Henri Roukoz, MD, MSc

• Division of Cardiology, Department of Internal Medicine
• University of Minnesota Medical Center
• Minneapolis, Minnesota

Also allergy shots given im cetirizine 5mg without prescription, chronic consumption of a high level of potassium can lead to hyperkalemia in individuals with impaired urinary potassium excretion (see later section allergy symptoms glands cetirizine 5mg online, "Special Considerations") allergy symptoms 5 weeks 5mg cetirizine free shipping. Hence allergy medicine cvs discount cetirizine 5 mg overnight delivery, supplemental potassium should only be provided under medical supervision because of the well-documented potential for toxicity allergy recipes purchase 5mg cetirizine overnight delivery. Almost all of the potassium that appears in urine is secreted by the last half of the distal tubule (Schultze allergy eye pain cetirizine 5mg otc, 1973) allergy under armpits buy cetirizine 5mg without a prescription. Because the renal secreting ability of normal infants is not fully developed allergy kc buy cetirizine 10 mg overnight delivery, potassium intake should be limited to that contained in formula and complementary foods. Other than occasional gastrointestinal discomfort as noted above from the use of certain forms of supplemental potassium, adverse effects from high intakes of potassium have not been noted in apparently healthy individuals, which would include pregnant women who are not identified as having hypertension or preeclampsia. It is suggested that high potassium levels be consumed with care in women with problem pregnancies, such as preeclampsia. High concentrations of the antikaliuretic hormone progesterone (which circulate during gestation) may make women with undetected renal dysfunction or with a sudden decrease in glomerular filtration rate (as occurs with preeclampsia) more likely to develop hyperkalemia when potassium intake is high. Clinical settings in which high intakes of potassium could pose a serious risk include type 1 diabetes, chronic renal insufficiency. For individuals with these diseases or clinical conditions, salt substitutes (containing potassium chloride) should be used cautiously. While adverse events following high potassium consumption usually do not occur in these special populations, there are case studies cited in the literature indicating that these groups are vulnerable (see Table 5-13). Randomized doubleblind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis. The skeleton as an ion exchange system: Implications for the role of acid-base imbalance in the genesis of osteoporosis. The effects of chronic acid and alkali administration on bone turnover in adult rats. Creatinine clearance, electrolytes, and plasma renin activity related to the blood pressure of white and black children-The Bogalusa Heart Study. Quantitative determination of inhibitors of calcium phosphate precipitation in whole urine. Effect of potassium supplementation on blood pressure in African Americans on a low-potassium diet. Relationship of animal proteinrich diet to kidney stone formation and calcium metabolism. Potassium regulation and progesterone-aldosterone interrelationships in human pregnanacy: A prospective study. Potassium supplementation fails to lower blood pressure in hypertensive patients receiving a potassium lowering diuretic. Chalmers J, Morgan T, Doyle A, Dickson B, Hopper J, Mathews J, Matthews G, Moulds R, Myers J, Nowson C, Scoggins B, Stebbing M. Australian National Health and Medical Research Council dietary salt study in mild hypertension. Effect of varying potassium intake on atrial natriuretic hormone-induced suppression of aldosterone. Coruzzi P, Brambilla L, Brambilla V, Gualerzi M, Rossi M, Parati G, Di Rienzo M, Tadonio J, Novarini A. Randomized controlled trial of potassium chloride versus placebo in mildly hypertensive blacks and whites. Milk and nutrient intake of breast-fed infants from 1 to 6 months: Relation to growth and fatness. Estimates of electrolyte blood pressure associations corrected for regression dilution bias. Potassium and the monophasic action potential, electrocardiogram, conduction and arrhythmias. Plasma aldosterone, renin activity, and cortisol responses to heat exposure in sodium depleted and repleted subjects. Hypokalemia associated with diuretic use and cardiovascular events in the Systolic Hypertension in the Elderly Program. Effect of age on blood acid-base composition in adult humans: Role of age-related renal functional decline. Estimation of the net endogenous noncarbonic acid production in humans from diet potassium and protein contents. Blood pressure in blacks and whites and its relationship to dietary sodium and potassium intake. Differences in composition of sweat induced by thermal exposure and by running exercise. On the mechanism of the effects of potassium restriction on blood pressure and renal sodium retention. Dietary electrolyte intake and blood pressure in older subjects: the Rotterdam Study. Racial differences in blood pressure in Evans County, Georgia: Relationship to sodium and potassium intake and plasma renin activity. Effect of potassium supplementation combined with dietary sodium reduction on blood pressure in men taking antihypertensive medication. The influence of oral potassium chloride on blood pressure in hypertensive men on a low-sodium diet. Fatal hyperkalemia related to combined therapy with a cox-2 inhibitor, ace inhibitor and potassium rich diet. Prevention of the glucose intolerance of thiazide diuretics by maintenance of body potassium. The Hypertension Prevention Trial: Three-year effects of dietary changes on blood pressure. Studies on the hypotensive effect of high potassium intake in patients with essential hypertension. Prospective study of calcium, potassium, and magnesium intake and risk of stroke in women. Effects of fruit and vegetable consumption on plasma antioxidant concentration and blood pressure: A randomised controlled trial. Association between urinary potassium, urinary sodium, current diet, and bone density in prepubertal children. Potassium supplementation in hypertensive patients with diuretic-induced hypokalemia. Diurnal and longitudinal variations in human milk sodium and potassium: Implication for nutrition and physiology. Relationship of dietary sodium, potassium, calcium, and magnesium with blood pressure. The association between blood pressure, age, and dietary sodium and potassium: A population study. Increasing sensitivity of blood pressure to dietary sodium and potassium with increasing age. Randomised double-blind cross-over trial of potassium on blood-pressure in normal subjects. Ulceration and stricture of the esophagus due to oral potassium chloride (slow release tablet) therapy. Relationship between urinary calcium and net acid excretion as determined by dietary protein and potassium: A review. The effects of chronic acid loads in normal man: Further evidence for participation of bone mineral in the defense against chronic metabolic acidosis. Potassium bicarbonate, but not sodium bicarbonate, reduces urinary calcium excretion and improves calcium balances in healthy men. Potassium administration reduces and potassium deprivation increases urinary calcium excretion in healthy adults. The effects of diet and stool composition on the net external acid balance of normal subjects. Blood pressure in young blacks and whites: Relevance of obesity and lifestyle factors in determining differences. Urinary cations and blood pressure: A collaborative study of 16 districts in China. Cardiovascular and humoral responses to extremes of sodium intake in normal black and white men. Nutritional associations with bone loss during the menopausal transition: Evidence of a beneficial effect of calcium, alcohol, and fruit and vegetable nutrients and of a detrimental effect of fatty acids. Total exchangeable sodium and potassium in non-pregnant women and in normal and preeclamptic pregnancy. Neutralization of Western diet inhibits bone resorption independently of K intake and reduces cortisol secretion in humans. Maternal prenatal dietary potassium, calcium magnesium, and infant blood pressure. Blood pressure response to potassium supplementation in normotensive adults and children. Potassium homeostasis during