day on the topic of SEO, you can image it's difficult to filter out what is true and what is not. Because of this cloud of SEO confusion out there, many agencies and web designers who venture into SEO trying to find out what this "SEO" thing is, inevitably end up lost, confused, and overwhelmed. Inevitably this leads them to make uniformed decisions about how to properly SEO your site.
Hire A True SEO Professional:
True SEO professionals are your bridge between web design and accomplishing your online marketing goals. We have the experience, data, and knowledge about online marketing that enables us to easily wade thru what is real and what is not. This gives companies like Rank Fuse Interactive an edge over any professional web designer. We go to SEO conferences and have data to back up our methods. Quite simply, there are just not enough hours in the day for a person who builds websites all day to have the same expertise as someone who is dedicated to educating themselves daily on the latest online marketing trends and search engine news.


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Deuteronomy 4 - Steve Wiggins Daily Devotional
"Today, recognize and keep in mind that the L_rd is G_d in heaven above and on earth below; there is no other. Keep His statutes and commands, which I am giving to you today, so that you and your children after you may prosper and so that you may live long in the land the L_rd your G_d is giving you for all time." Deuteronomy 4:39-40
The 5th commandment is the only commandment with a direct promise: Honor your father and mother and you will live long in the land the L_rd is giving you. It almost stands alone among the other commandments…like a bookend without its mate.
To me, the 5th commandment always seemed void of the responsibility of parents. That is, how can children honor their parents, unless the parents train them up rightly? I often wondered why the 5th commandment didn't say, "Parents, teach your children well, and children, honor your parents by obeying them."
If the 5th commandment needs another bookend to complete the set, that bookend is found in today's verse.
G_d is saying that when parents keep His statutes & commands, their children will follow. He uses the words, "so that", which conveys "cause & effect".
Notice how G_d isn't directing the parents to simply relay His standard, by mere words. He wants parents to LIVE His statues and commands.
Have you ever heard the saying: "Do as I say, not as I do"? Many parents will take their kids to synagogue or church and tell them to honor G_d. All the while, those same parents pursue worldly affections. And parents wonder why thier kids won't seek G_d…?
I say it often, but problems in the families of believers are not necessarily ones concerning the lack of Biblical information. The problems concern the lack of VALUE for Biblical information. Few of us really have a hard time understanding what the Bible says. We have a hard time DOING what the Bible says. The parent/hypocrite is the worst enemy of the next generation.
The 5th commandment assumes parents are modeling G_d's standard, thus the responsibility is on the children to follow the suit. It also makes a profound statement, that even if your parents dishonor you & the L_rd, by withholding from you the value of following G_d…it is still incumbent upon you to honor Him, independent of the quality of parenting you received.
In doing so, you honor your parents by "covering" their failings. G_d honors that kind of humility.
~Steve Wiggins, Associate Leader, Worship Leader
Shuvah Yisrael
Daily Devotional, Monday, June 16, 2014


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Posted by Unknown at 8:40 AM
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I like the cover for the Morganville Vampires book, much nicer than the individual covers.
Have a good week. :)
Great reads! I want to read more books by Alison Weir. And I love Morganville Vampires.
My IMM
The Morganville Vampires is one of my favorite series! I hope you enjoy!!!
Yay Kelsey you're starting the Morganville Vampire books! I just think they're really fun reads, nothing epic, but I love them. And Shane:) The Deviant looks very creepy, looking forward to seeing what you think of that one!
Great book week for you! I hope you enjoy them. Here is my IMM if you want to check it out.
P.S-Miss Hildreth wore Brown is hillarious!
The six wives of Henry VIII look like a good book. I haven't read the Morganville Vampires but I've heard good things about the series. You have some great books. Happy Reading!
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Maine is one of 36 states that opted to let the federal government run its health care exchange and the program is facing a number of issue. According to a spokesperson for Consumers for Affordable Healthcare, people have had problems signing up because of the amount of traffic on the site. The good news they say is that Mainers are definitely interested in finding more affordable health insurance.
Consumer and patient advocates told a Washington advisory panel they're now telling consumers to fill out paper applications, try to get someone on the telephone, of just put the process on hold as there are a few other on-line tools to help people get the process started.
The Kaiser Family Foundation has a subsidy calculator on its website. Consumers can estimate their healthcare premiums in a matter of seconds simply by entering data about their family, income levels. and the state where they live.
But with the Dec. 15 deadline getting nearer each day, most Mainers simply want to sign up and move on.


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I recently saw a library covering up books in brown paper and selling them, so that you can't judge it on its cover. I really love this idea! Especially when it involves nestling up by the window with a cup of hot tea!
Here are some book recommendations from yours truly, however I encourage you to try reading one that you may not usually go for, it might just surprise you!
- Try reading a book about a movie you've seen – there's often lots that doesn't hit the big screen due to time constraints etc. I often find I actually enjoy the book more so than the movie!
- Try a book that will teach you something new about the world you live in!
- Adult colouring book… need I say more?
- Pick a different genre each month.
- Join a book club.
- Pick something new, like a baking book or book about gardening and learn a new skill!
- Check in with WHSmith's top book charts.
- Ask your mum, dad, sister, brother, best friend, grandparent, neighbour – what their favourite book is!
- Finally, if you're feeling brave – simply walk in to a book store – find a book that takes your fancy by cover and title (yes, judge it by the cover) – NEVER look at the back – buy it – read it – be surprised!


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Trust Administration Lawyers in Pasadena
Your loved one took the time to create an estate plan (trust) that accurately reflects his/her wishes. If you are the trustee of a trust, it is prudent to consult with a trusts and estates attorney in order to ensure that the trust is carried out and the trustee does not inadvertently incur personal liability by not adhering to the formalities of the trust administration Furthermore, if an unscrupulous family member decides to frivolously challenge the trust the trustee generally has the duty to defend the trust.
We routinely represent trustees to ensure that your loved one's legacy is protected and that you do not incur personal liability in the administration of trusts. Whether it is real estate, trust or business implications or fights between family members, we equip trustees to do their job while staying out of the traps that often trip up trustees.
At Green, Stewart & Paul Attorneys at Law, our Trust Contest lawyers in Pasadena are highly effective in this area of law and can help you today. Call now(626) 325-0770 to schedule a case evaluation.


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Mostly Cloudy and Windy and 23 F at Juneau, Juneau International Airport, AK
Winds are from the East at 26.5 gusting to 39.1 MPH (23 gusting to 34 KT). The pressure is 1010.0 mb and the humidity is 36%. The wind chill is 6. Last Updated on Mar 29 2020, 10:53 pm AKDT.