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Tarsal

Tunnel

Syndrome

NORD

gratefully

acknowledges

John

G

Kennedy

MD

Attending

Orthopaedic

Surgeon

Yoshiharu

Shimozono

MD

Orthopaedic

Surgeon

and

Niall

A

Smyth

MD

Orthopaedic

Surgery

Resident

Hospital

for

Special

Surgery

for

assistance

in

the

preparation

of

this

report

General

Discussion

Tarsal

tunnel

syndrome

is

a

rare

disorder

caused

by

damage

to

the

tibial

nerve

or

its

branches

usually

due

to

compression

as

it

passes

through

the

tarsal

tunnel

entrapment

neuropathy

The

tarsal

tunnel

is

a

narrow

passageway

bound

by

bone

and

soft

tissue

that

lies

on

the

inside

of

the

ankle

The

tibial

nerve

as

well

as

certain

blood

vessels

and

tendons

passes

through

the

tarsal

tunnel

However

the

term

tarsal

tunnel

syndrome

is

often

broadly

applied

to

any

pain

along

the

tibial

nerve

which

can

result

from

a

multitude

of

causes

Individuals

with

tarsal

tunnel

syndrome

may

experience

pain

Signs

Symptoms

The

specific

symptoms

of

tarsal

tunnel

syndrome

can

vary

from

one

person

to

another

In

some

cases

symptoms

can

develop

suddenly

and

in

others

gradually

Some

affected

individuals

may

experience

a

sharp

shooting

pain

along

the

tibial

nerve

This

nerve

branches

off

from

the

sciatic

nerve

and

runs

down

the

lower

leg

to

the

ankle

and

then

the

foot

Pain

can

be

severe

enough

to

cause

a

person

to

limp

Affected

individuals

may

describe

a

radiating

pain

that

can

not

be

localized

to

one

spot

In

addition

to

or

instead

of

pain

affected

individuals

may

experience

numbness

of

the

affected

In

some

individuals

symptoms

may

affect

one

spot

such

as

the

inside

of

the

ankle

In

other

individuals

symptoms

can

affect

the

ankle

heel

and

foot

For

example

pain

may

radiate

from

the

ankle

down

to

the

heel

or

even

the

foot

depending

on

which

section

of

the

nerve

is

affected

Less

frequently

pain

may

radiate

up

from

the

ankle

to

the

calf

The

symptoms

of

tarsal

tunnel

syndrome

are

often

worsened

by

activity

such

as

prolonged

standing

or

walking

Consequently

pain

may

worsen

throughout

an

active

day

Symptoms

are

usually

relieved

by

rest

However

as

the

disorder

progresses

some

affected

individuals

have

reported

pain

that

occurs

during

rest

or

at

night

when

attempting

to

sleep

Causes

Tarsal

tunnel

syndrome

can

be

caused

by

any

condition

that

causes

compression

of

the

tibial

nerve

or

its

branches

as

it

passes

through

the

tarsal

tunnel

A

wide

variety

of

conditions

can

cause

tarsal

tunnel

syndrome

including

spaceoccupying

lesions

or

masses

which

may

increase

pressure

in

the

tunnel

Such

lesions

include

tumors

consisting

mainly

of

fat

tissue

lipomas

tumors

consisting

of

nerve

fibers

and

ganglion

cells

gangliomas

and

tumors

of

the

nerve

sheath

schwannomas

Additional

conditions

that

can

cause

tarsal

tunnel

syndrome

include

a

benign

bony

growth

in

the

tarsal

tunnel

exostosis

enlarged

varicose

veins

and

inflammation

of

the

synovial

membrane

proliferative

synovitis

Certain

injuries

or

trauma

such

as

an

ankle

sprain

fracture

or

valgus

foot

deformity

may

cause

inflammation

and

swelling

that

can

lead

to

tarsal

tunnel

syndrome

In

addition

certain

disorders

such

as

diabetes

and

arthritis

can

also

cause

inflammation

and

swelling

that

can

lead

to

tarsal

tunnel

syndrome

Individuals

who

have

severely

flat

feet

pes

planus

are

at

a

greater

risk

of

developing

tarsal

tunnel

syndrome

than

the

general

population

because

the

flattened

fallen

arches

can

stretch

the

tibial

nerve

Affected

Populations

The

incidence

and

prevalence

of

tarsal

tunnel

syndrome

is

unknown

The

disorder

is

believed

to

affect

males

and

females

in

equal

numbers

Related

Disorders

Symptoms

of

the

following

disorders

can

be

similar

to

those

of

tarsal

tunnel

syndrome

Comparisons

may

be

useful

for

a

differential

diagnosis

Plantar

fasciitis

is

a

common

condition

characterized

by

inflammation

of

the

thick

band

of

tissue

which

runs

along

the

bottom

of

the

foot

plantar

fascia

The

plantar

fascia

supports

the

arch

of

the

foot

and

acts

as

a

shock

absorber

Plantar

fasciitis

is

a

common

cause

of

heel

pain

and

is

often

described

as

a

sharp

pain

in

the

heel

Pain

associated

with

plantar

fasciitis

tends

to

develop

gradually

and

tends

to

be

worse

in

the

morning

and

may

improve

throughout

the

day

and

with

stretching

exercises

Additionally

the

pain

is

unlike

the

shooting

and

tingling

pain

associated

with

tarsal

A

wide

variety

of

conditions

can

cause

pain

in

the

foot

or

ankle

including

diabetes

diabetic

neuropathy

posterior

tibial

tendinosis

stress

fractures

certain

rare

disorders

such

as

reflex

sympathetic

dystrophy

and

certain

disorders

that

affect

the

nerves

outside

of

the

central

nervous

system

peripheral

neuropathy

Diagnosis

A

diagnosis

of

tarsal

tunnel

syndrome

is

made

based

upon

identification

of

characteristic

symptoms

a

detailed

patient

history

a

thorough

clinical

evaluation

and

a

variety

of

specialized

tests

A

specific

finding

that

can

detect

an

irritated

nerve

is

Tinels

sign

During

a

Tinels

sign

test

a

doctor

will

tap

or

apply

pressure

to

the

tibial

nerve

If

this

causes

a

tingling

or

a

pins

and

needles

sensation

in

the

foot

or

toes

it

is

considered

positive

and

is

indicative

of

tarsal

tunnel

syndrome

Additional

tests

that

may

be

performed

include

electromyography

and

magnetic

resonance

imaging

MRI

Electromyography

is

a

test

that

can

determine

the

health

of

muscles

and

nerves

and

can

detect

nerve

dysfunction

An

MRI

uses

a

magnetic

field

and

radio

waves

to

produce

crosssectional

images

particular

organs

and

bodily

tissues

and

may

be

used

if

a

spaceoccupying

is

the

suspected

cause

of

tarsal

tunnel

syndrome

or

to

detect

if

the

nerve

is

irritated

Standard

Therapies

Treatment

The

treatment

of

tarsal

tunnel

syndrome

is

directed

toward

the

specific

symptoms

that

are

apparent

in

each

individual

Physicians

may

recommend

conservative

treatment

which

can

include

rest

contrast

baths

nonsteroidal

antiinflammatory

drugs

NSAIDs

and

nonrigid

orthotics

Orthotics

refers

to

devices

such

as

splints

or

braces

that

are

used

to

protect

or

correct

the

position

of

the

foot

In

some

cases

changing

to

looser

or

larger

footwear

to

reduce

tightness

can

relieve

pain

associated

with

tarsal

tunnel

syndrome

Some

individuals

may

benefit

from

a

local

injection

of

certain

medications

anesthetics

to

reduce

pain

or

corticosteroids

to

reduce

inflammation

This

may

also

prove

to

be

diagnostic

as

relief

brought

on

by

an

injection

of

an

anesthetic

around

the

affected

nerve

confirms

the

diagnosis

Immobilization

such

as

through

the

use

of

a

cast

can

also

be

beneficial

in

some

cases

Physical

therapy

may

also

be

recommended

Individuals

with

tarsal

tunnel

syndrome

due

to

flat

feet

may

be

treated

with

orthotics

designed

to

provide

support

or

restore

the

natural

arch

of

the

foot

Surgery

is

recommended

for

individuals

with

severe

symptoms

who

do

not

respond

to

conservative

treatment

The

purpose

of

the

surgery

is

to

decompress

the

nerve

from

within

the

tarsal

tunnel

andor

removal

of

any

spaceoccupying

lesion

Investigational

Therapies

Information

on

current

clinical

trials

is

posted

on

the

Internet

at

wwwclinicaltrialsgov

All

studies

receiving

US

Government

funding

and

some

supported

by

private

industry

are

posted

on

this

government

web

site

For

information

about

clinical

trials

being

conducted

at

the

NIH

Clinical

Center

in

Bethesda

MD

contact

the

NIH

Patient

Recruitment

Office

Tollfree

TTY

Email

prplccnihgov

Some

current

clinical

trials

also

are

posted

on

the

following

page

on

the

NORD

website

httpsrarediseasesorgforpatientsandfamiliesinformationresourcesinfoclinicaltrialsandresearchstudies

For

information

about

clinical

trials

sponsored

by

private

sources

contact

wwwcenterwatchcom

For

information

about

clinical

trials

conducted

in

Europe

contact

httpswwwclinicaltrialsregistereu

Contacts

for

additional

information

about

tarsal

tunnel

syndrome

John

G

Kennedy

MD

MCh

MMSc

FFSEM

FRCS

Orth

Attending

Orthopaedic

Surgeon

KennedyJHSSedu

Niall

A

Smyth

MD

Orthopaedic

Resident

NiallSmythjhsmiamiorg

Hospital

for

Special

Surgery

East

Street

New

York

NY

Website