hyperinsulinemia: Effect of insulin level, -blockade, and age. Modan M, Halkin H, Fuch Z, Lusky A, Cherit A, Segal P, Eshkol A, Almog S, Shefi M. Hyperinsulinemia: A link between glucose intolerance, obesity, hypertension, dyslipoproteinemia, elevated serum uric acid and internal cation imbalance. Sodium sensitivity and cardiovascular events in patients with essential hypertension. Expression of osteoporosis as determined by diet-disordered electrolyte and acid-base metabolism. The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers. Nutritional influences on bone mineral density: A cross-sectional study in premenopausal women. Dietary influences on bone mass and bone metabolism: Further evidence of a positive link between fruit and vegetable consumption and bone health. Lower estimates of net endogenous noncarbonic acid production are positively associated with indexes of bone health in premenopausal and perimenopausal women. Norbiato G, Bevilacqua M, Meroni R, Raggi U, Dagani R, Scorza D, Frigeni G, Vago T. Effects of potassium supplementation on insulin binding and insulin action in human obesity: Protein-modified fast and refeeding. Placebo-controlled trial of potassium supplements in black patients with mild essential hypertension. Idiopathic hypocitraturic calcium-oxalate nephrolithiasis successfully treated with potassium citrate. Prevention of spinal bone loss by potassium citrate in cases of calcium urolithiasis. Efficacy of potassium and magnesium in essential hypertension: A double blind, placebo controlled, crossover study. Respiratory symptoms and bronchial responsiveness are related to dietary salt intake and urinary potassium excretion in male children. A comparison of the effects of hydrochlorothiazide and captopril on glucose and lipid metabolism in patients with hypertension. Prevention of recurrent calcium stone formation with potassium citrate therapy in patients with distal renal tubular acidosis. Effect of low-carbohydrate high-protein diets on acid-base balance, stone-forming propensity, and calcium metabolism. Blood-pressure response to moderate sodium restriction and to potassium supplementation in mild essential hypertension. NaCl-induced renal vasoconstriction in salt-sensitive African-Americans: Antipressor and hemodynamic effects of potassium bicarbonate. Renal considerations in angiotensin converting enzyme inhibitor therapy: A statement for healthcare professionals from the Council on the Kidney in Cardiovascular Disease and the Council for High Blood Pressure Research of the American Heart Association. Improved mineral balance and skeletal metabolism in postmenopausal women treated with potassium bicarbonate. Estimation of the net acid load of the diet ancestral preagricultural Homo sapiens and their hominid ancestors. Potassium citrate prevents increased urine calcium excretion and bone resorption induced by high sodium chloride diet. Controlled trial of long term oral potassium supplements in patients with mild hypertension. Effect of low sodium diet or potassium supplementation on adolescent blood pressure. Effects of oral potassium supplements on upper gastrointestinal mucosa: A multicenter clinical comparison of three formulations and placebo. Low sodium/high potassium diet for prevention of hypertension: Probable mechanisms of action. Moderate potassium chloride supplementation in essential hypertension: Is it additive to moderate sodium restriction? Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires. Reduced dietary potassium reversibly enhances vasopressor response to stress in African-Americans. Double-blind, placebo-controlled trial of potassium chloride in the treatment of mild hypertension. Relationship of blood pressure to sodium and potassium excretion in Japanese women. Chloride-sensitive renal microangiopathy in the stroke-prone spontaneously hypertensive rat. Hyperkalemia in azotemic patients during angiotensin-converting enzyme inhibition and aldosterone reduction with captopril. High-potassium diets markedly protect against stroke deaths and kidney disease in hypertensive rats, an echo from prehistoric days. Potassium prevents death from strokes in hypertensive rats without lowering blood pressure. Potassium, magnesium, and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. Does dietary potassium lower blood pressure and protect against coronary heart disease and death? Comparison of the prediction of 27 different factors of coronary heart disease and death in men and women of Scottish heart health study: Cohort study. Potassium supplementation lowers blood pressure and increases urinary kallikrein in essential hypertensives. The blood pressure-raising effects of high dietary sodium intake: Racial differences and the role of potassium. Physiological responses to a 20-mile run under three fluid replacement treatments. The effect of potassium supplementation in persons with a high-normal blood pressure. Effects of potassium loading in normal man on dopaminergic control of mineralocorticoids and renin release. The relationship of dietary animal protein and electrolytes to blood pressure: A study on three Chinese populations. Effects of potassium on sodium balance, renin, noradrenaline and arterial pressure. Chronic respiratory symptoms, bronchial responsiveness and dietary sodium and potassium: A population based study. For this reason, this report presents data on the requirements for and the effects of sodium and chloride together. The ability to survive at extremely low levels of sodium intake reflects the capacity of the normal human body to conserve sodium by markedly reducing losses of sodium in the urine and sweat. Under conditions of maximal adaptation and without sweating, the minimal amount of sodium required to replace losses is estimated to be no more than 0. Still, it is unlikely that a diet providing this level of sodium intake is sufficient to meet dietary requirements for other nutrients. However, in contrast to the well-accepted benefits of blood pressure reduction, the clinical relevance of modest rises in plasma renin activity as a result of sodium reduction is uncertain. The major adverse effect of increased sodium chloride intake is elevated blood pressure, which has been shown to be an etiologically related risk factor for cardiovascular and renal diseases. On average, blood pressure rises progressively with increased sodium chloride intake. The dose-dependent rise in blood pressure appears to occur throughout the spectrum of sodium intake. However, the relationship is nonlinear in that the blood pressure response to changes in sodium intake is greater at sodium intakes below 2. While blood pressure, on average, rises with increased sodium intake, there is well-recognized heterogeneity in the blood pressure response to changes in sodium chloride intake. Individuals with hypertension, diabetes, and chronic kidney disease, as well as older-age persons and African Americans, tend to be more sensitive to the blood pressure-raising effects of sodium chloride intake than their counterparts. The rise in blood pressure from increased sodium chloride intake is blunted in the setting of a diet that is high in potassium or that is low in fat, and rich in minerals; nonetheless, a dose-response relationship between sodium intake and blood pressure still persists. In nonhypertensive individuals, a reduced salt intake can decrease the risk of developing hypertension (typically defined as systolic blood pressure 140 mm Hg or diastolic blood pressure 90 mm Hg). In general terms, salt sensitivity is expressed as either the reduction in blood pressure in response to a lower salt intake or the rise in blood pressure in response to sodium loading. The term "salt sensitive blood pressure" applies to those individuals or subgroups who experience the greatest change in blood pressure from a given change in salt intake-that is, the greatest reduction in blood pressure when salt intake is reduced. Progress in achieving a reduced sodium intake will likely be incremental and will require changes in individual behavior towards salt consumption, replacement of high salt foods with lower salt versions, increased collaboration of the food industry with public health officials, and a broad spectrum of additional research.

