text:
Automotive Front-End Module (FEM) Market Outlook – 2027
Automotive front-end module (FEM) deals with a wide range of products, such as air conditioning (A/C) condensers, grille-opening reinforcement (GOR) panels, crumple zones, bumpers with decorative fascia, hood latches, electronics, and wiring, which have wider applications in vehicles. Automotive front-end module (FEM) avoids the use of heavy carriers made up of steel and iron, and is used to improve fuel efficiency and vehicle performance.Therefore, this resultsin smooth running of vehicles and comfortable journey while traveling.Furthermore,increase indemand forautomobile results in the growth of theautomotive front-end module (FEM) market.
Market scope and structure analysis:
Market size available for years
Base year considered
Vehicle Type, Manufacturer Type, Material
North America (the U.S. and Canada), Europe (Germany, the UK, France, and rest of Europe), Asia-Pacific (China, Japan, India, and rest of Asia-Pacific), Latin America (Brazil, Mexico, and rest of LATAM), and the Middle East and Africa
Mahle GmbH, Faurecia, Denso Corp, Hyundai Mobis, Manga International Inc., ValeoS.A., Calsonic Kansei Corporation, HBPO Group, Plastic Omnium, and SamvardhanaMothersonGroup
COVID-19 scenario analysis:
- COVID-19 has rapidly affected the salesin theautomotive industry,thus hampering the growth of the automotive front end module (FEM) market.
- Theautomotive front end module market was expected to register a significant growth.However,due to COVID-19, the market is expected to decline in the near future.
- Sales play a major role in the vehicle sector and industries are facing low demand due to the pandemic.This is anticipated to eventually decrease the sales of the top companies.
- Due to no demand forvehicles in the COVID-19 situation,most of the companies have halted their production.
- COVID-19 has caused supply and manufacturing disruptions, which resulted in creating uncertaintiessuch asrecession and low demand.
Top impacting factors: Market scenario analysis, trends, drivers, and impact analysis
Top impacting factors that are responsible for the growth of the automotive front-endmodule (FEM) market are increase indemand forvehicles and change in customer preferences in terms of safety measures.However, high cost and changes inprices of raw material hamper the growth of the market. Furthermore, digitalization and increase indisposable income of people providelucrative opportunitiesfor the automotive front-end module (FEM) market.
Increase indemand forvehicles
People find easy and saferway for mobility to complete their routine task,which increases the demand for mobility solutions, which,in turn, also increases the demand forvehicles.The automotive front-end module (FEM) market helps to reduce the weight of the vehicle by using lightweight products and also includessafety measures.Therefore, this propels the growth of the automotive front-end module (FEM) market.
Change incustomer preferences
Increase intechnological innovation with changes inpreference of customer helpsthe automotive front-endmodule (FEM) market to implementecofriendly green initiatives.This has increased the demand forlightweight vehicles, which hasincreased thedemand forautomotivefront endmodule.
Key segments covered:
Key benefits of the report:
- This study presents the analytical depiction of the automotive front-end module (FEM) market along with current trends and future estimations to determine the imminent investment pockets.
- The report presents information related to key drivers, restraints, and opportunities along with detailed analysis of the automotive front-end module (FEM) market share.
- The current market is analyzed from 2020 to 2027 to highlight the automotive front-end module (FEM) market growth scenario.
- Porter’s five forces analysis illustrates the potency of buyers & suppliers in the market.
- The report provides a detailed analysis based on competitive intensity and how the competition will take shape in coming years.
Questions answered in automotive front-end module (FEM) market research report:
- Which are the leading market players active in the market?
- What are the current trends that will influence the market in the next few years?
- What are the driving factors, restraints, and opportunities of the market?
- What are the projections for the future that would help in taking further strategic steps?
Automotive Front-End Module (FEM) Market Report Highlights
By Vehicle type
Key Market Players
Hyundai Mobis, Manga International Inc., Calsonic Kansei Corporation, Mahle GmbH, Denso Corp, ValeoS.A., SamvardhanaMothersonGroup, Faurecia, Plastic Omnium, HBPO Group