sportsmedicinenewyorkcom

Supporting

Organizations

Neuropathy

Association

East

Street

Suite

New

York

NY

USA

Phone

Email

infoneuropathyorg

Website

httpwwwneuropathyorg

NIHNational

Institute

of

Neurological

Disorders

and

Stroke

PO

Box

Bethesda

MD

Phone

Tollfree

Website

httpwwwnindsnihgov

References

TEXTBOOKS

Cook

RA

OMalley

MJ

Tarsal

Tunnel

Syndrome

NORD

Guide

to

Rare

Disorders

Lippincott

Williams

Wilkins

Philadelphia

PA

JOURNAL

ARTICLES

Low

HL

Stephenson

G

These

boots

werent

made

for

walking

tarsal

tunnel

syndrome

CMAJ

Miranpuri

S

Snook

E

Vang

D

Yong

RM

Chagares

WE

Neurilemoma

of

the

posterior

tibial

nerve

and

tarsal

tunnel

syndrome

J

Am

Podiatr

Med

Assoc

Gondring

WH

Shields

B

Wenger

S

An

outcomes

analysis

of

surgical

treatment

of

tarsal

tunnel

syndrome

Foot

Ankle

Int

Nagaoka

M

Satou

K

Tarsal

tunnel

syndrome

caused

by

ganglia

J

Bone

Joint

Surg

Br

INTERNET

Persich

G

Touliopoulos

S

Tarsal

Tunnel

Syndrome

Medscape

Updated

Jun

Available

at

Accessed

Sept

Wheeless

CR

Tarsal

Tunnel

Syndrome

Wheeless

Textbook

of

Orthopaedics

May

Available

at

httpwwwwheelessonlinecomorthotarsal_tunnel_syndrome

Accessed

Sept

Years

Published

The

information

in

NORDs

Rare

Disease

Database

is

for

educational

purposes

only

and

is

not

intended

to

replace

the

advice

of

a

physician

or

other

qualified

medical

professional

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the

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and

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Individuals

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an

individual

disease

for

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use

provided

that

content

is

unmodified

and

includes

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copyright

National

Organization

for

Rare

Disorders

NORD

Kenosia

Ave

Danbury

CT

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O


Home Getting started Glossary of Terms Roles and responsibilities End of Life Care Coordination and Record Keeping Looking after yourself RCN Principles of Nursing Practice Communication The patient journey Typical death trajectory Signs of approaching death Advanced care planning Bereavement Finding meaning Culture and spirituality Ethics Case study meet Tim Setting the scene Conversation 1 good example Conversation 2 good example Conversation 3 good example Conversation 4 good example Conversation 5 good example Conversation 6 good example Conversation1 poor example Conversation 2 poor example Conversation 3 poor example Conversation 4 poor example Conversation 5 poor example Conversation 6 poor example Less than helpful Summary Key messages Lifting the mood References Prepare for a good end of life RCN resources Customer Feedback Typical death trajectory Home next

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O


FindLaw Learn About The Law Real Estate Law Buying a Home Home Inspections Before You Buy Home Inspections Before You Buy Youve found the home you want at the right price and it looks like its in pristine condition But always keep in the mind that particularly when its for sale by the owner the home has been dressed up to accentuate its best features and minimize its potential flaws Before you close on the purchase of a home or sometimes even before you make an offer you should insist on an independent home inspection by a professional inspector Many sellers have had inspectors and appraisers look at the home for purposes of the sale and are aware or should be that buyers will likely ask for another inspection independent of their own This article will focus on why inspections are necessary what to look for during house inspections as well as inspectors and when to carry out inspections Why Home Inspections are Important If you arrange for an inspection by a professional before the sale goes through the problem is still the sellers If you choose not to have it done the problem unfortunately becomes yours The number of home inspections performed increases each year with more than 90 percent of home sales involving a house inspection according to the American Society of Home Inspectors ASHI While this number doesnt differentiate between a sellerbased inspection and buyerbased inspection it certainly indicates the significance of home inspections in the buying process According to home inspectors homes are sometimes not particularly well cared for by homeowners who are slow to fix leaky faucets replace heating or AC filters or clunky furnaces If homes with homeowners living in the property can be uncared for imagine what conditions a foreclosed home can hide Mold can grow if the water hasnt been turned off and the environment becomes moist If the home is boarded up and there is no ventilation for weeks or months black mold can grow fairly quickly Because of its importance and the implications it might have on the actual value of the house you should make the purchase of the home contingent on your approval of a home inspectors report When making a written offer for the home simply make it a condition of the purchase If your home inspection comes back clean you can proceed with the sale with confidence And if the report is negative you can reduce your offer make the seller pay for any repairs or even back out of the contract altogether What a Home Inspection Entails It is important for buyers to know what they should expect from the inspection process and what you generally get for your money Because there is no uniform certification or licensing process for inspectors more on that below home inspections vary according to the person or company that does them Generally a home inspection will include a report on the type and relative health where possible of the houses heating and cooling system electrical system plumbing walls ceilings flooring foundation roofing drainage and basement Because home inspectors are not licensed in most states inspections will typically not include analysis for problems which licensed professionals generally give advice These issues include termites chemicals and gasses such as asbestos or methane gas lead or rodents You should inquire into the presence of such problems Inspectors may be more willing to share such information off the record because of their lack of certification in a particular area and then you can call a professional in that field to give a written analysis For example you might ask an inspector if there is a termite problem and he may tell you that theres a good chance of it but not put it in his report It would be incumbent upon you to get a pest inspection of the house to get an official report Note that an inspection generally covers only moderate to serious issues and does not detail each and every scratch and dent in the home If you want a more exacting report you should discuss this with your inspector a higher fee is likely and walk through the home with him during the inspection if possible Not only will you learn more about the process and what to look for he may give you information on small flaws that he may not include in a report but you might want to be aware of for the future A house inspection will run about 300 to 500 depending on the person doing the inspection and factors such as the size of the home age and type of home What to Look for In a Home Inspector The first thing to note is that most states do not have a certification or licensing process for home inspectors If your state does not have licensing criteria there are organizations such as ASHI which are nationally recognized as maintaining and requiring a certain level of expertise and competency from their members You should make sure that your inspector is a member of such an organization or is a licensed professional in home construction eg a general contractor Because you want the home inspection to be independent of the seller you should not take the sellers inspection report at face value You may not even want to hire an inspector your realtor hires because the realtor has a vested interest in the sale of the house Many homeowners do take a referral from their realtor however Ideally you want someone licensed or part of a professional organization who is completely independent of all of the parties involved in the sale of the home Other Inspections As noted above general inspectors are not licensed to inspect for particularized issues such as pests gasses etc It would probably be in your best interest to get at least a pest inspection done particularly if youre in a high risk area If you are in a high risk area for floods or earthquakes a specialized inspection to gauge the houses susceptibility to those risks would be wise as well Questions About Home Inspections Talk to a Lawyer If youre in the market to buy a house its a good idea to get an independent inspection of the house youre interested in buying If you have questions about home inspections or other questions regarding real estate laws you may want to speak with an experienced real estate attorney near you today