Develop overall percentages of major food categories and major staples within the total diet; 4 allergy medicine no longer works generic cetirizine 10mg online. Estimate calories provided by the diet allergy blood test results 5mg cetirizine mastercard, and compare estimates of percentages of quantities and percentages of calories; 5 allergy medicine 1st trimester buy 5 mg cetirizine otc. Refine estimates of major staples and food categories after considering information about medicines allergy shots subcutaneous cheap cetirizine 5 mg overnight delivery, sweeteners allergy zone 3 effective 5 mg cetirizine, and other often-overlooked food/medicine types; macronutrients allergy shots skin reactions generic cetirizine 5mg without prescription, and other factors allergy medicine 16 month old buy generic cetirizine 10 mg on line. For the Wabanaki allergy treatment with acupuncture cheap cetirizine 5mg line, Sanger (1988) points out that developing a foraging picture based solely on archaeological evidence is inadequate because the ratio between marine and terrestrial remains in sites, and between plants and fish and bone among middens does not paint a coherent picture if considered individually. Consideration of the entirety of the data is needed, including the amount of hunting and fishing gear in evidence, the seasonal natural resource cycle, the settlement pattern relative to known resources, human bone isotope ratios, pollen profiles over time, and so on, gives a fairly accurate picture of the overall diet (Sanger, 1988). For some sites across the continent other data may also lend important such as early data on fish catches, fish buying records, trading records, early commercial records, and early explorers and naturalists, and so on. Resources are obtained from different locations throughout the year, and this cycle is often referred to as a,seasonal round. Unfortunately, this may lead to an impression that entire villages were constantly on the move, whereas it is probably the case that permanent villages served as home bases and different sized groups of people went to different hunting and gathering grounds to bring back resources for the entire family, band, or community. The scenarios presented in this report are based on permanent villages with seasonal acquisition of regional resources. The ethnohistorical literature reviews indicate that game and fish were both important. Further, the literature reviews and the locations of larger permanent village sites indicated that fresh water was a primary criterion both for drinking and for aquatic resources, either anadromous or resident. Thus, it did not appear that a purely upland terrestrial diet without fish would be logical for Maine. For risk assessment, the preferred approach is to develop these types of bounding cases in order to evaluate,reasonable maximum situations. After extensive review, we concluded that there are three reasonable lifestyle models in Maine, each with its own diet: 1. These three dietary models can be tailored to individual tribal locations in a,mix-and-match fashion, as appropriate to the specific location or application. In addition, local application may substitute locally-grown livestock or produce so that the exposure pathways from the specific site or waterbody are assessed as a baseline risk assessment. The three diets (Figure 13) are the "pure" diets that would be reasonable if a person lives solely within one of the three local ecosystems and obtains most of his/her food locally. In reality, diets and movement are probably comprised of variable ratios among two or all three diets. Three Maine Diets July 9, 2009 46 Wabanaki Traditional Cultural Lifeways Exposure Scenario the supporting information for the Wabanaki diets include (1) the availability of particular resources in known sequences and locations reflecting ecological information, (2) the tangible remains of particular resources at individual archaeological sites, and (3) the seasons in which those resources are known to have been obtained. For example, individual shellfish sites can be demonstrated to be warm season or cold season, or both, by virtue of the particular shellfish and their growth patterns, and when considered as a whole they provide a picture of an overall coastal diet (Sanger, 1996). Within Maine, some early authors suggest that summers were spent on the coast while winters were spent along inland waterways (Willoughby, 1906). Other authors suggest the opposite, or that the summer-winter pattern shifted at the time of contact because traders plied the coast during the summer, thus drawing people there to trade. This might have shifted the pattern from an earlier pattern that drew people to the coast in winter where shellfish were a reliable winter resource. Sanger (1996, 2000) and Borque (2001) have shown that some coastal sites are warm season, some are cold season, and some are year-round according to the fish and shellfish species that were obtained at each. Sanger combined evidence across multiple sites into winter and summer assemblages of species. He suggests that coastal people moved back and forth along the shoreline from open to sheltered sites, more than from the coast to inland and back. The demonstrably winter sites are generally protected from the north winds and have access to winter food and fuel. Other authors have also suggested similar seasonal patterns vary according to the local ecology. For example, McBride and Prins (2003) and Christianson (1979) suggested that marine resources could be exploited most of the year. They suggested that coastal people spent the winter in small bands along the coast and estuaries harvesting smelt, tomcod, seals, beaver, moose, bear, caribou, and other small game. During the spring, summer, and early fall people congregated in large coastal villages where people could collect anadromous salmon, seafoods, migratory birds, berries, and nuts. Fall hunting trips were pursued by small bands or families moving up and down the rivers. All peoples living along anadromous rivers would have to match their schedules to the sequential spawning runs and migratory bird schedules. At least 8 anadromous fish species are present in Maine (salmon, alewife, shad, smelt, sturgeon, striped bass, and white and yellow perch), along with one that is partially anadromous (tomcod) and one that is catadromous (eel). Spring runs of smelt and spring waterfowl migration begin shortly after the ice has left the waterways (March-April). These are followed by herring, sturgeon, alewife, bass, and geese (April-May-June). In September to October the eel fishery was ready (Biard, 1616; Thwaites, 1901; Borque, 1973; Burley, 1983). Sanger (1996) suggests that inland people also inhabited permanent villages with forays to specialty camps and the coast. However, data are sparse because inland soils do not preserve materials well and because prime sites near water, deer meadows, and anadromous harvest locations are largely obscured by modern development. Burley (1983) also suggests that inland population were highly attuned to resource diversity with a greater emphasis on riverine ecosystems but also used estuarine and coastal resources. Again, this does not necessarily mean wholesale migration of entire villages, but a combination of permanent base villages and specialized exploitation of seasonal resources. A Micmac Seasonal Round (Burley) c c ce De er mb mb mb ve m be r Jan No ua ry F ru eb ary March October Septe mber April gu s M t Au ay u u Jun e e e July 9, 2009 48 July Wabanaki Traditional Cultural Lifeways Exposure Scenario 6. The general abundance of resources supports the conclusion that an average of 2000 kcal per day was available throughout the year. In addition, the diversity of resources is used to support conclusions about the proportional size of each food category. For example greens are not preserved in archaeological sites, yet around one hundred plants are recorded by cultural experts and ethnobiologists as used for food or medicine. Therefore, a larger intake of plants is included in the diet than archaeology alone would indicate. In addition to the observations of abundance made by early explorers and traders in the 1600s, other documentation is available for the 1700s, such as journals kept by settlers, traders, or records of captives who spent time in Indian villages. So productive were forest, field and stream that large stores of smoked fish, dried meat, nuts, and dried berries could be set aside in root cellars lined with birch bark or mats. Migrating flocks of ducks, geese, along with partridges, and wild turkeys added to the spring and fall larders. Early Europeans, from coast to coast, make the point that aboriginal people often survived through feast or famine situations. In order to survive for millennia, native peoples must have had reasonably balanced diets, but stresses did occur and the wide-spread oral histories of famines are present in most societies. Human skeletons from archaeological sites across the continent show clear evidence of these dietary stresses in some skeletal remains. In fact, human physiology evolved the "thrifty genotype" to account for periodic famine and wide fluctuations in the availability of food. The Eurocentric emphasis on continual and constant food supplies over the winter may reflect contemporary concepts of food adequacy (and the lack of the thrifty genotypes that may have made shortages less tolerable). Some early observers of the Wabanaki did not observe much food storage, and noted periodic winter food shortages, although they did not report starvation deaths. However, early observers also mentioned caching smoked meats, roots, acorns, as well as imported dry beans, peas, and prunes (obtained through trade). Tribal staff confirm that tribal members habitually smoke and preserve the meat of bears, eels, fish, and fowl, and use the meat over the winter. Biard referred to stored seal oil, bear oil, caribou oil, and moose grease, which "serves them as sauce throughout the year" (cited in Barsh, 2002). Moose grease or moose butter was obtained from bone marrow in boiling water, where fats floated to the top and could be skimmed off and stored in cakes (Christianson, 1979). Meat was dried by sun, fire, or smoke; fish (eels, shad, alewives) were more commonly dried or smoked than eaten fresh. Lobsters and,oysters (probably clams) were also dried, and hard boiled eggs were minced and dried. Vegetable products were also dried, including corn (where grown), berries, and grapes. Sanger suggested that little food was smoked along the coast because he did not find