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Taemin Oh, Justin K. Scheer, Robert Eastlack, Justin S. Smith, Virginie Lafage, Themistocles S. Protopsaltis, Eric Klineberg, Peter G. Passias, Vedat Deviren, Richard Hostin, Munish Gupta, Shay Bess, Frank Schwab, Christopher I. Shaffrey and Christopher P. Ames
Alignment changes in the cervical spine that occur following surgical correction for thoracic deformity remain poorly understood. The purpose of this study was to evaluate such changes in a cohort of adults with thoracic deformity treated surgically.
The authors conducted a multicenter retrospective analysis of consecutive patients with thoracic deformity. Inclusion criteria for this study were as follows: corrective osteotomy for thoracic deformity, upper-most instrumented vertebra (UIV) between T-1 and T-4, lower-most instrumented vertebra (LIV) at or above L-5 (LIV ≥ L-5) or at the ilium (LIV-ilium), and a minimum radiographic follow-up of 2 years. Sagittal radiographic parameters were assessed preoperatively as well as at 3 months and 2 years postoperatively, including the C-7 sagittal vertical axis (SVA), C2–7 cervical lordosis (CL), C2–7 SVA, T-1 slope (T1S), T1S minus CL (T1S-CL), T2–12 thoracic kyphosis (TK), apical TK, lumbar lordosis (LL), pelvic incidence (PI), PI-LL, pelvic tilt (PT), and sacral slope (SS).
Fifty-seven patients with a mean age of 49.1 ± 14.6 years met the study inclusion criteria. The preoperative prevalence of increased CL (CL > 15°) was 48.9%. Both 3-month and 2-year apical TK improved from baseline (p < 0.05, statistically significant). At the 2-year follow-up, only the C2–7 SVA increased significantly from baseline (p = 0.01), whereas LL decreased from baseline (p < 0.01). The prevalence of increased CL was 35.3% at 3 months and 47.8% at 2 years, which did not represent a significant change. Postoperative cervical alignment changes were not significantly different from preoperative values regardless of the LIV (LIV ≥ L-5 or LIV-ilium, p > 0.05 for both). In a subset of patients with a maximum TK ≥ 60° (35 patients) and 3-column osteotomy (38 patients), no significant postoperative cervical changes were seen.
Increased CL is common in adult spinal deformity patients with thoracic deformities and, unlike after lumbar corrective surgery, does not appear to normalize after thoracic corrective surgery. Cervical sagittal malalignment (C2–7 SVA) also increases postoperatively. Surgeons should be aware that spontaneous cervical alignment normalization might not occur following thoracic deformity correction.
Justin S. Smith, Ellen Shaffrey, Eric Klineberg, Christopher I. Shaffrey, Virginie Lafage, Frank J. Schwab, Themistocles Protopsaltis, Justin K. Scheer, Gregory M. Mundis Jr., Kai-Ming G. Fu, Munish C. Gupta, Richard Hostin, Vedat Deviren, Khaled Kebaish, Robert Hart, Douglas C. Burton, Breton Line, Shay Bess, Christopher P. Ames and The International Spine Study Group
Improved understanding of rod fracture (RF) following adult spinal deformity (ASD) surgery could prove valuable for surgical planning, patient counseling, and implant design. The objective of this study was to prospectively assess the rates of and risk factors for RF following surgery for ASD.
This was a prospective, multicenter, consecutive series. Inclusion criteria were ASD, age > 18 years, ≥5 levels posterior instrumented fusion, baseline full-length standing spine radiographs, and either development of RF or full-length standing spine radiographs obtained at least 1 year after surgery that demonstrated lack of RF. ASD was defined as presence of at least one of the following: coronal Cobb angle ≥20°, sagittal vertical axis (SVA) ≥5 cm, pelvic tilt (PT) ≥25°, and thoracic kyphosis ≥60°.
Of 287 patients who otherwise met inclusion criteria, 200 (70%) either demonstrated RF or had radiographic imaging obtained at a minimum of 1 year after surgery showing lack of RF. The patients' mean age was 54.8 ± 15.8 years; 81% were women; 10% were smokers; the mean body mass index (BMI) was 27.1 ± 6.5; the mean number of levels fused was 12.0 ± 3.8; and 50 patients (25%) had a pedicle subtraction osteotomy (PSO). The rod material was cobalt chromium (CC) in 53%, stainless steel (SS), in 26%, or titanium alloy (TA) in 21% of cases; the rod diameters were 5.5 mm (in 68% of cases), 6.0 mm (in 13%), or 6.35 mm (in 19%). RF occurred in 18 cases (9.0%) at a mean of 14.7 months (range 3–27 months); patients without RF had a mean follow-up of 19 months (range 12–24 months). Patients with RF were older (62.3 vs 54.1 years, p = 0.036), had greater BMI (30.6 vs 26.7, p = 0.019), had greater baseline sagittal malalignment (SVA 11.8 vs 5.0 cm, p = 0.001; PT 29.1° vs 21.9°, p = 0.016; and pelvic incidence [PI]–lumbar lordosis [LL] mismatch 29.6° vs 12.0°, p = 0.002), and had greater sagittal alignment correction following surgery (SVA reduction by 9.6 vs 2.8 cm, p < 0.001; and PI-LL mismatch reduction by 26.3° vs 10.9°, p = 0.003). RF occurred in 22.0% of patients with PSO (10 of the 11 fractures occurred adjacent to the PSO level), with rates ranging from 10.0% to 31.6% across centers. CC rods were used in 68% of PSO cases, including all with RF. Smoking, levels fused, and rod diameter did not differ significantly between patients with and without RF (p > 0.05). In cases including a PSO, the rate of RF was significantly higher with CC rods than with TA or SS rods (33% vs 0%, p = 0.010). On multivariate analysis, only PSO was associated with RF (p = 0.001, OR 5.76, 95% CI 2.01–15.8).
Rod fracture occurred in 9.0% of ASD patients and in 22.0% of PSO patients with a minimum of 1-year follow-up. With further follow-up these rates would likely be even higher. There was a substantial range in the rate of RF with PSO across centers, suggesting potential variations in technique that warrant future investigation. Due to higher rates of RF with PSO, alternative instrumentation strategies should be considered for these cases.
