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Cardiac surgery bundled payments

Steven R Flanagan, Jonathan Whiteson, Geoffrey Hall, Christopher J Standaert
No abstract text is available yet for this article.
November 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
Lavinia M Kolarczyk, Harendra Arora, Michael W Manning, David A Zvara, Robert S Isaak
Health care reimbursement models are transitioning from volume-based to value-based models. Value-based models focus on patient outcomes both during the hospital admission and postdischarge. These models place emphasis on cost, quality of care, and coordination of multidisciplinary services. Perioperative physicians are challenged to evaluate traditional practices to ensure coordinated, cost-effective, and evidence-based care. With the Centers for Medicare and Medicaid Services planned introduction of bundled payments for coronary artery bypass graft surgery, cardiovascular anesthesiologists are financially responsible for postdischarge outcomes...
September 28, 2017: Journal of Cardiothoracic and Vascular Anesthesia
Robert B Hawkins, J Hunter Mehaffey, Kenan W Yount, Leora T Yarboro, Clifford Fonner, Irving L Kron, Mohammed Quader, Alan Speir, Jeffrey Rich, Gorav Ailawadi
OBJECTIVES: The Centers for Medicare and Medicaid Services plans to institute a 5-year trial of bundled payments for coronary artery bypass grafting through 90 days after discharge. To investigate the impact, we reviewed actual inpatient costs for patients undergoing bypass surgery relative to the target price. METHODS: A total of 13,276 Medicare patients with estimated cost data underwent isolated coronary artery bypass grafting from 2008 to 2015 in 18 hospitals over 8 Medicare-defined regions within the Commonwealth of Virginia...
July 29, 2017: Journal of Thoracic and Cardiovascular Surgery
Lindsay E Jubelt, Keith S Goldfeld, Saul B Blecker, Wei-Yi Chung, John A Bendo, Joseph A Bosco, Thomas J Errico, Anthony K Frempong-Boadu, Richard Iorio, James D Slover, Leora I Horwitz
INTRODUCTION: Orthopaedic care is shifting to alternative payment models. We examined whether New York University Langone Medical Center achieved savings under the Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement initiative. METHODS: This study was a difference-in-differences study of Medicare fee-for-service patients hospitalized from April 2011 to June 2012 and October 2013 to December 2014 for lower extremity joint arthroplasty, cardiac valve procedures, or spine surgery (intervention groups), or for congestive heart failure, major bowel procedures, medical peripheral vascular disorders, medical noninfectious orthopaedic care, or stroke (control group)...
September 2017: Journal of the American Academy of Orthopaedic Surgeons
Vinay Guduguntla, John D Syrjamaki, Chad Ellimoottil, David C Miller, Richard L Prager, Edward C Norton, Patricia Theurer, Donald S Likosky, James M Dupree
Importance: Coronary artery bypass grafting (CABG) is scheduled to become a mandatory Medicare bundled payment program in January 2018. A contemporary understanding of 90-day CABG episode payments and their drivers is necessary to inform health policy, hospital strategy, and clinical quality improvement activities. Furthermore, insight into current CABG payments and their variation is important for understanding the potential effects of bundled payment models in cardiac care. Objective: To examine CABG payment variation and its drivers...
August 23, 2017: JAMA Surgery
Michael S Koeckert, Patricia A Ursomanno, Mathew R Williams, Michael Querijero, Elias A Zias, Didier F Loulmet, Kevin Kirchen, Eugene A Grossi, Aubrey C Galloway
BACKGROUND: Bundled Payments for Care Improvement (BPCI) initiatives were developed by Medicare in an effort to reduce expenditures while preserving quality of care. Payment model 2 reimburses based on a target price for 90-day episode of care postprocedure. The challenge for valve patients is the historically high (>35%) 90-day readmission rate. We analyzed our institutional cardiac surgical service line adaptation to this initiative. METHODS: On May 1, 2015, we instituted a readmission reduction initiative (RRI) that included presurgical risk stratification, comprehensive predischarge planning, and standardized postdischarge management led by cardiac nurse practitioners (CNPs) who attempt to guide any postdischarge encounters (PDEs)...
July 2017: Journal of Thoracic and Cardiovascular Surgery
Lena M Chen, Andrew M Ryan, Terry Shih, Jyothi R Thumma, Justin B Dimick
OBJECTIVE: To evaluate whether participation in Medicare's Acute Care Episode (ACE) Demonstration Program-an early, small, voluntary episode-based payment program-was associated with a change in expenditures or quality of care. DATA SOURCES/STUDY SETTING: Medicare claims for patients who underwent cardiac or orthopedic surgery from 2007 to 2012 at ACE or control hospitals. STUDY DESIGN: We used a difference-in-differences approach, matching on baseline and pre-enrollment volume, risk-adjusted Medicare payments, and clinical outcomes to identify controls...
March 28, 2017: Health Services Research
Andrew J Lovy, Aakash Keswani, Christina Beck, James E Dowdell, Bradford O Parsons
BACKGROUND: Total shoulder arthroplasty (TSA) is a likely target for future bundled payment initiatives, necessitating accurate preoperative risk stratification. The purpose of this study was to identify risk factors for unplanned readmission and severe adverse events, to risk stratify TSA patients based on these risk factors, and to assess timing of complications after TSA. METHODS: Data were collected from patients undergoing TSA from 2009 to 2014 in the American College of Surgeons National Surgical Quality Improvement Program...
January 19, 2017: Journal of Shoulder and Elbow Surgery
Christopher J Chow, Wolfgang B Gaertner, Christine C Jensen, Bradford Sklow, Robert D Madoff, Mary R Kwaan
BACKGROUND: With increasing public reporting of outcomes and bundled payments, hospitals and providers are scrutinized for morbidity and mortality. The impact of patient transfer before colorectal surgery has not been well characterized in a risk-adjusted fashion. OBJECTIVE: We hypothesized that hospital-to-hospital transfer would independently predict morbidity and mortality beyond traditional predictor variables. DESIGN: We constructed a retrospective cohort of 158,446 patients who underwent colorectal surgery using the 2009-2013 American College of Surgeons National Surgical Quality Improvement Program database...
February 2017: Diseases of the Colon and Rectum
James Slover, Kathleen Mullaly, Raj Karia, John Bendo, Patricia Ursomanno, Aubrey Galloway, Richard Iorio, Joseph Bosco
OBJECTIVES: The purpose of this study was to evaluate the relationship between the Risk Assessment and Predictor Tool (RAPT) and patient discharge disposition in an institution participating in bundled payment program for total joint replacement, spine fusion and cardiac valve surgery patients. METHOD: Between April 2014 and April 2015, RAPT scores of 767 patients (535 primary unilateral total joint arthroplasty; 150 cardiac valve replacement; 82 spinal fusions) were prospectively captured...
February 2017: International Journal of Surgery
Coleen Kivlahan, Janis M Orlowski, Jonathan Pearce, Jessica Walradt, Matthew Baker, Darrell G Kirch
The authors describe observations from the 27 teaching hospitals constituting the Association of American Medical Colleges (AAMC) cohort in the Center for Medicare and Medicaid Innovation (CMMI) Bundled Payments for Care Improvement (BPCI) initiative. CMMI introduced BPCI in August 2011 and selected the first set of participants in January 2013. BPCI participants enter into Medicare payment arrangements for episodes of care for which they take financial risk. The first round of participants entered risk agreements on October 1, 2013 and January 1, 2014...
July 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Kenan W Yount, James M Isbell, Casey Lichtendahl, Zachary Dietch, Gorav Ailawadi, Irving L Kron, John A Kern, Christine L Lau
BACKGROUND: Policymakers have proposed risk-adjusted bundled payment as the single most promising method of linking reimbursement to value rather than to quantity of service. Our objective was to assess the relationship between risk and cost to develop a model for forecasting the costs of cardiac operations under a bundled payment scheme. METHODS: All patients undergoing adult cardiac operations for which there was a Society of Thoracic Surgeons (STS) risk score over a 5-year period (2008 to 2013) at a tertiary care, university hospital were reviewed...
November 2015: Annals of Thoracic Surgery
G L Hallman, C Edmonds
In 1984 physicians at the Texas Heart Institute developed Cardiovascular Care Providers Inc, the first packaged-pricing plan for cardiovascular surgery. Under this arrangement, all services, including physician and hospital charges, are covered by a global payment package (bundled service). The resulting flat fee is lower than the sum of the individual charges. Since November 1984 the plan has been offered to the non-Medicare (less than 65 years old) population through contracts with self-insured corporations, prepaid health plans, union trusts, and foreign governments...
November 1995: Annals of Thoracic Surgery
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The Paper House

Anna Spargo-Ryan

The Paper House
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The Paper House

Anna Spargo-Ryan

“And then I was pregnant, and we realised we had no space for a baby. We looked at all kinds of houses: big, new ones with columns and render; little cottages with beaten weatherboard; a yellow brick monstrosity with a paved yard where there should have been grass. But we were drawn to the rolling water. And our heart stayed behind when we left.”

Heather and Dave have found the perfect place to raise their first child. The house has character, but it’s the garden that really makes it: red-faced impatiens, pockmarked gums, six upright pittosporums to keep the neighbours out. It’s a jungle. A hiding place. A refuge. And then, without warning, that life is over.

Heartbreaking, fearless, and ablaze with a coruscating beauty all its own, The Paper House tells the story of a woman sinking into the depths of grief, and the desperate efforts of her loved ones to bring her up for air. A sharp-eyed, bittersweet depiction of the love between parents and children, and the havoc that love can wreak.