O O O O O O O O O O O B I O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O


No Were Not on the Brink of Civil War But the Reasons Why Were Not Are Far From Entirely Reassuring Contrary to the fears of some pundits the US is not on the brink of civil war But the explanation for that is far from entirely reassuring Ilya Somin Oct 1 2018 447 pm Democracy Political Ignorance The deeply polarized and highly partisan tone of recent politics has led some pundits to fear that we may be on the brink of another civil war In reality any such conflict is highly unlikely But the reasons why are far from fully reassuring Political scientist Morris Fiorina a leading expert on American public opinion has an excellent article explaining why the brink of civil war meme is greatly exaggerated Recent articles here and here by Victor Davis Hansonmy colleague at the Hoover Institutionpaint a frightening picture of the United States as a country teetering on the edge of civil war I am happy to report that the available data provide grounds for feeling much more sanguine about the state of our country Although they are noisy and harmful to our politics the kinds of people Hanson criticizes are many fewer in number than generally believed They are what political scientists call the political class a small minority of selfappointed activists demonstrators donors partisan media commentators and officeseekers Given that such people are the public To understand contemporary American political life you should begin with the realization that most of the people blabbering on cable television venting on Facebook andor fulminating on Twitter are abnormal They are abnormally interested and involved in politics they tend to occupy the policy extremes and they are abnormally opinionated Consider some numbers As of today there are about 235 million eligible voters in the United States About one percent of them subscribe to either The New York Times or The Wall Street Journal Liberals rail against Fox News and conservatives against MSNBC they should take consolation in the fact that the Fox viewing audience is about one percent of the eligible electorate while news shows on MSNBC fall short of that Sean Hannitys is the highestrated political show on cable television with an audience of about 15 percent of the eligible electorate On the other end of the spectrum Rachel Maddow gets a bit over one percent Anderson Cooper 360 draws in a paltry 04 of one percent Granted these small audiences may spread the word to some nonsubscribers and nonviewers but even Fiorina goes on to point out correctly that most Americans do not align with the ideological extremes of either party and that the selfdescribed distribution of liberals moderates and conservatives has changed very little over the last few decades He is also right to emphasize that the kinds of people who avidly follow political news and the kinds who tend to read blog posts like this one are highly unrepresentative Fiorina could have added that the actual rate of domestic political violence in America today is still much lower than that of the 1960s when both farright and farleft groups The reasons for optimism about a potential civil war are far from reassuring when it comes to their implications for other aspects of American politics however As Fiorina emphasizes the biggest factor tamping down war fever is that most Americans simply arent that interested in politics and dont follow it closely This is actually rational behavior for most voters if your only reason to keep track of government and public policy is to be a better voter thats not much of an incentive to do so since the chance your vote will make a different to the outcome of an election is extremely small Widespread political ignorance of this kind reduces the quality of government policy and renders voters vulnerable to deception and demagoguery of the sort that we often see on both right and left The dangers of this kind of ignorance are exacerbated by the enormous size scope and complexity of modern government which make it difficult for rationally ignorant voters to effectively monitor more than a small fraction of its activities The small minority of activists that Fiorina refers to are generally much betterinformed than the average voter But they also tend to be highly biased in their evaluation of political information Instead of acting as truthseekers most behave as loyal political fans of Team Red or Team Blue overvaluing anything that supports their preexisting views and discounting anything that cuts against them This kind of bias has been on full display in recent days when commentators opinions on the veracity of the sexual assault accusations against Supreme Court nominee Brett Kavanaugh has been closely correlated with their general political alignment Such motivated reasoning is particularly common in an era when as Fiorina recognizes the two parties are more polarized than in the past and partisan hatred is unusually high Biased activistspolitical fans are unlikely to cause a new civil war But they do wield political influence disproportionate to their numbers That further reduces both the quality of political discourse and the quality of the policies advocated by both major parties We should be happy that a second Civil War is unlikely to break out anytime soon But there is much less cause for celebration when it comes to the overall state of American democracy Ilya Somin is Professor of Law at George Mason University and the author of Democracy and Political Ignorance Why Smaller Government Is Smarter and The Grasping Hand Kelo v City of New London and the Limits of Eminent Domain Media Contact Reprint Requests VIEW COMMENTS 144 LEAVE A COMMENT You must have an account and be logged in to comment Click here to register or here to login if you already have an account

O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


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SparkRecipes is powered by Trackers Articles Community Nutrition Facts Servings Per Recipe 16 Serving Size 1 serving Amount Per Serving Calories 973 Total Fat 41 g Saturated Fat 25 g Polyunsaturated Fat 02 g Monounsaturated Fat 10 g Cholesterol 108 mg Sodium 1981 mg Potassium 409 mg Total Carbohydrate 129 g Dietary Fiber 04 g Sugars 08 g Protein 22 g Vitamin A 29 Vitamin B12 13 Vitamin B6 06 Vitamin C 00 Vitamin D 26 Vitamin E 04 Calcium 72 Copper 12 Folate 74 Iron 46 Magnesium 14 Manganese 54 Niacin 47 Pantothenic Acid 13 Phosphorus 51 Riboflavin 63 Selenium 84 Thiamin 84 Zinc 12 Percent Daily Values are based on a 2000 calorie diet Your daily values may be higher or lower depending on your calorie needs Calories in Drop Biscuits View the full Drop Biscuits Recipe Instructions Submitted by KUSHYT TAGS Side Items Calories per Ingredient Here are the foods from our food nutrition database that were used for the nutrition calculations of this recipe Calories per serving of Drop Biscuits 59 calories of Flour white 013 cup 33 calories of Butter salted 002 cup 6 calories of Milk 1 006 cup 0 calories of Baking Powder 019 tsp 0 calories of Salt 003 tsp Nutrition Calorie Comments No nutrition or calorie comments found Calories in Similar Recipes Calories in Banana Chocolate Chip Muffins by FIREFLY75 Not too sweet but not too healthy these delightful muffins are equally delicious for breakfast or d Calories in Low Cholesterol Scalloped Potatoes A lowfat heart healthy version of this traditional comfort food Calories in Healthy Moussaka by KHILKEY A healthy take on the Greek eggplant casserole Calories in Spicy Black Bean Burgers These burgers are spiced to perfection To make them even spicier you could melt jalapeno soy cheese Calories in Caribbean Pork with Pineapple Sweet and sour pork takes a trip to the islands Printed with permission from the American Institute Calories in Banana Oatmeal Cookies Banana and oatmeal are a perfect pair in these nottoosweet treats Calories in Vegan Brainless Banana Pancakes So yummy and sweet you dont even need syrup Calories in Danish Aebleskiver Pancake Balls by NEWDAYNEWWAY75 These delectable balls are a treat to eat and very filling Calories in GoodforYou Cornbread Lowfat buttermilk adds flavor and keeps this cornbread moist Calories in Wheat Pancakes A healthy whole grain twist to this traditional breakfast food Calories in Chocolate Chip Cookies Healthy chocolate chip cookies Yes you read correctly Check this recipe out Calories in Refrigerator Bran Muffins by GAYENOBLE Using applesauce instead of oil decreases the fat content of these muffins but keeps them moist and Calories in Angel Food Cake Try this satisfying and sweet dessert Calories in Chicken Marsala Tomato juice lemons and mushrooms flavor this chicken recipe the lower salt and lower fat way Calories in Shortcake Biscuits with Berries This easytomake shortcake biscuit which uses baking powder will bring back memories of traditional

