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Families Say Goodbye As Soldiers From The 82nd Airborne Head To Kosovo
In the days before he left Fort Bragg, 1st Lt. Darrell Owens sat down with his sons, Aiden and Eli, and showed them where Kosovo was on a map of the world.
For most of the next nine months, Owens and about 250 other soldiers with the 1st Brigade Combat Team, 82nd Airborne Division will serve as part of the NATO peacekeeping mission in Kosovo, a small, landlocked country on the Balkan Peninsula in southeastern Europe. They'll be gone for about nine months, officials said.
On Tuesday, the looming deployment was of secondary importance to the roughly 200 soldiers – most of whom belonged to the 3rd Battalion, 319th Airborne Field Artillery Regiment – gathered at Fort Bragg's Green Ramp, where a plane would soon carry them to Germany for a few final weeks of training before the troops arrive in Kosovo for their mission.
Instead of the mission ahead, Owens and others focused on the fleeting time they had left with their families.
On the stiff wooden benches typically used by paratroopers preparing for airborne operations, loved ones embraced, shared meals and said their goodbyes.
Owens, the battalion's physician assistant, stood at the far end of the cavernous room, throwing a football back and forth with his sons.
While this is not the first deployment for Owens, it is his first as a father. And that put a new wrinkle in his family's preparations.
For several months, Owens and his wife, Alisha, have explained the deployment to 10-year-old Aiden and 7-year-old Eli.
"We'll be keeping peace in a different part of the world," he explained.
At the same time, the family concentrated on enjoying the time they had left together and made grand plans for the end of the deployment.
Showing the boys the location of Kosovo was one of the final steps.
Aiden said he feels better now that he knows where his father is going, but is still sad to see him leave.
"I'll really miss him," added Eli.
Lt. Col. Kevin Taylor, the commander of the battalion known as the Gun Devils, said the soldiers will spend several weeks at the Joint Multinational Readiness Center in Hohenfels, Germany, to hone the skills they'll need for the peacekeeping mission.
The paratroopers will be part of a larger NATO force of about 4,500 troops hailing from about 30 different countries. Their mission will be to help maintain a safe and secure environment and freedom of movement for all people and communities in Kosovo, which declared independence from Serbia in 2008.
Training for the mission has involved classes on riot control, the use of non-lethal weapons, cultural classes and techniques for working with civil authorities. Some of the skillsets not typically required of paratroopers will include "fire phobia training" – where Molotov cocktails will be thrown at soldiers so that they can learn how to handle the threats that a riot may pose.
In Germany, they'll put all their skills together in a test alongside other forces that will deploy as part of Multinational Battle Group-East, located at Camp Bondsteel near Urosevac, Kosovo. The battle group will be led by the 39th Infantry Brigade Combat Team from the Arkansas National Guard.
Taylor said the mission will be unique and not something the battalion typically trains for.
"We're not going to be firing howitzers," he said. "We're doing something different."
But there is value in working alongside international troops, Taylor said. And the soldiers are more than happy to contribute to safety and security no matter where it is in the world.
"The battalion and everybody is really excited to do this," he said. "Everybody's trained hard. We're ready to go."
The Gun Devils – who deployed with a D Company, 2nd Battalion, 504th Parachute Infantry Regiment – are the first group from the 1st Brigade Combat Team set to leave Fort Bragg this month.
Eventually, approximately 1,900 paratroopers from the brigade will be deployed, mostly to Afghanistan.
About 300 soldiers from the brigade are already in that country. The brigade headquarters and other elements from the Devil Brigade are expected to join them in the coming weeks.
Col. Tobin A. Magsig, the commander of the 1st Brigade Combat Team, will be among those heading to Afghanistan. On Tuesday, he was at Green Ramp to see off the Gun Devils.
"We are one big family," Magsig said. "Today we're losing a bit of the family."
The colonel said the peacekeeping mission comes with unique challenges the battalion faced in training, at the same time much of the rest of the brigade prepared for Afghanistan.
"I'm just incredibly proud of the Gun Devil team," Magsig said. "And it doesn't matter if its Kosovo or Afghanistan, we're ready."
Command Sgt. Maj. Randall Fletcher, the Gun Devil's senior enlisted leader, said soldiers will rotate between Camp Bondsteel and two smaller bases in Kosovo.
NATO has had troops in the country since 1999, and in that time, the security situation in Kosovo has greatly improved. That has allowed NATO forces to focus more on building Kosovo's security forces and working with other civil agencies.
The soldiers hope not to have to respond to any crises in the country, but Fletcher said they would be ready if called upon.
"We are prepared," he said. "The soldiers are absolutely ready. They are fired up and motivated."
Back home, he said efforts have been made to keep families informed during the deployment. Soldiers will be able to talk to their loved ones daily, if they so choose, Fletcher said.
For Maj. Brad Jordan, that means his family tradition of songs before bed won't end – even if the family is separated by a six-hour time difference.
Jordan, the Gun Devil's battalion operations officer, said he will be in regular contact with his wife, Amanda, and children, 7-year-old Ava and 9-year-old Bear.
At Green Ramp, he showed tokens that he and his children will carry with them throughout the deployment – a dog-tag split in half for him and Bear and two small hearts for him and Ava.
The two children said they were proud of their father, even though they are sad to see him leave.
The soldiers had originally been set to leave Fort Bragg on Sunday – Father's Day. But families were granted a few more days reprieve that allowed them to celebrate the holiday before departing.
"It was extra special," said Owens, who used the additional time to take his sons, Aiden and Eli, out for lunch.
On Father's Day, the boys drew pictures and wrote notes to decorate Owens' room in Kosovo.
While their father is deployed, they'll also keep a journal and write weekly letters, their mother said.
Owens' first deployment came in 2003, when he was still a newlywed. More than 15 years later, he and his wife, Alisha, said their focus is on the children and their ability to cope with the distance.
"This day is sad but at least the day that I come home is closer than ever before," Owens said.
©2017 The Fayetteville Observer (Fayetteville, N.C.). Distributed by Tribune Content Agency, LLC.
With Shanahan's departure, it's the Army's world — and we're just living in it
The day of the Army is upon us.
Secretary of the Army Mark Esper will be taking over as Acting Secretary of Defense, President Trump announced on Tuesday, as Patrick Shanahan withdrew his nomination.
The comes just a couple of months after Army Chief of Staff Mark Milley was officially nominated to take over as Chairman of the Joint Chiefs.
An defense official familiar with the matter confirmed to Task & Purpose that Army Undersecretary Ryan McCarthy will "more than likely" become Acting Army Secretary — his second time in that position.
Patrick Shanahan is out as acting defense secretary
President Donald Trump announced on Tuesday that Acting Defense Secretary Patrick Shanahan will "not to go forward with his confirmation process."
Trump said that Army Secretary Mark Esper will now serve as acting defense secretary.
A military landlord falsified maintenance logs at a major Air Force base to boost profits
NEW YORK (Reuters) - A unit of UK infrastructure giant Balfour Beatty plc falsified housing maintenance records at a major U.S. military base to help it maximize fees earned from the Department of Defense, a Reuters investigation found.
At Tinker Air Force Base in Oklahoma, the company's U.S.-based unit used a second set of books and altered records to make it appear responsive to maintenance requests, Reuters found in a review of company and Air Force emails, internal memos and other documents, as well as interviews with former workers.
National Guard soldier tied to hate group won't be kicked out since 'prohibited activity' occurred before he joined
The Minnesota National Guard will not expel a 19-year-old Chaska man with ties to a nationwide white supremacist organization, following an investigation into his online activities before he enlisted.
However, the Guard said the man will remain under close supervision.
If you wanna be my lover, you gotta get with my AI-powered 'Spice' bombs
Scary, Sport, Baby, and Ginger are back and ready to bomb unsuspecting targets back to the Stone Age.