“Gorgeously written and genuinely assured, The Paper House is a moving and viscerally real portrait of family bonds pushed to their limits - and the fragility and resilience at the heart of a struggle with grief, loss and mental illness. Anna Spargo-Ryan is a rising star.” Jo Case, author of Boomer and Me: A memoir of motherhood, and Asperger’s

Anna Spargo-Ryan’s debut novel, The Paper House, is a tender evocation of a marriage, an imperfect family and a community. Spargo-Ryan’s ability to create characters for whom the reader is wholeheartedly barracking provides much of this novel’s charm.

Heather and Dave are expecting their first child. Their city flat is not where they want to raise a child, so they scour the city and beyond for a house. They fall in love with a home on the Mornington Peninsula – it has a porch, and a wonderful, expansive garden. But when tragedy occurs, Heather returns to the house with dreams shattered. She seeks solace in drawing, and in exploring the garden during sleepless nights. Spargo-Ryan empathically weaves the narrative of Heather’s descent into mental illness, with the story of Heather’s own mother’s struggle. Not only is mental illness portrayed convincingly, but so too the best efforts, helplessness and frustration of those trying to support Heather. While Dave is dealing with his own grief he must work as a teacher, so he invites Heather’s sister Fleur, a tough no-nonsense vet who has been working on a sheep station, to stay with them. Then Heather and Fleur’s father, whom they haven’t seen for a long period, arrives as back-up.

Spargo-Ryan is a young writer to watch – she blogs, tweets and publishes stories and articles. She is not afraid to delve into difficult areas and is open about her own experience of mental illness. Her writing in this novel really sings – the descriptions are beautiful, quirky and wholly original. Despite the seriousness of its content, the novel has light touches too – Heather, Dave and Fleur’s relationship with their neighbours has comedic moments. Highly recommended for book groups, admirers of Australian author Inga Simpson’s novels, and anyone who enjoyed the pathos and warmth of Josh Thomas’s Please Like Me series on ABC TV.

Annie Condon is a bookseller at Readings Hawthorn.

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Working Out + Botox

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Nose Bleed & Workouts After Botox?

Is it normal to have a nose-bleed after 3 days of having a nose botox ? and when can i go back to my intensive workout routines ? READ MORE

I got botox injections six days ago and when I work out, I get yellowish circle marks at injection site? (photo)

Since yesterday when I work out and sweat I get yellowish circle marks where the injections sites were...what's going on? Thank you' READ MORE

Is my Botox going to migrate?!

I worked out about an hour after getting injections, was careful to not press on the injection sites, just dabbed the sweat with a wet paper towel. Is... READ MORE

8 days post op Botox, I have hive like bumps only AFTER working out. Is this normal?

I had 20 units of botox 8 days ago. it was going fine until day 8. today when I finally returned to working out. post workout I noticed pain in the... READ MORE

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Joel Aronowitz, MD

Joel Aronowitz, MD

Joel Aronowitz, MD

Los Angeles Plastic Surgeon
8635 West 3rd Street, Suite 1090 West
Los Angeles, California 90048 US
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9K profile views
31 years experience
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Reviews (11)

2.9 stars from 11 reviews   See details Hide details
Doctor's bedside manner
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Fat Transfer

Highly Recommend Dr. Aronowitz for Stem Cell and Fat Transfer - Los Angeles, CA

Dr. Aronowitz told me jokes, talked to my friend who was in the room with me, and did his best to take my mind off the pain. While the procedure was not enjoyable, I likely would not have trusted anyone else to do it and am glad that I followed his advice to do them. His office staff is wonderful. Everyone is polite and accommodating. His surgery coordinator, Lisa is easy to work with, and I absolutely love his surgery nurse, Patti. In addition to the stem cell work, I also had minor liposuction on my neck and had my breasts augmented using my own fat, something I did to boost my confidence and make me feel better about my appearance. I could not be more pleased with my new breasts. I have since referred two friends to Dr. Aronowitz, with a third going to see him in the next few weeks.

Goofy Smile After Rhinoplasty (Stiches in Mouth) - Beverly Hills, CA

Friendly staff, informative doctor, nose looks amazing

Breast Reconstruction

Post-Mastectomy - Have a Pretty New Boob That Matches the Real One! – Los Angeles, CA

Dr. Aronowitz is a true master. Recommend him highly.

Want Both Breasts to Look Similar, and Would Like to Hike Without Pain in my Left Foot - Los Angeles, CA

From another Doctor in the area...Dr .Prudence Hall my hormone specialist

Botox and Juvederm User and BD Member! - Los Angeles, CA

Dr. Aronowitz was kind, funny and had a great eye! He was conservative and made me feel confident and beautiful!

Tummy Tuck by Core Medical Group Dba L.A. Center Dr. Joel Aronowitz. Santa Monica, CA

Two very quickly since they had already been paid and with no attention nor concern or answers to my questions. I paid half cash and they ran my debit card one week prior to the surgery without my consent. I would rate but this place does not deserve one star in any sector. Rating a ZERO bedside manner I wouldn't know never saw him after the surgery just got put in a wheelchair and taken outside to my vehicle to get home.

Breast Augmentation

Bad Experience - Los Angeles, CA

I booked a breast augmentation surgery with Dr. A to fix a tubular deformity. The day after the surgery, I noticed that one breast was significantly larger than the other (one B cup and D cup). I called the office, and was told Dr. A had left for vacation. When he returned a week later, he said one breast was only swollen, and that I should get massage sessions from a woman in his office to make the swelling go down. The massages were $225/session!! After realizing the massages weren't helping, he agreed to do a revision. I was already $11,000 down, so I asked about the cost of revision surgery. I was told that Dr. A would waive his fee, but I would have to pay "a maximum of a few hundred dollars for the anesthesia and surgery room costs." I got the revision surgery. I then got a first bill for $2,000, and a second bill for $3,000. I was told that I would have to pay, or they would submit to collections. After two surgeries (the second was for Dr. A to fix his first surgery), I'm down $16,000. If you choose to go with him, watch your wallet.

Fat Transfer

Beware of This Celebrity Plastic Surgeon - Los Angeles, CA

Mu ocular surgeon choise him. At the initial appt., I thought it was strange that he never examined areas of my face that were to receive stem cell fat grafts. Since he has a prominent reputation because of Suzanne Somers, I just trusted him to to the procedures I paid for. My ocular surgeon was so sympathetic to my disappointment at his non-performance, that he offered to do the fat grafts, even though it was outside his area of expertise.

Breast Fat Transfer

Dr. Aronowitz - How He Botched Stem Cell Fat Tranfer in Breast Reconstruction - Los Angeles, CA

I never felt that the doctor was particularly kind or caring. He was very matter of fact and when he was faced with the fact that he botched my surgery he seemed very annoyed with me. He never comforted me or gave me any alternative ideas to fix what he failed at. After a period of 18 months, he did call me and seemed more contrite. I believe that it was because the statute of limitation had run out regarding my right to litigation. I'm sure he was curious as to what became of my situation. I told him I saw a truly professional doctor who performed revision and reconstruction of my breast. I am still left with a puffy scar on my back and some scars under my arm with an indentation that is a result of his incompetent skill. I learned my lesson about using a doctor who uses a celebrity to "advertise" a particular type of surgery.

Breast Lift with Implants

31 Years Old Mother of 2 Breast Lift with Implants - Santa Monica, CA

Not very much interaction saw his the day of my consultation and the day of my procedure and thats all. He didn't communicate very well i really do regret getting tis procedure done with him.

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Personal Statement

Dr. Joel Aronowitz is a prominent Los Angeles plastic surgeon with a reputation built over 25 years for compassionate patient care, refined surgical skill, and a passion to improve lives through leading edge plastic surgery.

Board Certifications

Board-certified by the American Board of Plastic Surgery

American Society of Plastic Surgeons (ASPS)

Consultation Fee

$250. Consult May Be Applied to Surgery, Insurance May Reimburse

Awards & Recognition

Professional Recognition:
Ambassador, American Society of Plastic Surgeons
Board of Directors, American Society of Breast Disease
Performance Improvement Committee, Cedars Sinai Department of Surgery
Medical Executive Committee, Cedars Sinai Medical Center

Hospital Privileges

Dr. Aronowitz has hospital affiliations at Cedars Sinai Medical Center, USC, St. Johns Medical Center.

  • Undergraduate & Medical School

    Undergraduate: Southern Methodist University
    Medical: MD, Baylor College of Medicine, 1982
  • Post-Medical School Training

    Baylor Affiliated Hospitals, 1983
    General Surgery, Baylor Affiliated Hospitals, with Michael E. DeBakey, MD, 1985
    Plastic Surgery, Baylor Affiliated Hospitals, with Melvin Spira, MD, 1987

Treatments offered at Joel A Aronowitz, MD

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Blog Posts and Articles

Mommy Makeover, Part 1

Attention Mamas: Second to your gorgeous new little bundle of joy, first time moms eventually turn their attention to their post-baby bodies. In between the late night feedings, changing dirty diapers and sleep deprivation you could try to squeeze in a leg lift or two. You might even be able to cook yourself a healthy meal while your baby sleeps. But let’s be realistic, with your new found limit of time, diet and exercise can only go so far to bounce you back to your pre-pregnancy...