text:
Year : 2022 | Volume
| Issue : 1 | Page : 76-81
Airway management in patients with obesity
Bhavana Thota, Kathryn M Jan, Matthew W Oh, Tiffany S Moon
Department of Anesthesiology, University of Texas Southwestern, Dallas, TX, USA
Tiffany S Moon
Department of Anesthesiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, Texas - 75390
Source of Support: None, Conflict of Interest: None
|Date of Submission||17-May-2021|
|Date of Acceptance||31-May-2021|
|Date of Web Publication||04-Jan-2022|
Airway management in patients with obesity remains a complex and evolving topic that is becoming more pertinent given the increasing prevalence of obesity and bariatric surgery worldwide. Obesity is associated with increased morbidity and mortality secondary to anesthetic complications, especially related to airway management. Preoperative assessment is especially vital for the bariatric patient so that potential predictors for a difficult airway can be identified. There are several airway management strategies and techniques for the bariatric population that may help reduce postoperative pulmonary complications. This review aims to discuss assessment of the airway, ideal patient positioning, intubation techniques and devices, apneic oxygenation, optimal ventilation strategies, and extubation and post-anesthesia care.
Keywords: “Bariatric patients”, “difficult airway”, “intubation”.
|How to cite this article:|
Thota B, Jan KM, Oh MW, Moon TS. Airway management in patients with obesity. Saudi J Anaesth 2022;16:76-81
| Introduction|| |
From 2000 to 2018, the prevalence of obesity (defined as having a body mass index [BMI] ≥30 kg/m2) increased in the United States from 30.5% to 42.4%, and the prevalence of morbid obesity (defined as having a BMI ≥40 kg/m2) increased from 4.7% to 9.2%. Bariatric surgery has been indicated as a long-term treatment for morbid obesity or for patients with a BMI ≥35 kg/m2 and at least one serious obesity-related comorbidity. Therefore, patients with obesity are increasingly presenting for surgery and it is essential for anesthesiologists to understand the potential challenges and complications that may arise when caring for these individuals.,,
Increased adiposity in patients with obesity alters anatomy and physiology which complicates perioperative airway management. Patients with obesity often have decreased pulmonary compliance and functional residual capacity (FRC).,, The increase in central fat distribution also has a negative impact on respiratory function, which puts patients with obesity at particular risk for rapid oxygen desaturation following induction.,
Given the increasing prevalence of obesity worldwide and the unique set of challenges associated with airway management, anesthesiologists must be aware of the current best practices for the bariatric patient. This review aims to highlight these practices by examining the assessment of difficult airway, strategies for dealing with DI and difficult mask ventilation (DMV), use of apneic oxygenation during attempts to secure the airway, ideal ventilation strategies, and extubation and post-anesthesia recovery.
| Literature Review|| |
A literature review was conducted in January 2021 using the PubMed Search Engine and the search terms “bariatric” along with either “difficult intubation,” “difficult airway,” or “airway management.” Publications were filtered by a publication date within “10 years.” Any articles that were not in English were excluded. More articles were found beyond this initial search from key studies referenced within the articles. A total yield of 77 articles were included based on their relevancy to the subject matter and publication date.
Obesity is linked to an increased incidence of difficult airway, though various studies have conflicting outcomes on the degree to which obesity can be considered a risk factor for DI and DMV. The common definition of difficult airway is “the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with mask ventilation, difficulty with tracheal intubation, or both.”, Patients at risk for increased difficulty in airway management are thus at greater risk of perioperative complications and should be properly assessed for difficult airway during preoperative evaluation.
Predictors of difficult airway
Several studies find the primary risk factors for DMV to be a high Mallampati score (3-4), history of snoring/OSA, male gender, high BMI, and older age.,, Impossible mask ventilation (IMV), which has a low incidence of 0.16%, is not associated with obesity. The strongest risk factors for IMV are a history of neck radiation, male gender, history of OSA, and a high Mallampati score., Risk factors for DI are age >46 years, male gender, a high Mallampati score, thyromental distance <6 cm, and increased neck circumference.,
Difficult airway assessment scales
Several scales have been utilized to objectively define the degree of DI. The Cormack-Lehane system is commonly used to classify the degree of DI based on the laryngoscopic view. However, it only represents one aspect of the intubation process and can be subjective in nature.,,, The Intubation Difficult Scale (IDS) is the most comprehensive scale as it combines multiple parameters known to be associated with DI into a single number to give an estimate of intubation difficulty [Table 1]., Between the two, the IDS is more comprehensive and is a previously validated score that accounts for multiple predictors of DI.
Obesity and incidence of DI and DMV
While obesity has been found to be a risk factor for DMV, many studies report conflicting evidence for an increased risk of DI in patients with obesity.,, In a prospective controlled study, Lavi et al., found that patients with obesity tended to have higher IDS scores than non-obese patients. Another study conducted by Kaya et al., found an increased incidence of a high Mallampati score in patients with obesity compared to non-obese patients., This is likely due to the presence of more oropharyngeal tissue fat in patients with obesity, which makes it more difficult to view the airway. Since OSA is a common comorbidity of obesity, Toshniwal et al., studied the correlation between STOP-Bang scores and a difficult airway., In patients with obesity and undiagnosed OSA, those with higher STOP-Bang scores show a significantly higher risk for difficult airway than patients with lower STOP-Bang scores. While these studies indicate that obesity and obesity-related comorbidities influence the predictors of difficult airway (i.e. IDS score, Mallampati score, etc.), Moon et al., found in a large-scale prospective, observational cohort study that morbid obesity itself is not a significant independent predictor of DI even though it is a predictor for DMV. Outcomes from several other studies support this finding in that there is no statistically significant association between a higher BMI and increased incidence of DI.,, Airway characteristics such as abnormal thyromental distance, decreased jaw mobility, a high Mallampati score, and a history of DI are far more predictive of DI. This may be because patients' anatomical features widely vary even at the same BMI. Therefore, BMI alone may not be a good predictor for DI.,
Best predictors of difficult airway
Many studies indicate that the best predictor of DMV is an increased neck circumference.,, A study conducted by Leoni et al., specifically found that the risk for DMV increases in a linear fashion with an increase in neck circumference size., Vegesna et al., noted that increased neck circumference was not only one of the best predictors of DMV, but that it was one of the most statistically significant values in predicting DI. Combinations of several factors are often more predictive than their individual counterparts alone, and other studies suggest the best combination, more than individual risk factors or tests, to predict difficult airway are the Mallampati score and thyromental distance., A prospective observational study conducted by Hashim et al., further validated these findings and found a more comprehensive predictor of DI to be the ratio of neck circumference to thyromental distance as this value best indicates how fat is distributed around the neck.,, Using these statistically significant indictors of difficult airway to evaluate a patient with obesity's risk is an important step during preoperative evaluation so that these following strategies be utilized.
Strategies and techniques for intubation
The first step towards ensuring a successful intubation, especially in patients with obesity, is positioning the patient correctly. In patients without obesity, the 'sniffing position' in which the patient's head is extended and neck is flexed is advocated as the standard position to improve airway visualization in direct laryngoscopy (DL). However, many studies have found the 'ramped position' to be more appropriate for patients with obesity.,,,,, In the ramped position, the patient's head and shoulder are elevated to align with an imaginary line drawn from the external auditory meatus to the sternal notch. This is typically done utilizing specialized devices, ramps, or blankets. The ramped position has been found to improve oxygenation and laryngoscopic view during intubation by allowing for important anatomic alignment.,, In a direct comparison of the ramped and sniffing positions, patients in the ramped position had an improved Cormack-Lehane grade for laryngoscopic view compared to patients in the sniffing position.,,, Additionally, the ramped position is known to improve lung mechanics and minimize the negative effects of obesity on respiratory function and hemodynamics, ultimately assisting in oxygenation and maximizing the safe apnea time.,
Video laryngoscopy (VL)
While VL has been shown to be effective in cases of predicted difficult airway, there is no conclusive evidence to show that VL is better than DL in patients with obesity, although VL does provide a better view of the glottis.,,, VL is commonly thought to be more convenient than DL because it allows for intubation without the need to align the oral cavity, pharynx, and larynx axially., However, in a study comparing DL and VL, the group of patients intubated with VL had longer intubation times, although a better glottic image was obtained in this group. There was no difference found between the VL and DL groups in terms of intubation success or hemodynamic changes. Due to the improved glottic view when using VL compared to using DL, it is possible that primary use of VL may improve the probability of successful intubation on the first attempt and lead to a decreased risk of hypoxemia.
Therefore, VL may be a good choice for the initial intubation attempt if the patient is known or suspected to have an increased risk of DI., Preselecting special airway techniques such as VL or fiberoptic intubation (FOI) to use for the initial intubation attempt in patients with a predicted high risk of DI is associated with a lower incidence of DI than what is typically reported in patients with a BMI ≥35 kg/m2 or higher. In a prospective randomized study conducted by Castillo-Monzon et al., comparing the DL and VL, the VL yielded more frequent easy airway visualization in the morbidly obese as assessed by a modified Cormack-Lehane classification and needed fewer optimization maneuvers for tracheal intubation. Despite these slight advantages, no statistically significant difference in the duration or success of intubation was found between the use of either the VL or DL.
While VL was found to result in significantly faster tracheal intubation than fiberoptic intubation in patients undergoing bariatric surgery with predicted difficult airways, the FOI technique is well documented as being useful and important in cases of difficult airway., Other techniques for managing difficult airway in patients with obesity include the Infrared Red Intubation System (IRRIS) and single lumen tubes with incorporated cameras.,
Supraglottic airway devices (SGAs) are commonly used as rescue tool in cases of difficult and failed mask ventilation. In patients where SGAs were used to aid mask ventilation, Sinha et al., found that SGAs could provide more effective positive end-expiratory pressure (PEEP) and prolong the safe apnea time more. SGAs can also be used to facilitate endotracheal intubation as well with the use of an airway exchange catheter.
While there are many different techniques and methods available to assist in the process of intubation, apneic oxygenation is a method that can be used to increase the time between induction and the onset of hypoxia (the safe apnea time).,, The safe apnea time is inversely proportional to BMI and thus strategies to increase the safe apnea time can be useful in patients with obesity since physiological changes predispose them to rapid desaturation during induction.,,,, Apneic oxygen increases the safe apnea time by supplying oxygen to the alveoli even when the patient is not being ventilated due to a negative pressure differential in the alveoli created by decreased carbon dioxide return to the alveoli during apnea., One study found that oxygen insufflation at 15 L/min through a nasopharyngeal airway and standard nasal cannula significantly increases the safe apnea time in patients with obesity. However, in patients with morbid obesity, high-flow nasal insufflation of oxygen (120 L/min) was not found to increase the duration of safe apnea compared to standard nasal apneic oxygenation (10 L/min).
Once induction and intubation have been successfully completed, the next consideration for proper perioperative management of patients with obesity is optimal ventilation strategy. Protective mechanical ventilation with low tidal volumes, low driving pressure, and moderate PEEP has been shown to protect the lungs during surgery and has been associated with a reduced risk of postoperative pulmonary complications.,
Many studies on optimal ventilation strategies have focused on the use of recruitment maneuvers (RM) with PEEP compared to the use of PEEP alone.,,, These studies all found RM with PEEP to be more effective and beneficial to both oxygenation and pulmonary compliance.,,,, However, these benefits are not found to be sustainable as they did not persist after extubation into the postoperative period.,, The Protective Intraoperative Ventilation with Higher Versus Lower Levels of Positive End-Expiratory Pressure in Obese Patients (PROBESE) Trial is a multicenter, international, randomized controlled trial to evaluate and compare the postoperative effects of intraoperative high PEEP with RM and low PEEP without RM. There was no statistically significant difference found in postoperative outcomes between these two groups. Therefore, some advocate for RM only being used as a rescue method in the case of severe oxygen desaturation.,