Justin S. Smith, Manish Singh, Eric Klineberg, Christopher I. Shaffrey, Virginie Lafage, Frank J. Schwab, Themistocles Protopsaltis, David Ibrahimi, Justin K. Scheer, Gregory Mundis Jr., Munish C. Gupta, Richard Hostin, Vedat Deviren, Khaled Kebaish, Robert Hart, Douglas C. Burton, Shay Bess and Christopher P. Ames
Increased sagittal vertical axis (SVA) correlates strongly with pain and disability for adults with spinal deformity. A subset of patients with sagittal spinopelvic malalignment (SSM) have flatback deformity (pelvic incidence–lumbar lordosis [PI-LL] mismatch > 10°) but remain sagittally compensated with normal SVA. Few data exist for SSM patients with flatback deformity and normal SVA. The authors' objective was to compare baseline disability and treatment outcomes for patients with compensated (SVA < 5 cm and PI-LL mismatch > 10°) and decompensated (SVA > 5 cm) SSM.
The study was a multicenter, prospective analysis of adults with spinal deformity who consecutively underwent surgical treatment for SSM. Inclusion criteria included age older than 18 years, presence of adult spinal deformity with SSM, plan for surgical treatment, and minimum 1-year follow-up data. Patients with SSM were divided into 2 groups: those with compensated SSM (SVA < 5 cm and PI-LL mismatch > 10°) and those with decompensated SSM (SVA ≥ 5 cm). Baseline and 1-year follow-up radiographic and health-related quality of life (HRQOL) outcomes included Oswestry Disability Index, Short Form–36 scores, and Scoliosis Research Society–22 scores. Percentages of patients achieving minimal clinically important difference (MCID) were also assessed.
A total of 125 patients (27 compensated and 98 decompensated) met inclusion criteria. Compared with patients in the compensated group, patients in the decompensated group were older (62.9 vs 55.1 years; p = 0.004) and had less scoliosis (43° vs 54°; p = 0.002), greater SVA (12.0 cm vs 1.7 cm; p < 0.001), greater PI-LL mismatch (26° vs 20°; p = 0.013), and poorer HRQOL scores (Oswestry Disability Index, Short Form-36 physical component score, Scoliosis Research Society-22 total; p ≤ 0.016). Although these baseline HRQOL differences between the groups reached statistical significance, only the mean difference in Short Form–36 physical component score reached threshold for MCID. Compared with baseline assessment, at 1 year after surgery improvement was noted for patients in both groups for mean SVA (compensated –1.1 cm, decompensated +4.8 cm; p ≤ 0.009), mean PI-LL mismatch (compensated 6°, decompensated 5°; p < 0.001), and all HRQOL measures assessed (p ≤ 0.005). No significant differences were found between the compensated and decompensated groups in the magnitude of HRQOL score improvement or in the percentages of patients achieving MCID for each of the outcome measures assessed.
Decompensated SSM patients with elevated SVA experience significant disability; however, the amount of disability in compensated SSM patients with flatback deformity caused by PI-LL mismatch but normal SVA is underappreciated. Surgical correction of SSM demonstrated similar radiographic and HRQOL score improvements for patients in both groups. Evaluation of SSM should extend beyond measuring SVA. Among patients with concordant pain and disability, PI-LL mismatch must be evaluated for SSM patients and can be considered a primary indication for surgery.
Kseniya Slobodyanyuk, Caroline E. Poorman, Justin S. Smith, Themistocles S. Protopsaltis, Richard Hostin, Shay Bess, Gregory M. Mundis Jr., Frank J. Schwab and Virginie Lafage
The goal of this study was to determine the outcome and risk factors in patients with adult spinal deformity (ASD) who elected to receive nonoperative care.
In this retrospective study the authors reviewed a nonoperative branch of the International Spine Study Group database, derived from 10 sites across the US. Specific inclusion criteria included nonoperative treatment for ASD and the availability of Scoliosis Research Society (SRS)-22 scores and radiographic data at baseline (BL) and at 1-year (1Y) follow-up. Health-related quality of life measures were assessed using the SRS-22 and radiographic data. Changes in SRS-22 scores were evaluated by domain and expressed in number of minimum clinically important differences (MCIDs) gained or lost; BL and 1Y scores were also compared with age- and sex-matched normative references.
One hundred eighty-nine patients (mean age 53 years, 86% female) met inclusion criteria. Pain was the domain with the largest offset for 43% of patients, followed by the Appearance (23%), Activity (18%), and Mental (15%) domains. On average, patients improved 0.3 MCID in Pain over 1Y, without changes in Activity or Appearance. Baseline scores significantly impacted 1Y outcomes, with up to 85% of patients in the mildest category of deformity being classified as < 1 MCID of normative reference at 1Y, versus 0% of patients with the most severe initial deformity. Baseline radiographic parameters did not correlate with outcome.
Patients who received nonoperative care are significantly more disabled than age- and sex-matched normative references. The likelihood for a patient to reach SRS scores similar to the normative reference at 1Y decreases with increased BL disability. Nonoperative treatment is a viable option for certain patients with ASD, and up to 24% of patients demonstrated significant improvement over 1Y with nonoperative care.
Juan S. Uribe, Armen R. Deukmedjian, Praveen V. Mummaneni, Kai-Ming G. Fu, Gregory M. Mundis Jr., David O. Okonkwo, Adam S. Kanter, Robert Eastlack, Michael Y. Wang, Neel Anand, Richard G. Fessler, Frank La Marca, Paul Park, Virginie Lafage, Vedat Deviren, Shay Bess and Christopher I. Shaffrey
It is hypothesized that minimally invasive surgical techniques lead to fewer complications than open surgery for adult spinal deformity (ASD). The goal of this study was to analyze matched patient cohorts in an attempt to isolate the impact of approach on adverse events.
Two multicenter databases queried for patients with ASD treated via surgery and at least 1 year of follow-up revealed 280 patients who had undergone minimally invasive surgery (MIS) or a hybrid procedure (HYB; n = 85) or open surgery (OPEN; n = 195). These patients were divided into 3 separate groups based on the approach performed and were propensity matched for age, preoperative sagittal vertebral axis (SVA), number of levels fused posteriorly, and lumbar coronal Cobb angle (CCA) in an attempt to neutralize these patient variables and to make conclusions based on approach only. Inclusion criteria for both databases were similar, and inclusion criteria specific to this study consisted of an age > 45 years, CCA > 20°, 3 or more levels of fusion, and minimum of 1 year of follow-up. Patients in the OPEN group with a thoracic CCA > 75° were excluded to further ensure a more homogeneous patient population.