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SparkRecipes is powered by Trackers Articles Community Jillees Gluten Free Bread that doesnt suck Share by Email More sharing options 5 of 5 1 Create a Recipe Makeover Servings Per Recipe 24 Amount Per Serving Calories 1277 Total Fat 28 g Cholesterol 284 mg Sodium 2086 mg Total Carbs 240 g Dietary Fiber 09 g Protein View full nutritional breakdown of Jillees Gluten Free Bread that doesnt suck calories by ingredient Report Inappropriate Recipe Submitted by TEXASGIRLY68 Introduction This is a gluten free bread recipe from the ladys blog who experimented and developed an awesome Gluten Free bread recipe We have made it and it is way better than all the other gluten free bread recipes we have tried and it is way better than the expensive store bought gluten free bread Heck it even taste better than regular bread The recipe has two parts to it one is for the brown rice flour blend the second part is for the bread itself There are replacements or substitutes for some things and we have used those replacements and substitutes We love it httpwwwonegoodthingbyjilleecom 201303finallyglutenfreebreadtha tdoesntsuckhtml Minutes to Prepare 30 Minutes to Cook 60 Number of Servings 24 Ingredients Brown Rice Flour Blend Makes 4 cups Ingredients 1 cups brown rice flour 1 cups tapioca flourstarch 1 cups cornstarch 1 tablespoon potato flour Here I couldnt find potato flour in the store so I just blended some potato flakes up in my blender and that worked just fine Mix all ingredients together OK NOW were ready to make the glutenfree Bread Recipe Jillees GlutenFree Bread That Doesnt Suck Ingredients 4 cups Brown Rice Flour Blend see above recipe 1 tablespoon xanthan gum 1 tablespoon glutenfree egg replacer 2 teaspoons salt cup powdered milk 3 large eggs at room temperature cup butter at room temperature 2 teaspoons cider vinegar cup honey 1 package 2 teaspoons active dry yeast not INSTANT dry yeast 2 cups warm water A couple of notes about replacements If you are allergic to eggs you can replace the 3 eggs with 9 Tbsp water and 3 Tbsp ground flax seed or follow the instructions on the egg replacement powderYou can also make this bread using water instead of milk or a plain gluten free nondairy milk Ingredients 4 cups Brown Rice Flour Blend see above recipe 1 tablespoon xanthan gum 1 tablespoon glutenfree egg replacer 2 teaspoons salt cup powdered milk 3 large eggs at room temperature cup butter at room temperature 2 teaspoons cider vinegar cup honey 1 package 2 teaspoons active dry yeast not INSTANT dry yeast 2 cups warm water Tips A couple of notes about replacements If you are allergic to eggs you can replace the 3 eggs with 9 Tbsp water and 3 Tbsp ground flax seed or follow the instructions on the egg replacement powderYou can also make this bread using water instead of milk or a plain gluten free nondairy milk Ingredients Here I couldnt find potato flour in the store so I just blended some potato flakes up in my blender and that worked just fine Directions Instructions Spray cooking spray into two 8inch bread pans Add the yeast to the 2 cups of warm water and stir until mixed Set this aside to activate while you mix the rest of the ingredients Mix the flour blend xanthum gum glutenfree egg replacer salt and powdered milk together in a mediumsize bowl and set aside Put eggs butter vinegar and honey in the bowl of your mixer With the paddle attachment mix together for about 30 seconds The butter will be chunky thats OK Add half the dry ingredients to the wet mixture in the mixer Mix just until blended and then add the remaining dry ingredients and mix for another 30 seconds until blended With the mixer on low speed slowly add the warm water and yeast mixture then turn the mixer to mediumhigh speed and beat for 4 minutes After the 4 minutes your bread dough should resemble thick cake batter Spoon the dough into your greased bread pans Dip your fingers in water to smooth the top of the dough if desired Set aside in a warm place to rise for approximately about 50 to 60 minutes While dough rises preheat oven to 375 degrees When the dough has risen to about an inch above the top of the pans place the pans in your preheated oven on the middle rack and bake for 45 to 55 minutes or until the breads internal temperature reaches 200 degrees with an instantread thermometer Remove the bread from the oven and let cool in pans for 10 minutes Then remove loaves from pans and place on a rack to cool Serving Size makes 24 12 inch slices of bread Number of Servings 24 Recipe submitted by SparkPeople user CORLISS1968 Share by Email More sharing options TAGS Side Items Sandwich Side Items Sandwich Rate This Recipe Rating Click here to login and rate this recipe Member Ratings For This Recipe PLATITUDES Incredible report inappropriate post Soft springy and delicious Very easy to make So much better than the crumbling storebought bread Kudos 112717 Was this review helpful

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How do I Store Refrigerant Refrigerant is a hazardous gas and storage of Refrigerant should not be taken lightly No matter if you have R134A R410A R22 or any other kind of Refrigerant you need to take the proper steps and precautions Below are a few key points to remember when storing your Refrigerant Ensure that all your cylinders be stored up right and are without risk of tipping over Refrigerant should be stored into a well ventilated area and temperatures should NOT exceed over 125 degrees Fahrenheit If the temperate becomes too hot pressure can build inside the container which could cause the container to rupture This could cause the release valve to fail which could result in an explosion of the product Ensure all Refrigerant containerscylinders have pressure release devices to avoid combustion and or explosions Ensure there are no combustible or flammable materials nearby the containers Perform regular visual inspections of your cylinders to ensure that everything is in good order Limit the number of people who have access to your Refrigerant as the more people who have access the higher your chance of an incident Also please keep out of reach of children Refrigerant can be dangerous or it can be very safe It is up to you to take the percautions when storing your product Well that about covers storage requirements for Refrigerant You can also purchase some storage racks from our Amazon partner by reviewing the options below Kargo Master 40200 Grey Refrigerant Tank Rack Kargo Master List Price 21699 Price 19821 at 20190107 0435 SalesRank 290913 See Customer Reviews Kargo Master 40100 Refrigerant Tank Rack Kargo Master List Price 21895 Price 20880 at 20190107 0435 SalesRank 127530 See Customer Reviews American Truck Equipment Ranger Design 5 Tier refrigerant rack for large bottles aluminum 14 d x 13 w x 62 h 6003 Ranger Design Price 63100 at 20190107 0435 See Customer Reviews Refrigerant 330lb Cylinder Tank Rack 17500 End Date Saturday Feb22019 141018 PST Buy It Now for only 17500 Add to watch list Plumer HVACAir Conditioningheating work vancargo van refrigrant tank rack 15000 End Date Sunday Jan202019 81400 PST Buy It Now for only 15000 Add to watch list Carrier 06D Oil Pump Assembly Tennessee Company 12000 End Date Saturday Feb22019 62235 PST Buy It Now for only 12000 Add to watch list Refrigerant Cylinder Tank Rack 150lb 230lb Nitrogen Oxygen 19900 End Date Tuesday Feb52019 195232 PST Buy It Now for only 19900 Add to watch list Refrigerant Cylinder Tank Rack 330lb 19900 End Date Monday Jan72019 110637 PST Buy It Now for only 19900 Add to watch list Refrigerant Cylinder Tank Rack 450lb 19900 End Date Saturday Jan192019 81339 PST Buy It Now for only 19900 Add to watch list Refrigerant Cylinder Tank Rack 230lb Nitrogen Oxygen Acetylene 19900 End Date Monday Jan72019 104712 PST Buy It Now for only 19900 Add to watch list Refrigerant 330lb Cylinder Tank Rack 17500 End Date Saturday Feb22019 133453 PST Buy It Now for only 17500 Add to watch list Category General Questions