Breast Augmentation Complications

Breast Augmentation ComplicationsCapsular ContractureOne of the most common breast augmentation complications is capsular contracture. Capsular contracture is an abnormal response of the immune system to breast implants in the body.Capsular contracture occurs when scar tissue forms a capsule and tightens and squeezes the breast implant. This is a medical complication that can be very painful and discomforting, and might distort the aesthetics of the breast implant and the breast.The degree...

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I am 65 years old. Had open heart surgery in Nov 2015. Am I a candidate for breast lift and some reduction?

I don't blame you for not wanting to post photos. It seems standards of personal privacy are gone today. In any case you may have a breast reduction... READ MORE

I would like to be a full C cup. I am now a 36C. Do I need a lift and would a small implant would achieve a fuller C? (Photos)

An in person consultation is necessary to accurately assess your situation but you may be a good candidate for fat transfer instead of an implant. Fat... READ MORE

I'm male, 6 wks post complex open revision rhinoplasty, with rib graft. Can anything be done about the scar from my rib graft?

Post surgical treatment options include Embrace and a silicone cream called Biocorneum. You can find these products on line or on my website. READ MORE

When should a person start to use Sculptra? Is 30 too young?

There isn't an arbitrary age to begin Sculptra it any other soft tissue filler. The treatment must be tailored for the individual. Sculptra is a... READ MORE

Does Hyaluronic acid improve Bells Palsy?

Hyaluronic acids fillers can help fill in depressions and wrinkling to improve symmetry but it won't help your facial nerve recover. After 3 years you... READ MORE

I can feel and see the white silicone sticking out in my nose. Is this normal? Can I get a cortisone shot?

As the other doctors have advised silicone extruding from your nose is a serious matter that can lead to severe infection and even loss of your... READ MORE

What are my options? Any advice? (Photo)

Your breast wound is serious but advice regarding wound care can not be made without a little more information. The date of your surgery, presence of... READ MORE

Can a 550cc-600cc hp silicone implant fit in a 15 bwd? Thank you in advance! (Photo)

Your complaint of a flat shape may be due less to the shape of the implant than the location of the implant under the pectoral is muscle. The... READ MORE

My labiaplasty outcome is not as the surgeon hoped. Is it best to have a revision? (Photo)

You do look as though you'd benefit from a revision, but I think a wedge excision is the wrong approach. You should discuss the technique in detail... READ MORE

Brest reduction + implant, after BR surgery years ago? Wanna ditch the bra sometimes! (Photo)

A breast lift will help you a lot and has the advantage of using your existing scars. The side breast can be repositioned centrally or reduced with... READ MORE

Before and After Photos by Dr. Aronowitz

Joel Aronowitz, MD has shared 24 before and after pictures with 57 helpful votes from the RealSelf community.

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Additional Office Locations

1301 20th Street, Suite 470
Santa Monica, California 90404
P: (310) 453-2702
16101 Ventura Blvd, Suite 238
Encino, California 91436
P: (818) 815-3990
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Alexandrite laser hair removal on upper lip, chin and neck.

Hello I had my first laser treatment 4 days ago and today I have had to shave as the hairs have grown rapidly since then,keep reading about shedding process but I'm very sceptical about it.thanks for reading

Answers (4)

One laser hair removal treatment question

It is way too early to look at results from LHR after one session. This should be thought of in series. No changes are seen in density for at least 3 sessions. Just be patient and continue with the treatments. The Alex laser is a good one.

Steven F. Weiner, MD

Panama City Facial Plastic Surgeon
98 reviews

Hair regrowth after Alexandrite laser?

The areas treated would have been shaved before the Alexandrite laser treatment on the lip, chin and neck, I presume. It is usually not possible for the hair to grow back within 4 days of laser treatment. Only thing I can think of is the dead hair pushing out, that is looking like new hair growth. Sometimes they appear as black stubbles. Usually the dead hair pushing out takes longer than 4 days, however. I would wait for 3-4 weeks more and see what happens. One way to know if the "growing" hair is dead is to grab a hold of one of them and pull off; if the hair comes out easily and PAINLESSLY it is the dead hair.

Ram Chandra, MD
Edison Physician

Too Early to See Results

It is too early to see results of laser treatment after 4 days. Laser hair removal is a series of treatments. I advise you to be patient and continue your treatments. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Hair pushing out 4 days after treatment

The hair usually falls out or sheds about 3-4 weeks after treatment.  Too low of a laser power can stimulate hair but this typically takes longer than 4 days.  Keep watching and if there are questions speak with your laser hair provider

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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36 Years Young, 4 Kids Plus Fit and Active - Berwyn, IL

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After breastfeeding 4 kids, the last ones twins...

After breastfeeding 4 kids, the last ones twins and losing a lot weight quickly my girls needed a pick me up. I've always wanted a breast lift as I was happy with my size, but after changing to a fit lifestyle my breast became deflated. With support of my family I finally made the decision. Excited!

Day of surgery

I was extemy nervous with excitement. I arrived at the hospital and the staff were great. I had the nurses laughing as I talked about my upcoming "improvements".
Dr.DeWolfe came in, did his markings and then I was off... I remember being transferred to the OR and then waking up in recovery.

Post op day 1

I took a shower and took a look.... I am soooooooo happy I finally did it.

He went with 360cc, tear drop shape saline implant, high profile, under the muscle. To me they are perfect even with the swelling.

Before pics

These are my before pics, the breast I e been hiding in push-up bras and scrub tops for the last year after weight loss. Pics taken 1 day before my surgery.
Chicago Plastic Surgeon

He was excellent!!! My consultation and preop appointments were prompt, the staff was very nice and all my questions were answered. Dr.DeWolfe understood exactly what I wanted and I am so pleased with his craftsmanship.

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terrible scars after long awaited lift- Denver, CO

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When I initially went in for my first consultation...

When I initially went in for my first consultation 7 years ago I knew I wanted a lift (my daughter was 5 at the time) but was talked into saline implants. After a 20lb weight loss I was unhappy with the implants and was again talked into silicone instead of a lift "because I was too you to have the scars that come with it" ... Ultimately they were grossly huge and I hated them especially after they bottomed out and began sliding into my armpits... Went to get and explant and was very unhappy with the Dr., facility and his team so did my due diligence in researching a doctor with great reviews.. I was all set to get the lift with fat transfer until I had some emergency medical issues that took precedence. So I waited over a year to go back and have the procedure. Dr Squires was so accommodating and I never felt and pressure or guilt having to cancel. Now I'm sitting in my recliner typing about the wonderful experience. I cant wait to see how I continue to heal.

Worried :-?

So compared to many different pictures of 4 days post surgery I am finding that my incisions are very red and puckered. My breasts itch constantly but I was thinking that was normal? Now I am wondering if this is because I have an infection or allergic reaction to the derma bond. Waiting to hear back from Dr. Squires office after I sent an email along with photos.

Feeling and looking MUCH better

I heard back from Dr. Squires office right away after I posted about the reaction to Derma Bond. He answered his personal phone to me that night and directed me to use cortisone cream and Benadryl to help things calm down. This did help some. He had me seen the next day he was in office which was Tuesday. He gave me an Rx for a stronger cortisone - like cream and a dose of oral steroids to help the reaction subside. I saw him again just yesterday and things have calmed significantly. I have another appointment a week from yesterday. The dermabond is starting to naturally come off as I have taken showers and just been advised yesterday to start my breast massage. Under the originally clear but now opaque layer of derma bond inner mixed with a little dried blood I have been able to see beautifully clean incisions! Much of the pucker has gone away already and both nipples are flush and looking symmetrical. I am very pleased with the attentive and thorough care I received from Dr. Squires and everyone in his office. I am picky and meticulous so it was nice that in the midst of my reaction they didn't miss a beat in answering my phone calls or emails. I feel the best I have felt since the procedure today and I am very happy about that. I am due for my period today and I am actually looking forward to it so that after its over I can see what my breasts look like without the pre hormonal fluffiness as well as another week of healing. I will post pictures soon :)

Where I'm at...

So the straight on shot is what I normally see when I look in the mirror but as you can tell there are "dog ears" on both breasts. I went in several months ago to have them fixed and Dr. Squires said he didn't think I would be happy with the results as the scar would extent towards the center of my breasts on one and on the other be very visible near my ribs.

In my opinion the scars aren't red but very ragged looking- which I am assuming was in part because of my adhesive allergy. So if I did get the dog ears fixed in the future I don't know how they would keep the wound closed.

I like them better than before. They are a more appropriate size and the shape is good aside from the dog tags. I hate the dog tags but fear more horrid visible scars.

My nipples are asymmetrical too. One sags down and one is round. So ya.... They are better in ways but not at all what I imagined. :-/

I'm definitely going to get a consult for laser scar removal to see if I'm a candidate. I suppose as some point when I have the $ (16,000 for this procedure has left me a little strapped) I will talk with Dr.'s about the dog ears. Good luck to all the women on this journey .
Denver Plastic Surgeon

Don’t know how to change 5star review I left B4. Got a lift, lipo and fat transfer. Said I had adhesive allergies, he tested several adhesives on me before he surgery - including dermabond - I reacted to them ALL - he used dermabond anyway- horrible scarring. Spent 3k on Laser to decrease scars over the last two years. Look at my profile to see how Freddy-Crugar-ish I looked right after. He offered to take care of dog ears but said it would only lengthen the scar towards my sternum. No thanks. I feel self conscious every time I get undressed in front of my husband - 16k for that? He never asked to take “after” pictures. Obviously my results weren’t good promotion for his portfolio.