many sites indicative of fish drying racks. However, Black and Whitehead (1988) suggest that Sanger underestimates storage of smoked foods, especially seafood. For the regulatory applications of this scenario, a single constant intake is used, even though we recognize that the availability of food may vary throughout the seasons, and also the resources themselves can be quite seasonal in nature. His mother made baskets ("piles and piles" of them), sold or traded for food and necessities. His father considered hunting [which includes fishing in this text] the "alpha and omega of life. We had all the vegetables from the garden, and a lot of meat either bought by my mother or shot by my dad. Sidebar ­ Sammy Louis this sidebar (Figure 15) is included to demonstrate that subsistence lifestyles did not disappear two or three hundred years ago. Even in the populous northeast, a fully subsistent lifestyle and intimate knowledge of their surroundings is within the memory of todays elders or their parents. Subsistence in this context means being self-sufficient, including a home garden and wild foods. Inland groups that did not have access to rivers supporting large anadromous runs depended largely on moose and beaver. In addition they hunted muskrat, deer, caribou, bear, rabbit, raccoon, porcupine, partridge, and turtle. Birds and resident fish are likely underrepresented in archaeological sites due to poor preservation (Speck, 1997; Snow, 1968; Cox, 2000). Beaver was especially important in non-anadromous areas, as abundant and not fluctuating as much as some of the other megafauna (Snow, 1968). Beaver dams in small tributaries create a series of stepped ponds, each only a meter or so higher than the previous one. Muskrat, an important food, was also prevalent since beaver dams create an ideal muskrat habitat. In addition, the ponds provide habitat for a wide variety of fish, amphibian, reptile, bird, and plants (Sanger et al. From this review, we conclude that upland and wetland resources were roughly equal in importance to inland diets. One research data gap is the question about a few resources that were greatly altered during the early contact era. It may be that beaver became a dietary favorite only after hunting for pelts resulted in a larger amount of beaver meat being available. Eels may be another example of a forgotten resource due to a combination of availability and contamination with lipophilic contaminants, which may be reflected in contemporary times as an actual change in preference. Anecdotally, new oral history arises around known sources of contamination as a teaching tool and a way of protecting young families. The general conclusion of this information is that the lifestyle of the Central Maine coast is characterized as a combination of littoral foraging, land mammal hunting, and in-shore fishing (Spiess et al. For instance, some reports count bone and shell fragments and report percentages of fragment types; some convert fragment counts to numbers of whole animals; and some July 9, 2009 51 Wabanaki Traditional Cultural Lifeways Exposure Scenario convert whole animals to an estimate of protein percent. Further, some sites are winter and some summer; and the species mix changes from strata to strata as sea level changed (Spiess et al. Different archaeological sites have different ratios of animal remains, which is sometimes assumed to reflect the exact proportions of what people ate while they were in residence at the site. However, historical and cultural information suggests that many sites were located where certain resources were concentrated and were gathered for consumption elsewhere as part of a more balanced diet. Coastal sites range from 2% to 35% large and small game species, but this does not necessarily mean that some diets averaged only 2% game. As Sanger points out, groups of sites must be evaluated regionally to derive average diets. Therefore, species lists are presented below in rough order of abundance across a variety of archaeological coastal sites, from most to least abundant (Yesner, 1988; Barsh, 2002; Sanger et al. It may be noted that some of these species may not be present currently: Fish: herring, smelt, cod, flounder, sculpins, shad, sturgeon, striped bass, eels, salmonids such as whitefish, plaice, trout, capelin, gaspereau/alewife, mackerel, redfish, saltwater sunfish, silver hake, skates, spiny dogfish, suckers, tomcod, and white perch. Marine mammals: walrus, grey seal (hunted; some pups taken), harbor seal, harp seal, hooded seal, white whale (when found beached; sometimes hunted and harpooned), porpoise. Shellfish: Shell middens are predominantly soft-shell clam (Mya arenaria), along with hardshell clam (Spirula solidissima) and quahog (Mercenaria mercenaria) and a wide variety of other shellfish such as whelks, mussels, sea urchins, limpets, lobster, squid, scallop, horse mussel, crab, oyster, razor clam, shrimp, and other species. Oysters could be taken through the ice (some European authors appear to be referring to clams or mussels, not true oysters). Shellfish such as crab and lobster have thin shells that do not survive, so they are undercounted. Land mammals: beaver, white-tailed deer, black bear, caribou, fisher, squirrels, lynx, marten, mink, moose, muskrat, otter, porcupine, raccoon, red fox, skunk, show shoe hare, weasel, white-tailed deer, wolverine, woodchuck. Birds: puffin, owls, crow, gulls, murre, gannet, merganser, ruffed grouse (partridge), bittern, plover, scooter, woodcock, baldpate, black-crowned night heron, bufflehead, geese, loon, dowitcher, curlew, teal, guillemot, scaup, mallard, dove, osprey, grebe, auk. This is particularly important since plant remains do not preserve well in archaeological sites and are easy to underestimate. Some 200 native medicinal plants are known and were widely used until recently across America. Botany (the study of identity, classification, growth, and uses of plants) and medicine were practiced as interrelated arts until the 17th century when they emerged as two distinct areas of study in universities (Chandler et al. Most authors present lists of species rather than quantitative estimates because plants other than seeds or nuts are not preserved well in archeological sites and are difficult to identify. Most earlier (and many modern) excavations did not identify small and/or carbonized flora remains. Horticulture is therefore generally underestimated, as are most plant portions of the diet. Additionally, since many cultivars were grown in seasonal floodplains, rather than lessfrequently disturbed upland sites that are relatively less attractive to modern settlements; virtually every village was located at the very places most favored by Europeans (Petersen and Cowie, 2002). Information on the breadth of flora usage is presented below in order to indicate the diversity of plants used. The intent is not to list every species and quantify their use, but to provide general support for the amount of the vegetal intake included in the food pyramids. For instance, if only the archaeological data is used, one might conclude that the diet consists of only a few percent of plant foods. However, the diversity of species and breadth of uses, the vitamin and mineral contribution of plants, and the cultural information together support a higher vegetal intake rate than the archaeological record alone would indicate. Manuals on edible, medicinal, and useful plants list hundreds of species used in the northeast. Some of the Maine-specific citations include the following: McBride and Prins (2003) list 132 plant species used for food, medicines, and materials in Acadia National Park (Islands in Penobscot Bay), a few are introduced species. At least 40 food plants in Maine have been listed by various authors (McBride and Prins, 2003; Asch Sidell, 1999a, b; Braun and Braun, 1994; Waugh, 1916; Speck, 1997). This list is not exhaustive, but is provided in order to gain a general idea of the diversity and importance of plants in the diets. Nuts Nuts were powdered for flour, bread, gravy, soups, as well as roasted or eaten whole. Red oak, hazelnut, and beech are widespread in Maine, and the rest are localized in the more southerly areas. Other Maine nut trees include shagbark hickory, chestnut, beaked butternut, white oak, swamp white oak, scarlet oak, bear oak, bur oak, chestnut oak, black oak. Fleshy fruits Strawberries (Fragaria virginana and vesca), raspberries (Rubus idaeus and triflorus), blackberry (Rubus occidentalis), thimbleberry (Rubus ordoratus), wild gooseberry (Ribes spp), wild black currant (Ribes floridum and triste), blueberry or huckleberry (Vaccinium pennsylvanicum and corymbosum), cranberry (V. Teas and various infusions of leaves, roots, barks, flowers ­ Bayberry, bedstraw, bristly sarsaparilla, wild sarsaparilla, buttercup, common lousewort, lily family, sumac, sweetfern. Seeds Pigweed or Chenopod (Chenopodium album and berlandieri), hog peanut (a legume; Amphicarpa bracteata), tick-trefoil (a legume, Sedmodium spp. Lambs quarters (Amaranthus retroflexus), mustard (Brassica spp), and other seeds have been occasionally identified, along with dogwood, sedges, smartweed, and spruce. Some squash or gourd seeds appear in the central part of the state fairly recently. Giant ragweed seeds are found repeatedly in situations that implicate giant ragweed as a cultivated species or utilized garden weed. Roots, tubers, bulbs, corms, rhizomes There was a sense among cultural experts that tubers were always eaten, although the names and species are not always clear. Among them are wild potato or ground nut (Apios tuberosa), Jerusalem artichoke (Helianthus tuberosus), pepper-root (Dentaria diphylla), lilies (yellow pond-lily, white lily, bullhead lily, cowlily), burdock (Arctium lappa), Solomons seal, Indian turnip or jack-in-the-pulpit (medicinal only), skunk cabbage, Claytonia (Claytonia virginica). Fungi Meadow mushroom (Agaricus campestris), morrel (Morchella), puffball (Lycoperdon), polyporus fungi - various species. Salt Salt (sea salt) was not used much, but salt was present in natural broths such as from clams, and in natural fluids such as blood. Sodium is not always easily obtained; for example, the quintessential image of moose eating aquatic vegetation has been linked to sodium hunger (Belovsky, 1981; McCracken et al. One of the major archaeological sites is Norridgewock or Naragooc in the Kennebec River drainage basin (Cowie, 2002; Demerett, 1991; Petersen and Cowie, 2002; Bennett, 1955). In contrast to many other archaeological sites, floral remains at Norridgewock have been carefully studied.