O O O O B B O O B I O O O B O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O


Tracks Contact Us Regal Tracks is a series of music tracks of some of the most notable songs throughout Southern Gospel History They are produced and arranged in singer friendly keys by some of the most prestigious musicians in SGM These performance tracks are the best rendition ever done on some of these songs This makes them a joy to sing perform and record with They work great with soloist duets trios quartets vocal groups or choirs These tracks are available as single track down loads on line or on hard copy CDRs Please check out the list of songs for Mp3 downloads on the If you are interested in recording with these tracks please contact Regal for proper leasing permission and licenses You may lease individual tracks for recording at 150 each or lease four or more for 100 each If youre interested in recording and producing an entire CD of Regal tracks we can offer you an excellent recording experience in our RMG Studios located near Asheville in the mountains of Western North Carolina We have budgets and recording packages available that entice the most professional groups and at the same time the most budget conscious For more studio information just click here Regal Recording Licenses One Song 15000 each Four or More Songs 10000 each 10 Song Recording Package 199500 add sales tax and shipping Ten Regal Tracks One day recording studio time One day mixing mastering Photo shoot 200 CDs packaged retail ready Graphics CD Insert 2 panel 4X1 tray Liner 4X0 Printing inserts 2 panel 4X1 tray liner 4X0 Please note while some of these song are old enough to be in the public domain the recordings of these tracks are not Please help us avoid legal investigation and contact our office for any use other than public performance FBI Warning Federal law provides severe civil and criminal penalties for the unauthorized Reproduction distribution or exhibition of copyrighted music The FBI Investigates Infringement News and Special Offers

O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Welcome to our new website In an effort to better communicate with members this new site is easier to navigate and brings you more info from your union Scroll down for more Join our email list to stay in the loop Full Width stuglin_frankjpeg Meet the Director Frank Stuglin was elected director of UAW Region 1 at the 37th Constitutional Convention in June 2018 bowling_pins_2jpg 64th Annual UAW Region 1 Invitational Bowling Tournament The 64th Annual UAW Region 1 Invitational Bowling Tournament sponsored by UAW Region 1 and the UAW Department of Recreation and LeisureTime Activities will be held at Imperial Lanes Recent News 2018 VCAP Dollar Drive Winners 2018 UAW REGION 1 VCAP DOLLAR DRIVE WINNERS Read more UAW Region 1 Winter Education Program UAW Region 1 is offering five weeks of FREE educational workshops beginning Tuesday February 5 2019 Participants will have a choice between morning 10 am12 pm or evening 57 pm workshops Each workshop is for five consecutive weeks Participants must attend three out of the four classroom training sessions to receive a Certificate of Completion The certificates will be handed out on the 5th week All classes will be limited to 45 people per class and will be reserved on a first come first served basis Read more 2019 Directors Scholarship UAW Region 1 is pleased to announce that scholarships are available to those students who are children or grandchildren of UAW Region 1 local union members and are graduating from high school this year or are current college students The scholarships will be awarded through the UAW Region 1 Directors Scholarship Fund administered by the Community Caring Program The number of scholarships awarded and the stipend amount varies from year to year depending on scholarship program fund levels A link to the eligibility requirements and application form for the UAW Region 1 Directors Sch Read more UAW President Gary Jones Autoworkers ready to fight GM over its callous layoffs gm_news_correctedjpg Last week was a bad week for autoworkers and the future of our domestic industry On Nov 26 General Motors GM announced its decision to halt production at the Lordstown Ohio and Hamtramck Mich assembly plants idling thousands of workers Last Friday President Trump signed the USMexicoCanada Agreement USMCA with promises that it would stop companies from closing US factories and opening new ones in lowwage countries like Mexico Read more See all Take Action Write a letter to GM telling them what you think of the plant closings December is National Write to a Friend Month This year we wanted to give you the opportunity to write to our friends at GM about their recent decision to close plants in Michigan Ohio and Baltimore this holiday season Submit your message using the form and well print and personally hand deliver your message to GM headquarters Take Action Tell the US Trade Representative NAFTA must prioritize working families NAFTAto put it bluntlywas terrible for working families in the United States as well as our allies to the north and south Canada and Mexico The terrible deal triggered job losses closed auto factories depressed wages and more power for corporations across all three countries Fill out the comment form to tell the US Trade Representative why working families must be prioritized in future trade deals We provided talking points below for you to use in crafting your own statement Take Action AFLCIO Blog Feed UAW members make Christmas happier for 400 children in Niagara County Jan 7 UAW Files Suit Against GM Jan 3 TAKE ACTION Write a letter to GM telling them what you think of the plant closings Dec 27 GM should fight for workers not profits Dec 26 One Year of the Tax Scam Dec 21 View more Across our union thousands of UAW members participate in one or more local union standing committees They are rewarded by a feeling of accomplishment working with their coworkers on meaningful projects and being the change they want to see for working people But we need many more activists at the table to help Theres a direct relationship between the ballot box and the bread box and what the union fights for and wins at the bargaining table can be taken away in the legislative halls Walter Reuther UAW Constitutional Convention 1970

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O B I O O O O O O O B I O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O B I O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Class Search Registered for courses Check your personal timetable in your Mosaic Student Centre to confirm dates times and locations the most uptodate information will be posted on your Mosaic timetable and in the Class Search information Class Search Looking for a master timetable of courses offered In Mosaic current students can navigate to Student Centre Academics Search to search for classes The timetable for the 201819 academic year will be available on June 13 Are you interested in taking courses at McMaster Visit our Search for classes tool Notices Registrar site periodically unavailable Friday January 4 th beginning at 5 pm until 8 am the following day Whats New Common enrolment error messages Click here Looking for the 201819 Undergraduate Calendar You can find it here Need to upload a transcript attachment Click here Quick Links Sessional Dates and Deadlines Undergraduate Calendar Exam Information AdmissionApplication Process Getting Enrolled Academic Advising Transcript Request Graduation