Overall rating


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sea level rise, climate change, global warming
Flickr Creative Commons

A decade’s worth of work by three teams of scientists came to the conclusion that there is an “acceleration” in sea level rise causing flooding in coastlines around the world, according to Climate Central. The findings show that it’s a result of global warming, but what’s alarming is the severity of it.

Scientists who reported on a paper published in Proceedings of the National Academy found “that they have greater than 95 percent certainty that at least half of more than 5 inches of sea level rise they detected during the 20th century was directly caused by global warming.”

Due to the effects of ocean cycles, volcanic eruptions, among other phenomenons, sea levels change and vary around the world.

A Climate Central article states:

A report published by Climate Central on Monday, the result of an analysis based in part on the findings in Monday’s paper, concluded that climate change was to blame for three quarters of the coastal floods recorded in the U.S. from 2005 to 2014, mostly high tide floods. That was up from less than half of floods in the 1950s.

For more information, visit

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6 Hunting Knives of the 19th Century

Learn about coke classic and fixed hunting knives of the 19th century.


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Baijnath to Dehradun Bus Timings & Fare

Bus OperatorFirst BusLast BusDurationDays
HRTC 06:50 17:20   VIEW PRICE

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Bus from Baijnath to Dehradun

The journey from Baijnath to Dehradun is smoothly covered by a bus in null hours. The time to travel is dependant on India’s traffic, roads and climatic conditions.There are operators running their buses between Baijnath to Dehradun bringing necessary travel convenience for several people in India. Usually, buses are plying from Baijnath to Dehradun. All buses are driven by proficient drivers ensuring safety during journey
If you are also looking for return checkout, please ensure to check Dehradun to Baijnath Bus.

Operators Serving on this Route

A number of prominent operators ply buses from Baijnath to Dehradun ensuring punctuality and safety for its passengers. Major operators offering disparate kinds of bus services are :

Boarding Points in Baijnath

Most of the buses pass through various boarding terminals in the route, a few of the many popular points are :

Dropping Points in Dehradun

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Baijnath to Dehradun Bus Types

Various types of buses serving passengers from Baijnath to Dehradun ensuring safety and comfort. A few bus services are:

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Dehradun, the capital city of the state of Uttarakhand, is located in the Garhwal region and seated on the foothills of the Himalayas. Besides it is snuggled between the two mighty rivers the Gang and the Yamuna on its East and West. These geographical features make Dehradun a place of great opportunities for various industries thereby motivating people from all of the country to travel to and from Dehra dun.

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all 5 comments

[–]IonFarmer 1 point2 points * (3 children)

ADTPro is a great program for transferring disk images. You can find the disk image here: Virtual Apple. You will need an apple IIc serial connection which you can purchase here: Retro Floppy. In addition you will need a D-sub 9 serial connection on your transfer computing platform and possibly one of these guys USB Serial Cable adapters. You will need at a few 5.25" SSDD Floppy disks. Follow the directions from the ADTPro website. The IIc should be set up for 19,200 Baud transfers, I believe. There is also addition instructions here: ADT PC Transfer PDF. Once you master the process, ADTPro is the best software written for the Apple II, and you should be able to transfer a majority of software.

[–]nasspad[S] 1 point2 points  (2 children)

Thanks! I just ordered the D-sub 9 serial cable!!

Here comes the 8-bit magic!

[–]IonFarmer 0 points1 point  (1 child)

No problem! It may take a little patience and research to get everything working correctly, but the bragging rights are worth it.

[–]nasspad[S] 2 points3 points  (0 children)

I got it to work!!!


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Re: grip being removed [Re: rawhide report: 20050120 changes]

Michael Schwendt wrote:
> Totem uses GStreamer, and hence gstreamer-plugins-mp3 from the same
> old http://rpm.livna.org repository works just fine.

Ok, now that Totem can play MP3s, it seems not-totally-unacceptable, but
it's still inferior to xmms/bmp in several ways:

 - It uses a *huge* amount of CPU.  When I was running xmms or bmp,
   my load was hovering around 0.6; Totem makes it oscillate between
   2.8 and 3.8!

 - When listening to an icecast stream, there is no indication of
   what URL you are actually listening to ("Movie/Properties" doesn't
   show anything.)

 - Likewise, no metadata at all - no channel or song titles.

 - I don't see a way to turn off the big black "movie display" window.

Jeff Spaleta wrote:
> And the 'default is crap' issue is a red herring,
> because "if" its going to be re-packaged for core, I'm sure the
> bluecurve xmms theme core is now using would be used for bmp... which
> works just fine for bmp from what i can tell.

BMP is not so bad with the bluecurve-xmms theme, but it's still way, way
too small.  You must have either bigger pixels or much better eyes than
I do, because I just can't read five-point light-gray-on-white type.
(Maybe it would work to just double the size of all the image-files in
the theme, if a "Double Size" option isn't to be implemented?)

BMP also has the problem that when you have an Icecast URL in the
playlist window, there's no way to tell what its URL is -- all it will
show you is the last title or metadata the stream had, so you know the
last song you heard on it, but not what station it is.

So, if you want to ditch XMMS, I think some hacking is still needed.
Neither of these programs quite cut it yet.  (And I don't think I'm
making power-user requests here or anything, these are just basic
usability regressions.)

Jamie Zawinski      jwz jwz org                  http://www.jwz.org/
                    jwz dnalounge com      http://www.dnalounge.com/

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We invite you to share your Blue Mountains and Redleaf Resort experience with us. Please email Redleaf Resort with your comments or submit your feedback on Tripdavisor. We appreciate your feedback so we can continue to improve and provide exceptional customer service to our guests.

Hi to all at the Redleaf Resort

Many thanks to you all from the King William Travel team and all of the other tourists that night.

Last week when the power went off, everyone asks that we forward our thanks to your team. We had a wonderful stay and thanks for the overnight Snow.

Regards Ray and Peggy Marks

Ray and Peggy Marks -


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White Paper: Workplace Discrimination: Why Risk Management Training Must Play a Role in Protecting Your Company

What Constitutes Workplace Discrimination? Workplace discrimination refers to any inequitable treatment of an employee on the basis of prejudice. The U.S. Equal Employment Opportunity Commission(EEOC) regulates and enforces the federal laws that prohibit many different types of employment discrimination. There are currently 11 categories of discrimination – though the ones we’re most familiar with revolve around the issues of race, gender, age and disability. In this white paper, we’ll look at the fundamentals of discrimination and the basic US laws that prohibit discrimination. Compliance with discrimination laws is mandatory, and should be addressed by those responsible for the human resources policies of any business to educate employees and implement online risk management training.

Please fill out the form below to download the White Paper.


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What makes "Julius Caesar" a tragedy?

Quick Answer

One of the key tragic elements of William Shakespeare's "Julius Caesar" is the way in which characters dismiss their own feelings and loyalties in favor of public duty. Brutus, for instance, ignores his friendship with the title character in order to kill him for what he deems to be the common good. He even refuses to trust his own wife, Portia, with the details of his plan.

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Full Answer

In this way, Brutus is seen to lose his humanity while pursuing what he imagines to be a higher end.

This dismissal of humanity is remarked upon by Caesar, specifically in reference to Cassius. He tells Mark Antony that he cannot trust Cassius because he is too concerned with his public persona; he has no inner life to keep his ambition in check.

However, Caesar himself is also tragically misled by the grandeur of his public image. Identifying with his symbolic omnipotence, he comes to believe that he is invulnerable, ultimately blinding him to the threat posed by his closest allies.

This monumental fall from a high estate to a position of misery or, in this case, death, is a driving characteristic of classical, Aristotelian tragedy, which Shakespeare would have become familiar with through Latin adaptations.

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Who renamed the Byzantine capital Istanbul?

Quick Answer

The person to officially rename the Byzantine capital "Istanbul" was the Turkish Sultan Mehmed II, who completed the final siege of the city. "Istanbul" is the way the Ottoman Turks pronounced Constantinople.

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Full Answer

Istanbul has had several names. When the Roman Emperor Constantine made Byzantium a new Roman capital, the city's name was changed to Constantinople in the Emperor's honor. According to the history department of the government of Istanbul, Turks and Armenians referred to the city as "Polis." In Greek, the phrase "into the city" translates to "cis tin Polin." The Turks pronounced this as "Istanbul." After the Turks conquered Constantinople under the leadership of Mehmed II, "Istanbul" became the standard pronunciation of the city's name.

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What is the molar mass of NH4 2CO3?

Quick Answer

(NH4)2CO3 is the chemical formula of ammonium carbonate, a chemical compound with a molar mass of 96.09 grams per mole. Its density is 1.50 grams per cubic centimeter. It is normally soluble in water, but it decomposes in hot water.

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Full Answer

Ammonium carbonate is industrially obtained from ammonia, NH3, and carbon dioxide, CO2. It spontaneously decomposes to form ammonium bicarbonate, NH4HCO3, and ammonia. It is used in cooking as a leavening agent in northern Europe and the Scandinavian countries, and it is used as an acidity regulator in the food industry, having the E number E503. It is also used in the pharmaceutical industry as a component of smelling salts and as an active ingredient of Buckley's cough syrup in Canada.

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What are some good free PDF editing programs?

Quick Answer

Some good PDF editing software choices that have no upfront costs include AbleWord, PDFescape and Inkscape. These three choices allow users to add text and images to PDFs, save and export the files, and rotate and zoom documents for easy use.