The Bid opening date shall be no less than twenty-one (21) days from the date of the first advertisement allergy quiz purchase cetirizine 5mg visa. The notice shall be e-mailed to appropriate vendors in the vendor database and any other potential Bidders that the user department/division identifies allergy forecast vancouver cetirizine 5 mg amex. The final Addendum will be issued no less than five (5) days before the Bid opening date allergy medicine children proven 10 mg cetirizine. No Bid shall be accepted after the specified deadline or at any location other than the Purchasing Division allergy forecast nashville discount cetirizine 5 mg mastercard. Any Bid received late shall be returned to the Bidder unopened at the expense of the Bidder or will be destroyed unopened if the Bidder does not arrange for its return allergy testing austin tx buy discount cetirizine 5 mg online. Bids that are not received late shall be opened in public at the time and place stated in the public notice allergy medicine 19 month old discount 5 mg cetirizine fast delivery. All Bids received and accepted will be made available for public inspection in accordance with Florida Statute 119 new allergy treatment 2012 generic 10mg cetirizine mastercard. The Purchasing Manager may elect to cancel or postpone a Bid opening at any time prior to the time set to open Bids new allergy medicine 2014 buy cetirizine 5mg free shipping. A successful Bidder will forfeit any surety required upon failure on their part to enter into a contract within the specified time after the award. Bid Bonds may, at the discretion of the Purchasing Manager, be required for construction quotes. For all other Bids, the Purchasing Manager, with the user department/division, shall determine whether or not a Bid Bond will be required. Performance and Payment Bonds Performance and Payment Bonds may be required on Bids other than construction. Waiver of Irregularities the Purchasing Manager shall have the authority to waive any and all irregularities in any and all Bids. After the Bid opening has been completed, the Purchasing Division and the Project Manager will review all Bids for compliance with the specifications and the Project Manager will select a Bidder for recommendation. For all construction projects a letter of recommendation will be required from the Engineering Division or the Engineer/Architect of Record. Tie Bids will result in a process that uses a hierarchy of criteria to determine the winning Bidder. Women/Minority Business Enterprise ­ Certified in accordance with Section 5 of this Manual. The award tabulation document will be prepared by the Purchasing Division, based on the recommendation of the Project Manager, indicating the recommended Bidder. The tabulation will be submitted to the requesting Department Director for confirmation signature. The tabulation will then be confirmed by signature of the Purchasing Manager and submitted to the County Administrator for final approval signature. After the County Administrator has approved the Bidder selection, the tabulation will be returned to the Purchasing Division. A copy of the award tabulation will be sent via e-mail to the Project Manager and to all Bidders, denoting the selection of the successful Bidder. Work shall not begin until issuance of a Purchase Order, Notice Commence, or contract execution by the Board, if applicable, and a Notice to Proceed has been issued. When a contract is required, the authorized representative of the successful Bidder shall promptly execute a contract that has been approved by the County as to its form, terms, and conditions. All contracts require approval by either the Purchasing Manager, County Administrator or Board of County Commissioners. Any Bidder who has a construction contract awarded to it that fails to properly execute the required contract and submit the required bond and other required documents within ten (10) calendar days after award may be required to forfeit their Bid Bond. Upon the execution of the contract by the successful Bidder their Bid Bond may be released. The user department or the Project Manager shall manage the contract throughout the term. Contract renewal (i) (ii) the Project Manager is responsible to make arrangements for contract extension, when such extension is allowed in the original contract. Annual Bids are used when the cumulative amount of purchases during any 12-month period is $50,000. P-Card may be utilized for purchases from an Annual Bid, at the discretion of the User Department Director. Reasonable effort must be made to solicit women or minority owned firms and Highlands County Entities, if available. The Purchasing Division will review specifications received and has the authority to challenge the contents. In general, specifications should define the level of performance required rather than a specific brand name. The following should be included: (i) (ii) (iii) (iv) (v) (vi) the "Scope of Work" detailing the goods or services. The Evaluation Committee, with a minimum of three (3) and maximum of eight (8) members, will be appointed by the Purchasing Manager after consultation with the Project Manager. All persons serving on the Evaluation Committee must be familiar with the Sunshine Law and the evaluation process. If a Pre-Proposal meeting or site visit or both is or are scheduled, it or they must be at least twenty (20) days before Proposal opening. The notice shall be e-mailed to appropriate vendors in the vendor database and any other vendors that the user department/division identifies. The final Addendum will be issued no less than ten (10) days before the Proposal opening date. Neither a requesting department/division nor a consultant shall issue an Addendum on behalf of the County. No Proposal shall be accepted after the specified deadline or at any location other than the Purchasing Division. The Purchasing Manager may elect to cancel or postpone a Proposal opening at any time prior to the time and date set to open Proposals. A successful Proposer may forfeit any surety required upon failure on their part to enter into a contract within the specified time after the award. Bid Bonds may, at the discretion of the Purchasing Manager, be required for construction Quotes. For all other Proposals, the Purchasing Manager, with the user department/division, shall determine whether or not a Bid Bond will be required. Performance and Payment Bond Performance and Payment Bonds may be required on Proposals other than construction. The Evaluation Committee may request an analysis of any criterion of the Proposals by the Purchasing Division or an independent, neutral expert. At a publicly noticed meeting, the Evaluation Committee will have the opportunity to discuss each Proposer and the Proposals. The Evaluation Committee will finalize their individual scores, which will be tallied by the Purchasing Division and shall be the final ranking of the Evaluation Committee unless the Evaluation Committee requests presentations by or interviews with some or all Proposers. Presentations or Interviews Upon request of the Evaluation Committee, Proposers whose Proposals received the highest ranking of the Evaluation Committee may be required to give a presentation or participate in an interview or both in order to be considered. If the Evaluation Committee decides to have presentations or interviews, the Evaluation Committee shall invite at least two (2) Proposers in the order of the preliminary ranking (highest to lowest). Following the presentations and/or interviews, if requested, the Evaluation Committee members shall complete their evaluations for selection of the most highly qualified Proposer. The Purchasing Division will send the award tabulation via e-mail to the Project Manager and to all Proposers reporting the results of the evaluation and the selection of the successful Proposer. Negotiations the County Administrator will negotiate a contract with the most qualified Proposer recommended by the Evaluation Committee on compensation and terms that the County Administrator determines are fair, competitive, and reasonable. Should the County Administrator be unable to negotiate a satisfactory contract, negotiations with that Proposer shall be formally terminated. The County Administrator shall then undertake negotiations with the second most qualified Proposer, if recommended by the Evaluation Committee. The user department/division is responsible creation of the contract, with the assistance of the Purchasing Division, and it is the responsibility of the user department/division or Project Manager to take the contract before the Board for approval. Any Proposer who has a construction contract awarded to it that fails to properly execute the required contract and submit the required bond and other required documents within ten (10) calendar days after demand may be required to forfeit their Bid Bond. Upon the execution of the contract by the successful Proposer their Bid Bond may be released. The user department/division or the Project Manager shall manage the contract throughout the term. The Purchasing Division will be responsible for all amendments, modifications or change orders that increase or decrease only the contract time. Instead, professional services, other than audit services, will be acquired in the manner provided in Florida Statute 287. In addition to the Professional Services described above, the Board regards the following services as Professional Services that will be procured in the manner provided in Florida Statute 287. Continuing contracts shall not be used when the estimated construction cost individual project under contract exceeds $2,000,000. The County Administrator will approve or deny the request for Professional Services. Proposal File the Purchasing Division shall maintain all related documentation in the Proposal file. Responsibility for providing Scope of Work the preparation of specifications is the responsibility of the user department/division. For the benefit of Proposers and the user department/division, specifications must be clear and concise. Determination of ability will be based on a minimum of the following criteria: (i) (ii) (iii) (iv) (v) (vi) Ability of professional personnel; Whether the Proposer is a certified minority business enterprise; Past performance; Willingness to meet time and budget requirements; Location; Recent, current and projected workload; and (vii) Volume of work previously awarded to each Proposer by the County, with the object of effecting on equitable distribution of contracts