B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Rent To Own North Carolina Narrow results by city Rent to own homes in Charlotte Rent to own homes in Raleigh Rent to own homes in Greensboro Rent to own homes in Durham Rent to own homes in Winstonsalem Rent to own homes in Fayetteville Rent to own homes in Cary Rent to own homes in High point Rent to own homes in Wilmington Rent to Own Homes in North Carolina Overview North Carolina is awash with beautiful scenery from its eastern Atlantic Ocean border to the rolling hills of the Piedmont and on to western North Carolinas Blue Ridge and Great Smoky mountains This compelling landscape is just part of North Carolinas appeal though The state also enjoys a variety of thriving industries such as research biotechnology engineering energy and finance that enhance the states more traditional furnituremaking and agricultural sectors The state supports these growing and established industries with a superb higher education system that includes North Carolina State University University of North Carolina at Chapel Hill and UNC Wilmington While UNC Chapel Hill was the first public university in the country North Carolina State is the largest of the systems 17 institutions enrolling about 34000 students each year NC Rent to Own Homes 5407 Listings Found RentToOwn Southport NC 28461 54900 RentToOwn Fayetteville NC 28301 3 Bedrooms 1 Baths 46700 RentToOwn Hot Hope Mills NC 28348 3 Bedrooms 2 Baths 169900 RentToOwn Fayetteville NC 28306 3 Bedrooms 2 Baths 19900 RentToOwn Lumberton NC 28358 2 Bedrooms 1 Baths 21900 RentToOwn Roanoke Rapids NC 27870 3 Bedrooms 2 Baths 17900 RentToOwn Waxhaw NC 28173 4 Bedrooms 35 Baths 350000 RentToOwn Kinston NC 28501 2 Bedrooms 1 Baths 527 RentToOwn Hickory NC 28602 3 Bedrooms 1 Baths 79900 RentToOwn Lincolnton NC 28092 750000 RentToOwn Fayetteville NC 28314 3 Bedrooms 2 Baths 99000 RentToOwn Greensboro NC 27405 2 Bedrooms 1 Baths 831 Learn about Rent to Own Listing Types View more results 1 2 3 4 5 6 7 8 These worldclass universities abundant business opportunities and breathtaking landscapes are enhanced by North Carolinas convenient location bordering South Carolina Georgia Tennessee and Virginia Together these benefits draw an everincreasing number of residents In fact the state is home to 99 million residents making it the 9th most populous of the United States Charlotte and the capital city of Raleigh are growing so quickly that they rank among the 10 fastestgrowing cities in the nation Buying a Home in North Carolina North Carolinas housing market is growing buoyed by the states rapid population growth and stillaffordable home prices Even with past growth and predicted future expansion though North Carolinas home market is growing at a stable measured pace that bodes well for home buyers and sellers Currently the median home sales price in the state is 171725 and the average sales price is up 7 percent to 206024 Thats still very affordable compared to the national median sales price of 228700 in August 2015 The pace of home buying in North Carolina has also increased but more dramatically than the sales price As of August 2015 more than 89000 homes were sold in the state during the year representing a 33 percent increase over the same period in 2014 Even better for buyers not all communities are experiencing growth in home prices Towns like Rocky Mount Carteret Fayetteville Neuse River and WashingtonBeaufort all saw a small dip in home prices making them even more affordable Rocky Mount experienced the biggest drop in home sales prices bringing homes to an average sales price of 100691 Most of the states more expensive housing markets remain fairly affordable however Homes in the coastal Outer Banks area sell for an average price of 353851 and Asheville homes cost an average of 286444 Both are highly coveted areas but their slightly higher sales prices are still within reach for many state residents Popular Neighborhoods in North Carolina The Tar Heel State is full of attractive cities and welcoming Southern neighborhoods Wake Forest Chapel Hill Morrisville Cary Matthews and Garner are some favorite cities offering affordable cost of living ample amenities low crime rates and strong household income All are in the prized Research Triangle area with terrific access to highpaying jobs excellent universities strong public schools and entertainment Most also have nice parks bountiful recreation and convenient access to toprated healthcare institutions If you prefer living in North Carolinas bigger cities there are a host of attractive neighborhoods suitable for any lifestyle In Greensboro young professionals and families appreciate the flair of downtown the citys three historic districts and Fisher Park In Charlotte check out the Victorian homes in The Arts District the condo highrises in Center Citys The Loop and the charming bungalows in PlazaMidtown If you want the warm fuzzy feel of a closeknit community in a big city you may prefer Raleighs Stonehenge neighborhood where neighbors participate in Halloween parades and compete for the best holiday light displays Historic Buying vs Rent to Own Homes Renting to own a home instead of going through the conventional homebuying process offers several benefits to home buyers Thats especially true in times when home prices are increasing because buyers lock in the sales price at todays rate even though theyll pay for the home a few years down the line In addition to the potential for nearly instant equity renttoowners enjoy other advantages over conventional buyers First theres no need to wait for escrow to close before moving into the home While renttoown buyers pay a nominal option fee at the start of the contract they wont need Cost of Living in North Carolina Residents of North Carolina spend 5 percent less on living expenses than the average American thanks to the states remarkable low housing costs In fact locals pay only 85 cents on housing for every dollar the rest of the country spends Other living expenses are closer to the national average Both utilities and transportation are 2 to 3 percent lower than the nationwide average and groceries and health care costs are 2 to 3 percent higher DurhamChapel Hill was named to Forbes magazines list of Americas cheapest cities to live in although its cost of living is slightly higher than the statewide average Similarly NerdWallet named Apex Stallings and Morrisville as great locations for young families based on affordability schools and household income even though the cost of living in each of these towns is higher than the national average On the other hand if youre weighing the balance of schools safety and proximity to jobs against cost of living all of these cities provide nice value Summary North Carolinas worldclass Research Triangle is just one of the many reasons an increasing number of Americans are moving to the state Housing is affordable here costing about 15 percent less than in the average US town and the low overall cost of living is a boon to those living on a budget Excellent universities firstrate public schools and friendly Southern hospitality are also alluring North Carolina also sports an outstanding transportation system in its Piedmont and Carolina passenger trains and operates the East Coasts largest ferry system The state is frequently named as one of the best places to

O O O B I O O O O O O O B O O O O O B O O O O O B O O O O O B O O O O O B O O O O O B O O O O O B O O O O O B O O O O O O B O O O O O B O B I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O B I O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