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Past Events
Events List Navigation
From usOUR FAMILY EVENTS OUR GUIDED WALKS
June 2019
Trees and Woods
An illustrated talk by author David Joy as part of the launch for his new book "Discover your woods : Trees in the Dales". Included in museum admission.Find out more »
The Yorkshire 3 Peaks from Ingleton
If you thought you'd done the Yorkshire 3 Peaks, maybe re-think. Join Craig on THE Ingleton Challenge - Phone 07850 744215 to book your place Yorkshire's Three Peaks form a triangle and cover a distance of 29.6 miles when tackled from Ingleton. The route begins at Ingleton's Community Centre where there is plenty of parking. A short walk up the road leads you to Fell Lane and the beginning of the route up Ingleborough. The route to the summit is…Find out more »
Trees Acrylic workshop with Stuart Gray
Join Stuart for the day as he takes you on a step by step process to produce your own acrylic painting of 'Trees in a Landscape'. Stuart will provide all the materials and frame your work ready for you to take home to impress your friends and family!Find out more »
A Musical Evening by ROSCO Concert Choir
A popular programme of music from stage and screen with a little jazz and light classical thrown in for good measure! Light refreshments including wine and a retiring collection-donations in support of St Andrew's church Grinton and Richmond Operatic Society. Doors open at 7pm for a performance start at 7.30pm.Find out more »
Friends of Swaledale Museum
Richard Lamb - "Not once but twice: The introduction of innovative lead smelting technology into Yorkshire. But where? Marrick of course." A look at one of the most picturesque and best preserved smelting sites in Yorkshire which poses intriguing questions about the transfer of technology. Advance booking is essential. For more information or to book, contact: 01748-884118; 07969 823232; or email: firstname.lastname@example.com out more »
Muker Hay Meadow Walk
Led by YDMT's wildflower expert, this 4.5 mile circular walk takes us through the iconic hay meadows at Muker which should be in full bloom and looking superb. We will also pass Crackpot Hall, Kisdon Force and the River Swale, as well as lead mining remains and field barns. We will stop for a lunch break en-route, so please bring a drink and packed lunch with you. Sorry, no dogs. Booking Essential - please call YDMT on 015242 51002 or…Find out more »
Medals maketh the man – Victoria Crosses and the soldiers who earned them
Thursday 20 June 7pm to 8.30pm £5 The Green Howards were awarded 18 Victoria Crosses, but how are these valuable medals made, and by whom? What are they made from? What are the criteria governing the award of a VC? Has anyone ever earned more than one, or been stripped of their medal? These and a host of other questions surrounding Britain's highest award for gallantry will be covered in this talk. The Green Howards Museum, Richmond DL10 4QN 01748…Find out more »
Forged Blacksmith Bushcraft Knife
On this course you can spend two days learning to forge a traditional blacksmith bushcraft knife. It will involve basic blacksmith techniques for one part of the knife and silversmithing techniques for the other. You will learn how to temper, heat treat and sharpen using files. You can learn how to put a twist in the knife. If you want to make a sheath for it - this will cost an extra £100 and will be another day's course. 2…Find out more »
Identifying and Recording Juvenile and Adult Caddisflies
This course is intended to encourage an interest in the whole life cycle of Caddisflies, their ecology and life histories, where and when to survey for them and their habitat requirements in all life stages. A variety of techniques will be used to survey and record caddis at adult and larval stages.Find out more »
Learn a Skill Weekend (Navigation)
Join us for 2 days at the Moorcock Inn for our Navigation Training weekend. Day 1. Learn the skills, partly inside, mainly on the local outdoors Day 2. Navigate up Wild Boar Fell and feel a real sense of satisfaction.Find out more »
Sedbergh Artisan Market
Now in its seventh year, this is truly more than a market with music, children's events and of course the town's cafes, shops, books and hills. The quality on offer is high and the atmosphere is relaxed and welcoming. The market is held in the town's historic centre and gives an opportunity to small farmers, cooks, crafters, market gardeners, makers and artists to display their produce and products. Almost all stall holders come from within a few dozen miles of…Find out more »
Re-Live 1380 Medieval LifeFind out more »
The Hay Festival
A day of traditional crafts and music, with demonstrations and entertainment.Find out more »
Evening Photography Sessions at Ingleborough Cave
Join us at Ingleborough Cave in the heart of the Yorkshire Dales National Park for one of our unique evening photography sessions. These are designed for those wanting to spend time in Ingleborough Cave taking photographs and getting to grips with the unique and challenging photographic conditions underground. Please note that these sessions are not tutorials. One of our local guides will lead the way as you follow in the footsteps of the early Victorian explorers on a journey spanning…Find out more »
Much Ado About Nothing
Five actors, with all manner of musical instruments, present an inventive take on Shakespeare's Much Ado About Nothing - a rip-roaring comedy of quarrels, deceptions and a frustratingly stupid man called Dogberry. The Fools do Shakespeare differently - a fast-paced, musically-driven style, using all sorts of different instruments, plenty of multi-roling and many a quick costume change along the way. On 22 June you can catch The Three Inch Fools at Constable Burton to see their new production of Much…Find out more »
John Coghlan's QUO
Original Status Quo drummer John Coghlan, with his great band, brings you a night of vintage Quo from the glory years of 1962-81 when he performed with them. John Coghlan joined Francis Rossi and Alan Lancaster in their newly-formed band 'The Spectres' in 1962. The group went through a series of name changes before becoming Status Quo in the late 60s when Rick Parfitt joined the line-up. The years that followed saw a string of legendary hits including Caroline, Down…Find out more »
Such stuff as dreams…
Pinsuti Chamber Choir visit Airton Friends Meeting House for their summer concert: a choral fantasy of madrigals, anthems and songs, including settings of Shakespeare verse and contemporary poetry. In the course of the evening we'll be flying with Leonardo, smelling exquisite roses and wandering through the magical world of dreams.Find out more »
Re-Live 1380 Medieval LifeFind out more »
Understanding Me
A self development workshop delivered by John Lloyd in beautiful upper Swaledale. The workshop will allow delegates to develop a greater understanding of themselves, improve self-confidence, be able to manage difficult situations, make better life decisions and develop a life plan to increase contentment and happiness, A buffet lunch is included in the price. Booking essential - limited to 8 places,Find out more »
Wild Flowers at Malham Tarn
Discover the magic of the wild flowers at Malham Tarn National Nature Reserve. A walk through this amazing area with one of our Rangers. All children to be accompanied by an adult. No dogs. Booking essential.Find out more »