among qualified Proposers, provided such distribution does not violate the principle of selection of the most highly qualified Proposers. The County will only accept Proposals from those Proposers who attend all Mandatory Pre-Proposal meetings and site visits in person or by a representative who has signed the sign-in sheets at those Mandatory Pre-Proposal meetings and site visits for that Proposer. If a pre-Proposal meeting or site visit or both is or are scheduled, it or they must be at least twenty (20) days before Proposal opening. The Proposal opening date shall be no less than thirty (30) days from the date of the first advertisement. For legal services, accounting services, and medical services the County can proceed with the evaluation if less than three (3) Proposals are received. The Purchasing Division and the Project Manager will schedule all Evaluation Committee meetings, including required Evaluation Training meetings. Additional advertising may include, but is not limited to , minority publications, trade journals, and the Internet. Any Proposal received late shall be returned to the Proposer unopened at the expense of the Proposer or will be destroyed unopened if the Proposer does not arrange for its return. Proposals that are not received late shall be opened in public at the time and place stated in the public notice. Waiver of Irregularities the Purchasing Manager shall have the authority to waive any and all irregularities in any and all Proposals. After the Proposals are opened, the Evaluation Committee will proceed pursuant to Florida Statute 287. A Purchasing Division staff member who is not an Evaluator will review the Proposals to confirm the presence of all required responses and documents such as insurance certificates, licenses, E-Verify confirmation, etc. Services other than architectural, professional engineering, landscape architecture, or registered surveying and mapping services, presentations may be requested at the discretion of the Evaluation Committee. The County will provide a notice to the invited Proposers at least ten (10) business days before the presentations or interviews. Score Tabulation, Ranking, and Recommendation the Purchasing Division staff member assigned to be the designated contact will tabulate the scores submitted by the Evaluation Committee members and present the final tabulation and ranking to the Evaluation Committee for final review. The Evaluation Committee shall rank no fewer than three (3) Proposers for architecture, professional engineering, landscape architecture, or registered surveying and mapping services. The County Administrator will negotiate a contract with the most qualified Proposer recommended by the Evaluation Committee for professional services on compensation and terms that the County Administrator determines are fair, competitive, and reasonable. The County Administrator shall then undertake negotiations with the second most qualified Proposer. For any lump-sum or cost-plus-a-fixed fee professional service contract for architecture, professional engineering, landscape architecture, or registered surveying and mapping services over the threshold amount provided in Florida Statute 287. When a contract is required, the authorized representative of the successful Proposer shall promptly execute a contract that has been approved by the County as to its form, terms, and conditions. The user department/division will be responsible for all amendments, modifications or change orders that encompass an increase and/or decrease to the scope of services, fees, time and/or any combination thereof. General To establish procedures for the procurement of a turn-key service that includes both the design and construction of a public construction project by means of a single contract with a design-build firm in accordance with Florida Statute 287. The County Administrator will approve or deny the request for Design Build Services. Project Manager the requesting Department Director will appoint a Project Manager. The Evaluation Committee, with a minimum of three (3) and maximum of eight (8) members, will be appointed by the Purchasing Manager after consultation with the Project Manager, and the appointments are subject to ratification by the County Administrator. The Evaluation Committee will be comprised of: (i) (ii) (iii) (iv) the County Administrator or designee, and the Purchasing Manager or designee, and a representative of the requesting department/division, and additional members agreed upon by the Purchasing Manager and the Project Manager. The preparation of specifications is the responsibility of the user department/division. The requesting department/division will be responsible for preparation of the Design Criteria Package. The Design Criteria Package shall be prepared and sealed by a design criteria professional employed by or retained by the County. The Design Criteria Package then is sent to the Purchasing Division in electronic format. If the County elects to enter into a professional services contract for the preparation of the Design Criteria Package, the design criteria professional shall be selected and contracted in accordance with the requirements of Florida Statute 287. A design criteria professional who has been selected to prepare the Design Criteria Package shall not be eligible to render services under a designbuild contract executed pursuant to the Design Criteria Package. The design criteria professional shall be available for consultation regarding the following: evaluation of the responses or Bids submitted by the design-build firms; supervision or approval by the County of the detailed working drawings of the project; and evaluation of the compliance of the project construction with the Design Criteria Package. The Purchasing Division is responsible for scheduling all meetings related to the solicitation and publicly noticing meetings as required by law. Pre-Proposal meetings and site visits may be made mandatory at the discretion of the Project Manager. The County will only accept Proposals from those Proposers who attend in person or by a representative, all Mandatory Pre-Proposal meetings and site visits and signed in the sign-in sheets at those Mandatory Pre-Proposal meetings and site visits for that Proposer. Any Proposers or Proposer representative arriving late to a Mandatory Pre-Proposal meeting or site visit will not be allowed to sign in and join the meeting or site visit. If a pre-Proposal meeting or site visit or both are scheduled, it or they must be at least ten (10) days before Proposal opening. The Proposal opening date shall be no less than thirty (30) days from the first legal advertisement. Additional advertising may include minority publications, trade journals, and the Internet. Also, any Proposers that the user department/division provides shall be placed on the list. No Proposals shall be accepted after the specified deadline or at any location other than the Purchasing Division. Proposals shall be opened in public at the time and place stated in the public notices. All Proposals received and accepted will be made available for public inspection in accordance with Florida Statute 119. The Purchasing Manager may elect to cancel or postpone a Proposal at any time prior to the time and date set to open Proposals. After the Proposals are opened, the Evaluation Committee will proceed pursuant to F. A Purchasing Staff member, who is not an Evaluator, will review the Proposals strictly to confirm the presence of all required responses and documents such as insurance certificates, licenses, E-Verify confirmation, etc. The Evaluation Committee may request an analysis of any criterion of the Proposals by the Purchasing Division, or an independent and neutral expert. The person completing the analysis shall not be serving on the Evaluation Committee. The reviewing person will present the analysis at a public meeting and shall not influence the Committee members to favor or disfavor a particular Proposer. Methods of Evaluation (i) Competitive Bidding Approach-Adjusted Score Design-Build Process. The Adjusted Score Design-Build approach may be used when overall outcomes can be clearly defined, but a number of alternatives may exist which could provide the outcomes desired. The Price Proposals shall be secured and unopened until after the technical scores are announced in a publicly noticed meeting. At the discretion of the Project Manager the process shall consist of either a two or three phase process. Two Phase Process (a) Technical Proposal (Technical Scores) (b) Price Proposal (Lump-Sum amount) Three Phase Process (a) Proposal of Qualifications (To short-list at least three firms) (b) (c) Technical Proposals from short-listed firms Price Proposal (Lump-Sum amount) (ii) Final Selection A public meeting will be held for the announcement of the technical scores and opening of sealed price Proposals. Immediately following the announcement of the technical scores, the sealed price Proposals will be opened and the adjusted scores calculated by an Employee of the Purchasing Division, who is not a member of the Evaluation Committee. The Evaluation Committee will review the Price Proposal of each Proposer as to the apparent lowest adjusted score and make a final determination of the lowest adjusted score. The County is not obligated to award the contract and the Evaluation Committee may decide to reject all Proposals. Contract negotiations will begin with the Proposer determined by the Evaluators to have the lowest adjusted score. The County Administrator will then negotiate a contract for submittal to the Board for the Design-Build services with the Proposer ranked first for the project at compensation determined to be fair, competitive, and reasonable. In making the determination, the County Administrator shall analyze the cost of the design-build services required, giving full consideration to the scope and complexity of the project and shall consult with the employed or retained design criteria professional concerning the evaluation of the Proposals or Bids submitted by the design-build firms. The compensation shall be on a guaranteed maximum price basis for all costs which shall include reimbursable costs plus fixed lump sum fees for design, project management, overhead, and profit. Should the County Administrator be unable to negotiate a satisfactory contract with the Proposer considered to be the most qualified, at a price determined to be fair, competitive, and reasonable, negotiations with that Proposer shall be formally terminated.