The Best in Auto Repair Find a Shop Ford F150 Head Gasket Replacement Cost Estimator Ford F150 Head Gasket Replacement Cost The average cost for a Ford F150 head gasket replacement is between 2137 and 2780 Labor costs are estimated between 1971 and 2487 while parts are priced between 166 and 293 Estimate does not include taxes and fees Note about price The cost of this service or repair can vary by location your vehicles make and model and even your engine type Related repairs may also be needed Talk with a RepairPal Certified shop to learn which repairs might be right for you View repair cost for a different car Repairs related to head gasket replacement Transmission Position Sensor Replacement 133 170 Radio Antenna Mast Replacement 55 63 What is a head gasket The head gasket maintains a seal between the engine block and cylinder head It prevents oil coolant and combustion gases from escaping the engine How does the head gasket work Most engines have two major components the engine block and the cylinder head These two halves must seal to one another and act as one piece or the engine will fail The head gasket is a sealing layer of durable material that is sandwiched between the cylinder head and engine block When tightened down the cylinder head crushes the head gasket into the cylinder block causing any imperfections to be sealed by force What are the symptoms related to a bad head gasket When the head gasket begins to fail the engine may have no symptoms at all They only begin to occur when the leak has reached an engine oil passage engine coolant passage or the engine cylinder When that happens the engine may be very difficult to start and run roughly when idling There may be oil or coolant leaking and the engine may begin to overheat or at least run hot At this point there may be coolant in the engine oil pan this will look creamy and lighter in color than the oil Also the radiator or engine coolant reservoir may have a gurgling sound the presence engine oil or smell of combustion And the check engine light will come on The coolant being burned in the engine will produce white exhaust that smells sweet like engine coolant When the head gasket fails completely the engine will overheat within minutes of starting will stall and then wont restart Can I drive with a head gasket problem Driving with a bad head gasket is hazardous to the engine and may even be impossible A failing head gasket typically will lead to your engine overheating and will eventually ruin the engine block cylinder head or both A car with a blown or leaking head gasket should both be towed to a repair facility How often do head gaskets need to be replaced Head gaskets can fail at any time but they typically last at least 100000 miles especially if the oil and coolant are properly maintained In order to keep the gasket in good condition dirty or contaminated fluids should be replaced on schedule and the engine must run at the proper temperature This is the best way to help prevent head gasket failure along with avoiding aggressive driving How are head gasket issues diagnosed In general there are a few signs that will point to head gasket failure If engine oil and coolant are found mixed together either in the engine or in the cooling system the gasket is often the culprit Further testing will be done and a machine shop will try to confirm whether the head gasket is the problem Head Gasket Replacement Cost Estimates The average cost for a Head Gasket Replacement is between 2137 and 2780 but can vary from car to car 770 943 Ford F150 740 1278 Honda Accord 884 2194 Toyota Camry 698 985 Chevrolet Silverado 1500 565 1620 Honda Civic 817 1924 Toyota Corolla 1060 1805 Nissan Altima 1211 2016 Ford Explorer How is a head gasket replaced Replacing a head gasket is a laborintensive process and requires disassembly of several underhood parts before even reaching the engine Then parts of the engine will be taken apart in order to inspect and clean the areas touching the head gasket and to replace the failed gasket Then everything must be put back together This process will take several days typically If any of the removed components are found to be worn or failing it may be best to replace them at this time as well OBD codes related to Head Gasket Replacement P00B7 Engine Coolant Flow LowPerformance P0217 Engine Coolant Over Temperature Condition RepairPal recommendations for head gasket issues If many components are recommended for replacement or an engine rebuild or replacement is necessary consider the cost of rebuilding versus getting a new car Additives that claim to stop leaks or reseal the head gasket from the engine coolant passages are dangerous They can clog the radiator or damage the water pump Can I replace the head gasket myself This is not a DIY project Theres a lot of disassembly to be done and many factors to consider while repairing a head gasket If you decide to have the repair done as opposed to getting a new vehicle its best to let a professional mechanic Get it repaired in a city near you Repair shops in Pleasanton CA Repair shops in San Ramon CA Repair shops in Livermore CA Repair shops in Danville CA Find a shop near you Why RepairPal High Quality Repairs Your auto repair done right only the work you need with no add ons Never Overpay Our free estimator calculates a custom price for your vehicle repair Guaranteed Repairs Rest easy knowing youre covered by a local warranty Are You a Shop Owner Learn how to grow your business with RepairPal Get back on the road Troubleshoot a car problem Ask a Ford F150 question Free Ford F150 repair estimates Find Ford repair shops Car care advice Research a car Ford F150 overview Ford F150 reliability ratings Common Ford F150 problems Ford F150 Maintenance Schedule Find Ford F150 recalls Ford F150 owner reviews More from RepairPal Diagnostic OBDII codes Dashboard warning lights Ford F150 Model Years 2018 Ford F150 2017 Ford F150 2016 Ford F150 2015 Ford F150 2014 Ford F150 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O O O O O O O O O O B I O O O O O B I O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O B I O B I O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O B I O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O B I O O O O O B I O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O B I O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O B I O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Noise from differential on Jeep Grand Cherokee Problems Jeep Grand Cherokee Noise from differential Problem Description Excessive gear noise can indicate differential bearing failures 59 people reported this problem Jeep Grand Cherokee Vehicles With This Problem 10 model years affected 1993 1994 1995 1996 Average mileage 146421 83000247000 Drive Train affected Automatic Transmission Data verified by RepairPal experts I have this problem Follow Get a repair estimate RepairPal estimates are guaranteed at over 2000 quality certified locations nationwide Or interested in getting a repair Not Your Jeep Grand Cherokee Problem Brake problem Or maybe a blown head gasket Learn About Your Car Problems Search For a Specific Car Problem Viewing 1 18 of 18 comments 2004 Jeep Grand Cherokee Automatic Transmission 187000 mi Visitor Growling noise from the rear when turning slowly to right or left Sometimes it feels like one of the rear wheels are locked and slips during a sharp slow turn Also when turn the steering wheel during sharp slow turns the wheel makes a load groan sound 190 Report 2004 Jeep Grand Cherokee 133500 mi Visitor Just bought my jeep has a bering noise from the rear end when i step on the gas When i let go on high speeds the jeep wiggles in the back end 78 Report 1997 Jeep Grand Cherokee 186000 mi Visitor Moaning noise at 35 mph or higher 58 Report 1996 Jeep Grand Cherokee Automatic Transmission 202000 mi Visitor When in drive there is a loud clunking noise near drivers side Doesnt make noise when I use the brakes Kind of sounds like a helicopter sound 53 Report 1995 Jeep Grand Cherokee 215000 mi Visitor Only when I have the front drive shaft hooked up does it make a almost grinding sort of noise coming from the front differential Seems to be a common problem I replaced front left hub assembly Problem did not go away Mechanic verified it was the differential I did not fix I sold it for the same price I paid for it 2 years earlier Haha 39 Report 2000 Jeep Grand Cherokee Automatic Transmission 110000 mi Visitor a steady roar until recently While making a left turn noise increased sharply Jacked the car up to get the tires off the ground spinning the tires slowly I noticed the tire became very stiff Steve 33 Report 1998 Jeep Grand Cherokee Automatic Transmission 100000 mi Visitor Its a howling noise when I let of gas paddle 22 Report 1997 Jeep Grand Cherokee 127000 mi Visitor growling noise not yet repaired 22 Report 2004 Jeep Grand Cherokee Automatic Transmission 100000 mi Visitor Noise from back end of jeep when turning steering wheel to right or left especially in tight turns In addition to noise Jeep also bumps and jerks when turning Mechanic says its the rear differential support that is rotted and the ball joint in the middle has play Recommended replacement of the support bushings and ball joint that holds up the boomerang shaped differential 19 Report 1997 Jeep Grand Cherokee Automatic Transmission 160000 mi Visitor Growing and noisy differential 18 Report 1998 Jeep Grand Cherokee 150000 mi Visitor Replaced front differential 18 Report 2004 Jeep Grand Cherokee 83000 mi Visitor Whining while driving at continual speed diagnosed as needing rear differential problems and needs replacement of rear axle not confident in diagnosis nothing repaired as yet 17 Report 1995 Jeep Grand Cherokee Visitor Very noisy on accelerating Sounds like ujoins failure but checks out ok Lubed ujoints but noise and vibration continues however somewhat better Tires checked out ok replaced left front wheel bearing no change 14 Report 2011 Jeep Grand Cherokee Visitor Clunking noise at take off between5 and15 mph Was told it was defective engine mounts Had them replaced and problem continued 13 Report 1997 Jeep Grand Cherokee 247000 mi Visitor V6 Automatic Grand Cherokee TSI Rear inner bearing grinding noises at or above 30 mph 12 Report 1997 Jeep Grand Cherokee 130000 mi Visitor New Differential 11 Report 1997 Jeep Grand Cherokee 91000 mi Visitor Replaced bad pinion bearing 6 Report 2011 Jeep Grand Cherokee 112000 mi Visitor growing noise coming from back end Had bearings checked and Mech determined to be differential 5 Report Why RepairPal High Quality Repairs Your auto repair done right only the work you need with no add ons Never Overpay Our free estimator calculates a custom price for your vehicle repair Guaranteed Repairs Rest easy knowing youre covered by a local warranty Are You a Shop Owner Learn how to grow your business with RepairPal Get back on the road Troubleshoot a car problem Ask a Jeep Grand Cherokee question Free Jeep Grand Cherokee repair estimates Find Jeep repair shops Car care advice Research a car Jeep Grand Cherokee overview Jeep Grand Cherokee reliability ratings Common Jeep Grand Cherokee problems Jeep Grand Cherokee Maintenance Schedule Find Jeep Grand Cherokee recalls Jeep Grand Cherokee owner reviews More from RepairPal Diagnostic OBDII codes Dashboard warning lights Suggested Articles Why Dont I Have Any Heat In My Car Stop Rodents From Chewing Your Car Wires Read and Understand Your Cars VIN Number How To Fix Up Foggy Headlights Fast What To Do If You Find A Nail In Your Tire Most Common Jeep Grand Cherokee Problems Temperature BlendRecirculation Doors May Fail and Cause AC Problems Engine Will not Start Due to Wireless Control Module Fault Power Window Motor May Fail Due to Regulator Assembly The Fuel Tank is Hard to Fill andor the Fuel Fill Nozzle Shuts Off Repeatedly While Fueling Electrical Contacts in the Tail Lamp Housing May Break or Melt Jeep Repair in Indianola IA Jeep Repair in La Mesa CA Jeep Repair in Leesburg FL Jeep Repair in Ruther Glen VA Jeep Repair in Northridge CA Jeep Repair in Gardena CA Jeep Grand Cherokee Estimates Ignition Coil Replacement 107 339 in Dunlap IL Shock Absorber Replacement Rear 180 341 in Sealevel NC Steering Rack Replacement 1003 1399 in Vinton IA Oxygen Sensor Replacement 134 179 in Sheffield Lake OH Battery Cable Replacement 213 360 in Hinckley OH AC Compressor Replacement 480 825 in Rockvale CO