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text: Relation Between Pressure and Volume Unloading During Ramp Testing in Patients Supported with a Continuous-Flow Left Ventricular Assist DeviceJung, Mette H.*; Hassager, Christian*; Balling, Louise*; Russell, Stuart D.†; Boesgaard, Soeren*; Gustafsson, Finn*ASAIO Journal: May/June 2015 - Volume 61 - Issue 3 - p 307–312 doi: 10.1097/MAT.0000000000000194 Adult Circulatory Support Free Abstract Author InformationAuthors Article OutlineOutline Article MetricsMetrics Pulmonary capillary wedge pressure (PCWP) is the key to describing left ventricular (LV) unloading; however, the relation between pressure and the echocardiography-derived surrogate of LV volume (LV end-diastolic diameter [LVEDD]) as a function of pump speed (revolutions per minute [RPM]) in continuous-flow LV assist device (CF-LVAD) patients is unknown. In this study, the pressure–volume relation as a function of RPM during ramp testing was investigated by simultaneously measuring PCWP by Swan-Ganz catheter and LVEDD by echocardiography. The ramp protocol started at usual pump setting (ramp-base) and then went from 8,000 RPM (ramp-low) increasing by 400 RPM/5 minutes until reaching 12,000 RPM or suction/arrhythmic event (ramp-high). The study was finalized by a 25 Watt exercise test at two ramp steps. Ten patients with ramp-base of 9,300 ± 241 RPM (at which 3 of 10 had aortic valve opening) were examined. At ramp-low, ramp-base, and ramp-high, PCWP was 20 ± 4, 14 ± 4, and 7 ± 3 mm Hg (p < 0.001 for all comparisons) and LVEDD 6.6 ± 1.0, 6.7 ± 0.9, and 5.5 ± 1.7 cm (p < 0.05 for all comparisons but ramp-low versus ramp-base). Correlation between PCWP and LVEDD slopes; R2 = 0.53 (p = 0.02). In conclusion, PCWP as a function of RPM is weakly correlated with changes in LVEDD. Thus, LVEDD is not an accurate measure of unloading in CF-LVAD patients. From the *Department of Cardiology, Rigshospitalet, Copenhagen, Denmark; and †Department of Cardiology, Johns Hopkins Hospital, Baltimore, Maryland. Submitted for consideration September 2014; accepted for publication in revised form November 2014. Disclosures: Finn Gustafsson is on the speaker's list for Thoratec Inc. The other authors have no conflicts of interest to report. Supported by the Danish Heart Foundation and Thoratec Inc. Correspondence: Mette H. Jung, MD, Department of Cardiology 2142, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Oe, Denmark. Email: firstname.lastname@example.com. Abstract Methods Participants Measurements and Interventions Statistical Analysis Results Discussion Acknowledgment References Echocardiography is used to guide pump speed settings in patients supported with a continuous-flow left ventricular (LV) assist device (CF-LVAD). The aim is to secure LV unloading, a sufficient cardiac output (CO), intermittent aortic valve (AV) opening, and at the same time avoid septal shift/arrhythmic events.1 It has been suggested that changes in LV end-diastolic diameter (LVEDD) as a function of pump speed (revolutions per minute [RPM])—performed as a ramp study—are indicative of pump function and malfunction and that LVEDD and RPM are inversely linear related in pumps without obstruction to flow.2–4 Pulmonary capillary wedge pressure (PCWP) is the key to describing LV unloading; however, this parameter is not routinely used because of the invasive nature of the required procedure. Contrary echocardiography and LVEDD measures are easy accessible and used in current clinical practice. The relation between pressure (PCWP) and the currently used echocardiography-derived surrogate of LV volume, LVEDD, as a function of RPM is unknown in CF-LVAD patients. The aim of this study was to examine the correlation between LVEDD and LV filling pressure as a function of LVAD RPM speed change. Furthermore, we measured hemodynamics during submaximal exercise (with baseline and increased pump speed) and assessed the potential effect on the pressure–volume relation. Back to Top | Article Outline Methods In this prospective study, patients underwent ramp testing with simultaneous measurements of hemodynamics by Swan-Ganz catheter and cardiac dimensions and AV opening by transthoracic echocardiography. Back to Top | Article Outline Participants All CF-LVAD patients (HeartMate II; Thoratec Corp., Pleasanton, CA) treated at the University Hospital Rigshospitalet at the time of the study were considered for inclusion. Participants had to be 18 years or older, anticoagulation had to be well regulated (international normalized ratio >1.8 and <3), and informed consent to participate had to be provided. Exclusion criteria were a support duration less than 1 month and unstable status with need of inotropes. The trial was approved by the Ethics Committee of Copenhagen in accordance with the Helsinki declaration (Project no. H-3-2013-010) and registered at ClinicalTrials.gov (Identifier: NCT01851889). Back to Top | Article Outline Measurements and Interventions In the study period (May 29, 2013 until December 20, 2013), all included CF-LVAD patients underwent ramp testing. Ten patients were included in the study. The ramp protocol started at usual pump setting (ramp-base) and then went from 8,000 RPM (ramp-low) increasing by 400 RPM/5 minutes until reaching 12,000 RPM or suction/arrhythmic event (ramp-high) as used in previous studies.2 The 12 ramp steps in the protocol (baseline and 8,000–12,000 RPM in +400 RPM/step) each lasted 5 minutes—2 minutes to reach equilibrium at the new pump setting followed by 3 minutes of measurements. At each step, hemodynamics and echocardiographic dimensions were recorded simultaneously by the same two experienced physicians, who were both blinded from their colleagues' data by monitors facing away from each other. The study was finalized by a light exercise test (25 Watt) where hemodynamic measurements and echocardiographic dimensions were collected. Exercise was performed on a tilt-table ergometer bike (ebike; GE Healthcare, Fairfield, CT), permitting measurements in supine position. Data were measured pre-exercise (pre-exer) in the supine position as well as during exercise at two ramp steps: "baseline pump speed" (exer-base) and "baseline with +800 RPM" (exer-inc). Workload was constant (25 Watt), and each of the two exercise steps was 4 minutes long—1 minute to reach equilibrium and 3 minutes of measurements. Current studies are investigating the possibility of enhancing functional capacity in future generation LVADs with automatic speed change functions in response to loading conditions. Thus pressure–volume relations during exercise with increased pump speed are of general interest, and the chosen increase of +800 RPM in this study has previously been shown clinically safe.5,6 Central pressures, CO, and mixed venous blood oxygen saturation (SvO2) were measured by right heart catheterization (RHC), via the right internal jugular vein, using a Swan-Ganz catheter (Edwards Lifesciences, Irvine, California). Cardiac output was measured three times at each ramp step by standard thermodilution with cold water injection, and the average result was recorded. Echocardiography was performed, as part of the trial protocol, according to the current guidelines3 on an Philips iE33 cardiac ultrasound system (Philips Healthcare, Best, The Netherlands). During each level of the ramp test, pulsed and continuous wave Doppler images were acquired in the parasternal long-axis view. Left ventricular dimensions were measured from parasternal M-mode images. Aortic valve opening was assessed using M-mode over the AV in the parasternal long-axis view. At least 10 consecutive cardiac cycles were reviewed, and the frequency of AV opening recorded as the percentage. Aortic regurgitation was classified as mild, moderate, or severe.7 In addition to heart rate, mean arterial blood pressure (MAP) was measured with a noninvasive blood pressure cuff at each ramp step. Systemic vascular resistance (SVR) and pulmonar vascular resistance (PVR) were subsequently calculated as SVR = ((MAP − central venous pressure)/CO)) and PVR = ((mean pulmonary arterial pressure − PCWP)/CO)). The pressure difference across the pump (ΔPP) was estimated as ΔPP = MAP − PCWP, which we found appropriate as no severe mitral regurgitation or shunts were present in the cohort. Near-infrared spectroscopy (NIRS) (INVOS Oximeter; Somanetics Corp., Troy, MI) was used to measure tissue oxygenation cerebrally (ScO2) and peripherally (SmO2). Back to Top | Article Outline Statistical Analysis Data were examined using SAS 9.3 Statistical Software (Cary, NC). To estimate the association between pressure and pump speed for all patients, we plotted PCWP/RPM, which showed pressure to be linearly related to RPMs. To examine the association between PCWP and LVEDD in the individual subject, PCWP was plotted against LVEDD for each patient with a fitted linear regression line, and the correlation was calculated. To be able to compare our data with former ramp studies, we also computed both LVEDD and PCWP slopes for each patient with pump speed steps given numeric values (8,000 RPM = 1, 8,400 RPM = 2, 8,800 = 3 etc.) as used previously.2 To estimate the overall relation between pressure and volume during ramp testing, we subsequently calculated the correlation of the LVEDD and PCWP slopes. Differences between groups were examined using two-sided Student's t-test, paired or unpaired as appropriate. In all statistical tests used (paired and unpaired t-test and test for nonzero correlation), no major deviations from normality were observed. Data were examined with histograms and qq-plots. Statistically significant results were defined by a two-tailed p value less than 0.05. Data are presented as mean ± standard deviation unless otherwise stated. Back to Top | Article Outline Results Patient characteristics are shown in Table 1. Indication for pump implantation was destination therapy in