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Full Answer

AbleWord is a fully functional PDF editor that shares many features with paid variants. The software works primarily as a word processor, but it can access and write PDF documents as easily as standard text files. The program offers many document editing options, and it has the ability to import PDF files and export Word documents, making it a handy conversion tool as well.

PDFescape is a web-based tool for editing PDF files. The web-based design allows it to work on almost any system that can use a popular web browser, and the program makes it easy to add or white out text and images on PDF files or digitally sign content. The reader works with most supported PDF features, and PDFescape provides autofill and annotation features unavailable on some other free tools.

Inkscape also has the ability to import and alter PDF files, and the open-vector graphics editor makes it easy for designers and illustrators to make changes to a variety of documents. Inkscape users also benefit from the support of a vibrant community for assistance with most editing tasks using the software.

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Adidas Sweatshirt 14

Adidas sweatshirt

SIZE - L-14 (women's 14 ) .

Adidas lettering and logo print across centre front

In very good condition .

Please be aware vintage clothing may show some signs of wear and/or fading, all items are picked to the best quality but any defects found after inspection will be noted.

Inner label shows size L- 14/16 (which is true to size ) .

For any further information on this item please use the contact form, we'd love to answer any queries you may have.

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March 13, 2008 / 4:04 PM / in 10 years

Popcorn ingredient causes lung disease: U.S. study

WASHINGTON (Reuters) - A chemical used to give butter flavor to popcorn can damage the lungs and airways of mice, U.S. government experts reported on Thursday.

Tests on mice show that diacetyl, a component of artificial butter flavoring, can cause a condition known as lymphocytic bronchiolitis, said the team at the National Institute of Environmental Health Sciences, part of the National Institutes of Health.

The condition can lead to obliterative bronchiolitis -- or “popcorn lung” -- a rare and debilitating disease seen in workers at microwave popcorn packaging plants and at least one consumer.

At least two microwave popcorn makers -- ConAgra Foods Inc and Weaver Popcorn Co Inc -- have said recently they would stop using diacetyl.

Laboratory mice made to inhale diacetyl vapors for three months developed lymphocytic bronchiolitis, the NIEHS team said.

“This is one of the first studies to evaluate the respiratory toxicity of diacetyl at levels relevant to human health,” Daniel Morgan at NIEHS, whose team led the study, said in a statement.

Writing in the journal Toxicological Sciences, the researchers said findings suggest that workplace exposure to diacetyl contributes to the development of obliterative bronchiolitis.

The hard-to-treat condition causes vague symptoms such as cough and shortness of breath, and steadily worsens, according to the U.S. Centers for Disease Control and Prevention.

Congress has been working on a bill to order quick action by the Occupational Safety and Health Administration to limit exposure to diacetyl. The House of Representatives passed a bill last year but the Senate has not acted.

The Food and Drug Administration said last September it was investigating a report of a man who came down with the life-threatening disease after eating several bags of butter-flavored microwave popcorn each day.

Reporting by Maggie Fox, editing by Will Dunham and John O'Callaghan

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September 2, 2011 / 2:46 PM / in 6 years

Obama backtracks on smog plan, bows to big business

WASHINGTON (Reuters) - President Barack Obama put a stop on Friday to new rules that would limit smog pollution, unexpectedly reversing course on a key policy measure after businesses said it would kill jobs and cost them billions of dollars.

Obama said the decision to withdraw the draft Ozone National Ambient Air Quality Standard by the Environmental Protection Agency was part of an effort to reduce regulatory burdens for business.

The EPA has become a lightning rod for critics of government regulation and a hot-button issue for Republicans in the runup to the 2012 presidential campaign.

The move will be seen as another slap in the face for Obama’s supporters on the left, a diverse group already concerned the administration has given in too quickly to big business and Republican pressure on debt-reduction and other issues.

“The Obama administration is caving to big polluters at the expense of protecting the air we breathe. This is a huge win for corporate polluters and a huge loss for public health,” said Gene Karpinski, president of the League of Conservation Voters.

Business groups and Republicans said the White House was making the right decision as the country’s economy continued to struggle.

Opponents have argued the tougher regulations would cost thousands of jobs and purge billions of dollars from the bottom line of corporate America.

“The president took a step today that highlights the devastating impact on jobs that has been created by this administration’s regulatory overreach,” said Mitch McConnell, the Senate’s top Republican.

“This action alone will prevent more job losses than any speech the president has given.”

Obama’s announcement followed grim data on Friday that showed U.S. employment growth ground to a halt in August, with the jobless rate stuck at 9.1 percent.

The EPA, under pressure from business and Republican lawmakers, delayed several times issuing the new rule that would limit smog pollution from power plants and factories.

Democrats in Congress called the White House’s decision disappointing, and urged the administration to move aggressively on other clean-air challenges.

“I am disappointed that the president chose to further delay important clean-air protections that would have helped to prevent respiratory and cardiac disease in thousands of Americans,” said Ed Markey, the top Democrat on the House Natural Resources Committee.

Environmental groups worry Obama is backing away from promises to protect the environment. They are concerned the administration seems poised to approve the Keystone pipeline to import more oil from the Canadian tar sands, potentially boosting greenhouse gas emissions.

EPA Administrator Lisa Jackson, supported by a broad range of environmental groups, has said the ozone rules would save as much as $100 billion in health costs, and help prevent as many as 12,000 premature deaths from heart and lung complications.

“Many MoveOn members are wondering today how they can ever work for President Obama’s re-election, or make the case for him to their neighbors, when he does something like this,” said Justin Ruben, Executive Director of

Obama acknowledged the EPA plan could be revisted again in the future, noting the ozone standard would be reconsidered in 2013. “Ultimately, I did not support asking state and local governments to begin implementing a new standard that will soon be reconsidered,” Obama said in a statement.

In a call with reporters, White House officials defended the administration’s environmental record, saying it would “vigorously oppose” efforts to weaken the EPA’s authority or regress on progress.

“This is not a product of industry pressure. This is a judgment of the merits,” a White House official said.

The initial standards, proposed near the start of last year, would limit ground-level ozone, or smog, to between 60 and 70 parts per billion measured over eight hours. The proposal was stronger than the 75 parts per billion set by the Bush administration in 2008, which environmentalists blasted as less aggressive than government scientists had recommended.

Under the rule, factories and oil, natural gas and power generators would be forced to cut emissions of nitrogen oxides and other chemicals called volatile organic compounds. Smog forms when those chemicals react with sunlight.

Dow Chemical has said the rule could cost as much as $90 billion. Several companies including Dow have urged the administration to delay the rule until 2013.

Melissa McHenry, a spokeswoman with American Electric Power, said she hoped Friday’s announcement would bode well for other regulations affecting coal power plants that are under consideration by the EPA.

“It’s good to see the administration recognizing the need to balance environmental rules with the potential impact on consumers and jobs,” McHenry said.

“We would hope that same consideration should be given to other rules that the EPA is moving forward with,” she said.

(Additional reporting by Eileen O‘Grady)

Editing by Russell Blinch, Dale Hudson, Jim Marshall and David Gregorio

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May 28, 2014 / 10:16 PM / 4 years ago

UPDATE 2-U.S. industry gears up to fight Obama's climate rules

(Adds EPA, White House comments)

By Roberta Rampton

WASHINGTON, May 28 (Reuters) - A U.S. plan to curb carbon emissions from power plants is likely to come under attack this summer by industry opponents in a bid to stir voter anger ahead of elections in November, when voters in states such as Kentucky and West Virginia could decide whether Democrats keep control of the Senate.

The Environmental Protection Agency is expected to propose on Monday new rules to crack down on power plant emissions as part of President Barack Obama’s efforts to combat climate change.

The U.S. Chamber of Commerce released a report on Wednesday that predicted the regulations would cost consumers $289 billion more for electricity through 2030 and crimp the economy by $50 billion a year.

The EPA called the report “nothing more than irresponsible speculation” and said it was based on unfounded assumptions about future requirements for natural gas plants.

“The chamber is using the same tired play from the same special interest playbook that is engineered to continue polluting and stall progress,” EPA spokesman Tom Reynolds said in a statement.

White House spokesman Matt Lehrich said there is a “moral obligation” for the new climate change rule.

“Every time America has taken common sense steps to protect air quality and the health of our children, polluters have made doomsday predictions - and every time they’ve been wrong,” Lehrich said.

Industry lobbyists plan to say the new rules will probably raise household electricity costs, prompt power brown-outs during heat waves and cold snaps and destroy jobs at coal mines and manufacturing plants.

“We fully expect that whatever comes out will be overly stringent, and will be something that is not good for American consumers or businesses,” said Laura Sheehan, spokeswoman for the American Coalition for Clean Coal Electricity.

In March, Sheehan’s group, which represents coal mining companies as well as owners of coal-fired plants like American Electric Power and Southern Co, released a report warning that the EPA plan may kill more than 2.85 million jobs.

The National Mining Association, which represents large coal mining companies including Peabody Coal Co, Arch Coal Inc , Alpha Natural Resources and Cloud Peak Energy Inc has spent $1 million on advertising in five states depicting shocked consumers opening expensive electricity bills.

Environmental groups plan to fight back with their own projections. On Thursday, the Natural Resources Defense Council is expected to release a report concluding the EPA rule would create “hundreds of thousands of jobs” and save consumers “tens of billions of dollars” on electricity.

“The chamber’s so-called study is the latest in a long series of ‘sky-is-falling’ claims that cleaning up harmful air pollution will cost jobs,” said David Hawkins, director of NRDC’s climate programs.