In all, 60 matched patients were available for analysis (MIS = 20, HYB = 20, OPEN = 20). Blood loss was less in the MIS group than in the HYB and OPEN groups, but a significant difference was only found between the MIS and the OPEN group (669 vs 2322 ml, p = 0.001). The MIS and HYB groups had more fused interbody levels (4.5 and 4.1, respectively) than the OPEN group (1.6, p < 0.001). The OPEN group had less operative time than either the MIS or HYB group, but it was only statistically different from the HYB group (367 vs 665 minutes, p < 0.001). There was no significant difference in the duration of hospital stay among the groups. In patients with complete data, the overall complication rate was 45.5% (25 of 55). There was no significant difference in the total complication rate among the MIS, HYB, and OPEN groups (30%, 47%, and 63%, respectively; p = 0.147). No intraoperative complications were reported for the MIS group, 5.3% for the HYB group, and 25% for the OPEN group (p < 0.03). At least one postoperative complication occurred in 30%, 47%, and 50% (p = 0.40) of the MIS, HYB, and OPEN groups, respectively. One major complication occurred in 30%, 47%, and 63% (p = 0.147) of the MIS, HYB, and OPEN groups, respectively. All patients had significant improvement in both the Oswestry Disability Index (ODI) and visual analog scale scores after surgery (p < 0.001), although the MIS group did not have significant improvement in leg pain. The occurrence of complications had no impact on the ODI.
Results in this study suggest that the surgical approach may impact complications. The MIS group had significantly fewer intraoperative complications than did either the HYB or OPEN groups. If the goals of ASD surgery can be achieved, consideration should be given to less invasive techniques.
Justin K. Scheer, Virginie Lafage, Justin S. Smith, Vedat Deviren, Richard Hostin, Ian M. McCarthy, Gregory M. Mundis, Douglas C. Burton, Eric Klineberg, Munish C. Gupta, Khaled M. Kebaish, Christopher I. Shaffrey, Shay Bess, Frank Schwab, Christopher P. Ames and the International Spine Study Group (ISSG)
Spinal osteotomies for adult spinal deformity correction may include resection of all 3 spinal columns (pedicle subtraction osteotomy [PSO] and vertebral column resection [VCR]). The relationship between patient age and health-related quality of life (HRQOL) outcomes for patients undergoing major spinal deformity correction via PSO or VCR has not been well characterized. The goal of this study was to characterize that relationship.
This study was a retrospective review of 374 patients who had undergone a 3-column osteotomy (299 PSOs and 75 VCRs) and were part of a prospectively collected, multicenter adult spinal deformity database. The consecutively enrolled patients were drawn from 11 sites across the United States. Health-related QOL outcomes, according to the visual analog scale (VAS), Oswestry Disability Index (ODI), 36-Item Short-Form Health Survey (SF-36, physical component score [PCS] and mental component score), and Scoliosis Research Society-22 questionnaire (SRS), were evaluated preoperatively and 1 and 2 years postoperatively. Differences and correlations between patient age and HRQOL outcomes were investigated. Age groupings included young (age ≤ 45 years), middle aged (age 46–64 years), and elderly (age ≥ 65 years).
In patients who had undergone PSO, age significantly correlated (Spearman's correlation coefficient) with the 2-year ODI (ρ = 0.24, p = 0.0450), 2-year SRS function score (ρ = 0.30, p = 0.0123), and 2-year SRS total score (ρ = 0.30, p = 0.0133). Among all patients (PSO+VCR), the preoperative PCS and ODI in the young group were significantly higher and lower, respectively, than those in the elderly. Among the PSO patients, the elderly group had much greater improvement than the young group in the 1- and 2-year PCS, 2-year ODI, and 2-year SRS function and total scores. Among the VCR patients, the young age group had much greater improvement than the elderly in the 1-year SRS pain score, 1-year PCS, 2-year PCS, and 2-year ODI. There was no significant difference among all the age groups as regards the likelihood of reaching a minimum clinically important difference (MCID) within each of the HRQOL outcomes (p > 0.05 for all). Among the PSO patients, the elderly group was significantly more likely than the young to reach an MCID for the 1-year PCS (61% vs 21%, p = 0.0077) and the 2-year PCS (67% vs 17%, p = 0.0054), SRS pain score (57% vs 20%, p = 0.0457), and SRS function score (62% vs 20%, p = 0.0250). Among the VCR patients, the young group was significantly more likely than the elderly patients to reach an MCID for the 1-year (100% vs 20%, p = 0.0036) and 2-year (100% vs 0%, p = 0.0027) PCS scores and 1-year (60% vs 0%, p = 0.0173) and 2-year (70% vs 0%, p = 0.0433) SRS pain scores.
The PSO and VCR are not equivalent surgeries in terms of HRQOL outcomes and patient age. Among patients who underwent PSO, the elderly group started with more preoperative disability than the younger patients but had greater improvements in HRQOL outcomes and was more likely to reach an MCID at 1 and 2 years after treatment. Among those who underwent VCR, all had similar preoperative disabilities, but the younger patients had greater improvements in HRQOL outcomes and were more likely to reach an MCID at 1 and 2 years after treatment.


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Food & Drink Shops in Nottingham
Hotel Chocolat
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Hotel Chocolat is a British Owned concern dedicated to the production of great chocolate. The first store opened in 2004 and there are now over 20. Over 100,000 people are members of their tasting club. This is a company with a commendable trading ethic
Customer Services/chocolate Tasting Club 0871 716 2653
Other shops in Nottingham
StickyTiger Supplies (Crafts)
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thisisart (Art)
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HMV (High Street)
Blackwells (Books CDs and Games)
City Gallery (Art)
Marks & Spencer (High Street)
Tesco BASFORD EXPRESS (High Street)
Forbidden Planet (Books CDs and Games)
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par-t-on (Party/Entertainment/Events)
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Dumpster Prices Fort Thomas, AZ
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Upholstery Cleaning Services in Cathedral City, CA
Prescreened Professional Upholstery Cleaning Services in Cathedral City, CA
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"On time, professional and friendly, great price. My upholestry and area rugs look revitalized! "
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Areas of Expertise
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- marble polishing and all natural stone cleaning & Polised
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""On time, Professional and efficient""
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Areas of Expertise
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"Verry personable young men. Trusted them completely to leave in my house while I went to run errands."