three patients and bridge-to-transplantation (BTT) in seven patients, overall with a mean support duration of 668 ± 594 days. New York Heart Association functional classification was I to IIIa, assessed by the principal investigator on the day of the study. Mean LV ejection fraction was 11 ± 7% and pro-brain natriuretic peptide was 204 ± 240 pmol/L (ref <24.8). Baseline pump speed (ramp-base) was 9,300 ± 241 RPM, at which 3 of 10 patients had AV opening (2 complete and 1 partial). Ramp-low was 8,000 ± 0 RPM and ramp-high was 12,000 RPM in all except in three patients due to suction at the penultimate step at 11,600 RPM in two patients and nonsustained ventricular tachycardia (VT) at 11,200 RPM in one patient. Lowering pump speed returned LV unloading to normal. Development of suction in patients 3 and 5 was associated with LVEDD decreasing to 39% and 35% of baseline LVEDD (3.9 and 4.1 cm, respectively, at ramp-high) while LVEDD remained relatively unchanged in patient 9 (5% decrease and 6.1 cm at ramp-high) before VT. Patients without event reaching 12,000 RPM in ramp-high had an average LVEDD decrease of 17 ± 19% (final LVEDD mean 5.8 ± 1.8 cm). Pulmonary capillary wedge pressure at ramp-high did not differ between patients with and without event (7 ± 0.8 vs. 6.4 ± 3.4 mm Hg). Table 1 Figure 1 shows the relation between PCWP and LVEDD in each patient and the correlations, which varied from R2 = 0.24 to 0.92, are stated. From ramp-low to ramp-high, PCWP decreased 13 ± 4 mm Hg and LVEDD decreased 1.1 ± 1.2 cm. At ramp-low, ramp-base, and ramp-high, PCWP was 20 ± 4, 14 ± 4, and 7 ± 3 mm Hg (p < 0.001 for all comparisons) and LVEDD 6.6 ± 1.0, 6.7 ± 0.9, and 5.5 ± 1.7 cm (p < 0.05 for all comparisons but ramp-low versus ramp-base). Figure 1 Values of the slopes depicting the change in PCWP and LVEDD for each individual patient are shown in Table 2. The overall correlation between slopes was positive and statistically significant, R2 = 0.53 (p = 0.02) (Figure 2). If changes in pressures were correlated to squared changes in LVEDD—recognizing that such a relation may not be linear—a better correlation was not demonstrated, R2 = 0.34 (p = 0.08). Subjects with ischemic cardiomyopathy (ICM) (n = 4) had a correlation between PCWP and LVEDD slopes of R2 = 0.70 (p = 0.16) vs. R2 = 0.59 (p = 0.07) in non-ICM subjects (n = 6). Table 2 Figure 2 Hemodynamic responses as a function of pump speed are shown in Table 3. Cardiac output increased by 1.79 ± 1.77 L/minute from ramp-low to ramp-high (4.51 ± 1.11 vs. 6.29 ± 1.37 L/minute, p = 0.014). None of the trial participants had significant tricuspid regurgitation, at most mild. Mean arterial blood pressure, SVR, and PVR did not change significantly from ramp-low to ramp-high, whereas CVP decreased by 1.3 ± 0.7 mm Hg (10 ± 3 vs. 9 ± 3 mm Hg; p = 0.004) and ΔPP increased 20 ± 24 mm Hg (65 ± 6 vs. 85 ± 25 mm Hg, p = 0.026). Baseline ΔPP (72 ± 15 mm Hg) was not related to LVEDD slope (p = 0.55), whereas baseline CVP (9 ± 3 mm Hg) was (p = 0.04). Complications after RHC were not encountered except for a minor hematoma in one patient. Table 3 The AV was completely or partly open in 7 of 10 patients at ramp-low of which the AV subsequently closed in five patients at 9,440 ± 408 RPM with a mean PCWP of 18 ± 3 mm Hg. The AV remained open throughout the ramp test in two patients. At steps with AVs open, ΔPP was 71 ± 8 mm Hg vs. 83 ± 19 when AVs were closed (p = 0.0001). SvO2 increased from 60.0 ± 7.2% to 70.0 ± 4% from lowest to highest pump speed (p = 0.003), cerebral tissue oxygenation measured by NIRS increased from 55 ± 11% to 58 ± 10% (p = 0.07), whereas tissue oxygenation peripherally was unchanged; 55 ± 9% to 55 ± 14% (p = 0.96). Hemoglobin was in the lower range of normal (8.2 ± 1.3 mmol/L). Haptoglobin was below detection threshold in all, whereas lactate dehydrogenase (LDH) was elevated in all, highest in patient 2. Plasma free hemoglobin was normal for all except for a slight elevation in two patients. Table 4 shows exercise-induced changes. During light exercise, CO increased significantly when exercising with +800 RPM (exer-inc) compared with exercise at baseline pump speed (exer-base), 7.7 ± 1.8 vs. 6.6 ± 1.6 L/minute; delta CO (inc versus base) 1.1 ± 1.0 L/minute (p = 0.017), whereas the exercise-induced increase in PCWP was not affected by increasing pump speed. Pulmonary capillary wedge pressure increased 6 ± 4 mm Hg from pre-exercise to exer-base (p = 0.001), whereas LVEDD decreased by 0.1 ± 0.3 cm (p = 0.38), correlation between changes, R2 = 0.26 (p = 0.13). Table 4 Patient 2 in the study was clinically suspected for pump thrombosis and presented with hemoglobinuria. Ramp testing revealed an LVEDD slope of −0.03 with MAP 69 mm Hg, constantly opening AV, high pulsatility index, LDH elevation (>4 × upper reference), and plasma free hemoglobin above upper limit. Substantial ventricular recovery subsequently allowed the patient to be explanted where thrombosis in the outflow cannula was confirmed visually. Pulmonary capillary wedge pressure in this patient, at 8,000 and 12,000 RPM, was 13 and 6 mm Hg, respectively. Excluding this patient with pump thrombosis did not change the result of the correlation analysis between PCWP and LVEDD slopes significantly (R2 = 0.50; p = 0.03). Last, omitting patient 2 decreased average LDH (Table 1); 409 ± 126 U/L (460 ± 193 U/L) but did not impact on the remaining biochemistry. The 10 ramp tests resulted in pump speed regulation in three (increase by 467 ± 249 RPM) and adjustment in medical therapy in four patients (increased loop-diuretics in one, increased beta-blocker in one, and adjusted phosphodiesterase 5 inhibitor dose in two). Patients (4, 5, and 10) had pump speed increased after clinically assessing that an increased CO would optimize the circulatory support without risking suction or arrhythmic events. The three patients were BTT and the AVs were already closed at baseline pump speed before upregulating RPMs. Patients (5, 7, 8, and 10) had medical therapy adjusted in response to pressures indication overhydration and to regulate systemic arterial hypertension and afterload. Back to Top | Article Outline Discussion In this study, the correlation between pressure and volume changes as a function of pump speed in CF-LVAD patients was investigated. To our knowledge, it is the first study to report directly on this relation. We found that changes in PCWP as a function of RPM, which is the key parameter to describe LV unloading, was only weakly positively correlated with changes in LVEDD and that the difference in the relation was large between patients. This indicates that both intrinsic and external factors have to be taken into account when optimizing settings of LVAD devices with echocardiography. Thus, factors such as ventricular elastance, pericardium, pleural pressure, afterload, and volume status must be considered when analyzing LVEDD changes as a function of pump speed. In some cases, a constant unchanged LVEDD as a function of RPM is suspected to be attributed to obstruction of pump flow, either due to thrombosis or cannula displacement/kinking; however, in this case, both LV pressure and volume unloading will be affected resulting in flat/less steep PCWP and LVEDD slopes. Recently, it has been recommended to use echo-guided ramp protocols when optimizing CF-LVAD pump speed and as a guidance to confirm pump thrombosis, the latter being an adverse event requiring immediate intervention.8–10 Using a novel ramp protocol, Uriel et al.2 found that pumps with obstruction to flow were associated to an LVEDD slope of −0.16 or greater (corresponding to a less steep response to pump speed than expected). In the study, however, only pumps suspected of thrombosis were inspected for clot validation postexplant, thus not confirming the internal appearance of the "normal pumps" with LVEDD slopes less than −0.16. Our findings differ from those of Uriel et al. as 6 out of 10 had an LVEDD slope of −0.16 or greater of which only one was clinically suspected of pump thrombosis. The remaining five patients did not present with heart failure symptoms, biochemical markers indicating hemolysis, or power spikes/increasing power requirements. Furthermore, in these patients, progressive LV unloading with increasing pump speed was confirmed with a decrease in PCWP. The implication of this finding is that LVEDD slope cannot be viewed as a single diagnostic test to detect pump dysfunction. Thus, in some cases, RHC might help guide the physician in distinguishing, for example, an LV with low compliance from a malfunctioning pump and, in turn, which clinical action to launch. That both intrinsic and external factors