Another concern for airway management in the bariatric patient is proper extubation. Just as for intubation, the patient should be placed in the ramped or 25° reverse Trendelenburg position for extubation. The patient should ideally be awake with adequate reversal of neuromuscular blockade. It is prudent to prepare for possible reintubation during extubation of difficult airway cases. To this end, airway exchange catheter-assisted extubation can provide continuous airway access should the patient need to be reintubated. Furthermore, potential obstruction after extubation can be alleviated using a lubricated and carefully inserted nasal trumpet prior to emergence.
Certain postoperative ventilation strategies can be used in patients with obesity to enhance postoperative recovery. Non-invasive pressure ventilation (NPPV) in the immediate postoperative period reduces the risk of respiratory complications and episodes of desaturation.,,, In patients with obesity and OSA, continuous positive airway pressure (CPAP) use in the postoperative period has been shown to reduce the risk of pulmonary complications, atelectasis, and reintubation.,, Using bilevel positive airway pressure (BiPAP) immediately after extubation may be beneficial for maintenance of lung volumes and lung capacity. A prospective, randomized, single-blinded study conducted by Alexandropoulou et al., found that in morbidly obese patients undergoing bariatric surgery, BiPAP at individualized pressures for 3 days postoperatively significantly reduced postoperative restrictive lung disease compared to the sham BiPAP control group. Between CPAP and BiPAP, it is not clear which is superior. Additionally, high-flow nasal cannula (HFNC) has advantages over noninvasive ventilation as it is more tolerable and easier to apply, so patients with obesity can be extubated directly to HFNC.,
| Conclusion|| |
The limitations of this review include the possibility that not all relevant recent publications were included due to the constraints of the literature search. Also, since the literature used was limited to those written in English (or those that had a form that was translated into English), the findings may be biased towards English-speaking countries.
The best practices in airway management of patients with obesity remains a prominent topic in bariatric anesthesia. These patients may be at increased risk for difficult airway and there are many different techniques at the anesthesiologist's disposal for properly identifying and managing this patient population.
There are many preoperative criteria and predictive scales the anesthesiologist can use to predict difficult airway, and special attention should be placed on assessing neck circumference, thyromental distance, and Mallampati scores. Currently, IDS is the most comprehensive scale for classifying DI. Optimizing patient positioning assists in improving pulmonary dynamics and the success of in the bariatric patient. There are a plethora of intubation techniques and devices in addition to DL that can further aid in securing the airway in the patient with obesity. Studies on optimal ventilation strategies have conflicting results. While some studies advocate for the use of PEEP alone, others note that RM and PEEP together are more effective. Likewise, some studies advocate for low to moderate PEEP while others suggest a higher PEEP in patients with obesity. In addition, extubation and post-anesthesia care recommendations suggest that there are many methods the anesthesiologist can use to successfully manage the postoperative care of patients with obesity.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity and severe obesity among adults: United States, 2017-2018. NCHS Data Brief 2020;(360):1-8.
de Raaff CAL, Gorter-Stam MAW, de Vries N, et al
. Perioperative management of obstructive sleep apnea in bariatric surgery: a consensus guideline. Surg Obes Relat Dis 2017;13:1095-109.
de Raaff CAL, de Vries N, van Wagensveld BA. Obstructive sleep apnea and bariatric surgical guidelines: summary and update. Curr Opin Anaesthesiol 2018;31:104-9.
Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric surgery worldwide 2013. Obes Surg 2015;25:1822-32.
Moon TS, Van de Putte P, De Baerdemaeker L, Schumann R. The obese patient: Facts, fables, and best practices. Anesth Analg 2021;132:53-64.
Pouwels S, Smeenk FW, Manschot L, Lascaris B, Nienhuijs S, Bouwman RA, et al
. Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice. Respir Med 2016;117:73-80.
Cavallone LF, Vannucci A. Review article: Extubation of the difficult airway and extubation failure. Anesth Analg 2013;116:368-83.
Langeron O, Birenbaum A, Le Sache F, Raux M. Airway management in obese patient. Minerva Anestesiol 2014;80:382-92.
Toshniwal G, McKelvey GM, Wang H. STOP-Bang and prediction of difficult airway in obese patients. J Clin Anesth 2014;26:360-7.
Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al
. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013;118:251-270.
Kheterpal S, Han R, Tremper KK, Shanks A, Tait AR, O'Reilly M, et al
. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006;105:885-91.
Moon TS, Fox PE, Somasundaram A, Minhajuddin A, Gonzales MX, Pak TJ, et al
. The influence of morbid obesity on difficult intubation and difficult mask ventilation. J Anesth 2019;33:96-102.
Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: A review of 50,000 anesthetics. Anesth 2009;110:891-7.
Lavi R, Segal D, Ziser A. Predicting difficult airways using the intubation difficulty scale: A study comparing obese and non-obese patients. J Clin Anesth 2009;21:264-7.
Heinrich S, Birkholz T, Irouschek A, Ackermann A, Schmidt J. Incidences and predictors of difficult laryngoscopy in adult patients undergoing general anesthesia: A single-center analysis of 102,305 cases. J Anesth 2013;27:815-21.
Yentis SM. Predicting difficult intubation--worthwhile exercise or pointless ritual? Anaesthesia 2002;57:105-9.
Krage R, van Rijn C, van Groeningen D, Loer SA, Schwarte LA, Schober P. Cormack-Lehane classification revisited. Br J Anaesth 2010;105:220-7.
Adnet F, Borron SW, Racine SX, et al. The intubation difficulty scale (IDS): Proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesth 1997;87:1290-7.
Kaya C, Bilgin S, Cebeci GC, Tomak L. Anaesthetic Management of Patients Undergoing Bariatric Surgery. J Coll Physicians Surg Pak. 2019;29(8):757-762.
Lundstrom LH, Moller AM, Rosenstock C, Astrup G, Wetterslev J. High body mass index is a weak predictor for difficult and failed tracheal intubation: a cohort study of 91,332 consecutive patients scheduled for direct laryngoscopy registered in the Danish Anesthesia Database. Anesth 2009;110:266-74.
Chung F, Subramanyam R, Liao P, Sasaki E, Shapiro C, Sun Y. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth 2012;108:768-75.
Sheff SR, May MC, Carlisle SE, Kallies KJ, Mathiason MA, Kothari SN. Predictors of a difficult intubation in the bariatric patient: Does preoperative body mass index matter? Surg Obes Relat Dis. 2013;9:344-9.
Raju Vegesna AR, Al-Anee KN, Bashah MMM, Faraj JH. Airway management in bariatric surgery patients, our experience in Qatar: A prospective observational cohort study. Qatar Med J 2020;2020:2.
Dohrn N, Sommer T, Bisgaard J, Ronholm E, Larsen JF. Difficult tracheal intubation in obese gastric bypass patients. Obes Surg. 2016;26:2640-7.
Leoni A, Arlati S, Ghisi D, Verwej M, Lugani D, Ghisi P, et al
. Difficult mask ventilation in obese patients: Analysis of predictive factors. Minerva Anestesiol 2014;80:149-57.
Sinha A, Jayaraman L, Punhani D. Predictors of difficult airway in the obese are closely related to safe apnea time! J Anaesthesiol Clin Pharmacol 2020;36:25-30.
Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg 2002;94:732-6; table of contents.
Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: A meta-analysis of bedside screening test performance. Anesth 2005;103:429-37.
Hashim MM, Ismail MA, Esmat AM, Adeel S. Difficult tracheal intubation in bariatric surgery patients, a myth or reality? Br J Anaesth 2016;116:557-8.
Kim WH, Ahn HJ, Lee CJ, Shin BS, Ko JS, Choi SJ, et al
. Neck circumference to thyromental distance ratio: A new predictor of difficult intubation in obese patients. Br J Anaesth 2011;106:743-8.
Gonzalez H, Minville V, Delanoue K, Mazerolles M, Concina D, Fourcade O. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg 2008;106:1132-6, table of contents.
Members of the Working P, Nightingale CE, Margarson MP, et al
. Peri-operative management of the obese surgical patient 2015: Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia 2015;70:859-76.
Lakhtaria P, Afthinos JN, Gibbs KE. The Bariatric Airway. Int Anesthesiol Clin. 2017;55:65-85.
Bazurro S, Ball L, Pelosi P. Perioperative management of obese patient. Curr Opin Crit Care 2018;24:560-567.
Collins JS, Lemmens HJ, Brodsky JB, Brock-Utne JG, Levitan RM. Laryngoscopy and morbid obesity: A comparison of the “sniff” and “ramped” positions. Obes Surg. 2004;14:1171-5.
Lebowitz PW, Shay H, Straker T, Rubin D, Bodner S. Shoulder and head elevation improves laryngoscopic view for tracheal intubation in nonobese as well as obese individuals. J Clin Anesth 2012;24:104-8.
King MR, Jagannathan N. Should videolaryngoscopy be the standard of care for routine tracheal intubation in obese adults? J Clin Anesth 2018;45:33-4.
Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015;115:827-48.
Cakir M, Ozyurt E. Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turk J Med Sci 2020;50:213-8.
Merli G. Videolaryngoscopy: Is it only a change of view? Minerva Anestesiol. 2010;76:569-571.
Godoroja DD, Copaescu CA, Agache MC, Biro P. Impact of retrograde transillumination while securing the airway in obese patients undergoing bariatric surgery. J Clin Monit Comput. 2020;34:1069-77.
Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev 2016;11:CD011136.
Ezri T, Waintrob R, Avelansky Y, Izakson A, Dayan K, Shimonov M. Pre-selection of primary intubation technique is associated with a low incidence of difficult intubation in patients with a BMI of 35 kg/m(2) or higher. Rom J Anaesth Intensive Care 2018;25:25-30.
Castillo-Monzon CG, Marroquin-Valz HA, Fernandez-Villacanas-Marin M, Moreno-Cascales M, Garcia-Rojo B, Candia-Arana CA. Comparison of the macintosh and airtraq laryngoscopes in morbidly obese patients: a randomized and prospective study. J Clin Anesth 2017;36:136-141.
Moore A, El-Bahrawy A, El-Mouallem E, Lattermann R, Hatzakorzian R, LiPishan W, et al
. Videolaryngoscopy or fibreoptic bronchoscopy for awake intubation of bariatric patients with predicted difficult airways - a randomised, controlled trial. Anaesthesia 2017;72:538-539.
Barak M, Assalia A, Mahajna A, Bishara B, Braginski A, Kluger Y. The use of VivaSight single lumen endotracheal tube in morbidly obese patients undergoing laparoscopic sleeve gastrectomy. BMC Anesthesiol 2014;14:31.
Sinha A, Jayaraman L, Punhani D. The supraglottic airway device as first line of management in anticipated difficult mask ventilation in the morbidly obese. J Anaesthesiol Clin Pharmacol 2019;35:540-5.
] [Full text]
Hamp T, Prager G, Baron-Stefaniak J, Muller J, Bichler C, Plochl W. Duration of safe apnea in patients with morbid obesity during passive oxygenation using high-flow nasal insufflation versus regular flow nasal insufflation, a randomized trial. Surg Obes Relat Dis 2021;17:347-55.
Baraka AS, Taha SK, Siddik-Sayyid SM, Kanazi GE, El-Khatib MF, Dagher CM, et al
. Supplementation of pre-oxygenation in morbidly obese patients using nasopharyngeal oxygen insufflation. Anaesthesia. 2007;62:769-73.
Moon TS, Tai K, Kim A, Gonzales MX, Lu R, Pak T, et al
. Apneic oxygenation during prolonged laryngoscopy in obese patients: A randomized, double-blinded, controlled trial of nasal cannula oxygen administration. Obes Surg. 2019;29:3992-9.
Braz LG, Braz DG, Cruz DS, Fernandes LA, Modolo NS, Braz JR. Mortality in anesthesia: A systematic review. Clinics (Sao Paulo). 2009;64:999-1006.
Kristensen MS. Airway management and morbid obesity. Eur J Anaesthesiol 2010;27:923-7.
Wong DT, Yee AJ, Leong SM, Chung F. The effectiveness of apneic oxygenation during tracheal intubation in various clinical settings: A narrative review. Can J Anaesth. 2017;64:416-27.
Costa Souza GM, Santos GM, Zimpel SA, Melnik T. Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta-analysis. BMC Anesthesiol. 2020;20(1):36.
Nestler C, Simon P, Petroff D, Hammermüller S, Kamrath D, Wolf S, et al
. Individualized positive end-expiratory pressure in obese patients during general anaesthesia: a randomized controlled clinical trial using electrical impedance tomography. Br J Anaesth. 2017;119:1194-205.
Aldenkortt M, Lysakowski C, Elia N, Brochard L, Tramer MR. Ventilation strategies in obese patients undergoing surgery: A quantitative systematic review and meta-analysis. Br J Anaesth. 2012;109:493-502.
Lindauer B, Steurer MP, Muller MK, Dullenkopf A. Anesthetic management of patients undergoing bariatric surgery: Two year experience in a single institution in Switzerland. BMC Anesthesiol. 2014;14:125.
Whalen FX, Gajic O, Thompson GB, Kendrick ML, Que FL, Williams BA, et al
. The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. Anesth Analg. 2006;102:298-305.
Squadrone V, Coha M, Cerutti E, Schellino MM, Biolino P, Occella P, et al
. Continuous positive airway pressure for treatment of postoperative hypoxemia: A randomized controlled trial. JAMA. 2005;293:589-595.
Bluth T, Teichmann R, Kiss T, Bobek I, Canet J, Cinnella G, et al
. Protective intraoperative ventilation with higher versus lower levels of positive end-expiratory pressure in obese patients (PROBESE): Study protocol for a randomized controlled trial. Trials 2017;18:202.
Ball L, Pelosi P. Positive end-expiratory pressure and recruitment maneuvers in obese patients: should we chase oxygenation? Minerva Anestesiol. 2018;84:429-431.
Tong S, Gower J, Morgan A, Gadbois K, Wisbach G. Noninvasive positive pressure ventilation in the immediate post-bariatric surgery care of patients with obstructive sleep apnea: A systematic review. Surg Obes Relat Dis. 2017;13:1227-33.
Zhu G, Huang Y, Wei D, Shi Y. Efficacy and safety of noninvasive ventilation in patients after cardiothoracic surgery: A PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2016;95:e4734.
Ireland CJ, Chapman TM, Mathew SF, Herbison GP, Zacharias M. Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane Database Syst Rev 2014;(8):CD008930.
Pazzianotto-Forti EM, Baltieri L, Brigatto P, Costa CMD, Rocha M, Rasera-Junior I. Bilevel positive airway pressure in two moments after bariatric surgery. Rev Assoc Med Bras (1992). 2019;65:1161-7.
Alexandropoulou AN, Louis K, Papakonstantinou A, Tzirogiannis K, Stamataki E, Roussos C, et al
. The influence of biphasic positive airway pressure vs. sham biphasic positive airway pressure on pulmonary function in morbidly obese patients after bariatric surgery. Anaesthesiol Intensive Ther 2019;51:88-95.
Stephan F, Berard L, Rezaiguia-Delclaux S, Amaru P, Bi POPSG. High-Flow Nasal Cannula Therapy Versus Intermittent Noninvasive Ventilation in Obese Subjects After Cardiothoracic Surgery. Respir Care. 2017;62:1193-202.