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"Chris was very professional and friendly. I did not feel uncomfortable at all with him being a stranger in my house. He did a great job cleaning my couch. I am very happy how it turned out. The bad smell Is gone and it looks great. Thank you, Chris."
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A doodle of my character Cherry Blossom I cleaned up. Background is a vector courtesy of MLP Vector Collabs.
Edit: I don't have much of a story developed for her yet, but here's what I have so far:
She's worked on her family farm since she was old enough to, but wants to get away from it. Growing up she discovered she didn't feel comfortable in her male body and that she more associated with mares. Between not wanting to continue on the farm and being transgender, she has a poor relationship with her father and her mother tries to avoid the whole thing. She tries to appear as feminine as she can. She wears an anklet, as well as a necklace she got from her grandmother.


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It wasn't supposed to be this way: The 2017 tax cut and aggressive moves toward deregulation were supposed to pull the U.S. economy out of its glacial move higher.Economyread more
President Trump says Iran may not have intentionally downed an unmanned U.S. surveillance drone.Politicsread more
Slack pursued an unusual direct listing, meaning it did not have banks underwrite the offering.CNBC Disruptor 50read more
Slack's public market debut on Thursday will generate billions for venture firm Accel and healthy returns for Andreessen Horowitz and Social CapitalTechnologyread more
Oil jumped as much as 6% on Thursday after Iran shot down a U.S. military drone, prompting President Trump to blast Tehran on Twitter.Energy Commoditiesread more
The road to the Fed's policy pivot to lower interest rates began in early May, with a tweet from President Trump on trade.Market Insiderread more
CNBC analysis using Kensho found that Disney, Verizon and Home Depot were some of the best performing Dow stocks in declining-rate environments.Investingread more
If Facebook cut corners in something as basic as the branding of its nascent crypto efforts, this dispute could give ammunition to its many critics.Financeread more
Moore's entry into the 2020 race is worrisome for the GOP, which sees the race as its best chance to pick up a Senate seat next year.Politicsread more
Notorious "pharma bro" Martin Shkreli has reached a settlement with his former biopharmaceutical company Retrophin to resolve "all outstanding disputes" just week after he...Biotech and Pharmaceuticalsread more
Stocks rallied on Thursday as Wall Street cheered the possibility that the Federal Reserve will cut interest rates next month.US Marketsread more
Google CEO Sundar Pichai is scheduled to meet privately with members of Congress Friday after he and his boss, Google co-founder Larry Page, stood up lawmakers at a public hearing earlier this month.
The closed-door gathering is expected to include discussions about President Donald Trump's recent allegations that Google has been rigging the results of its influential search engine to suppress conservative viewpoints. Google has denied any political bias.
Other topics on the agenda are expected to include potential regulations governing consumer privacy, antitrust concerns and Google's potential expansion into China with a search engine providing censored results to comply with that country's Communist government.
Google and its corporate parent, Alphabet, may also be trying to mend some political fences after Pichai and Page snubbed Congress a few weeks ago.


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Garden Sheds Metal
This post about Garden Sheds Metal have 6 photos , they are Rowlinson Woodvale 6' X 5' Apex Metal Shed, Pent Roof Metal Storage Shed With 8X6ft , Zinc Steel Frame Metal Garden Shed, Rowlinson 6' X 4' Double Door Pent Metal Shed, Garden Sheds Metal Nice Design #4 Metal Sheds - Metal Garden Sheds, Garden Sheds Metal #5 Commander Shed. Steel Storage Shed, Nss Shed. Below are the images:
This article about Garden Sheds Metal was posted on October 4, 2018 at 8:07 am. It is posted in the Shed category. Garden Sheds Metal is labelled with Garden Sheds Metal, Garden, Sheds, Metal..
Gardengar•den (gär′dn),USA pronunciation n.
- a plot of ground, usually near a house, where flowers, shrubs, vegetables, fruits, or herbs are cultivated.
- a piece of ground or other space, commonly with ornamental plants, trees, etc., used as a park or other public recreation area: a public garden.
- a fertile and delightful spot or region.
- [Brit.]yard2 (def. 1).
- pertaining to, produced in, or suitable for cultivation or use in a garden: fresh garden vegetables; garden furniture.
- garden-variety.
- lead up or down the garden path, to deceive or mislead in an enticing way;
lead on;
delude: The voters had been led up the garden path too often to take a candidate's promises seriously.
- to lay out, cultivate, or tend a garden.
gar′den•a•ble, adj.
- to cultivate as a garden.
gar′den•less, adj.
gar′den•like′, adj.
Shedsshed1 (shed),USA pronunciation n.
shed′like′, adj.
- a slight or rude structure built for shelter, storage, etc.
- a large, strongly built structure, often open at the sides or end.
Metalmet•al (met′l),USA pronunciation n., v., -aled, -al•ing or (esp. Brit.) -alled, -al•ling.
- any of a class of elementary substances, as gold, silver, or copper, all of which are crystalline when solid and many of which are characterized by opacity, ductility, conductivity, and a unique luster when freshly fractured.
- such a substance in its pure state, as distinguished from alloys.
- an element yielding positively charged ions in aqueous solutions of its salts.
- an alloy or mixture composed wholly or partly of such substances, as brass.
- an object made of metal.
- formative material;
- mettle.
- See type metal.
- the state of being set in type.
- molten glass in the pot or melting tank.
- See road metal.
met′al•like′, adj.
- to furnish or cover with metal.
- [Brit.]to pave or surface (a road) with broken stone.
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17 May, 2019
VCRC Recruitment 2018 01 JRF Posts:
Organization Name: Vector Control Research Centre
Total No of Vacancies: 01
Job Location: Madurai
Latest VCRC Vacancy Details:
Name of the Post & No of Vacancies:
VCRC Invites Applications for the Following Posts
|SI No
|Name of Post
|No. of Post
|01 Post
Eligibility Criteria for VCRC Vacancy 2019:
Educational Qualification:
|PG degree in Life Science / Biochemistry / Biotechnology / MolecularBiology / Bioinformatics
Age Limit:
|Name of the Category
|Age Limit
|For Gen/ UR Candidates
|30 Years
The Upper age limit is relaxed by 5 years for SC/ST; 3 years for OBC, 10 Years for Persons with Disabilities (15 years for SC/ST PWD's & 13 years for OBC PWD's) and for Ex-S as per Govt. of India rules. Candidates Relaxation in Upper Age limit will be provided as per Govt. Rules. Go through VCRCofficial Notification 2019 for more reference
Salary Details:
|SI No
|Name of Post
|Pay scale
Selection Procedure for VCRC:
Selection Procedure:
VCRC may follow the following process to select the candidates.