should be taken into account, when analyzing LVEDD/RPM, is in keeping with the findings of Adataya et al.,11 who recently presented two case reports showing that changes in loading conditions can affect the individual LVEDD/RPM slope. We also found that loading conditions in the form of baseline central venous pressure were related to the LVEDD slope. SvO2, measured in the pulmonary artery, increased 10% from lowest to highest pump speed, whereas tissue oxygenation did not change significantly in the same RPM range. SvO2 describes the balance between oxygen delivery and oxygen consumption and will increase in response to enhanced CO, hemoglobin, and saturation, whereas increased oxygen consumption will diminish SvO2. Thus, the significant rise in SvO2 was expected, as CO and, in turn, pulmonary perfusion increased in response to higher pump speeds throughout the ramp tests, whereas oxygen requirements remained stationary (resting patient). SvO2 does not reflect any particular tissue oxygenation, but the overall global oxygen extraction and cannot exclude tissue hypoxia or hyperoxia in individual organs.12 Formation of intestinal arteriovenous malformations in the course of continuous-flow support could be hypothesized to contribute to the lack of increase in tissue oxygenation, both in cerebral tissue and skeletal musculature, even though CO increased, as seen in the current study. Indeed, in an animal study, Tuzun et al.13 found evidence of intestinal arteriovenous shunting opening under continuous-flow without intestinal tissue perfusion defect when comparing baseline pump settings with low and high continuous-flow modes. Another possibility is a Type II error, where NIRS failed to detect a difference in tissue oxygenation in the different flow situations. Limitations associated with NIRS measurements are well described including insufficient light shielding, optode displacement,14 and inaccurate measurements associated with changes in blood flow velocity and erythrocyte shape and position when increasing pump speed. Finally, peripheral cardiovascular factors associated with advanced HF, including deconditioned skeletal muscle, endothelial dysfunction, and changes in the neurohormonal system might challenge accurate NIRS measurements. Our study is limited by its small sample size and thus the results must be read with appropriate caution. The results may be viewed as the first pilot study examining the pressure–volume relations in CF-LVAD patients during ramp testing. Clearly, our findings must be confirmed in larger prospective cohorts where the relative influence of the different covariates can be estimated statistically. However, due to the rigorous setup of the study, we feel that our results are sufficiently valid to call for caution in the interpretation of echo-guided ramp protocols. The study was prospective, and the two physicians measuring hemodynamics and echocardiographic dimensions were both blinded. Due to our small center size, all patients fitting the inclusion criteria were enrolled, thus omitting selection bias. Last, we waited 2 minutes at each ramp step before taking any measures and, thus allowing time for equilibrium at the new speed step to be reached. In conclusion, LVEDD is not an accurate measure of unloading in patients supported with CF-LVADs. Changes in LVEDD during an echo-guided ramp study should be interpreted with caution as factors other than LVAD function may determine the relation between pump speed and LV volume. Back to Top | Article Outline Acknowledgment The authors thank ventricular assist device coordinator Lene Larsen for valuable help in facilitating practical concerns and for controlling the power base unit during the studies.Back to Top | Article Outline References 1. Slaughter MS, Pagani FD, Rogers JG, et al. Clinical management of continuous-flow left ventricular assist devices in advanced heart failure. J Heart Lung Transplant. 2010;29:S1–39 Cited Here... | PubMed | CrossRef 2. Uriel N, Morrison KA, Garan AR, et al. Development of a novel echocardiography ramp test for speed optimization and diagnosis of device thrombosis in continuous-flow left ventricular assist devices: The Columbia ramp study. J Am Coll Cardiol. 2012;60:1764–1775 Cited Here... | PubMed | CrossRef 3. Estep JD, Stainback RF, Little SH, Torre G, Zoghbi WA. The role of echocardiography and other imaging modalities in patients with left ventricular assist devices. JACC Cardiovasc Imaging. 2010;3:1049–1064 Cited Here... | PubMed 4. Kato TS, Colombo PC, Nahumi N, et al. Value of serial echo-guided ramp studies in a patient with suspicion of device thrombosis after left ventricular assist device implantation. Echocardiography. 2014;31:E5–E9 Cited Here... | View Full Text | PubMed | CrossRef 5. Brassard P, Jensen AS, Nordsborg N, et al. Central and peripheral blood flow during exercise with a continuous-flow left ventricular assist device: Constant versus increasing pump speed: A pilot study. Circ Heart Fail. 2011;4:554–560 Cited Here... | View Full Text | PubMed | CrossRef 6. Jung MH, Hansen PB, Sander K, et al. Effect of increasing pump speed during exercise on peak oxygen uptake in heart failure patients supported with a continuous-flow left ventricular assist device. A double-blind randomized study. Eur J Heart Fail. 2014 doi: 10.1002/ejhf.52 Cited Here... 7. Lancellotti P, Tribouilloy C, Hagendorff A, et al. Recommendations for the echocardiographic assessment of native valvular regurgitation: An executive summary from the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2013;14:611–644 Cited Here... 8. Kirklin JK, Naftel DC, Kormos RL, et al. Fifth INTERMACS annual report: Risk factor analysis from more than 6,000 mechanical circulatory support patients. J Heart Lung Transplant. 2013;32:141–156 Cited Here... | PubMed | CrossRef 9. Shah P, Mehta VM, Cowger JA, Aaronson KD, Pagani FD. Diagnosis of hemolysis and device thrombosis with lactate dehydrogenase during left ventricular assist device support. J Heart Lung Transplant. 2014;33:102–104 Cited Here... | PubMed | CrossRef 10. Fine NM, Topilsky Y, Oh JK, et al. Role of echocardiography in patients with intravascular hemolysis due to suspected continuous-flow LVAD thrombosis. JACC Cardiovasc Imaging. 2013;6:1129–1140 Cited Here... | PubMed 11. Adataya S, Masri C, John R, Eckman P. Loading conditions influence reliability of the echocardiographic RAMP test in continuous-flow left ventricular assist devices. J Heart Lung Transplant. 2013;32:1142–1144 Cited Here... | PubMed | CrossRef 12. Cariou A, Monchi M, Dhainaut JF. Continuous cardiac output and mixed venous oxygen saturation monitoring. J Crit Care. 1998;13:198–213 Cited Here... | PubMed | CrossRef 13. Tuzun E, Chorpenning K, Liu MQ, et al. The effects of continuous and intermittent reduced speed modes on renal and intestinal perfusion in an ovine model. ASAIO J. 2014;60:19–24 Cited Here... | View Full Text | PubMed | CrossRef 14. Madsen PL, Secher NH. Near-infrared oximetry of the brain. Prog Neurobiol. 1999;58:541–560 Cited Here... | PubMed | CrossRef Keywords:left ventricular assist device; hemodynamics; assisted circulation physiology; heart failure Copyright © 2015 by the American Society for Artificial Internal Organs Article Outline Abstract Methods Participants Measurements and Interventions Statistical Analysis Results Discussion Acknowledgment References Source Relation Between Pressure and Volume Unloading During Ramp Testing in Patients Supported with a Continuous-Flow Left Ventricular Assist Device ASAIO Journal61(3):307-312, May/June 2015. Full-Size Email + Favorites Export View in Gallery Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at ASAIO Journal. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at ASAIO Journal. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Add Item(s) to: An Existing Folder A New Folder Folder Name: Description: The item(s) has been successfully added to "". Thanks for registering! Be sure to verify your new user account in the next 24 hours, by checking your email and clicking the "verify" link. This article has been saved into your User Account, in the Favorites area, under the new folder "". Related Articles


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Google also gives access to a large number of sites to put your ad on; these ads are not keyword based but intent and interest based. For example, you can place an ad for your furniture shop on a blog which writes about ideas on home making and interior decor. Here, you need to learn about ad placements, choosing websites, bidding, writing correct and engaging copies for your ads, designing good ads and designing landing pages.