domain: medical


text:
20 Excellent Ideal CBD Gummies. Amount 16 is Absolutely Magnificent
But very most notably, medical weed is an effective procedure for queasiness and also throwing up brought on by chemotherapy or radiation. In fact, CBD can easily additionally avoid nausea and also vomiting.
If you are actually certainly not as yet an enthusiast, now is actually the time to deposit your views concerning cannabidiol as well as try it on your own. There are actually various spots where you can discover health care cannabis as well as using right stuff for health care objectives. No matter what you think of cannabidiol, it’s worth making an effort.
Recent best CBD gummies records signify that cancer cells individuals are at much higher risk for death after leaving their medical professionals. This is due to their stressed body immune systems. Cancer patients that take cannabidiol are actually less most likely to build cancer as well as are less very likely to experience side effects from chemotherapy.
While not everyone can easily acquire cannabis by themselves, lots of people have actually discovered comfort through taking CBD readily available nutritional supplements. Taking right stuff as prescribed is extremely efficient in assisting your body system deal with chemotherapy.
If you have an interest in removing your cancer for good, it is actually finest to locate the correct source of CBD, one that has all the energetic ingredients, as well as ensure to go through the tags. Through consuming a healthy diet plan, exercise, and doing other traits that promote your body immune system, you can easily aid prevent the cancer from building as well as get back to residing an usual life.
Cannabidiol doesn’t acquire you high, so it doesn’t harm judgment or even reaction opportunity. It stops queasiness and also throwing up and also enhances the premium of your life.
Does Cannabidiol (CBD) works as an anti-psychotic? If you’ve ever been actually detected with a mental disease like mental illness, bipolar illness, OCD, anxiety, or stress and anxiety, you know that this is the greatest question to ask your medical professional. Craziness is actually a major health condition and while this chemical in cannabis is certainly not classified as a psychostimulant, it can easily still be made use of to handle lots of mental illness featuring schizophrenia as well as various other anxiousness disorders.
Nonetheless, it is essential to keep in mind that while various health care professionals may have various opinions concerning the issue, nobody has written any kind of researches yet that mention this vegetation essence is 100% helpful. Instead, they’re comparing it to various other materials that have been actually analyzed for efficacy and also protection.
In 2020, the FDA disclosed that there was actually insufficient evidence to recommend that CBD is actually successful in addressing anxiety. Of training program, the side impacts as well as poisoning are likewise a significant worry.
Over the last, previous studies have actually suggested that most individuals think that this chemical is a good thing. Perhaps they feel that because many of the scientists analyzing this natural herb wish to look into various other choices to remedy mental disorders. Yet they’ve likewise found that a lot of all of them also think that it causes side effects.
Right here is actually a checklist of a number of the even more appealing as well as popular CBD negative effects. Know that these are actually commonly less severe and are going to fade in time. We have actually noted them listed here given that they’re surely worth noting.
Queasiness: Nausea isn’t uncommon. It typically happens straight after a dose of CBD. It generally cleans up on its own, but if you feel to meals, you may experience upset stomach, hassles, pyrosis ( heartburn ), or even vomiting.
Hunger Loss: Just like queasiness, cravings loss is extremely common along with cannabidiol. It appears to become caused by a “delighted” mood. This occurs with many foods items and also will normally go away on its own. The side effects are frequently the exact same, such as nausea, loss of electricity, and also challenge sleeping.
Drowsiness: Although this appears to become the best typical side effect, it’s actually not the most major. Drowsiness is triggered by THC, the psychoactive element of marijuana. It’s actually the adverse effects that is actually frequently mentioned through individuals that smoke weed. The side effects that come up from taking CBD neglect cannabis in all.
High levels of caffeine: Some medical professionals will see you that the coffee in CBD makes you believe much more sharp as well as energised. Others believe that it creates you tired. Unfortunately, even though CBD possesses little to no coffee, it still has several additional components that may socialize along with your medications and also create you unwanted adverse effects.
These side effects might feature: dry out oral cavity, indigestion, headache, drowsiness, looseness of the bowels, perplexity, insomnia, stress, anxiety, muscle mass tension, and frustration. If you see some of these signs, feel free to call your physician promptly.
When referring to using cannabis as medicine, the primary issue is actually that it has not been actually permitted due to the FDA to treat a number of psychological as well as nerve conditions, but somewhat, due to the fact that it is actually illegal, the majority of firms are merely producing it with using synthetic chemicals and also other artificial active ingredients. In the meantime, producers are actually marketing it as “organic plant based removes.” These chemicals are actually then absorbed right into your body with your skin, with the lungs, and also by means of the tummy.
As you can easily view, there are actually a lot of concerns along with man-made CBD being made use of to deal with health conditions that are actually handled with prescribed medications. And also because of this, medical care companies ought to take care regarding advising these products for patients, because they aren’t regulated or accepted by the FDA. government.
Does Cannabidiol (CBD) operates as an anti-psychotic? Listed below’s a list of some of the more appealing as well as typical CBD edge results. The side effects that occur coming from taking CBD have nothing to do along with weed at all.
Also though CBD has little to no high levels of caffeine, it still has many additional substances that might communicate along with your medicines and cause you undesirable side impacts.
As you can easily find, there are a variety of problems along with synthetic CBD being utilized to manage disorders that are currently managed with prescribed medications.


text:
Orla Hogan from Nenagh is on the Irish team that will compete in the European Transplant and Dialysis Games in Sardinia from June 17-24
Two Tipperary women will fly out to the 10th European Transplant and Dialysis Sports Championships in Sardinia this weekend to represent their country as part of the 24-strong Transplant Team Ireland.
Orla Hogan from Nenagh had a kidney transplant in 2008.
This will be her tenth time to compete in Transplant Games and this summer she will compete in the 40-49 year age category in the 5 kms Mini-Marathon; Swimming – 50m Breast Stroke; Swimming – 50m Freestyle; 10 Pin Bowling Singles and, in Track and Field, 3kms Power Walk.
Orla enjoyed great success at the European Transplant and Dialysis Sports Championships in Finland in 2016, when she won two Silver medals in the 50m Freestyle and 50m Breaststroke swimming events as well as a Bronze medal in the Ball Throw event.
She also took part in the British Transplant Games and although she did not attain a podium place she put in good performances in her events.
In recognition of her success and that of her fellow Tipperary teammate Ned Crowe, they each received an Annerville Special Achievement Award for 2016 from the Tipperary United Sports Panel.
Sheila Gregan (above), who is also from Nenagh, had a kidney transplant in 2006.
Another winner of an Annerville Tipperary Sports Award, she will be competing at Transplant Games for the seventh time this summer in the 40-49 year age category in the 5kms Mini-Marathon; Swimming - 50m Free Style; Swimming - 50m Breast stroke; Swimming - 400m Freestyle and in the 20kms Cycling Road Race.
The Games will be held in Cagliari, Sardinia from June 17-24.
Subscribe or register today to discover more from DonegalLive.ie
Buy the e-paper of the Donegal Democrat, Donegal People's Press, Donegal Post and Inish Times here for instant access to Donegal's premier news titles.
Keep up with the latest news from Donegal with our daily newsletter featuring the most important stories of the day delivered to your inbox every evening at 5pm.

domain: news


text:
Anytime Fitness is a 24-hour health and fitness club headquartered in Woodbury, Minnesota. The company operates over 4,000 franchised locations in 50 countries. The gym facilities are open 24 hours a day, 365 days out of the year. Chuck Runyon, Dave Mortensen, and Jeff Klinger founded Anytime Fitness in 2002. Runyon is the CEO of the company. According to Forbes, Anytime Fitness was the fastest growing health club franchise in 2014. In 2015, Entrepreneur Magazine ranked Anytime Fitness first on its global franchise list.
Established in 1996, this company operates from France is an expert market player in the fitness industry. They offer services to the education group and have a small team of members who are efficient providers of training and education. They also have tie ups with health clubs and more than 1000 clubs rely on them for the high quality equipment they offer. They believe in 100% customer satisfaction.
The day I walked into Planet Fitness I weighed 315 pounds. I was diagnosed with type 2 diabetes and I wanted to do something about it. Joining Planet Fitness may have saved my life. Since the first day I walked into Planet Fitness and started doing a workout program, I’ve lost 50lbs and have dropped several clothes sizes! I feel great. Everyone who sees me now tells me how good I look. All I can say to Planet Fitness is thank you for a great place to work out!
Not too bad for the price. I am a black card member and I enjoy the 30 minutes work out section because it allows me to go in and out of the gym without wasting time waiting on a machine.... however this location supposedly does not give out the free T-shirt and towel like it stated in my confirmation email when I first signed up.... so that's why I gave it a 4 star instead of 5...
Even during the sign up process, when she signed me up, there was No Hello, No smile, No eye contact, it was Basically a " sign this and yeah, go ahead"..... I didn't need a jump up for joy response but a "Hello" or "Welcome to the gym" would provide a sense of professionalism. I've seen maybe 1 or 2 members of the staff that greet their patrons, I'm sure there are some Good staff members but not from what I seen.
Working out can sometimes make you feel like losing a lot of drive to keep going on, the Planet Fitness store is aware of this, and that is why with the planet fitness best promo codes you can buy yourself the motivational Planet Fitness tees for him and her so that you can encourage one another to go on even on a day you feel so tired you think you can’t go on.