How to apply for VCRC JRF Post:
Eligible Candidates advised to Download and read VCRC Job notification to get aware of recruitmentschedule and venue from official website www.vcrc.res.in. Candidate must reach advertised venue (Address & Walk in Date Mentioned in Official Notification) with all original document and Xerox copies, filled in application form (if required)
|Walk in Venue:
|ICMR-Vector Control Research Centre Field Station No. 4, Sarojini Street, Chinna Chokkikulam, Madurai – 625 002
Important Dates to Remember:
|Date of Walk in Interview
|31 May 2019 09:00 AM
VCRC JRF Official Notification & Application Link:
|VCRC Official Website Career Page
|VCRC Official Notification Doc
|VCRC Application Form Doc


text:
Find Fork River, MB Foreclosure Listings
Due to the fact that foreclosed properties in Fork River, Manitoba are considered a non-performing property by banks, they are always offered as quickly as possible, often at rates far below the market value (up to 50% below the market worth.) Thus you are almost ensured a profit when you sell it off later on at the present market evaluation.
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To start buying foreclosures, you require to have a fundamental understanding of how it works.
Types of Foreclosures in Fork River
There are generally 3 kinds of properties–.
Foreclosure Auctions Or Sale.
Bank Owned Foreclosures.
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Preforeclosures are houses that are scheduled to be foreclosed but have not completed the process yet. The procedure takes a while, however eventually, these houses will end up in foreclosuresearch.ca also.
In in Fork River, Manitoba foreclosure auctions, the mortgaged property is sold under the guidance of the court after the loan provider starts litigation versus the borrower in a court of law.
In the 2nd case, the home mortgage holder sells the home himself without including the court, making the process much quicker.
All foreclosed residential or commercial properties are noted with real estate agents much like any other properties. When the realtor gets a deal on the residential or commercial property, he passes the proposal to the lending institution's agents to consider.
Nevertheless, you need to bear in mind that every one of these homes is sold "as-is-where-is." So you need to go to your home and see its condition. There might be overdue taxes also.
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You can definitely work with a broker to do all your tough work for you, however that is going to cost you a quite cent and a large portion of the revenues.
They'll provide you a bunch of in Fork River listings, however as soon as you make a deal, they would anticipate a commission. Cash in return for information.
With foreclosureresearch.ca, you'll get all the contact information of the realtor from the website itself.
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Click Here to find foreclosures in your area or across Canada.
The Sheer Variety Of Options.
It has filters for the location, market worth, and discount rates. You need to get a home in a great location at an affordable cost to avail optimum profits. Simple, yet very effective.
It's available on mobile devices too, so your ease of access is never going to be a concern. In my opinion, it might have been better if they had a couple of more search filters.
You get complete access to the substantial listings of home sales, auctions, government-owned homes, bank-owned homes and more. Their MLS (multiple listing services) likewise has details of individuals who are in the procedure of foreclosing, however they do not wish to make it public. They're desperate for a good offer and fast out from their mortgages. These are where you normally find the very best of deals.
It's worth noting, that foreclosureresearch.ca doesn't purchase you these homes, they merely get you in touch with the real estate agent. After that, it's your task to work out and bring the rate down.
This is where the website likewise offers a huge bonanza of information on how to make the very best deals. They have a substantial number of blog articles and guides, teaching you exactly what it takes to get into the realty organisation. These guides are written by industry experts and tell you exactly what to look for in a residential or commercial property and how to choose the one that best fits your requirements or yields optimum revenue.
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Get started today by clicking here.
My Experience with Foreclosures in Fork River
I wasn't new to the company of genuine estate. Numerous of my friends likewise have brought a residential or commercial property and rented them out. It attends to a steady source of earnings besides my routine job.
I'm closing in on 40 and I wanted to establish a fund for my other half and kids, so that they do not have any financial issues after my retirement or in case, something (god forbid) occurs to me.
So, after reading up a lot on real investment books and blog sites, investing in foreclosed homes really captured my attention.
My google searches took me foreclosureresearch.ca. Among the most popular foreclosure listing websites out there, I was impressed by the site's simpleness and ease-of-use. Another friend of mine got a particularly bargain on a home in Edmonton. He then offered it off at $75,000 dollar revenue which is why I got into it also. Both of us being residents of Edmonton, I invested a few of my savings and bought a townhouse in Clareview for $200,000.
I was actually tensed in the beginning, but then I discovered myself a purchaser simply like the realtor and the site had actually assured. I don't want to enter into how much I sold it for, however are sufficient to state, it was a quite good offer. Pretty quickly, I'm going to purchase another in Fork River, Manitoba house and sell it off once again!Foreclosure Listings in Forrest
Summing It Up
Simply put, I have had a great experience with foreclosureresearch.ca, and I'm not the only one. Simply head on over to their website to see the substantial list of testimonials. It's simple, effective and does what it's indicated to do, without any catches whatsoever.Foreclosure Listings in Granite Village
Foreclosure Listings in Grantville
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The first webinar from the European CCUS Projects Network is aimed at new and potential project members but will also be of interest to other groups, including funders, policymakers, and technology experts. Speakers will provide an introduction to the Network's aims and ambitions, describe its value and benefits to potential members, and provide details on how to join. There will also be a live Q&A and information about the Network's communications activities. Learn more and register.
May 21, 2019


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Stewarts Point, CA
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Best Events Near You in Stewarts Point, California
Independence Weekend Celebration - Street Fair And Fireworks Extravaganza
Saturday, Jul 6, 2019 at 4:00pm
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2948 Piner Road
Santa Rosa, CA
The Battaglini Estate Winery is a family owned and operated winery - located in the heart of one of California's fertile wine producing regions. Ou...
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Benovia Winery
3339 Hartman Road
Santa Rosa, CA
Open Year RoundWe create small lot, superbly balanced, artisan wines. With our full production winery in the Russian River Valley, estate vineyards...