Because the new U.S. rules would take years to implement, perception matters more than facts, particularly ahead of November elections, said Andrew Holland, a former Republican legislative aide who is now an energy analyst at the American Security Project, a nonpartisan think tank.

The industry’s arguments have “the virtue of not being testable” before the midterm elections, he said, noting previous EPA rules have ended up being cheaper than industry feared.

“It turns out that engineers are better at this than the lawyers expect them to be,” said Holland.

Industry groups made their concerns clear to regulators. For example, the National Rural Electric Cooperative Association sent three of its experts to a White House meeting to show how not-for-profit co-ops that rely on coal for fuel and provide power to some of the nation’s poorest regions could be pinched by the new EPA proposal.

And some industry coalitions have said they will try to work with the EPA and state officials to craft practical rules.

After the EPA first said in 2008 that it would treat carbon as a pollutant, power companies including AES and NRG and manufacturers including Boeing and 3M formed the National Climate Coalition.

It wants the EPA to phase in standards, and eventually develop rules for companies and states to trade credits for carbon-reducing actions, said Robert Wyman, a partner with law firm Latham & Watkins, who represents the coalition.

The coalition will take at least a week to read and understand the EPA rule before responding, Wyman said.

“Obviously the more politicized the issue becomes, the more likely it is that rhetoric will overshadow some of the technical issues,” he said. (Additional reporting by Valerie Volcovici; Editing by Caren Bohan, John Pickering and Cynthia Osterman)

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Your Blog Post Title Here...

Posted by

Part 3 of this blog series is all about content creation and how to ensure you are creating good content, the right way. In order to understand what good content is, we must follow Google’s quality guidelines. These guidelines have become increasingly strict, due to the Panda algorithm updates, which are created to ensure the Internet has high quality, meaningful content to create the best user experience for humans. The algorithm keeps updating every so often, so it is important you stay on top of things to make sure you are not violating any guidelines that could cause a penalty to your website.

Before the first Panda update in 2011, there were not many limitations on what sort of content could be published on a website.

  • Length of the content did not matter.
  • Canonicalization, which prevents duplicate content across different websites, was unnecessary.
  • Stuffing keywords into the content for no reason was fine.

In this day and age, these are certain aspects of content creation that are frowned upon in the eyes of Google.

As Panda has been continuously updating the algorithm, there are more and more limitations on what you can and cannot do and it is important to make sure you follow these guidelines to avoid penalties.

  • Content must be greater than 300 words.
  • If you have duplicate content, only one of those should be indexed.
  • Content needs to be original and trustworthy. It is a great idea to cite other thought leaders to ensure trustworthiness.
  • Keyword Stuffing is not an ethical SEO tactic.

These seem like pretty easy guidelines to follow, but if you had a website pre-Panda that has not updated its SEO, this could cause trouble. Make sure you are going through all of your content to ensure it is up to date with the latest Panda updates.

How Can You Tell It Is Low Quality?

There are several different ways you can tell if you have low quality content. The easiest way is to trust your gut. If you feel as though your content is iffy, then it probably is and it is time for a deeper dive into your content.

Google Webmaster Tools will first off, give you an idea of if your titles and descriptions are being duplicated. Additionally, if the titles and descriptions are duplicates, there is a large chance they are duplicate pages. You can find this information under Search Appearance>HTML Improvements.

Another way to detect duplicate content is to search Google using a site operator. This type of operator scans and pulls up your entire site only and you can see based off of the descriptions and titles whether or not these pages are duplicates. A site operator looks as follows:

Also, if you go to a particular page, copy the first few sentences from the page and Google that, you can see if there is anywhere else on the Internet that has those few sentences word by word. This means you need to update content to avoid duplicates.

Below are a few ways to take action and avoid low quality/duplicate content:

  • Combine similar short pages into one page.
  • Use robots.txt to hide any low quality or duplicate pages that I want Google to overlook.
  • Use canonical URLs to deal with content that is across many different pages. For more information on canonicalization, visit this link.
  • Go through all of your site’s content and re-write until it is print quality.

How to Inventory Content with HubSpot

There are many different ways to inventory your content, but I like to use HubSpot. It is a very easy platform. In order to inventory your content to help you decided whether you have quality content or not, follow these steps:

  1. If you are not hosted on the HubSpot COS, make sure HubSpot tracking has been installed on all pages.
  2. When in HubSpot, navigate to reports.
  3. Click page performance.
  4. View pages in HubSpot, or Click Export. I like to export them so I can have a better view of my content.

By doing inventory, you are able to see which pages are old, have low quality content, or are too thin and then take the correct measures to update your website for Google.

Evaluate and Harvest Old Content

Harvesting your old content can allow you to refine it to ensure it is high quality. You can also harvest old videos and leverage them for new, fresh information.

  • Harvest Old Content
o   Revisit old posts
o   Edit outdated pages
o   Add internal links or CTAs to old content to them to relevant landing pages for conversion
o   Post old content to social profiles for some throwback Thursdays
  • Harvest Old Videos
o   Post old videos to YouTube
o   Click transcript on YouTube to create crawlable content
o   Edit and post the transcript to a page or blog post

Because of the guidelines being so strict, cleaning up your content is vital for a successful SEO campaign. Panda has been very destructive and if you are not careful, you could get penalized.

Intro to SEO, Denver Marketing Firm, Revenue River

Topics: SEO, Strategy

Six Symptoms of a Sick Website

And Your Prescription to a Better Website

Your website is the heart of your organization's digital body,
neglecting it can cause as much damage to your company as
neglecting your heart can cause to your actual body.


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Colour : Red Product Code : RE18ACC119.RERED001

We’re head over heels in love with the Mary Jane Shoe in Red! One to seriously up your vintage credentials, this cute pump features a round toe, laser-cut detail and ribbon laces. In iconic Review style this shoe features a pink sole with metal love heart detail. Worn with the Elle Frill Top and the Spot Luck Capri Pants.

Rounded toe
Ribbon laces
Mid-height heel
Heel height: 6.5cm

Upper: Leather.
Lining: Synthetic

Standard Delivery 3-7 business days
Express Shipping 2-3 business days
Click & Collect Available within 24 Hours**
NZ & International Orders  5-10 business days

Delivery timeframes are based on those provided by Australia Post. A signature is required upon delivery.

*Please click here to read all of our Conditions in our Delivery Policy
**You will be notified via email once your Click and Collect Order is ready for collection.

This product is eligible for 30 days free returns*

*Conditions Apply. Read our full Returns Policy here.

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CALL : 866-739-6260

CALL : 866-739-6260

Lighting Services

Our lighting specialists can analyze your interior and exterior lighting designs for cost effectiveness, energy efficiency, and long-term operational expenses. And, we provide exterior site lighting photometric layouts upon request.

The Reynolds Company has an experienced Project Management Team dedicated solely to the lighting portion of construction projects. From order entry, submittals, operations and maintance manuals, to shipping schedules and billing, we've got you covered. With our extensive lighting library and research, we provide the professional quality manuals sought after and approved by architects, engineers and end users.

Switchgear Services

The Reynolds Company Switchgear Department is a dedicated team of professionals focused on the switchgear portion of construction projects. We are an authorized distributor for GE Industrial, Rockwell Automation, and Siemens, giving us the capability of providing the solutions you require with the most reliable names in the industry.

Our vendor relationships allow proactive management of ship schedules, problem solving, and on-site engineering. Furthermore, with over 50 years of experience, we are experts at providing project management, submittals, operations and maintenance manuals, and field service. Utilizing CAD, we have the ability to produce in-house drawings to service our customers quickly.

Wire Management Solutions

The Reynolds Company's state-of-the-art wire center allows us to fill your order fast. Our high efficiency equipment allows for quicker and more accurate cuts so you can get in & out in the shortest time possible.

Achieve measurable labor savings on the jobsite by running up to four wires at the same time without the hassle of putting multiple reels onto jack stands. The efficiency of our compartment reels and paralleled reels will save you valuable time and increase your onsite productivity.


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Accessibility links

Breaking News

Protests Resume In Romania; President To Challenge Decree

Massive Anticorruption Protests In Romania
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WATCH: Hundreds of thousands of people took part in anticorruption protests across Romania on February 1. Local media called it the largest wave of demonstrations in the country since the end of communism in 1989. Protesters denounced a government decree that could effectively grant amnesty to dozens of officials accused of corruption. (Reuters, AFP, RFE/RL's Moldovan Service)

Romanians took to the streets to resume protests against moves by the government that critics say would weaken anticorruption legislation, and President Klaus Iohannis said he would challenge the government's emergency decree in the Constitutional Court.

Hundreds gathered again on February 2 outside the government building, a day after more than 300,000 people protested in some 50 cities in the largest antigovernment demonstrations since the fall of communism in 1989.

More than 150,000 people attended the protest in Bucharest on February 1. Clashes between riot police and smaller groups of protesters broke out toward the end of the demonstrations, and authorities said several police officers and protesters were injured.

The protests came after the new government abruptly adopted an emergency decree on January 31 decriminalizing some official misconduct, barely a month since the Social Democrat-led government of Prime Minister Sorin Grindeanu took power.

Center-right President Iohannis, who has been at odds with the new leftist coalition formed after a December parliamentary election, sharply criticized the government's moves. He participated in antigovernment protests in Bucharest last month.

Iohannis told a news conference on February 2 that he would challenge the decree in the Constitutional Court and demanded the resignation of Interior Minister Carmen Daniela Dan, saying she had failed to ensure the safety of peaceful protesters.