Once you are familiar with all the types of internet marketing and how you can benefit from each of them, it is time to develop your internet marketing strategy, and this chapter contains steps that will guide you through this process, including building your marketing framework, taking advantage of SEM, launching social strategy, building community, increasing traffic, increasing the number of conversion, analyzing feedback, etc.
Teachable and Udemy are two of many, but these are the most prevalent, and they're both intuitive and user-friendly. With Teachable, you have more control over your pricing and the look and feel of your course, but you don't get a built-in audience. Instead you have to do all the marketing yourself. Udemy has a built-in base of students, but you don't have as much control and they take more of your revenue.
> Within the broader arena of Google Partners' digital advertising, the complex world of Pay-per-Click gives many people headaches. Wordstream's (@WordStream) PPC University offers a variety of online marketing tutorials that drill down to the specific heart of PPC. Three levels of learning (101, 102 and Advanced) cover every aspect from basics such as how to set up an account, through bid management and optimization right up to remarketing and advanced geotargeting.
As an affiliate for Boatbookings, you will receive 20% of their revenue - effectively meaning your commission will be about 4% of any sales from your referrals. You also receive 10% of any commissions Boatbookings make on repeat customers who were your referrals. They do have a minimum charter value of 3,000 ($/€/£/etc) before commissions are earned.
Acorns: Acorns is a great way to start investing and building wealth. As it turns out, Acorns will pay you $5 to start investing with them for as little as $1. That's a 500% return, plus it's probably time you started investing for your future. They even have features like round-up and found money that allows you to get free money from places you already shop at.
So if someone like Brian Dean did a blog post on Backlinko that breaks down, "How I Increased My Search Traffic by 110% in 14 Days," I'm going to read that. Why? Because you can tell just by the headline that it's an actionable post, you can learn something from it, take all that knowledge, implement it on your website, and hopefully, you'll see similar results.
BigCommerce offers people the chance to build their own online store, one that allows them to sell physical products. The service allows for customization, along with the ability to list products, collect payments and manage shipping. There is also a free trial that should help convince people about the merits of the platform. eCommerce is a big field right now, so there are plenty of chances to make sales.
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BTW, I think the whole "near me" thing would work pretty well for terms like "chinese food near me", "pizza places near me" etc., as you could monetise with JustEat/HungryHouse affiliate links (pretty sure they have them?) – e.g. someone searches for "chinese food near me", hits your site, and sees something along the lines of a "XX chinese restaurants currently deliver to you. Order now at JustEat!" either as a pop-up or before the actual listings themselves.
How to monetize this site: Some things people will likely buy from a local store which can set up the bow for them. These may include the bow itself and arrows. However, there are tons of accessories you could sell as an affiliate on your website. You could link them to Amazon and get a cut of the sale for targets (and 3d targets), releases, bow cases, tree stands, etc. All of these items are over $100 and would give you a substantial affiliate commission.
I have only dabbled in drop-shipping before when I had an eCommerce platform 6 years ago or so. I think it is something that you could do on the side, but you would want to do in depth research on the industry you want to get into before setting up shop. It may be a little less passive up front, but over time you could take your hands off the wheel.
2. This means that there's depth in the market, which isn's necessarily a bad thing in itself. When looking for demand, we always recommend taking the combined estimated sales of the top 10 products and ensuring that it is over 400 units, for example. If you find that there are 4 pages worth of the same product, then of course you can also take a look at how those products are performing to. One way to look at it is, you should always be aiming to be in the top 10 with any product you launch. So the top 10 sellers are your primary concern for gauging demand and competition. If you find there are lots of other sellers, you can also see if they are doing well or not and find out why that is. Ultimately you want to find ways to enter a niche with a product offering that is better: more features, better quality, a better listing, etc.
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This is among the best affiliate networks for beginners. As you know, Amazon is an eCommerce platform that sells countless products, from books to gardening tools. If the user follows the link on your website and buys the product during the same session, you will get a percent of the price the user paid. The commission you'll earn depends on the category of the product you are promoting. The highest fee is 10%.
Web analytics is the part of marketing devoted to the analysis of your goals and methods used for promotion of your website, and how those should be adapted in order to refine the approach and eventually produce better results. This segment of the course will show you what web analytics is, why you should use it and which metrics should be tracked to get the relevant data for the analysis. You will also learn about conversion optimization, elements of web usability and conversion optimization and how to calculate conversion rate optimization.
Writing an e-book is very popular among bloggers, as many have noted that "it's just a bunch of blog posts put together!" You will not only have to make an investment of time and energy to create the e-book, but market it correctly. However, if marketed correctly (through blogging affiliates in your niche, for example), you could have residual sales that last a very long time.
Also referred as Commission Junction, CJ is a large affiliate network offer affiliate programs for a wide range of popular and well-established organizations. This program acts as the intermediary between the merchants who will provide the products to sell and the affiliates who will do the marketing. This program is very advantageous as it provides very many affiliate programs at the same place.
A deposition is a formal meeting between a party to a lawsuit and another party such as the opposing party to the lawsuit, a witness, an expert witness, etc. Basically two lawyers sit down with their clients while one lawyer grills someone for 8 hours–but it's in an office and not in the courthouse. When a deposition is taken, the lawyers need to video record it to have as evidence.
Udemy is another online learning platform that focuses specifically on courses related to skill building for working professionals. One thing to note about Udemy: The classes we've highlighted are free, but it offers a myriad of other paid options for as little as $10, in some cases. If you have a good experience with a free course, it could be worth a small investment to deepen your skills, too.
GetResponse specializes in software solutions for email marketing on a subscription basis. You can refer your website visitors to GetResponse via a banner or a link placed in your posts or articles. This can bring you one-third (33%) of the amount the user pays every month for the subscription. Your take can be from $4.95 to $54.45 per month depending on the plan the user chooses.
This "Diploma in E-Business" course is a comprehensive resource for marketers, business owners, and advertisers who would like to get the most out of their digital marketing efforts. You'll learn things like the fundamentals of promoting your business online, using various Google-powered tools, and how to track and make sense of the vast amounts of data available to you.
P2P lending is the practice of loaning money to borrowers who typically don't qualify for traditional loans. As the lender you have the ability to choose the borrowers and are able to spread your investment amount out to mitigate your risk. The most popular peer to peer lending platform is Lending Club. You can read our full lending club review here: Lending Club Review.
Udemy also offers exceptional affiliate marketing courses on their platform. For instance, the "Affiliate marketing course for beginners to start & succeed" on Udemy is one of the most powerful affiliate marketing courses on the internet. It will teach everything about affiliate marketing from the beginner level to an expert affiliate marketing level that earns thousands or even hundreds of thousands of dollars monthly.
Residual income is often also referred to as, "passive" or "recurring" income. Indeed, money makes the world go 'round. What better way to earn money than through letting money work for you even while you sleep? Surely, no greater method is available or even imaginable. The key here is to work smarter, not harder. Industriousness is required and you should be prepared to be very persistent. A common method of steadily earning residual income is through royalties earned from a book, song composition, software, or mobile application. Types of recurring income are not limited to royalties. Here are ten methods to begin earning.
In short, both the affiliate marketer and the merchant will benefit in this program as the merchant will sell more goods and the affiliate marketer will get a commission for every product bought through his/her website. Many affiliate marketers earn a nice monthly income from selling other peoples' products! Later, YOU TOO could be producing your very own products and collaborating with one of the top 10 affiliate programs below to enlist an army of bloggers and website owners to help you become financially free.
Little known fact about me is that I love a good game of airsoft on the weekends. Like in most cities, there is a group of about 200 people (mostly guys but there are some women who play) who get together every weekend to play. The airsoft guns are not anything like the tiny pump guns that kids buy at Walmart. These guys spend hundreds on their guns, more on camo, and even have radio comm and military style helmets. It's serious to these guys.