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18100 Fitzpatrick Lane
Occidental, CA
The Cobb Wines Story · Ross Cobb · David Cobb About Cobb Wines In 2001, two generations of the Cobb family came together to explore a shared pass...
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Calstar Cellars
2420 West Avenue
Santa Rosa, CA
Calstar Cellars began in 2001 with the goal of producing exclusive, hand-crafted wines with a food-friendly focus. In order to achieve this goal,...
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Pool of all Technical Discussions and its solutions.
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Free forum : The Apothecary creates new weapons using human subjects. Their new virus has been lost inside a girl protected by their own android creation.
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Free forum : The site for the Dark Virus clan. Free forum : Dark Virus
Site based on Resident Evil
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"VIRUS could be small but who knows? we could be DEADLY"
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A deadly virus sweeps across the world of Pokémon, leaving chaos in its' wake.
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Temporary forums for B0sh's RPG
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FallOutWargasm is a site about several different items. its most recognized by its Zombies, aliens, and virus related topics. We have several thing you can do here. We also have some games you can play :D So feel free to check us out.
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The human race died out, a virus killed most of the wolves prey as only 3 pack stood strong. Prey is low tension is high and a huge battle is brewing, who will live?
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Counter strike virus activated
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Free forum : A massive deadly virus sweaped over earth living only one percent of the population intact. Can the remaining survivors rebuild?
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Waiting out the virus
Years after the release of the Virus, Mars became the home of the humans. Now the mission is to reclaim Earth. Is it possible?
Rebiv is a virus to the Project Reality community. He treats anyone who enters his server, and clan as pure trash. Respect is non-existent, and he rules his server as he pleases. His admins have a lack of integrity, and although have been warned by t
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A New Twist for Community Website! No more Same Old Way! Try the FRENZY Way!
We put software on your desktop. www. mysoftware. co. nr
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Graphics, Avatars and Logos
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Take your place inside the family....use your powers for good or evil..fight before the virus destroys everything...
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Free forum : Alliance forum. Free forum : Viru$-t forum
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A place to get help for hardware, software, printer, drivers, networking, file sharing, virus remove, and more areas where you can get computer technical support. It's all free!
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- Rae Sremmurd feat. Juicy J 'Powerglide'
- Remy Ma & Safaree Sued For Breach Of Concert Contract
- Wendy Williams & Charlamagne's Bond Ended Over Husband's Mistress
- Adidas Nite Jogger "Jet Set" Pack Official Images And Release Info
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Tekashi 6ix9ine's "Current W Standings" Include Himself, Pusha T, Lil Uzi Vert, & More
For the last six months, Tekashi 6ix9ine has prided himself on taking absolutely zero L's. While the number losses in his win-loss column definitely does not outweigh the W's, 6ix9ine…
YG Says EA Sports CEO Personally Apologized Via Phone
TMZ caught up YG in the wake of his STAY DANGEROUS album and the ensuing drama with his "Big Bank" being edited without his consent. YG told the reporter he even…
Amber Rose's $150K Wiz Khalifa Engagement Ring Goes Missing
Los Angeles, CA – Amber Rose's pricey engagement ring from her ex-husband Wiz Khalifa has gone missing and now the Hip Hop model and Slut Walk creator has recruited the…


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Signing up with Google AdSense will enable you to make money from advertising on your blog. Google AdSense will place relevant ads around your site, and if your site visitors click on these ads, you will earn a fee. Although each click only amounts to small change, if your blog has high levels of traffic and lots of page views this will quickly amount to a reasonable sum.
Consider selling in lots. A lot is a collection of similar items that is sold in a group. For example, if you have a collection of books, magazines or similar pieces of jewelry, consider selling them all at once in a lot. You many not make as much money as you would have if you sold each item separately. However, the items will likely sell more quickly in a lot than they would individually.[29]
Very true great article wanted to ask you if I could reach out to you through email about a great way to save money and make money off bills you already pay I am trying to network and help people out and reach out to people who are like minded so I don't waste any time for anyone look forward to hearing from you. You can reach me at firstname.lastname@example.com and we can speak further thanks again.
Start a bed and breakfast. If you live in a popular resort area or own a historic property, a B&B might be the perfect side hustle. Not only can you work at home with this career, but you'll also score some tax write-offs in the process — although most innkeepers caution that the profession requires a lot of hard work and is more of an attractive lifestyle than a money-making pursuit.
Learn then selling guidelines. Each marketplace has guidelines that define what you can and cannot sell. State and federal laws also impact what items are prohibited. In general, you cannot sell alcohol, weapons, service contracts, animals or event tickets. Also, while not always prohibited, you may find restrictions on how you can sell items in some categories, such as art, gift cards and coupons.[27] eBay, Craigslist and Amazon publish these guidelines on their websites.
Open an Etsy store. If you have a creative talent or skill – whether it's creating art, sewing clothes, or making keepsakes – you can open an online store on Etsy.com and sell your wares for some quick cash. With your own Etsy store, you're left in charge of pricing and, ultimately, how much you make. See our detailed primer, "How to Make Money on Etsy."
A lifestyle blogger writes about their everyday life, hobbies, and interests. From fashion, beauty tips, and male grooming, to food, restaurants, and travel, anything that you experience can be blogged about. And famous lifestyle bloggers can make big bucks. Once you have built up a following, there are many ways to make a profit. Add affiliate links to your website, promote sponsored services, create your own product range, and much more.
I agree! "Get Rich Quick" schemes have always been popular, they just moved online. The hope of a passive income and never having to work again is very appealing to many people. I have been researching and trying out, "making money online" for the past several years and I have also come to the same conclusion you mentioned. Working online or starting an online business IS NOT EASY!!!!
You can also market your ebook on your own website or blog, particularly if the site gets good traffic. Still another method is affiliate marketing. You can offer to pay sites related to your ebook a percentage of the sale price – say, anywhere between 20% and 50% – for them to post an ad or linked article for your book on their site. This could enable you to market your ebook on multiple platforms for greater market exposure.
Webinars are quite possibly one of the most potent ways you can make an exorbitant amount of money online. Russell Brunson often says that if you do a webinar every single week for a year, you'll be a millionaire at the end of it. You'll need an audience to train and you'll need to know what you're talking about. Of course, this usually requires having a website and some semblance of an online presence.