O O O O B I I O B I I O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O B I I O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O B I I O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O B I I O O O O O O O O O O O O B I I O B I I O O O B I I O B I I O O O B I I O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Lab LC 8900 ORDER NOW Sample Report Varicella IgM Antibody Test VZV IgM Chicken Pox Test Code 096776 Specimen Type Blood Description Varicella IgM Antibody Test The Varicella Zoster Virus Antibodies IgM test is typically done to look for an acute infection with the virus which causes chicken pox Varicella Zoster Virus is a member of the Herpes Virus family This test measures the level of antibodies produced by the immune system in response to the virus IgM antibodies are typically detectable 12 weeks after the initial infection These antibodies will begin to fade out after a short period of time and become undetectable The virus will typically remain dormant in a persons body for the rest of their life In some cases it may become active later in life If these cases detectable levels of IgM antibodies may be produced again The most common condition which results from infection with Varicella is Chickenpox Infection causes an outbreak of an itchy rash and the development of small fluid filled blisters During the primary infection chickenpox is highly contagious and spread through coughing sneezing or touching fluid from the blisters Most people recover without treatment and the virus remains latent in their system There is a possibility for the virus to reactivate later in life especially in those with weakened immune systems This can cause shingles a condition characterized by a painful burning or itching sensation on one or more areas of the body Shingles typically clears up after a few weeks as the virus becomes latent again This test is typically ordered when a person is experiencing symptoms of chicken pox or shingles to aid in confirming a diagnosis Customers who need to verify their immune status to Varicella may order the Varicella Zoster IgG Antibody Test Turnaround time for the Varicella Zoster Virus Antibodies IgM test is typically 13 business days Note Result turn around times are an estimate and are not guaranteed Our reference lab may need additional time due to weather holidays confirmationrepeat testing or equipment maintenance Incubation Period The Varicella Zoster Virus Antibodies IgM test can typically detect the virus approximately 7 14 days after infection Requirements The Varicella Zoster Virus Antibodies IgM test has no special requirements Varicella Titer Overview Categories Infectious Diseases Prenatal Lab QD 6900 ORDER NOW Sample Report Varicella IgM Antibody Test VZV IgM Chicken Pox Test Code 8683 Specimen Type Blood Description Varicella IgM Antibody Test The Varicella Zoster Virus Antibodies IgM test is typically done to look for an acute infection with the virus which causes chicken pox Varicella Zoster Virus is a member of the Herpes Virus family This test measures the level of antibodies produced by the immune system in response to the virus IgM antibodies are typically detectable 12 weeks after the initial infection These antibodies will begin to fade out after a short period of time and become undetectable The virus will typically remain dormant in a persons body for the rest of their life In some cases it may become active later in life If these cases detectable levels of IgM antibodies may be produced again The most common condition which results from infection with Varicella is Chickenpox Infection causes an outbreak of an itchy rash and the development of small fluid filled blisters During the primary infection chickenpox is highly contagious and spread through coughing sneezing or touching fluid from the blisters Most people recover without treatment and the virus remains latent in their system There is a possibility for the virus to reactivate later in life especially in those with weakened immune systems This can cause shingles a condition characterized by a painful burning or itching sensation on one or more areas of the body Shingles typically clears up after a few weeks as the virus becomes latent again This test is typically ordered when a person is experiencing symptoms of chicken pox or shingles to aid in confirming a diagnosis Customers who need to verify their immune status to Varicella may order the Varicella Zoster IgG Antibody Test Turnaround time for the Varicella Zoster Virus Antibodies IgM test is typically 13 business days Note Result turn around times are an estimate and are not guaranteed Our reference lab may need additional time due to weather holidays confirmationrepeat testing or equipment maintenance Incubation Period The Varicella Zoster Virus Antibodies IgM test can typically detect the virus approximately 7 14 days after infection Requirements Results from one test may not be enough to accurately determine a current or recent infection Results should ne interpreted along with clinical symptoms by a persons doctor Varicella Titer Overview Categories Infectious Diseases Prenatal 49 Other Infectious Diseases Tests 32 Other Prenatal Tests

O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Thinking about drinking Read this first Find a walk There are multiple walks near you Birmingham Alaska Arizona Arkansas Orange County Los Angeles San Francisco Colorado Norwalk Hartford Wilmington DC Walk Our walk in the nation039s capital Jacksonville Miami Orlando Palm Beach Tampa Atlanta Columbus Hawaii Idaho Chicago Indianapolis Des Moines Council Bluffs Kansas City Kentucky Louisiana Maine Baltimore Washington DC Boston Michigan Minnesota Mississippi St Louis Montana Nebraska Nevada New Hampshire Montclair Hamilton Township Cranford Ocean City New Mexico New York City Hudson Valley Raleigh Fayetteville Charlotte North Dakota Cincinnati Cleveland Oklahoma Portland City Island Harrisburg Philadelphia Puerto Rico Rhode Island South Carolina South Dakota Nashville Beaumont Galveston Corpus Christi Harlingen Houston Victoria Dallas San Antonio Killeen Austin Lubbock El Paso Salt Lake City Vermont Richmond Harrisonburg Washington DC Seattle West Virginia Madison Wyoming

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US KS Overland Park 11000 Metcalf Ave Applebees Grill Bar 11000 Metcalf Ave Overland Park KS 66210 9136610441 Send to Email Change Location Open until 1200 AM 1100 AM 1200 AM MON 1100 AM 1200 AM TUE 1100 AM 1200 AM WED 1100 AM 1200 AM THU 1100 AM 1200 AM FRI 1100 AM 1200 AM SAT 1100 AM 1200 AM SUN 1100 AM 1100 PM Connect with this Applebees LUNCH COMBOS Reclaim your lunch for a better afternoon Choose any two to create your combo BUILD YOUR SAMPLER Mix and match any Appetizers or Bar Snacks What to Expect at Applebees Restaurants in Overland Park Among the many reasons customers return to their Applebees Neighborhood Grill Bar our food is by far the most popular excuse to visit Below is a list of popular menu items youll find at our Overland Park restaurants Steakhouse Menu Steaks Burgers Kids Menu Chicken Desserts Dinner Specials Lunch Specials Beer Wine Happy Hour Drink Specials Sandwiches Appetizers Soup Salad Lighter Fare 2 for 20 Deals Seafood More Pasta Order Online Applebees ToGo Have you tried Applebees ToGo our new improved takeout food service Simply order online and schedule your pickup time Select Applebees Carside ToGo and when you arrive just park in the designated ToGo spaces and well bring your takeout order to your vehicle Internal error Error NETWORK_ERR XMLHttpRequest Exception 101

O O B I O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O