Shutterstock is the first name users remember if you ask them about stock photo websites. However, even such a powerful brand needs promotion. Become a Shutterstock affiliate to earn up to 20% on commissions from your leads. This can equal up to $300 per each new customer you generate. As for stock material purchases, you can earn $0.04 per item on average. You can also use promo codes and coupons provided by Shutterstock for promotion.
1. We do NOT guarantee any results (negative or positive). We will NOT be held responsible for any misuse of this service, including (but not limited) to increases or decreases in search rankings, increases or decreases in search positions, increases or decreases in backlinks or website authority, keywords, traffic, manual or algorithmic penalties and any other indicators.
I am an English major and a herbalist with so many ideas and no extra income to fulfill them. I recently started renting my extra apartment in the attic with Airbnb. It's amazing how fast I accumulated some money for few hours of work between guests. Now I want to persue all my dreams of opening an online herbal store, publishing my ebook of treating Ulcerative Colitis with herbs, blogs, and videos, and pretty much all of the ideas mentioned here. I will save this article as its really helpful for whomever needs some ideas…
How to monetize this site: I would definitely go the route of the online course. Make a four month marathon bootcamp. When people buy your online video training, they get the videos of you showing them how it's done. As an email course, you can set this up so they get email reminders when they are on day 20 what their running schedule should be, etc. You could earn money in a lot of different ways with this site. It would be excellent for sponsorships, but also Amazon affiliate sales and video courses. Heck, even an eBook could be really good for this niche. The door is wide open.
Of course, there are large fast-food, pet store, and other enterprises that cost a great deal. However, consider a DVD rental machine, soda, or gum ball machines as more passive avenues to income. These require little maintenance, coins, bills, or revenue collected via credit cards, as well as periodic refilling of machines. These machines are, perhaps, one of the more lucrative paths to a passive income with little input from you.
The numbers related to the usage of mobile devices are growing constantly, making mobile experience quite important in internet marketing, which is why you should learn about internet marketing for mobile devices. The topics in this chapter include tips for optimizing your website for mobile devices, including responsive design, separate pages and mobile marketing, and the importance of developing this strategy in modern business.
He is the owner of jeffbullas.com. Forbes calls him a top influencer of Chief Marketing Officers and the world's top social marketing talent. Entrepreneur lists him among 50 online marketing influencers to watch. Inc.com has him on the list of 20 digital marketing experts to follow on Twitter. Oanalytica named him #1 Global Content Marketing Influencer. BizHUMM ranks him as the world's #1 business blogger. Learn More
Higher Search Engine Rankings: Unless you're a very well established website with an authoritative digital presence, your SEO strategy will be more effective if you focus on niche topics and long tail keywords. With this approach, you'll be more likely to reach your target audience, which means customers will have an easier time finding and buying your products.
> Within the broader arena of Google Partners' digital advertising, the complex world of Pay-per-Click gives many people headaches. Wordstream's (@WordStream) PPC University offers a variety of online marketing tutorials that drill down to the specific heart of PPC. Three levels of learning (101, 102 and Advanced) cover every aspect from basics such as how to set up an account, through bid management and optimization right up to remarketing and advanced geotargeting.
What do you want to earn? Is this just a little bit of side income on your hobby blog or are you trying to replace your full time income? If you're trying to go big then you're going to want to focus on more high-quality products with big commissions. Maybe you will be building your site or blog around the specific product you want to promote, like a product review or comparison site.
While these are great ways to make money online, they're far from the most lucrative. Making money from Advertisement requires having a lot of traffic to make even $1,000 a month. This is perfectly acceptable by millions of people, but is unfortunately one of the least lucrative ways to make money online because, even 100,000 page views a day may not earn you up to $2,000 in one month, depending on the Ad network you choose to go with.
If you create a website and have the top navigation bar be all the different types of lenses (wildlife lenses, sports lenses, portrait photography lenses, etc) and then make drop down menus for the different brands of cameras, you could create a site where people come, choose what brand of camera they have and what they want their lens to do and viola! You have a page on your site that shows them the good, better, and best lens options at different price points. This kind of site could be really popular and insanely useful. That's a recipe for success.
Wrike emphasizes online project management. Their system provides team members the ability to collaborate and plan using cloud-based approaches. The style can be a powerful way to get teams working effectively over large geographical distances. Wrike also presents itself well, making the service seem reliable and appealing right from the very beginning.
There are plenty of websites on the internet that offer digital marketing courses for free. You can sign up on those sites and learn digital marketing through various courses and programs. Those courses can help you develop the understanding for the field and get a certificate as well, but they are not as authenticated as professional certificates and tend to have low completion rates. These free courses don't usually offer any interactive projects, practical hands-on learning, or live lectures. Although some of these free courses can help you get your feet wet, if you're serious about learning digital marketing, you'll need professional training with a certified online education program. As the old adage goes, you typically get what you pay for.
"Create your own products and services," financial blogger and life coach Michael Tamez tells Bustle. "Any company you could ever work for can replace you at any time. However, your individuality can never be replaced! I encourage you to explore your creative talents and abilities more. What are you good at? How can you monetize that talent and perhaps even build a business out of it? Have you experienced something extraordinary in your life, and because of it, have tons of knowledge and wisdom to share? ... Creating your own products and services can create steady streams of residual income, which pays you continuously, even when you're not working. Essentially, you bust your ass once and get paid for the rest of your life — even when you're sitting on the beach, sipping coconut rum. Just remember this: When you invest in your creative abilities, you become irreplaceable!"
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18. Olavivo Olavivo is a boutique affiliate network, with a focus on E-commerce, Health and Beauty and Cryptocurrency verticals. Our network promises dedication, transparency and unique technological capabilities with the highest level of personal and professional service. Join us today and get more bang for your buck. When you succeed, we succeed.
Although there are a lot of social marketing channels, you need to focus on the top six, Facebook, Twitter, Linkedin, Pinterest, Instagram and Google Plus (just because you don't want Google to hate you!). Initially you should limit yourself to building profile pages, understanding how each network works and what are best practices. Every platform is unique in some way and following guides will be a good start.
Web analytics is the part of marketing devoted to the analysis of your goals and methods used for promotion of your website, and how those should be adapted in order to refine the approach and eventually produce better results. This segment of the course will show you what web analytics is, why you should use it and which metrics should be tracked to get the relevant data for the analysis. You will also learn about conversion optimization, elements of web usability and conversion optimization and how to calculate conversion rate optimization.
All written content on this site is for information purposes only. Opinions expressed herein are solely those of AWM, unless otherwise specifically cited. Material presented is believed to be from reliable sources and no representations are made by our firm as to another parties' informational accuracy or completeness. All information or ideas provided should be discussed in detail with an advisor, accountant or legal counsel prior to implementation.
Type of site: Just make this a niche site for the first several years. Don't waste a ton of time making a podcast and an in-depth youtube channel. Make a few videos to show some setups but mostly just write blog posts. If you create a podcast episode today, nobody will listen to it again after a few months. Write blog posts that will last. There is no competition here, so don't get bogged down with social media and crap. Just write!
P2P lending is the practice of loaning money to borrowers who typically don't qualify for traditional loans. As the lender you have the ability to choose the borrowers and are able to spread your investment amount out to mitigate your risk. The most popular peer to peer lending platform is Lending Club. You can read our full lending club review here: Lending Club Review.
Investigate each company you're considering. Putting your money into a company's stock is essentially an investment in that company's wellbeing. If the company is poorly managed, or if their products/services are declining and the company is sliding towards bankruptcy, you'd do well to avoid that company. That's where doing your research comes in.[18]
Let's say you just decided to sign up for the Chase Sapphire Preferred® card. Once you had the card in hand, you could begin using it for purchases and earning cash back for every swipe. For every dollar you spend on regular purchases, you'll get 1 percent back in the form of rewards. For dining and travel purchases, on the other hand, you'll score a smooth 2 percent back.