domain: health


text:
Intraday trade: Our Friday’s neutral intraday outlook has proved accurate. The S&P 500 index extended its short-term consolidation. The market may continue to fluctuate today. There have been no confirmed positive signals so far. On the other hand, the S&P 500 index remains above support level marked by last week’s Tuesday’s daily gap up of 2,430.58-2,433.67, and there is no clear short-term downtrend. Therefore, we prefer to be out of the market today, avoiding low risk/reward ratio trades.
Our intraday outlook remains neutral, and our short-term outlook is bearish, as we expect downward correction. Our medium-term outlook remains bearish:
Intraday outlook (next 24 hours): neutral
Short-term outlook (next 1-2 weeks): bearish
Medium-term outlook (next 1-3 months): bearish
The U.S. stock market indexes were mixed between -0.1% and +0.2% on Friday, extending their recent fluctuations, as investors reacted to economic data announcements, Jackson Hole Economic Policy Symposium speeches. The S&P 500 index remained within a relatively narrow trading range, as it traded along the level of 2,450. It is currently 1.9% below the August 8 all-time high of 2,490.87. The Dow Jones Industrial Average remains close to 21,800 mark, and the technology Nasdaq Composite trades 3.0% below its record high of 6,460.84. The nearest important level of resistance of the S&P 500 index remains at 2,450-2,455, marked by last week’s Tuesday’s local high. The next resistance level is at 2,465-2,475, marked by previous support level and local highs. The resistance level is also at 2,490-2,500, marked by the above-mentioned all-time high. On the other hand, support level is at 2.430-2,435, marked by Tuesday’s daily gap up of 2,430.58-2,433.67. The next support level remains at 2,400-2,420. The market retraced some of its recent downtrend on Tuesday, but then it failed to extend its short-term uptrend. There have been no confirmed positive signals so far. We still can see some negative technical divergences. But will they lead to medium-term downward correction? The S&P 500 index continues to trade within a medium-term consolidation following early June breakout above 2,400 mark, as we can see on the daily chart:
Expectations before the opening of today’s trading session are virtually flat, with index futures currently down 0.1% vs. their Friday’s closing prices. The European stock market indexes have lost 0.1-0.5% so far. Investors will now wait for the Wholesale Inventories number release at 8:30 a.m. The market expects that it grew 0.8% in July. The S&P 500 futures contract trades within an intraday uptrend following an overnight move down. The nearest important level of resistance is at around 2,445-2,450, marked by short-term local highs. The next resistance level is at around 2,455, marked by last Tuesday’s local highs. On the other hand, support level is at 2,430-2,435, marked by previous level of resistance and some local lows. Will the market continue its last week’s Tuesday’s rally?
Nasdaq Relatively Weaker
The technology Nasdaq 100 futures contract trades within an intraday uptrend, as it retraces an overnight move down. The nearest important level of resistance remains at 5,830-5,840, marked by some short-term local highs. The next level of resistance is at 5,850-5,870, among others. On the other hand, support level is at 5,800, marked by local lows. The market trades within a short-term consolidation following last week’s Tuesday’s rally, as the 15-minute chart shows:
Concluding, the S&P 500 index remained within short-term consolidation on Friday, following Tuesday’s rally. Is this a new uptrend or just more consolidation after November-August move up? There have been no confirmed short-term positive signals so far. We still can see some medium-term overbought conditions along with negative technical divergences.
If you enjoyed the above analysis and would like to receive free follow-ups, we encourage you to sign up for our daily newsletter – it’s free and if you don’t like it, you can unsubscribe with just 2 clicks. If you sign up today, you’ll also get 7 days of free access to our premium daily Gold & Silver Trading Alerts. Sign up today!.
Stock Trading Strategist
Stock Trading Alerts

domain: economics


text:
Symbios is a 100% non-toxic, and environmentally and ecologically safe supplement. It is a high performing product which contains natural proprietary materials.
Symbios is a Mycorrhizal soil Biotic which contains Ectomycorrhiza, Endomycorrhiza, several species of bacteria and two species of Trichoderma fungi which serve to enhance the plant development.
There are many benefits attributed to the presence of Symbios working with the roots of plants. Mycorrhiza fungi bridge between the soil and the roots of host plants and work in cooperation with other micro-organisms to produce many benefits:
Soil structure is modified by mycorrhiza fungi and fine root intrusion.
Fungal and root intrusion into the soil allows water and air into the soil. The increased biomass of fungi and roots can hold more water.
Nutrients such as nitrogen, phosphorus, zinc, and iron are streamed into host plants by the Mycorrhiza fungi in higher quantities than what the plants own roots are capable of taking up, resulting in a significant biological health growth response.
Mycorrhizal fungi collect nutrients from the soil and have a sustaining effect in supplying those nutrients to their host plants. That steady supply of nutrients encourage a peaking of the biological health growth response in plants.
The mycorrhiza fungi and other micro and macro-organisms which like to be in the presence of mycorrhiza, work to decompose organic matter to assist in significant plant growth.
Mycorrhiza fungi are also known to consume pollutants in the soils and thus minimize the negative effects of those pollutants upon host plants. The effects of saline soils or petroleum-derived pollutants have less effect on plants treated with Symbios Mycorrhiza.

domain: agronomy


text:
Step into a musical journey filled with mystery and nostalgia as we explore the iconic song “Twilight Zone” by Golden Earring. Released in the 1980s, this timeless track continues to captivate audiences with its enigmatic lyrics, powerful instrumentation, and the indelible mark it has left on the rock music landscape. Join us as we delve into the allure of “Twilight Zone” and its enduring impact.
- Timeless Melody and Riff:
- Description: “Twilight Zone” is characterized by its haunting melody and instantly recognizable guitar riff. The opening notes set the stage for a musical experience that transports listeners to a realm of mystery and intrigue.
- Signature Sound: The song’s distinctive sound, crafted by Golden Earring’s musicians, has become synonymous with the era and continues to resonate with fans worldwide.
- Enigmatic Lyrics:
- Description: The lyrics of “Twilight Zone” evoke a sense of enigma and surrealism, drawing inspiration from the mysterious and otherworldly themes often associated with the classic TV series, “The Twilight Zone.”
- Narrative Ambiguity: The song’s narrative ambiguity allows listeners to interpret its meaning in various ways, contributing to its enduring appeal and sparking discussions about its significance.
- Impactful Music Video:
- Description: The music video for “Twilight Zone” complements the song’s mystique, featuring captivating visual effects and atmospheric scenes. The video’s artistic direction enhances the overall experience, adding a visual dimension to the auditory journey.
- Visual Storytelling: The music video’s storytelling elements contribute to the song’s enduring popularity, creating a multimedia experience that resonates with fans.
- Cultural Influence:
- Description: “Twilight Zone” has become a cultural phenomenon, influencing not only music but also film, television, and popular culture. Its use in soundtracks and references in various media attest to the song’s lasting impact.
- Cross-Generational Appeal: The song’s cross-generational appeal speaks to its timeless quality, with new audiences discovering and appreciating it decades after its initial release.
- Live Performances:
- Description: Golden Earring’s live performances of “Twilight Zone” showcase the band’s ability to captivate audiences with their energetic and dynamic stage presence. The song remains a staple in their concert repertoire, eliciting enthusiastic responses from fans.
- Connection with Fans: The live renditions of “Twilight Zone” create a powerful connection between the band and its audience, fostering a shared experience that transcends time.
- Enduring Legacy:
- Description: More than four decades since its release, “Twilight Zone” continues to be celebrated as one of Golden Earring’s most iconic and enduring tracks. Its inclusion in rock anthologies and playlists ensures that its legacy lives on.
- Cultural Time Capsule: The song serves as a cultural time capsule, capturing the essence of the 1980s rock scene while maintaining a timeless quality that resonates with listeners of all ages.
“Twilight Zone” by Golden Earring stands as a testament to the power of music to transcend time and leave an indelible mark on the cultural landscape. With its mesmerizing melody, enigmatic lyrics, and impactful visuals, the song remains a cherished piece of rock music history, inviting listeners to immerse themselves in its timeless allure. As we revisit this musical gem, we are reminded of the enduring magic that “Twilight Zone” continues to bring to the hearts of music enthusiasts around the world.

domain: artistic


A project to replace gas mains in Crowthorne High Street will begin next month.
The £200,000 improvement project is due to begin on Monday, June 13, and will take 20 weeks to complete.
High Street will be closed in phases starting at the northern end. Diversion routes will be in place, with separate routes for local traffic, through traffic and HGVs.
Access for residents and businesses in the area will remain open as normal.
Southern Gas Networks needs to replace the gas main under the High Street by the end of March next year.
Local people got the chance to influence when the works took place to minimise disruption. Bracknell Forest Council set up a consultation between Southern Gas Networks, Crowthorne Parish Council and Wokingham Without Parish Council in an effort to make sure the work is carried out at a time which is least disruptive.
Carole Doran, member of Crowthorne Village Action Group (CVAG), attended the public meeting.
She said: “It’s one of those things which has to be done. They are consulting with the public to minimise the disruption.
“There is a number 01252 353 537, which residents can call if they have any questions.”