Dan rejected the accusations, saying there had been no prior indications of possible violence during the protest. Meanwhile, Justice Minister Florin Iordache, who formally proposed the decree, said he was handing over his duties to his deputy until February 7.

Romania's top judicial watchdog has already filed a Constitutional Court challenge to the decree, which will take effect in 10 days unless blocked by a court ruling.

The country's anticorruption body, the DNA, says it has opened an investigation into the legality of the emergency decree.

The government's move came despite widespread domestic and international warnings that the decree would be a huge setback for Romania's anticorruption fight and would free dozens of officials jailed for corruption in the European Union member country.

One of the top beneficiaries of the decree would be Liviu Dragnea, the leader of the governing Social Democrats, who has been convicted of abuse of office and is under investigation in a separate case. If the decree comes into force, Dragnea's conviction would be quashed, which would allow him to legally become prime minister.

In a related development on February 2, cabinet minister Florin Jianu resigned in protest over the government's moves. Jianu, who is minister of business, trade and entrepreneurship, announced his resignation on Facebook, saying it was the "ethical [thing] to do."

With reporting by Digi24HD, AFP, Reuters, and AP


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Feel Good about Fitness - join now no contract!

Release Date: 08/03/2017

Take advantage of Richmond Council’s fantastic Feel Good Fitness offer today and join up without getting tied into a contract.

Unlike most gym memberships, the Council’s Feel Good Fitness membership scheme doesn’t mean you have to be tied into a contract.

The exclusive join now no contract Feel Good Fitness offer opens the door to six sports centres, four pools, five gyms and more than 200 fitness classes across the borough.

The offer includes:

  • Fully staffed state-of-the-art gyms with qualified instruction
  • Membership that covers six centres
  • Specially tailored services for those new to exercise
  • Complimentary personalised programmes every 14 visits
  • Regular instructor led abdominal training sessions

Richmond Council’s Cabinet Member for Sport, Cllr Meena Bond, said:

“The Feel Good Fitness offer is a difficult one to beat – no contract and access to six sports centres across the borough. We know how important health and fitness is to our residents and this is one of the reasons why we make these exclusive offers available.”

For more information, visit Feel Good Fitness.

Updated: 8 March 2017


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A great way to get your material noticed is guest posting on other blogs. It is difficult for some bloggers or business owners to get their word out to world. You can also offer your site or blog as a platform for other business owners and bloggers to submit a guest posting.

Guest Posting On Blogs Related To Your Niche

This discussion has been taking place long before I arrived to the blogosphere. Guest posting on blogs related to your niche will allow you to showcase your expertise amongst your peers. Usually forums are a great way to get quick traffic to your site, but often do not offer guest posting.

Guest Posting On Blogs Not Related To Your Niche

There are some advantages of guest posting on platforms that are not related to your niche. None better then traffic and web exposure. If you have a local business, my suggestion would be to find local blogs with high page rank and post there also. However, I would not to give up on blogs not related, especially if those blogs have a good deal of traffic and page rank.

Minimum guidelines for guest posting on most sites

When you are attempting to submit a guest posting to another site or blog, here are some minimum guidelines of what you can expect.

  • Submit 1 link to an article you have on your site or other guest postings for review and 2-5 sentences of what your posting will be about.
  • Of course original content only; meaning your post has not been submitted to the blogosphere already.
  • At least 300 words or more and one photo or screen shot which must be formatted to 300 pixels wide with alt tags.
  • Outbound links are disallowed, but you will have 2 links in your profile at the end of your post.
  • Internal links are allowed, and it is always kind to give the HOST some props to one of their posts.
  • Subheadings, grammar, alt tags, descriptions and spelling are your responsibility. “Action“, you only get one take.

Formatting your post

If you have SEOpresser and have written articles before then you know formatting your post or articles is very important.

  • A good SEO title through your research will help your posts SEO.
  • Description of your post.
  • Alt tags for your photos and tags for SEO will help your post get found online.
  • Keywords, bullets or numbers are highly recommended
  • Internal linking is encouraged, but only one external link is allowed to support your post

Return to your guest posting

  • This is your posting and are required to respond to comments made on it. Your post may be removed if you fail to engage with commentators.
  • Create a post on your site that you can link to your guest post. This will create more traffic for your site.

  • Ask your readers to check out your guest posting via social mediums and your website
  • Visit commentators sites and thank them at their sites by commenting on posts they have written. This will build your reputation, credibility and traffic to your site.

These are actual guidelines for this site, so if you would like to write a guest post here, submit your article. Thank you for reading and happy blogging!


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assurances services | information security consultancy | policy strategy | systems review | safety net
computer forensics | training | pci data security

Security Is A Process Not A Once Off Engagement

A vulnerability assessment program against your organisation's defenses which provides expert analysis of the findings and recommendations to mitigate these issues.

Ongoing subscription service that betters equips a customer to proactively manage new threats.

With SafetyNet, customers enroll in a program that allows them to choose the frequency of assessments: quarterly, monthly, or weekly according to their needs.

'Industry leading consultants scrutinising your defenses on a regular basis'

The SafetyNet program provides security vulnerability detection and analysis for devices on a network, by a team of highly skilled professionals. The team works with you to provide the advice, analysis and expertise that you need to maximise the effectiveness, security and performance of your network.

Why test my network?

A security assessment of your corporate network allows you to quantify the risks associated with open computing.

Common misconceptions: 'I have a Firewall, therefore my network is secure'.
Not necessarily. A firewall is an essential part of a network security infrastructure, but simply plugging in a firewall and hoping for the best is risky. If your servers are poorly configured and security policies are lax, an attack is likely to succeed.

SafetyNet - Why do it?

  • Peace of mind
  • Independent assessment by security experts
  • Confirmation of security status
  • Detect new vulnerabilities in a timely manner
  • Highlights vulnerabilities introduced by change
  • Detect configuration errors
  • Compliance with best practice - Legal mitigation
  • Risks associated with user activity
  • Cyber liability insurance benefit


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Bloomingburg, OH Commercial Real Estate - Office, Warehouses, and Retail Space

Rofo researches and displays commercial real estate listings from top brokerage firms and landlords in Bloomingburg, OH making it easier to find available commercial space and compare current asking rental rates. Filter your search below and get free advice from recommended brokers in Bloomingburg, OH.

We didn't find any up to date listings posted in Bloomingburg that match your criteria. We recommend expanding your search criteria, or post your exact needs on Rofo and have local agents and landlords contact you.

Post Your Needs

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Request Property Information

Please describe your commercial real estate requirements in Bloomingburg, OH. We’ll introduce you to local properties that match your criteria.


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Ivory Short Parka Faux Fur Detail Coat

£30.00 £60.00

Colour: Ivory

Size: Size guide

  • Style: 10632ivo
  • 90% Polyester 10% Polyamide
  • Lining: 100% Polyester
  • Machine Washable
  • Draw cord at the waist
  • Detachable hood

Brighten up those chilly winter day by keeping warm and looking great.Both practical and stylish, this cosy parka with detachable faux-fur trim hood and a drawstring waist is on trend this season and makes for the perfect addition to your wardrobe.

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Home » Fashion Accessories » Sunglasses

Gradual Color Lenses Metal Frame Pilot Sunglasses - Purple

? Processing Time: The item will be shipped out within 3 business days.

Note: In orders with more than one item, the longest processing time will determine the overall processing time for your order.

SKU: 172216307

(23) Free Shipping

Sale Ends On:--/-- App-Only:$0.00

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Buyer Protection
30 Day Returns Warranty
Full or Partial refund if the item is not as described

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  • Description
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Group: Adult
Gender: For Women
Style: Fashion
Shape: Pilot
Lens material: Resin
Frame material: Alloy
Frame Color: Gold,Pink
Lens height: 5.3CM
Lens width: 5.8CM
Temple Length: 13.1CM
Nose: 1.7CM
Frame Length: 13.8CM
Weight: 0.084kg
Package: 1 x Sunglasses

Overall Rating: 4 (23)

We give 10 R Points for a written review, and 20 R Points if you include photos. Plus, if you're one of the first 5 to submit either review, you'll get DOUBLE R Points!

Get $20~$100
Write a review

  • byajla

    2018-01-30 06:47:55

    love these sunglasses love them

    2017-08-09 07:58:54

    Lentes superbonitos que le han encantado a mi esposa. Llegaron en perfectas condiciones, muy bien protegidos. Alta calidad y buen precio. Muy recomendable.

  • byCece

    2017-07-27 05:17:25

    A bit tight for my head, but looks very nice. very stylish

  • byYasmine

    2017-07-10 12:59:04

    4Absolutely love!

    I've just ordered them and cannot wait for it to arrive!

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Maurice 30th Anniversary Blu-ray Release Confirmed

Special features include:

  • A 4K restoration from the original camera negative and magnetic soundtrack held at the archive of The George Eastman Museum.
  • Scan and digital restoration completed at Cineric US and Cineric Portugal.
  • 5.1 audio track restoration at Audio Mechanics (Burbank) from the original 35mm magnetic track, also held at The George Eastman Museum.
  • Colour grading by Technicolor (Paris) is overseen by cinematographer Pierre Lhomme, with the approval and supervision of director James Ivory.
Susie Graves


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Car Wash Equipment

Is it time for an upgrade? Once shiny and new, your system has served countless cars over dozens of seasons. If equipment is aging and beginning to cost money in service calls and downtime, it might be time for an upgrade.

Break up, or handle the break down?
Like a car engine, your equipment is the hub of your operation. Good equipment helps maximize carwash usage and increase your return on investment.