There are plenty of websites on the internet that offer digital marketing courses for free. You can sign up on those sites and learn digital marketing through various courses and programs. Those courses can help you develop the understanding for the field and get a certificate as well, but they are not as authenticated as professional certificates and tend to have low completion rates. These free courses don't usually offer any interactive projects, practical hands-on learning, or live lectures. Although some of these free courses can help you get your feet wet, if you're serious about learning digital marketing, you'll need professional training with a certified online education program. As the old adage goes, you typically get what you pay for.
18. Olavivo Olavivo is a boutique affiliate network, with a focus on E-commerce, Health and Beauty and Cryptocurrency verticals. Our network promises dedication, transparency and unique technological capabilities with the highest level of personal and professional service. Join us today and get more bang for your buck. When you succeed, we succeed.
Determine who your main online competitors are. Research how they work, how they market and how big of a market share you believe they have. Sign up for e-newsletters, research their press releases and determine the strengths and weaknesses of each online competitor. You may even need to purchase something from them in order to understand how they complete their sales process.
A few months ago I was in the market for a new desktop computer that could handle editing 1080p video. I didn't want a computer that could handle 1080p video. I wanted a computer that could eat, chew, and spit out 1080p video. I was tired of waiting for things to render. So, I set out to find good computers for video editing. What a mess! Thousands of articles, thousands of opinions from computer nerds, and nobody simply told me the answer. I just wanted a page that has good, better, best and then to SHOW ME in a practical sense what it is like editing video on that machine. I spent days researching whether I should build my own computer (which would be a good topic in and of itself) or if I could find one for a decent price that did what I wanted it to do.
Residual income, also called passive income, involves a steady source of income that does not come from an employer or contractor. This can include rental income or any other business dealing in which you do not actively participate in the business but still earn money from your initial work (like book royalties or certain types of stocks).[1] It's important to realize that even residual income takes a lot of time and effort to build, and isn't as simple as waiting for the checks to roll in.[2] Learning how to earn residual income can help you supplement your regular income and generate profits for the foreseeable future, as long as you put in the necessary work.
Our favorite platform for this is RealtyMogul because you get the flexibility to invest as little as $1,000, but can also participate in REITs and private placements – typically not offered to the public. Investors can fund real estate loans to gain passive income or buy an equity share in a property for potential appreciation. Their platform is open to both accredited and non-accredited investors.
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Nice job here! I must confess that you are one of the most current researchers when it comes to affiliate marketing. The list you have here will, no doubt, help every new blogger or affiliate marketer in choosing a niche. Since you've done the hard work of finding the niches, our duty is to key in to what you've made available. Your site has actually helped me in my projects.


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Real Estate For Sale In La Costa Neighborhood - Page: 5
8045 Paseo Avellano, Carlsbad, CA 92009
7026 Estrella De Mar Rd, Carlsbad, CA 92009
2824 Unicornio Unit C, Carlsbad, CA 92009
3146 Avenida Alcor, Carlsbad, CA 92009
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7459 Via De Fortuna, Carlasbad, CA 92009
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2501 Navarra Unit 114, Carlsbad, CA 92009
7511 Jerez Ct Unit A, Carlsbad, CA 92009
Popular Searches
- New Listings (899)
- Open Houses (1,083)
- Reduced Price Listings (2,219)
- Oceanfront Properties (106)
- Bayfront Properties (40)
- Ocean View Properties (679)
- Downtown San Diego (346)
Finding La Costa homes and condos for sale is a great way to start your search but how much do you really know about La Costa neighborhood? Learn about real estate for sale in La Costa and other homes, condos and townhomes information about this neighborhood on AlexiouRealty.com where you have access to the listings and neighborhood information whenever you want and need it.
Finding the right neighborhood was once as challenging as finding the right home, maybe even more so. Since we provide you with additional neigborhood information in addition to La Costa real estate searches we try to make this as easy as possible for you. When you are considering La Costa homes for sale, you can find the information about the neighborhood and nearby schools right on each property details page.
All this information is here because for most people buying real estate is the biggest and most expensive investment they will make in a lifetime. Find detailed property listings that have property features, photos, virtual tours and even location maps and statistics about the La Costa neighborhood. All the information is well organized and easy to understand. Even get information and reviews of nearby schools. Get more information about the property you like with just a mouse click when you request more information or a showing right from the property details page.
Information doesn't have to be hard to find, and it certainly shouldn't be even harder to understand. AlexiouRealty.com has made the facts and details easy for you to understand making your La Costa real estate search a little simpler.
This information is deemed reliable but not guaranteed. You should rely on this information only to decide whether or not to further investigate a particular property. BEFORE MAKING ANY OTHER DECISION, YOU SHOULD PERSONALLY INVESTIGATE THE FACTS (e.g. square footage and lot size) with the assistance of an appropriate professional. You may use this information only to identify properties you may be interested in investigating further. All uses except for personal, non-commercial use in accordance with the foregoing purpose are prohibited. Redistribution or copying of this information, any photographs or video tours is strictly prohibited. This information is derived from the Internet Data Exchange (IDX) service provided by San Diego MLS. Displayed property listings may be held by a brokerage firm other than the broker and/or agent responsible for this display. The information and any photographs and video tours and the compilation from which they are derived is protected by copyright. Compilation 2019 San Diego MLS, Inc.


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'He's missing the point': CNN analyst ridicules Trump's attempt to respond to Cohen sentencing with 'lawyerly sounds'
CNN political commentator Errol Louis on Thursday ridiculed President Donald Trump's attempt at a "lawyerly" response to the sentencing of his former fixer Michael Cohen, saying the president was
"missing the point."
"He's making lawyerly sounds, there's no legal coherence there," Louis said in response to Jim Sciutto, who asked if the president was taking the issue seriously. "There is a whole ton of evidence."
"There's audio evidence. There's travel documents. There's bank fraud on top of all this stuff because Michael Cohen was foolish enough to try and lie to the bank to get the home equity line of credit to pay off the mistress," he added, laughing out loud.
"The president is going to discover that, if he's focussing on a legal defense, as poor as this, is he's kind of missing the point," Louis continued. "I think this is ultimately going to be tried in the court of politics, rather than in a courtroom."
Watch the video below.
Trump elicits unintentional laughter in Oval Office meeting: My wars 'don't need exit strategies'
President Donald Trump revealed on Tuesday that he does not use exit strategies when planning for war.
During an Oval Office press gaggle, the president was asked if he had a plan for ending a possible war with Iran.
"You're not going to need an exit strategy," Trump opined, possibly misunderstanding the term. "I don't need exit strategies."
Some in the room could be heard audibly laughing as the president answered.
Watch the video below from CNN.
Moderate Dem lawmaker tells CNN why Trump's 'appalling behavior' changed his mind on impeachment
Rep. Jim Himes (D-CT), a moderate Democrat and a member of the centrist New Democrat Coalition, went on CNN on Tuesday to explain why he has changed his mind and now supports starting an impeachment inquiry into President Donald Trump.
In an interview with CNN's John Berman, Himes said that Trump has regularly shown that he doesn't care about obeying the law, as evidenced by his decision to completely shrug off his own Office of Special Counsel's finding that adviser Kellyanne Conway has repeatedly violated the Hatch Act.
"Kellyanne Conway had clearly broken the law and she should be removed from office," Himes said. "And the president said, 'Ah heck, that doesn't matter.'"
9/11 first responder busts Trump for lying about helping them: 'There's no meeting'
Appearing in CNN's New Day, two New York City first responders trashed Congress for its foot-dragging over providing funding to help those afflicted by illnesses directly related from the 9/11 attack.
Speaking with hosts John Berman and Alisyn Camerota, 9/11 first responder John Feal first took shots at Senate Majority Leader Mitch McConnell (R-KY) and Sen. Lindsey Graham (R-SC) before getting around to recent comments made by President Donald Trump where he claimed he was having a meeting with representatives of the firefighters and police this week.
In an interview with NBC's Chuck Todd, the president noted the work being done by former "Daily Show" host Jon Stewart to help get legislation pushed through, and said that he is taking a personal interest in the 9/11 victims' plight.