Then once you've got your domain name and hosting sorted out, it's time to pick a CMS, or Content Management System, that will let you update pages, build your blog and integrate with all the other services you need. It's hard to go wrong with WordPress—the CMS powering close to a quarter of the internet. Keep in mind that eventually as you start growing traffic to your blog, you'll be wise to invest in a managed WordPress hosting plan from a company with great service like Kinsta, where all of the settings are custom-tailored and optimized to work particularly well with WordPress-powered websites.
Etsy: While Etsy's popularity has declined recently, it's still a great resource for selling handmade items online. No need for complex ecommerce sites or merchant accounts or any sort of automation. The company takes a commission of every sale and charges a small listing fee per item. But many still use Etsy as their primary source of income. The best part is that you can also sell digital products on here such as poster designs.
It's something akin to picking stocks. You want to buy undervalued domains, and sell them later on at a higher price. For example, you can pick a domain that is out of favor, but could be related to some future event. So if you decide that the stock market is likely to crash in the future, you can buy a domain that includes the words stock market crash during a rising market, and then sell it in a falling market.
Similar to a YouTube vlogger, if you have a large following on Instagram then you could become an Instagram Influencer. You will be paid to promote products in your photos, from wearing certain clothes to action shots of you using particular merchandise. As your Instagram following grows, you may start out simply receiving freebies in return for a picture of you with the item in the shot. However, for those with followings running into millions, you can expect large payments to display products in your pictures. Use sites like Hype Factory to help connect you with companies prepared to pay for your influence.
Medium is an online community where anyone can post articles and essays and get them in front of their audience of millions of monthly readers. While it can be a great place to build your audience for your own blog or find customers for your consulting business, with Medium's new Partner Program, you can now make money online whenever someone reads your articles. Register for free and you can choose whether your articles are freely available or only readable by those people paying $5/month for a premium Medium membership. You'll make money based on the amount of people who read and engage with your posts each month.
Rewards site are fun to use and can be a great way to earn extra cash. Most of the let you earn money in a variety of ways, including searching the web, watching videos, answering surveys, playing games, printing coupons, short tasks, and more. Some pay in straight cash while others will pay you in points you can redeem for Amazon gift codes. There are lots of great rewards sites, but the five I've listed below are the oldest and most reputable, having been around and paying people for ten years or more:
Mechanical Turk is Amazon's take on micro-jobs. These are small miniscule-jobs that you can do for other people, which they call HITs, or Human Intelligence Tasks. These are super simple tasks that anyone can do. Some examples are listing off some URLs with certain kinds of images for one cent, or recording a few phrases with a microphone for 6 cents.
There are loads of resources for making money online as an affiliate. You could source products from ClickBank, Commission Junction, Rakuten Marketing, Share-a-Sale, Impact Radius and many others. Plus, many of the larger companies have their own affiliate programs as well. Do your due diligence and find the right company with a relevant product or service to your audience that you can sell as an affiliate.
Ebay is a bellwether. It's been around since nearly the start of the online boom. But, like any other platform, success can seem fleeting if you don't know what you're doing. Selling items on eBay, professionally that is, can be an art form. Getting people interested in your auctions isn't always easy, especially when there's hefty competition and low demand for what you're selling.
Writing an eBook and selling it on your blog can be a great money maker. Your eBook should be directly relevant to your blog's content so you can sell your book to your existing audience. Creating a recipe eBook for a food blog or an eBook full of training plans to complement your fitness site are just a couple of examples that have the potential to sell.
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21. Facebook – Facebook swap shops are great for selling things locally. It's like CraigsList, but a little easier. You simply search for swap shops in your area and ask to join the group. Once you're in, take a picture of the item, write a quick description with the price and post it. It doesn't get much easier than that. You can generally expect to get about what you would get at a yard sale, maybe a little more.
If you like expressing your opinions and you would like to make an income from home, then trying surveys are definitely a good solution for you. Some survey panels only offer you a survey per week and you may be answering questionnaires here and there over the course of a number of months before you get paid. That is why we recommend Digital Voice, it is a great survey site to make money quickly from home.
MemberPress is a feature-rich plugin that will enable you to turn your WordPress blog into a fully functional membership site. Depending on how you want to run your membership site, you could have a mixture of free and premium membership plans. Premium plans could include no adverts, free downloads, access to extra content, membership forums, and much more. However, it is important to remember that if people are going to pay to view your content then it must be high quality. Otherwise, your members won't renew their subscriptions when the time comes.
But don't make the mistake of thinking this will be a passive source of income—you're on call whenever you have a guest and you'll always need to keep the place clean for incoming visitors. On top of just renting on Airbnb, consider offering your guests paid add-ons, like Lauren Gheysens', Royal Day Out in London, England—where she gives visitors a local's only tour of the city, complete with bespoke 18th century costumes.
It's an excellent opportunity to offer technical training courses that teach people how to learn a much-needed skill, or accomplish an important task. It could also prove to be an important testing ground for your educational courses. If you are able to market your course on the site, against direct competition, you may be able to direct marketing to the general public, using a website, videos, or even an affiliate marketing program.
Elance offers a wide array of technical, data entry, accounting, and other freelance and temp gigs. If you're just looking for something short and sweet, log in, input and showcase your marketable skills, and begin searching through their job database, using any parameters you desire. Once you submit a bid, you'll receive an acceptance or denial – you may get a few rejections, but don't sweat it. Negotiate the terms of your bid, and get to work. You have money to make.
Work remotely for a call center. Because many call center jobs are location independent, finding work in this field is an easy way to earn some money from home. Dozens of sites list job openings for call-center representatives, including Freelancer.com and SimplyHired.com. Meanwhile, you should check local job listings for openings and opportunities as well.
Fiverr is one of the biggest providers in the gig economy on the web and you can sell a wide variety of services and products through this medium. Do the research and find out what you can offer. However, keep in mind that like any other money-making task, it takes time to succeed here. And stellar reviews will help you generate more and more income over time.
If you've got a way with words and expertise in a niche, there are plenty of sites that will pay for articles and content you write. Think of the sites you read regularly. What can you contribute to them that would be interesting? Research your niche and then look for ways to pitch articles. Many sites will simply have a submission or contact link in the footer. To get started, check out my full guide to becoming a freelance writer on the side and then submit your articles to places like Instash, Listverse, TopTenz, A List Apart, International Living, FundsforWriters, and Textbroker.