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The Great Divide the great horse race the Great ideas: a syntopicon of Great books of the Western World average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating average/noncirc ulating 12. Solzhenitsyn, Aleksandr Isaevich, 1918Solzhenitsyn, Aleksandr Isaevich, 1918- the Great ideas: a syntopicon of Great books of the Western World the greatest American songbook. The greatest evil the green-eyed hurricane the grenadillo box: a novel the grift: a novel the gripping hand the Gulag Archipelago, 1918-1956: an experiment in literary investigation the Gulag Archipelago, 1918-1956: an experiment in literary investigation the gunfighters the guns of August. The guns of Valverde the ha-ha: a novel the handbook of skits and stunts the hard detective the Havana room the hidden alphabet the hinge of fate the home book of verse: American and English, 1580-1920:with an appendix containing a few well-known poems in other languages the home book of verse: American and English, 1580-1920:with an appendix containing a few well-known poems in other languages the honey well the Hoobs. Griffin, William, 1935Fast, Howard, 1914Ignatius, David, 1950Holt, Victoria, 1906-1993. McCall Smith, Alexander, 1948Maier, Thomas, 1956Clark, Thomas Dionysius, 1903Kay, Terry. 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Gleiter, Jan, 1947Before the fall Believing the lie Belkis, Queen of Sheba-suite [sound recording]; Dance of the gnomes; the pines of Rome Below the belt Below the belt Benito Juarez Mys Woo Mys Woo J 921 Juarez 921 Franklin 33410831278041 33410831277985 33410920525708 33410420950075 Average. Better roller skating: the key to improved performance Between friends (Poor/Outdated/Not Circulating) Poor. Roberts, Edmund), 1929Burns, Charles, 1955Robert Glasper Experiment (Musical White, Randy Wayne. Caffeine for the creative mind: 250 exercises to wake up your brain Cajun [sound recording]. City of night Clare Boothe Luce Clever Kate Clifford follows his nose Close case: a Samantha Kincaid mystery Close to home Come fight a kite Communication: means and technologies for exchanging information Communications Como hacerse parte del rodeo Confessions: the Paris mysteries Average. Death masks Death of a poison pen Death on the Dixie Delicious hullabaloo: Pachanga deliciosa Delicious hullabaloo: Pachanga deliciosa Demon princess: reign check Desert kill Poor. Diego Rivera Dinosaurs before dark Dinotopia: a land apart from time Dinotopia: a land apart from time Dinotopia: journey to Chandara Dionysos and the pirates; Homeric hymn number seven. Ruth talks about grandparents: advice for kids on making the most of a special relationship Poor. Fright time: 3 spine-tingling tales for young readers Fright time: 3 spine-tingling tales for young readers Fringe. Gas Gears of the city Gentle warrior George Bellows: American painter George Mason of Virginia / lorette Henri. Granny, will your dog bite and other mountain rhymes Greece [sound recording]: a musical odyssey. Heidi Hello, darkness Henri de Toulouse-Lautrec Henri Rousseau Henry and Mudge and the careful cousin: the thirteenth book of their adventures Hereafterthis. House of reckoning: a novel Houston How it feels when parents divorce How sweet the sound: AfricanAmerican songs for children Poor. John Marshall, the man who made the Court supreme Armentrout, David, 1962- John Muir Lawrence, D. Trevino, Elizabeth Borton de, 1904Lord, Elizabeth, 1928Maleeny, Tim, 1962Park, Barbara, author. Fic Rob Fic Rob 33410830401149 33410830964344 Roberts, Nora Roberts, Nora Kelpie [sound recording]: from Celtic- Average. Key West [text (large print)] Killjoy King Fox, and other old tales King of Cuba: a novel King of hearts Poor. Shuttlesworth, Dorothy Edwards, 1907Cooper, Jason, 1942Wilder, Laura Ingalls, 1867-1957. Goodbar Looking for Przybylski Loon magic for kids Lord high executioner: an unashamed look at hangmen, headsmen, and their kind Lord of the flies: a novel Los guardianes de la escuela Average. Beaumont mystery Magnificence: a novel Mahatma Gandhi Maisy goes on a plane Mama, across the sea Man comes to America. Manga mania: how to draw Japanese comics Mao Marathon cycling Marathon skiing March in country: a novel of the Vampire Earth Margaret Sanger rebel with a cause Marian Anderson Marie Curie: discoverer of radium Average. Fox (William Tobe, 1943Reynolds), 1927- Midnight movie: a novel Hooper, Higgins, Jack, 1929Kallentoft, Mons, 1968Butson, Thomas G. Miss Pickerell to the earthquake rescue Missing justice: a Samantha Kincaid mystery Missing May Mississippi River Mississippi River: a journey down the Average. Murder at the Brightwell Murder house Murder in the Rue Dumas Murder most Austen: a mystery Murder on the set Music from the motion picture When Harry met Sally [sound recording] Music from the tea lands [sound recording]. Pokemon mystery dungeon: explorers of time, explorers of darkness Polaroids from the Dead Political leaders Poniendo el cascabel al gato = Belling the cat Pontiac Poor little bitch girl Poor. Royal assassin Rules of encounter Rules of play Rushing waters: a novel Ruth Bader Ginsburg Sacred ground Poor. Shaping a president: sculpting for the Roosevelt Memorial Rodriguez, Robert (Robert Sharkboy and Lavagirl adventures. Songs from Alice: Alice in Wonderland & Through the lookingglass Songs of the Civil War [sound recording]. Stolz, Mary, 1920Sounding the waters Soup in love South by Southwest; the MexicanAmerican and his heritage Southern frontiersman: the story of General Sam Dale Special delivery! Satie Strange nervous laughter Strange partners: the story of symbiosis String quartet op. Terror on Troll Mountain Texas fury Texas sunrise: two novels of the Texas Republic Texas Wild [electronic resource] the 2000 Presidential election the 500: a novel the 5th Wave the 6th target: a novel [text (large print)] the abominable snowman of Pasadena the adventure guide the adventures of Captain Underpants: an epic novel the affairs of others Average. The art of America in the Gilded Age the art of the Spanish in the United States and Puerto Rico. The blood of Emmett Till Report Date: 12/12/2017 150 J 921 Lindbergh 33410830210904 Lindbergh, Charles. The bronze bow Hunt, Angela Elwell, 1957- the case of the counterfeit cash Hunt, Angela Elwell, 1957- the case of the haunting of Lowell Lanes Gardner, Erle Stanley, the case of the lucky legs 1889-1970 Lantz, Francess. The case of the missing mummy Hunt, Angela Elwell, 1957- the case of the mystery mark Hunt, Angela Elwell, 1957- the case of the phantom friend Hunt, Angela Elwell, 1957- the case of the terrified track star Seuss, Dr. The Ghost of Greenwich Village: a novel the golden fleece and the heroes who lived