text:
Football is a game that is played all over the world it has become one of the most popular sports in the world to the point that they have football live streaming. Football supporters are devoted to their teams and will travel long distances to see them play. Football games may be viewed online from the comfort of your own home or a sports bar.
The main issue with watching football online is that numerous organizations provide this service, making it difficult to choose which one is best for you.
Hundreds of firms worldwide provide football live streaming web services. Depending on the type of package you wish to purchase, each provider provides different packages and rates. Some companies offer basic packages, while others offer premium bundles with additional games and channels.
The football match is on tonight! It’s going to be a great game. It’s between the Cowboys and the Giants. It will be played in Arlington, Texas. The game starts at 8:15 pm Eastern Standard Time. The Cowboys are a team from Dallas, Texas. They play in the National Football League and you can watch football live streaming. The Cowboys have won five Super Bowls and many other championships over their history as a team.
They have lots of great players on their roster this year to watch in football live streaming, including quarterback Dak Prescott and running back Ezekiel Elliott. Their head coach is Jason Garrett. The Giants are also an NFL team, but they play in New York City at MetLife Stadium.
The football match today is founded in 1925 and has won two Super Bowls: in 2008 against the New England Patriots and again in 2012 against the New York Jets (who are then known as the New York Titans). The Giants have a new head coach this year named Pat Shurmur, who coached at UCLA before joining them last season as offensive coordinator during their playoff run to Super Bowl LII where they lost to Philadelphia Eagles 41-33 after leading 24-7 at halftime!
Football Fans, It’s Time To Get Your Game On! In Live Streaming Sites
You’ve heard about the benefits when you watch live football streaming free —the excitement, the drama, and of course, the ability to catch every single game from around the world in one place. But how do you find out what games are on? How do you know which ones are worth watching? And how can you make sure you don’t miss any of them when there’s so much other stuff going on in your life?
The online got you covered Here are a few tips for getting started watching a football match today:
First off, sign up for an account online there’s no charge—it’s free! When you’re logged into your account, click on the Games tab at the top-right corner of your screen.
It will show a list of all active games being played right now in a football match today, along with their score and where they’re being played.
You can also use this menu to filter by sport (like baseball or basketball), or even by specific teams if there are any that interest you. Once you’ve found something interesting to watch, click on it and then hit play! You’ll be able to watch live football streaming for free while keeping track.
Live Football Is The Best Way To Watch Free Live Football Streaming
Live Football Streaming and know how to watch live football streaming free, with no signup or cable subscription required. There are some great ways to watch sports, but the best way to do it is by watching live football streams. That’s right, you can watch your favourite team play without paying a dime!
It’s easy too. All you need is an internet connection and a computer or tablet (or even your smartphone), and you’re good to go. No cable subscription is necessary! If you want to know how to get started, read on. They will show you where and how to find these streams in the football match on today so that you can start watching today!
Football is a sport that is played in every corner of the world. It is a game where two teams compete against each other by kicking the ball with their feet towards the goalpost of the opposing team. The winning team scores as many goals as possible within the time allotted for each match. There are several varieties of football such as soccer, American football, rugby football, etc.
The game of football has been around for centuries now and has evolved into something much more complex than just kicking a ball around and trying to score in the opponent’s goal. It has become a multi-million-dollar industry with millions of people watching it on TV or attending the football match live every week all over the world.
Keep Up With The Action In Live Football Match
It is also one of the most popular sports among young people because it requires physical fitness and mental stamina to play well at any level which makes it an activity that helps players stay healthy while having fun at what they do best! If you’re watching a football match live, they got your back! Here’s a quick guide to help you keep up with the action:
Who are these guys? You can tell by looking at their jerseys. If they’re wearing red, they’re the home team. If they’re wearing white, they’re the away team. The game starts with kickoff—that’s when the ball is kicked between two teams and the first points are scored (see below). The players will be running around on a field that looks like this.
They’ve got you covered here online in football match live, your one-stop shop for everything sports, from breaking news to live streams of your favourite games. Are you unfamiliar with football? Don’t be concerned! They’ll give you some context so you can keep up with all of the action at home or out on the town. There’s no reason not to participate in internet websites!
It’s football season, and are here to help you catch every kick this season! They know that you are busy, so they have made it easy for you to find the best place to watch the game. Whether you want to watch with friends or alone, they have got a place for you.

domain: sports


Product Code : 125
Our company develops supreme quality Industrial Storage Systems that are widely demanded in industries, offices, shopping malls, homes, warehouses, poultry farm, public libraries etc. Our storage systems are designed from the finest metals such as stainless steel, mild steel, aluminum, galvanized iron etc.
C-109, Vidyut Building, Plot No. 81, I.P. Extn, Near Patparganj Industrial Area, Delhi, Delhi, 110092, India


text:
The hit series in which celebrities perform choreographed dance routines that are judged by a panel of renowned ballroom experts
Futó sorozat 2005.06 - 2019.11 | 120 perc @ABC , US
Galéria Carrie Ann Inaba (Judge), Bruno Tonioli (Judge), Alan Dedicoat (Announcer), Len Goodman (Judge), Tom Bergeron (Host), Samantha Harris (Co-Host), Brooke Burke-Charvet (Co-Host), Erin Andrews (Co-Host), Julianne Hough (Judge) És a többiek Tyra Banks (Host), Derek Hough (Judge), Alfonso Ribeiro (Co-Host), Lisa Canning (Co-Host), Julianne Hough (Co-Host), Alfonso Ribeiro (Host)
The 13 remaining couples heat up the ballroom floor with all-new dances performed to music celebrating Latin heritage. The night will feature a fiery opening number to "DESPECHÁ" by ROSALÍA, choreographed by pros Daniella Karagach and Pasha Pashkov.


Funeral told Lynam was 'voice of Irish mountaineering' on world stage
“THERE IS much comfort in high hills and a great easing of the heart . . .”
The words of Geoffrey Winthrop Young were recalled at the funeral of mountaineer Joss Lynam (86) in Dublin yesterday, where tributes were paid to his enthusiasm, his inspiration and his legacy to adventure sports.
“The voice of Irish mountaineering on the international stage,” was how Ireland’s first Everest summiteer Dawson Stelfox described him, recalling how he had inspired and encouraged younger climbers.
Mr Lynam had also played a key role in recognising the rights and involvement of the “host” countries of Pakistan, India and Nepal in mountaineering, Mr Stelfox said.
Through his chairmanship of the Union Internationale des Associations d’Alpinisme (UIAA) expeditions commission, he had given these countries “space” after decades of being overlooked, he added.
Mr Lynam “hadn’t finished his life . . . but never would have”, his eldest daughter Ruth told the large gathering of family, friends and members of the adventure sport community at the Church of St Thérèse in Mount Merrion.
The London-born and Dublin-based civil engineer, who died last Sunday after a short illness, held a “great passion” for mountains which brought him to the Alps, Greenland and the Himalayas, the chief celebrant at the funeral Mass, Fr Andrew O’Sullivan, said.
He was a founder member of the Irish Mountaineering Club in 1948, he had met his wife Nora on a mountain, he said, and his legacy would last for generations to come.
He had also inspired others in demonstrating that one could “never be too old” for climbing or any other activity, Fr O’Sullivan said, referring to an article which Lynam had written for Irish Mountain Log.
He was editor of Irish Mountain Logfor 25 years and he published a number of guide books to hill-walking and climbing.
He also played a key voluntary role on State bodies and committees associated with outdoor education and access to the countryside.
Recalling his extensive interests, ranging from history and antiquities to cartography and archaeology, Ms Lynam said that the family had always hoped he would never cook at home – for his favourite recipe was “camp stew”, comprising fatty tinned beef and instant mash potato.
Mr Lynam’s leadership of the 1987 Irish mountaineering expedition to the Himalayan peak, Changtse, laid the foundation for the first and successful Irish attempt on Mount Everest in 1993.
That expedition’s deputy leader Frank Nugent paid his own tribute, when he recited the lines of Geoffrey Winthrop Young’s On High Hillsand he sang Ewan McColl’s The Joy of Living.
Chief mourners were Mr Lynam’s wife Nora, his daughters Clodagh and Ruth, his grandchildren Christopher, Ruairí and Conor and his extended family.
Among those in attendance were former Mountaineering Council of Ireland chair Mike Keyes, Mountaineering Ireland president Alan Tees and its chief officer Karl Boyle, and Robert Pettigrew, representing the British Mountaineering Council, the Himalayan Club and the UIAA.
Also there were Sports Council chief executive John Treacy, economist Dr TK Whitaker, Ursula MacPherson, director of Gartan Outdoor Education Centre, and climber Paddy O’Leary, who was involved with Mr Lynam in the development of the Association for Adventure Sports and the National Adventure Centre at Tiglin, Co Wicklow.
Mr Lynam was cremated at Mount Jerome.
His ashes will be scattered from the summit of the first mountain he climbed as a young boy – Knocknacarea, Co Sligo – on February 12th.


December 15th to January 15th, the darkest stretch of the year.
December 18th to January 3rd, this solar-powered network’s highest traffic volume period ever. The amount traffic passing through our access point on the Great Hill Fire Tower is four or five times more than this week last year.
It’s a sunny day with single digit temperatures and frequent 40 mph gusts of wind, for a wind chill of -35. We are hiking up the trail to the Great Hill Fire Tower to add a third solar panel to our array there. Declan and I have the 3 by 6 foot panel between us, and the wind keeps trying to carry it off into the woods. Declan is also carrying a gallon of gasoline for the generator, Gunnar a drill and tools to mount and connect the panel. It’s not the first time today I’m wondering if this is really a good idea in these conditions. The alternative would be to return tomorrow in the predicted freezing rain, and possibly a network outage overnight. We press on.
The wind keeps picking up as we approach the tower, to the point where we’re yelling at each other to be heard. We’ve been here every day this week to charge the batteries with the generator, and trouble shoot what we’d need to do to keep the network up through holidays. The weather’s been overcast more often than not, and traffic on the network is at unprecedented levels. None of our previous visits were like this though, and we make our way over the icy rocks with the panel very carefully. Declan takes the panel by himself at the foot of the tower stairs, as he did last summer with the other two. It only takes one gust to convince him that it will take two of us. We move up to the stairs to the platform pausing for every frozen blast of wind. We’re going to use the generator to power the drill, so Declan takes off his pack and prepares to start it. The wind blows the gallon of gas and Declan’s pack slowly across the deck. The whole time we’re up there we must hold on to everything not attached.
Between the generator and the nearly constant wind nobody can really hear much. There’s one hole already drilled in the panel frame, to match one already drilled in the angle iron of the tower. We slide the panel out through the tower’s frame work and the three of us get it into place on the outside of the tower. Declan and Gunnar hold it there, and I dig a nut and bolt out of my pocket for those pre-drilled holes. I have to take my gloves off to place the bolt and twist the nut. By the time I accomplish this I am watching my fingers do what I intend them to do, but I can’t really feel them. I put my gloves back on and grab the panel again to help hold it in place while Gunnar drills the other holes, through the frame of the tower and into the frame of the solar panel. Nuts and bolts are placed and twisted, and tightened down with a wrench.
While we’re doing this, I think of a comparison that Declan made earlier on the trail to the Apollo 13 crew – three men, in a small very cold place, with potentially life-threatening conditions and lots of talk and concern about amperage. Once the panel is bolted in place we pause to let our hands come back to life.
Gunnar’s hands worked the drill, and got so cold that he didn’t notice when the drill took a little skin. He’s bled on the platform, and leaves evidence all the way down the trail on the way out. Every hand was needed to get the panel in place so I couldn’t take any pictures while we did it. Gunnar and Declan huddle over the generator and rewire the charge controllers, yelling at each other from a few inches apart. I’m standing on the opposite corner of the platform with both of their packs between my legs and the now empty gas can in one hand, and my other arm wrapped around the center beam of the tower. I dig out the camera and try and take pictures, but it’s so cold that the camera barely works. I get one shot of the two them in front of the box with the top controller removed, and decide to return in better weather to get pictures of the panel in place and the blood on the wood.
Now there are three panels on the tower. Two face roughly southeast toward Tamworth Village, on the “front” of the tower. A third is now on the side of the tower that faces roughly southwest toward Cleveland Hill, and will be collecting photons from that direction in the winter months from about 1:30 in the afternoon until sunset, when the other panels get little or no sun at all. The days will just get longer now, and we are confident that we’ve covered our power needs with this new panel. As soon as everything is in place, we gather our belongings and clamber down off of the tower, hurrying into the relative calm of the woods. No one is warm. We talk about adding more batteries, and another box to house them and the generator.
Gunnar says, “Well that was one for the books!”
Down in the village and out in the woods from Ferncroft to Mountain road in South Tamworth, over Little Young and Red Hill to Sandwich, 93 households check their e-mail, Skype their friends and family, watch their Netflix movies and connect to each other and the rest of the planet. Up on Great Hill, the panels silently collect those photons in the howling wind, powering the whole show.
We walk down the trail awaiting the return of our extremities, fully confident in this moment that we could’ve landed that space capsule, but we’ll settle for Googles for all for now.