Mechanical Turk: Amazon's Mechanical Turk is a resource for doing human-intelligence tasks, or as the site commonly refers to them, HITs. You get paid a very small fee for any given HIT and you'll need a good deal of volume to make a substantial amount of money. But it is a resource you can use in your spare time to generate a small income online.
Websites such as QuickRewards and UniqPaid are such websites that will pay you for doing fun and interesting tasks. With QuickRewards, you will get paid for playing games, watching videos, answering surveys and shopping online at your favourite online stores. You must be from the USA, Canada or UK to join. If you are from the US, you can cash out from as little as $0.01. The QuickRewards Network is a great way to make money fast online.
Shepper says users are fully insured, and it takes precautions to ensure your safety, including reviewing every booking that it receives. It may be worth taking extra steps too, such as telling a friend or family member where you'll be and arranging to contact them after you finish the job. Remember to trust your instincts – if you feel uncomfortable with any job, simply leave.
Research selling prices of items similar to yours. Look up completed sales or current listings of items similar to yours. Find the high- and low-end prices, and price your object around the median price level. If you want your item to sell quickly, price it at the low end. The condition of the item also affects the price. Items in poorer condition should be priced at the lower end. Also, consider how many listings there already are of items similar to yours. If many similar items will be competing with yours, you may have to set the price lower to get the sale.[28]
Once you have decided what type of product you are going to sell, you need to decide where to sell them. Selling merchandise on Amazon or eBay aren't your only options. Creating your own eCommerce store is another way to promote your products and generate sales. Once you have decided what you are going to sell, whether it is white labeled products, your own designs, or other people's merchandise, you can set up an eCommerce website to display these products.
Running and charging for webinars can be a great way to build a following in your niche, demonstrate that you are an expert in your field, and make a profit. Hosting a webinar can be hard work. They need to first be promoted, provide original and valuable information, and include interactive elements so your audience can ask questions and engage with your topic. However, once you have built up a large blog following, each webinar can be extremely profitable.
With apps being constantly developed, competent app developers are in high demand. Again, if you have the experience or skills to create successful apps then this could be something you could end up working on as a full-time freelancer. Check out adverts for developers on Toptal, a higher paying jobs site for experienced freelancers wanting to make money online.
Become a proofreader. All kinds of businesses hire professional proofreaders to look over their copy and content for errors before they publish. This side hustle is one that could work for nearly anyone since you can work from home provided you have a computer and an internet connection. You can find online proofreading jobs through websites like Indeed.com and FlexJobs.com
I really don't want to chat, receive or make calls (I have a kid and baby I don't have no silent place to work and also because I'm not a calm person I get mad easily fast), I don't want to go out at my home because of doing a "job", don't want to do survey, I don't want to write or share my thoughts or anything like that, I don't want sell anything either.
With personal finance software you can schedule automatic payments and transfers between all of your imported accounts. Automatic transfers will help to make sure you have the necessary funds in the right account to ensure all bills are paid on the appropriate date. Late fees are annoying and do nothing but cost you money. It's time that you said goodbye to them once and for all.
GoodFinancialCents.com has an advertising relationship with some of the offers included on this page. However, the rankings and listings of our reviews, tools and all other content are based on objective analysis. For more information, please check out our full disclaimer. GoodFinancialCents.com strives to keep its information accurate and up to date. The information in our reviews could be different from what you find when visiting a financial institution, service provider or a specific product's website. All products are presented without warranty.
A blog highlights your technical ability and showcases your ability to write blog posts. Your blog can be about different topics than those you write about for your clients. In fact, it should be on a topic that interests you. Visitors will see that you can not only write, but you can also build an online community. A good blog has the potential to earn you many referrals for more clients.[24]
23. Affiliates – There are many affiliate networks, such as FlexOffers and CJ Affiliate that allow you to promote other people's products and services. You simply put a link or a banner on your page and then you get a percentage if someone clicks through and buys the product/service. You'll want to select products that are specifically within your blog's category.This is an effective way to earn money once you have the traffic coming to your blog.
A fitness site can have numerous revenue streams. Create healthy eating plans and recipes and lock them away as premium content. Promote and sell a fitness training course, eBook, or a series of videos. Or advertise your own personal fitness services on your site. Topfithub is a good example of a fitness site with decent video content alongside product reviews.
Prior to that group, they had an online community for teachers looking for lesson plans. That probably sounds pretty random, but it's crazy the type of communities you can build and rally people around. If it's something that you're passionate about yourself and you want to connect with others that have that same passion, then an online community is something you should definitely consider.
Keep in mind though, you don't need a website to do sponsored content since you can also get paid if you have a lot of social media followers. My wife has a pretty big Instagram following, and she gets all kinds of sponsorships. Not only does she get paid in cash, but we get a lot of free stuff, too. We've received free rugs, free lights, and free carpet cleaners. She only promotes things she loves though, so this strategy works really well for her.
It doesn't pay much, but if you're a healthy person and want to make a bit of extra money online, the AchieveMint app will reward you for doing things like walking, tracking your food, or taking health surveys. AchieveMint works by connecting to fitness apps you might already be using like Fitbit, RunKeeper, Healthkit, and MyFitnessPal and then giving you points for certain actions. For every 10,000 points, you earn $10 with no limit on your earnings.
Etsy: While Etsy's popularity has declined recently, it's still a great resource for selling handmade items online. No need for complex ecommerce sites or merchant accounts or any sort of automation. The company takes a commission of every sale and charges a small listing fee per item. But many still use Etsy as their primary source of income. The best part is that you can also sell digital products on here such as poster designs.
If you are great at typing fast and transcribing, this is for you! By signing up at Transcribe Me, you get to work on tasks where you are expected to turn audios and videos into text form. What's more, you get to determine your work schedule and have the opportunity to have a career progression. All that you need is a computer connected to the internet and your transcription skills. Tracking of your weekly work is easy and in real-time. You also get to request for your payment at anytime as long as you have a minimum balance of $20. This is released in a fast and secure way through PayPal every Thursday before 9 a.m. EST.


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Download Star Wars: Episode IV – A New Hope (1977) Dual audio {Hindi-English} in 480p and 720p. This Hollywood movie is available in 480p & 720p for free just click on the download button below.Star Wars: Episode IV – A New Hope is based on Action, Adventure, Fantasy, Sci-Fi. This …Read More »
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