before Achilles the golden god, Apollo the golden princess the Golem: a Jewish legend the Golly Sisters ride again the Grand Prix the great Gilly Hopkins the grey king the gristmill Average. The knife that killed me the lantern: a novel the last good man: a novel the lighthouse road the lightning thief the lightning thief [electronic resource] the Lions of Lucerne the litigators Poor. The luck of the Irish Sparks, Nicholas Roberts, Nora Royes, Gillian, 1947White, Randy Wayne. The memory quilt: a Christmas story for our times the merry starlings the messenger: a novel the Middle East in search of peace the miracles of Prato the moment: a novel the money hole [text (large print)] the Moses virus the most native of sons; a biography of Richard Wright the mystery of Plum Park pony the mystery of Pony Hollow Report Date: 12/12/2017 155 J Fic Hal J Fic Hal J Fic Bro J Fic Spe 294. Burckhardt, Ann, 1933Clark, Petula, 1932The neon rain the new book of popular science. The next accident the odd potato: a Chanukah story the other widow [text (large print)] the papermakers the people of Russia and their food Lear, Edward, 1812-1888. The twelfth enchantment: a novel the twelve days of Christmas: a Christmas carol the twilight saga. The unseen Report Date: 12/12/2017 159 J 921 Pasteur Fic Ric J 979 Ash 33410920213628 33410831008042 33410920446814 Johnson, Spencer. The volcano of fire: the fifth adventure in the Kingdom of Fantasy Kirkman, Robert. Catton, Bruce, 1899MacMahon, Kathleen, 1970Lange, Richard, 1961Gladstone, Max, author. To be sung underwater: a novel Hemingway, Ernest, 1899- To have and have not 1961. To kill a mockingbird [sound recording]: original motion picture score Report Date: 12/12/2017 161 J 921 White J 921 Skreslet J 921 Paine Fic Poy Fic Gar J 621. Hughes, Morgan, 1957Hughes, Morgan, 1957Hughes, Morgan, 1957Hughes, Morgan, 1957Hughes, Morgan, 1957Gutman, Bill. With a deep sea smile: story hour stretches for large or small groups With heart Without a trace Without fail Witness for the prosecution, and other stories [text (large print)] Women of Latin America [sound recording]. 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Aromatherapy Art lessons for children [videorecording] Art lessons for children [videorecording] Art lessons for children [videorecording] Art lessons for children [videorecording] Art lessons for children [videorecording] Average. Asesinos [text (large print)]: mision-Jerusalem, blanco-el Antichristo Ashamed [sound recording] Ashenden Ashley MacIsaac [sound recording]. Production Associates (Firm) Atlantis and other lost cities Australia Awakening intuition: using your mind-body network for insight and healing Babies & toddlers [videorecording] Babies make music [videorecording] Average. Baby Neptune: [videorecording] discovering water Catherall, Donald Roy, 1946Average. Back pain: what you need to know Bad boys [sound recording] Baja Florida Baja run Balkanology [sound recording]. Basic training: a fundamental guide to fitness for men Basics of music: opus 1 Bat adventures [videorecording] Batman is brave! Clements, Andrew, 1949Clements, Andrew, 1949Kodo (Musical group) Shaw, Beth, 1966Jance, Judith A. Bear adventures [videorecording] Beating depression Beau Geste Becoming vegan: the complete guide to adopting a healthy plant-based diet Becoming vegetarian: the complete guide to adopting a healthy vegetarian diet Beethoven works for cello and piano [sound recording]. Mould, Bob, 1960Weber, David, 1952- Bodies Body by design: from the digestive to the skeleton Average. Body for life: 12 weeks to mental and physical strength Body of song [sound recording] Bolo! Book of silk [sound recording] Bootsie Barker bites [videorecording]; Ruby the copycat Bored, nothing to do! Burn fat for fuel: fat to fabulous in only 28 days, using my revolutionary Live it or diet system But, mama, but. Choose to lose weight-loss plan for men: a takecontrol program for men with the guts to lose Chopin and champagne [sound recording]: set your mood for romance. Christmas present [sound recording]: music of warmth and celebration Christmas shopping Chronic candidiasis-the yeast syndrome Chronicle of the 20th century Cinderella [videorecording] Citizenship [videorecording] Braun, Rick. Clear and convincing proof Close proximity Close to home Cocinar con arroz Cold case Cold river Collectibles price guide. Baumann, Paul, 1946- Collecting antique marbles: identification & price guide Collins concise German-English, English-German dictionary. Collins concise Spanish-English, English-Spanish dictionary Report Date: 12/16/2017 176 615. El imperio del sol [videorecording] = Empire of the Sun El informe pelicano El malestar en la globalizacion El mar El misterio de los excavadores [videorecording] = Holes El nuevo Sugar busters! El reino del dragon de oro El remanente: al borde del Armagedon El secreto de la noche El segundo anillo de poder El Senor de los Anillos El sistema solar [videorecording] El socio El testamento "nueva vida". Electric girl Electric girl Electric girl Elmopalooza [videorecording] Elmopalooza [videorecording] Emergency! Collins, Brandilyn Everything to gain Everything to gain [text (large print)] Everything you need to know about smoking Evidence explained: citing history sources from artifacts to cyberspace Evidence of love Exercise with Pilates & yoga Exercising through your pregnancy Exiter [sound recording] Exotic tropical fishes Exploraciones y descubrimientos del mundo Exposure [text (large print)] Average. Fables: storybook love Faith Fall of giants: book one of the Century trilogy False memory [text (large print)] Fantasia [videorecording] Average. Volume two: the modern era: an identification and value guide to the most collectible fishing lures made since 1940 Fit 4 kids [videorecording] J Vid 613. Foghorn Leghorn and friends [videorecording] Food & diet counter: complete nutritional facts for every diet! Forecast for love Forerunner [sound recording] Fountain of youth: the anti-aging weight-loss program Fountain of youth [sound recording] Fourth day Franklin in the dark [videorecording] Franklin learns to face his fears [videorecording] Franklin learns to share [videorecording] Average. Garden of Eden [sound recording] Gastrointestinal disorders and nutrition Gastrointestinal health: a self-help nutritional program to prevent, cure, or alleviate irritable bowel syndrome, ulcers, heartburn, gas, constipation, and many other digestive disorders Gators, crocs & other yucky swamp creatures [videorecording] Geo kids. Guia Holman de religiones del mundo: con capitulos especiales sobre el Islam y el Christianismo Guia para El consumo de carbohidratos: un metodo simple para la planificacion de la dieta del diabetico Sorokie, Alyce M.