It’s tough to know quite when to call in a repair man, or call it quits. Here’s a few red flags. If the equipment is experiencing slow down, you are constantly facing hard-to-fix problems, burdened with pricey repairs or losing efficiency even when your equipment is running, it’s time.

Outlaw the outdated
Just because equipment still works, doesn’t mean you should hold onto it. The initial investment on new equipment can be daunting, but there’s many advantages. Not only is updated equipment environmentally friendly and energy efficient, newer equipment with the latest advancements can serve more cars and save on operating costs, increasing your total revenue and saving money in the long run.

All or nothing?
You don’t have to do it all at once. Give your site a facelift, install modern pay stations or add user-friendly technology to streamline the client experience. Add lighting or update the entry for a bigger impact and brighter show. Know where you rank. Check out the local competition and see what new tools they’ve implemented. Then, work with a professional to create a plan to get you to your upgrade goals.

Smooth operator
Not quite ready to update? Protect your investment with regular maintenance to combat problems before they start. Call on experienced professionals to ensure all parts are clean, well-oiled and in good working condition.

Ready to rumble?
Are you ready to tackle the reno? Save yourself the legwork and call in a carwash professional. They can help assess your need and provide a solution that works with your budget and overall objectives.

Want to grow your car wash business? We can help. Ask us about expanding your equipment.


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Sahar Freemantle, Author at Sahar Millinery | London

Author Archive | Sahar Freemantle

Mad-cap vision of the future I had when reading The Secret: My future shop. It's got a secret UglyLovely room and a courtyard for afternoon tea. You can either have the 'Sahar Millinery' afternoon tea or the 'UglyLovely' afternoon tea... what a hoot!

Mindset: Reflective Musings on Success

January 11, 2018
This one is quite a personal blogpost; reflective musings which I originally wrote for my own benefit, but decided to share, in case it’s of any use to anyone else. I’ve recently been sharing on social media a bunch of great stuff which has been happening for my business recently, which all seems to have [...]
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Screenshot 2017-11-11 10.23.09

Behind the Scenes: Paloma Faith music video

November 19, 2017

One Thursday a few weeks ago I was called up my the extremely talented costume designer Alex Noble with an enquiry about 20 hats for Paloma Faith’s music video. ‘Not a problem’ I replied, ‘when do you need them?’…. ‘Next Saturday’… Gulp! The brief was: ‘handmaiden, grey, very large, stiff round brim and shallow crown’ […]

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Sahar Millinery Red Velvet Turban

Hats on the Runway: Fall 2017

November 14, 2017

The Fall 2017 runways were filled with headgear of all shapes and sizes, including the cloche hats in Jacquemus and head turban in Gucci. If you’re looking for a new hats, the options are infinite. Here are some of my favourite styles from the runway: Cloche Hats Cloche hats were popular in the ‘20s and ‘30s […]

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Vintage Style Headband

How to wear a Faux-Turban

June 14, 2017
Sahar Millinery's range of 'Faux-Turbans' are an easy way to add a bit of 'pizazz' or your outfit. Designed to be daywear so as easy to match with jeans as it is with a pretty vintage dress. They are twisted cotton, pre-tied, pre-sewn and with a simple piece of elastic at the back it's as [...]
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The Red Shoes

January 25, 2017
I first saw this film when i was 6 years old, in the hospital waiting room when my mum was pushing out my brother. Of course my parents were too preoccupied with the birth that they'd forgotten to find a babysitter or pack any toys for their 6 and 8 year old girls. So, there [...]
Continue Reading 0


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Sam Ash Customer Service 800-472-6274
Free shipping on orders $9.99 or more. Free Shipping On Orders $9.99 or more. Sam Ash Music retail locations.

Meinl Percussion Cajon Pedal w/ Soft Beater and Adjustable Spring Tension

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MSRP: $280.00 $169.99 Save : $110.01 (39%)
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MSRP: $280.00 $169.99 Save : $110.01 (39%)
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  • Description
  • Reviews
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  • Specs
  • More Info

Connect with your cajon on an entirely new level with the Cajon Pedal from Meinl Percussion. This pedal leaves your hands unrestricted to play patterns while keeping steady kick drum rhythms beneath.

This Meinl Cajon Pedal features a Soft Beater, designed specifically to get optimal bass tones from a cajon, and a cradle-like mount that fits all common cajons and delivers superb stability.  The pedal's ultra-smooth and durable cable is positioned horizontally to relieve the system of any tension and fully adjustable springs on both the pedal and the mount give you a light and relaxed feel.

Also features threaded spurs located on contact points with the ground to prevent slippage.

Get your Meinl Cajon Pedal today at the guaranteed lowest price from Sam Ash Direct with our 45-day return and 60-day price protection policy.

Things You Will Get:

  • Cajon Pedal
  • Soft Beater w/ Clamp

by PowerReviews
Series Meinl Percussion
Model TMCP
Warranty Info:

The manufacturer's warranty covers parts for two years and labor for two years from date of purchase. The warranty excludes damage from misuse, abuse, and contains other exclusions.


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Painted Mini Green Hydrangea, Hot Pink (Choose 20 or 40 Stems)

Item  #: 81589 |
Painted Mini Green Hydrangea, Hot Pink (Choose 20 or 40 Stems)
  • $ 47 92 - $ 69 67
10% non-member fee may apply. Join now!
Choose a stems: Please select a stems
  • 20 - out Of stock
  • 40 - out Of stock
Select a delivery date
Tuesday, Feb 27
  • Shipping
  • Free shipping
  • Enter ZIP Code for shipping options
  • Estimate arrival
Available delivery dates are based on item stock, time to transport items, and availability of florist/courier.

About this item

  • Suggested delivery timeframe: 2 days before event
  • For Sunday events, please choose delivery for Thursday
  • For Monday events, please choose delivery for Friday
  • Please read and follow Care Guide in Specifications
  • Stem Length: 60 cm
  • Imported from: Colombia

With their lacy pompom tops, hydrangeas epitomize lush beauty. Flowers add enduring grace to any arrangement. Perfect for your wedding, event, resale or individual needs.

Please have someone available to receive and process the flowers on the delivery date.

Please read Order Cancellation, Warranty and Important Delivery Information policies.

For further information regarding care and handling, please see our Flower Care Guide.

Floral Tips & Ideas

Explore our easy tips for arranging just-shipped flowers into stunning bouquets, plus get pointers for keeping your blooms looking beautiful longer.

Due to the nature of this specialty item, orders must be placed at least 7 days prior to delivery date. Requested delivery date is 2 days before event.

Due to differences in monitor resolution, color intensity may vary from actual items. Slight shade variations from actual picture may occur.

Each box contains: 20 or 40 stems
Bloom size: Approx. 2.5-4 inches

Substitution Policy

To ensure optimum freshness, different varieties may be substituted based on availability. In making substitutions, we take great care to ensure that we exceed your expectations, and that you will be satisfied with the flower quality and performance.

Flower Care and Conditioning

These flowers are shipped dry and may appear wilted when you first receive them. This is natural, as they have been without water for over 24 hours and are very thirsty. The initial hydration process is imperative so your flowers are at optimum freshness and appearance.

Follow the Care Guidelines

  • Unpack flowers immediately upon arrival but leave them in the corrugated wrap
  • Let them hydrate 1-2 hours before removing the corrugated wrap
  • Fill a clean container/vase with fresh cool water and add flower food provided
  • Remove any foliage that falls below the waterline of your container
  • Using a sharp knife or scissors, make a clean cut of at least 1/2 off the end of the stem
  • Place the flowers in the prepared container
  • Do not place flowers in direct sunlight and keep in a cool location
  • Change water and re-cut stems every 3 days
  • These flowers are painted and glittered; do not submerse the heads in water
  • Take extra care attaching to clothes as the colors may bleed

Delivery dates and prices fluctuate with seasonal availability and demand.

Although your order takes 7 days to process, we suggest you place the order from 7 to 30 days in advance. Since flowers are perishable and affected by weather, please have someone present to receive the flowers between 8:00 a.m. and 12:00 noon if you live in a metropolitan area or 8:00 a.m. to 4:30 p.m. if you live in a suburban or rural area. This will ensure that your flowers are not left at the doorstep or sent back for next day delivery.

Important Delivery Information

Additionally, shipments may be delayed by diverse weather conditions or other unforeseen circumstances such as US Custom hold resulting in shipping and/or delivery dates being modified.  No refunds will be given for these circumstance only reshipments if necessary.

Order Cancellation Information

Please note that all requests to cancel a floral order MUST be made within 4 business days prior of the scheduled delivery date of the order. Later cancelations will result in charges and refunds will not be approved.

No deliveries to Puerto Rico

Assembled Country

Component Country

Member reviews & questions

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Policies & plans

Shipping Information

Standard - 2 to 6 business days

This item ships to AK and HI.

Warranty Information

Club guarantees timely delivery of fresh, beautiful flowers. If you are not completely satisfied with your product please contact us immediately to request a refund or replacement. Requests for replacements must be received prior to 2:00 pm CST in order to have a replacement order sent out. Replacements will only be provided if the flowers arrive in poor condition. Images will be required for any replacement or refund and must be received within 48 hours after receiving the product. Refunds will not be given for circumstances resulting from negligence or wrong delivery dates chosen. Order cancellation requests must be received at least four business days prior to the delivery date or they will not be refunded. Please call 888-746-7726 Option 3 and speak to a Member Service Representative.

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