text:
See below about the anonymous state worker troll who may just work for the Office of Traffic Safety!
ORIGINAL POST, JUNE 12, 8:30 A.M.: About a dozen residents alerted drivers about the Santa Ana Police Department sobriety/license checkpoint off of Main and 17th streets on Friday night.
The checkpoint not only targets drunkies on the road, but also unlicensed (see: undocumented) drivers, whose cars can be towed away at the scene.
The action was helped in part by Cop Watch Santa Ana, a grassroots citizen group following police activity, whos members fliered in the neighborhood about the checkpoints, which they say target the Latino community.
It's not the first and likely not the last time Santa Ana residents helped out their compañeros on the road, but it nonetheless intrigued passersby.
Two women on bicycles confronted one of the residents, berating her for telling potential drunk drivers to avoid the checkpoint. One driver, who wanted to be identified as Christi, was compelled to park her car at the nearby Norm's to get out and thank the residents for their efforts.
She said she's a United States citizen but her husband, who was driving her mother-in-laws' car, is undocumented. They were driving in from Los Angeles to see family in Santa Ana with their three-year-old son.
“If it weren't for you guys, we would be out in the cold tonight without a way back home,” she told the group.
Drivers without licenses will have their cars are towed away at the checkpoints, unless a licensed driver picks it up within 20 minutes — a revised city policy thanks to the hard work of Orange County May Day Coalition activists last year.
A Santa Ana Police officer on the scene said the sign-waving was not illegal, as long as the residents aren't “creating a hazard.” He added that if a drunk driver avoiding the checkpoint kills one of their family members, they might be changing their tune.
Fair enough. But do the sobriety checkpoints actually live up to their intentions?
For two years in a row, the Santa Ana Police Department netted over 400 unlicensed drivers compared to a little over 100 DUI arrests through bi-monthly checkpoints.
In February, a statewide audit
concluded that checkpoints more often result in citations for unlicensed motorists or for those with suspended or revoked driver's licenses than for alcohol-related offenses.
So why are the checkpoints continuing under the guise of “sobriety” checkpoints? Revenue generation, of course!
The statewide impounding of unlicensed drivers' cars generated $40 million dollars in 2009
, which was divided up between cities and towing companies. Not to mention, police officers received $30 million in overtime. ¡Holy mole!
What a genius way to help out cash-strapped governments: punish and disenfranchise a marginalized group…and make cold hard dinero while you're at it.
UPDATE, JUNE 25, 8:30 A.M.: It appears anonymous comments made “offramp” (see below) were made from state of California server.
Could it be a certain public relations director from the Office of Traffic Safety? The same entity that pays for such checkpoints described in this post?
Oh no– it can't be. A real professional would not commit one of the biggest PR no-no's, and definitely would never publicly disparage a reporter!
Perhaps said state worker could have kept his identity completely secret had he not been lurking on my LinkedIn profile the same day he started his astroturf campaign on our infernal rag.
Anonymously trolling numerous media outlets on the taxpayer dime is not exactly the best outreach strategy, though regurgitating the office's PR spheels at every opportunity is one way to get your message across… without your name and entity attached of course! What's with the secrecy? What do you have to say for yourself, bud?

domain: politics


text:
Given current government guidelines I am not seeing clients in person. However, I am “seeing“ clients for long distance sessions on Wednesdays and Saturdays.
I’m scheduling one hour sessions for anyone experiencing COVID-19 issues
My fee is £25- if you can pay now great. If not pay later.
If you are suffering and don’t know if you can pay-no worries, please contact me anyway.
Sessions will be allocated on a first come, first served basis, not on ability to pay.
Private healing sessions can help when you are facing pain or uncertainty, as it can feel as if your life is on hold. So whether you are looking for relief from a particular ailment or simply to find a new meaning in your life, I will help you restore physical and emotional balance through energy healing.
The Human Energy Consciousness System – the ‘aura’ that every human being has – is best described as a bright, shining energy field that surrounds the physical body. Our psychological processes take place at this level. Any imbalances or distortions in the aura can eventually cause a problem in the physical body.
I work to heal these imbalances to allow you to heal yourself, by using one-to-one sessions and hands-on healing techniques. For some people just one session is enough to achieve health and well-being. For others, a series of sessions may be more beneficial. Each session lasts 60-90 minutes priced at £40 but please do not let money be a barrier. If you cannot afford the fee, please speak with me.
You will be held in a sphere of unconditional love and light. I look forward to working with you.

domain: psychology


text:
Book file PDF easily for everyone and every device.
You can download and read online Savage Summer (Curt Savage Mysteries Book 1) file PDF Book only if you are registered here.
And also you can download or read online all Book PDF file that related with Savage Summer (Curt Savage Mysteries Book 1) book.
Happy reading Savage Summer (Curt Savage Mysteries Book 1) Bookeveryone.
Download file Free Book PDF Savage Summer (Curt Savage Mysteries Book 1) at Complete PDF Library.
This Book have some digital formats such us :paperbook, ebook, kindle, epub, fb2 and another formats.
Here is The CompletePDF Book Library.
It's free to register here to get Book file PDF Savage Summer (Curt Savage Mysteries Book 1) Pocket Guide.
Savage Summer: A Curt Savage Mystery (Curt Savage Mysteries) (Volume 1) [Ruth Bainbridge] on penfbookwhewoun.ml *FREE* shipping on qualifying offers. “When.
Table of contents
Help your young child learn to read, and love to read, with our range of over free eBooks. At Global Grey, you'll find the world's great literature; a wealth of knowledge from old books. A total of 33 patients 11 males, 22 females with ICHOR diagnosed by clinical examination were included in the study. All connection problems should now finally be solved. A sizzling paranormal series from Kresley Cole. If you'd like to learn more about how to support your child's reading, visit our Reading and Phonics made easy pages. Martin, Dexter by. Read Free Romance Novels.
It's the open directory for free ebooks and download links, and the best place to read ebooks and search free download ebooks.
The road has been long and fraught with uncertainty, but for Caleb and Livvie,. Natasha did an amazing job on this story and did not disappoint. As the starving people weaken, Lief, Barda and Jasmine discover a terrible secret, that the Shadow Lord has left behind the seeds of death itself, destined to ruin Deltora. You are browsing our new YourBittorrent theme. Kidnapped as a young boy and sold into slavery by a power-hungry mobster, he has thought of nothing but vengeance.
I am an avid reader and I have only ever give 5 star reviews a handful of times. To the outside world, she is just a loner with an attitude. Seduced in the Dark The Dark Duet, 2 Book has a good rating based on 51, votes and 4, reviews, find other interesting books by "C. Paranormal romance is a sub-genre of the romance novel related to paranormal fiction.
Schwab Author V. Here together for the first time in a stunning eBook bundle are the fourth, fifth, and sixth novels. Welcome to our free eBooks collection, developed for children aged 3—11 years old. Now, I'm a man's property. Fierce warriors with a fanatical religious zeal, they blaze across the galaxy in the service of their Dark Gods. For those who are fanatical about reading the Dark-Hunter series in the the CORRECT reading order of publication from the first story that includes all the short stories, along with the novels.
The Dark Protectors. The immortal Carpathians must find their lifemate or become the vampires they are honor-bound to destroy. Thanks for the great list! My Amazon wishlist is overflowing and I need these dark reads in the middle of super lovey dovey sweet romance books:p Gotta balance it out! Dark Duet Series is still my favorite but now I have more to consider. This book impressively summarizes in simple words, for any curious mind, a history of physics up to its current and widest challenges.
Remember Me lasts for 2 weeks, or until you log out. That is until one corners him, kisses him and thanks him for waking her up.
Alex Grayson is the bestselling author of heart pounding, emotionally gripping contemporary romance including the Jaded Series, the Consumed Series, and two standalone novels. It is a young adult horror, vampire and romance series of novels written by L.
Dark Erotica A sub-genre of erotic fiction. Community Reviews. Read the first book on the sexy bestselling Chicago Underground series! If you love strong-and-silent-type heroes, this one's for you… I'm a cautionary tale. Online Free Ebooks. Her mother, Barbara Ward Morris , and stepfather, both vaudeville performers, discovered her freakish but undeniably lovely four-octave singing voice and immediately got her a singing career. I do not hand out 5 star reads often. In some cases, as with Chronicles of Narnia, disagreements about order necessitate the creation of more than one series.
Any reader interested in the foundations of physics will particularly enjoy the second part, where the author shakes some of the great theoretical temptations that may have plagued physics lately. Take a trip to the dark side with this twisted series… Criminals and Captives Series. The book introduces the series heroine, Cassandra "Cassie" Palmer, as well as several other series regulars.
They are unseen but ever-present. About Shadow Keeper.
This book had me hooked from the very first page and left me shouting WTF, WTF when I got to the cliffhanger, yep it has a cliffhanger!!. These dangerous books will leave you breathless…. Here we post 25 sites to download free EPUB ebooks.
Brux Barrels Savage Pre Fit
The Stormlight Archive is an ongoing epic fantasy novel series written by American author Brandon Sanderson. Epilogue The Dark Duet Book 3 and millions of other books are available for instant access. Enter the name of the series to add the book to it. Click the yellow "Download" button on the right to download the. Paranormal romance focuses on romance and includes elements beyond the range of scientific explanation, blending together themes from the genres of urban fantasy, traditional fantasy, science fiction, or horror.
Add these free eBooks to your shopping cart just like any other product!. The exciting, titillating, and action-filled conclusion to Captive in the Dark. Find and follow posts tagged ebooks on Tumblr. Most of the time I'm too busy working and struggling to care what people think.
Pepper currently has thirteen books published. Under the name V. The Slay series also takes place in the Fixed world. We are the Rulers of the Night. Gephart ePUB. The Lord of the Rings is a film series of three epic fantasy adventure films directed by Peter Jackson, based on the novel written by J. Posted on July 19, , GMT. Rowling, this novel explores how Harry Potter in his 6th year at Hogwarts is absolutely very near to face off with the Dark Lord. Rescatado de la esclvitud sexual por un misterioso oficial pakistani, Caleb carga con el peso de una deuda que debe ser pagada con sangre.
Also, it's enjoyable without reading any other books of mine at all. For a reading enthusiast, it's quite necessary to identify common ebook formats. Our souls were cast out so that we would not forewarn the Daimons we pursue.
The Chaos Series is a spin-off of the Dream Man Series, taking you on the journeys of the lives and loves of the brothers of the Chaos Motorcycle Club. Dark-Hunter: Night Pleasures.
A single teenage mother from the poor part of town. New Released, Best and Good books to read online for free. Need funds for upfront expenses: posters, paperback orders, t-shirts etc. I actually had to stop reading several times to gather my brain. Download for offline reading, highlight, bookmark or take notes while you read Free Me The Found Duet 1.
Beautiful Illusions Duet. A variety of treatment options exist, and a customised.
The Dark Ending
Human-angel hybrids of an ancient race walk among us. For related articles please refer to the category page. Some of these soon—to-be-released titles are so new that they. Read online, or download in secure ePub format One Ring to rule them all, One Ring to find them, One Ring to bring them all and in the darkness bind them In ancient times the Rings of Power were crafted by the Elven-smiths, and Sauron, the Dark Lord, forged the. Beautiful Ever After. Wolfe's extensive research, based on the evidence he discovered in the recently opened LADA files, makes The Black Dahlia Files the authoritative work on the murder that has drawn endless scrutiny but remained unsolved—until now.
Dahlia flowers provide their own dramatic form and color. We offer the finest selection of Santa Fe vacation rentals that are fully equipped, beautifully furnished, conveniently located, and full of amenities. The gruesome nature of the crime helped bolster its infamy. In , Steve made these allegations public in the book Black Dahlia Avenger. This tour package contained some of the hardest-hitting and hardest-sounding bands I have ever seen in my life.

domain: library


text:
WHAT IS THE COLON AND WHAT IS ITS FUNCTION?
To briefly summarize, the colon, or large intestine, is the last section of the digestive system where substances that have not been absorbed by the small intestine go.
In the first half of the colon a large amount of water is absorbed in the chyle to compact the stool and is then stored in the second half of the colon until it is evacuated.
Evacuation occurs through the peristaltic movement of the colon. However, it is important to know that for peristalsis to properly develop and be as effective as possible, must be avoided industrialized food and sedentary life must be avoided, as they directly affect its proper functioning.
Additionally, the colon can also have an abnormal anatomy that limits correct digestive health:
A megacolon, a dolicocolon or diverticula, is prone to the accumulation of organic matter at the intestinal level, producing various digestive disorders that will affect a person throughout their entire lifetime and will be more or less severe according to the person’s eating habits and intestinal hygiene.
Therefore, if the large intestine does not evacuate adequately in quantity and frequency, the colon will accumulate waste, thus altering the balance of the bacterial flora. This balance is of vital importance since the bacterial activity in the colon has many functions, such as the production of Vitamin K and vitamins of group B. In addition, it is responsible, together with the lungs and the kidneys, for maintaining a correct acid-balance and preventing the proliferation of pathogenic bacteria.

domain: biology


text:
Michael Krieger expects the most desperate and insane behavior from the US government: war. From Krieger at libertyblitzkrieg.com:
In the first two installments of this series, I discussed the potential for the U.S. federal government to make some spectacularly foolish moves against its own people in the realms of cannabis and Bitcoin. My basic assumption is that government tends to despise freedom, and that “leaders” of an empire in decline like the U.S. are particularly vulnerable to very bad decisions.
Government propagandists constantly instruct the public that they need to be fearful of their neighbors or some guy in a cave overseas (who they probably funded in the first place), when they themselves tend to be the most unethical, corrupt thieves of all. It’s a very clever scam.
If you want to ban Bitcoin because of money laundering, crime and violence, we should really ban government first.
— Michael Krieger (@LibertyBlitz) December 6, 2017
With that in mind, today’s post will zero in on what I consider to be the greatest threat to world peace going into 2018. While I remain unsure as to what the U.S. government may attempt when it comes to cannabis and Bitcoin, I’m far more concerned about the prospects of Donald Trump entangling this nation in an escalating and increasingly disastrous conflict in the Middle East. The signs are everywhere, and it’s all becoming very obvious. In fact, I’ve probably written more articles on this topic than any other in 2017.
Rather than rehash everything I’ve already said, below are links to my October series on the matter:
Confrontation with Iran has been the holy grail of neocons for decades, but it’s become increasingly likely under Trump, as I detailed above. Since I wrote those articles, the situation has only escalated and Trump has decided to attach himself even more clearly to the hip of crazed Saudi princeling Mohamed bin Salman (MBS) and Israel. It’s become obvious that Trump sees both Israel and Saudi Arabia as direct extensions of the U.S., and is quite willing to sacrifice his own country to protect their position. In prior posts, I spent most of my time focused on why I thought Trump would go in such a non-MAGA direction. Today’s post will focus on why I think it’ll be such a historical failure.
To continue reading: Expect Desperate and Insane Behavior From Government in 2018 – Part 3 (War)


- More details have been revealed about Florence Henderson's death - TMZ
- Jimmy Kimmel is hosting the Oscars! - Gossip Cop
- Camila Cabello looks unrecognizable in a blonde wig - Just Jared Jr
- Get all the behind-the-scenes details from the Victoria's Secret Fashion Show - Radar
- Mariah Carey had a busy weekend! - Lainey Gossip
- Lebron James won't stay at Trump Hotel - The Hollywood Reporter
Alessandra Ambrosio: Happy Early Mother's Day!
About Photo #2867922: Alessandra Ambrosio carries her adorable baby boy Noah into a doctor's office on Wednesday (May 8) in Santa Monica, Calif. The 32-year-old model took her one-year-old… Read More Here


text:
“The EU should help Ukraine set up a fund to incentivize government employees,” said Prime Minister Arseniy Yatsenyuk.
“We need help with rooting out corruption. For this we will have to set up a fund to incentivize prosecutors, judges, government employees and custom officers. These are the people who will actually be responsible for implementing reforms, so they will have to be immune from corruption,”said Yatsenyuk at the International Anticorruption Conference in Kiev.
According to Yatsenyuk, it is impossible to stamp out corruption in Ukraine if government employees get paid a monthly salary of USD 100.
In September, Groisman suggested increasing lawmakers’ monthly salary which, according to him, currently stands at UAH 5 thousand. He noted that paying law salaries to government employees ‘causes million or billion losses to the wellbeing of our country’.
Hayser Jemilev may be soon released
Nearly 60 future police officers killed in Pakistan
Explosion in Antalya: Some people injured
Children of Crimean Deportation photo exhibition in Istanbul
Ukraine and Turkey will jointly produce military equipment
German politicians came to occupied Crimea
Russia: Question of humanitarian pause in Syria is not relev
MFA calls Syrian AMB to account for statement on Crimea
Occupants are preparing "electrical noose" for Crimean
It became known, where Ukrainians go to work
Plane crashed in Malta
Iraq: Two journalists killed in a war zone
Crimea felt lack of qualified health professionals
Lviv hosts National Communities Forum
Darkness and queues on ferry await Crimea
Disabled ATO soldiers proved their strength
The 46 Film Festival Molodist opened in Kyiv
"My Ukraine" on canvas of artist
Largest entertainment park for children opened in Kyiv
Power outages began in Crimea
Defendant in "Hizb ut-Tahrir" case missed birth of daughter
Chubarov: Mogilev fled from Crimea, when we fought for it
IS Militants shot nearly 300 people in Mosul
Merkel predicts sanctions against RF for actions in Syria
ATO Headquarters: Militants used Grads in Luhansk direction


text:
In the second shark attack in two days along the southern coast of South Africa, 19 year old bodyboarder Caleb Swanepoel, suffered a complete amputation of his right leg above the knee and lacerations to his left leg from a shark bite at Buffels Bay.
This follows an attack on Dylan Reddering at Look Out beach in Plettenberg Bay just the day before the incident at Buffels Bay.
Caleb was rescued from the water by fellow surfers and treated on the beach before rescue services including the NSRI arrived on the scene.
With two shark encounters in two days along the Southern Cape Coast, on Friday in Plettenberg Bay and yesterday at Buffels Bay, NSRI are urging bathers and surfers to be cautious and to make an informed decision on whether or not to enter the water.
It has been advised not to enter the water in the area until Municipal authorities advise further.
The bite marks will be investigated by authorities in ongoing research with shark encounters of this nature and to determine the species of shark, although it is suspected that this was a Great White Shark.