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NEW BACKSTAGE BAR LAUNCHES IN LONDON’S WEST END |
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David Benqué is a designer and researcher working in London UK He is currently a PhD candidate in Design Interactions Research at the Royal College of Art and holds a BA in graphic design 2006 from the Royal Academy in the Hague the Netherlands and an MA in Design Interactions 2010 from the Royal College of Art in London UK Photo: Tom Mesic |
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London Centre |
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London Hostel |
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Bauhaus reunion continues into 2020 with concerts in New York City London |
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Missing London man found dead no foul play suspected: Police |
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Международная программа «Менторинг в бизнесе» CCE ICF London UK-Moscow Russia |
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Packing Essentials for a Winter Trip To London |
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Five Reasons I’m Hoping to Move To London |
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London woman charged after car crash causes 15000 damage to business |
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Maşını “London Taxi”si ilə toqquşdu arvadı öldü |
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Taylor Swift Sexy Legs at the Capital FM Jingle Bell Ball in London |
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London researchers first in world to use new device for feeding tube insertion |
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She has a long and impressive background in film making post-production motion graphics cinematography and photography Her creative concepts and solutions go hand-in-hand with Room3’s storytelling ethos to give people a chance to tell their stories with dignity zest and creativity Before joining Room3 as partner in 2010 Erin worked extensively as a Senior Creative in high-end post-production houses in Sydney and London She joined Room3 to work on projects for some of the world’s most recognised organisations and NGO’s She has filmed all over the world capturing stories from Bangladesh to Sierra Leone to Nepal Unsurprisingly her efforts have gained a handful of awards in the humanitarian sector including the ARPA Gold Award “Most Original Campaign” as well as 6 PROMAX BDA awards |
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IT Support services in London |
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Around Indielondon |
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WELCOME HOTEL APARTMENT 1 Formerly London Creek Hotel Apartment |
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Christmas homecoming for London doctor and nurse fighting deadly measles outbreak in Samoa |
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No 2019g 30oktobra līdz 1novembrim Londonā notiks ikgadējā ETTU – ITTF treneru konference2019gada 11 jūnijs |
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GET IN Energy Ltd 27 Old Gloucester Street LONDON Temporary holding office UK |
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The Best International Schools in London |
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London man charged after officer nearly hit during Perth County RIDE check |
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A George III silver-gilt four-light candelabrum Digby Scott amp Benjamin Smith London 1806 |
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The capital markets union: Should the EU shut out the City of London |
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London Liverpool Street to Cambridge |
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London Dry Gin |
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London Has Fallen 2016 ฝ่ายุทธการถล่มลอนดอน |
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PERSEVERANCE LONDON DAISY CROCHET ANGLAISE OFF SHOULDER DRESS Day dress soft yellow Women’s Plain Dresses Off-the-shoulder 100 cotton 4kjycBA8 |
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Lahore is safer than London NY amp Melbourne world crime index report |
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Mon/Wed/Friday: Centerbrook Chester Clinton Deep River East Lyme Essex Guilford Haddam Ivoryton Killingworth Lyme Madison New London Niantic Old Lyme Old Saybrook Waterford amp Westbrook |
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a London based nodejs amp front-end developer |
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Cincinnati Bengals vs Los Angeles Rams live stream: watch the NFL in London for free anywhere in the world |
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Rimmel London Extra Super Lash Tusz wydłużający 8 ml Odcień 101 Black |
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Arsenal make decision on Eddie Nketiah’s Leeds future FootballLondon |
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Online News From London |
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Brand and experience design studio Studios in Dubai Helsinki London and Tallinn |
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Our SEO Services are specially created for UK and London based companies Most of our clients are small business owners based in London or across Britain Our clients lookign for SEO services also come from the following cities: Birmingham Bristol Glasgow Leeds Liverpool Manchester Newcastle Nottingham Leicester Portsmouth Southampton Sheffield |
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Londra Uluslararası Zeytinyağı Kalite Yarışmaları – London IOOC |
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AWS Summit London 2019 – Thoughts and Review |
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PR No 203 “Visit Pakistan” Video on “London’s New Year’s Day Parade” Giant Screens to |
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We’ll make your dream renovation / construction project a reality Serving London Ontario and Surrounding Areas |
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Download London HD 4K Wallpaper For PC Windows and Mac |
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Looking for young Londoners 17-19 years who are passionate about all things sustainable to take part in an exciting project for Nike Better World |
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Things To Do Today In London: Monday 30 December 2019 |
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Homegirl London is a Lovely London Lifestyle Blog |
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Magical Jo Malone London Holiday 2019 Campaign by Tim Walker |
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The Global Graduation Ceremony in London 2019 |
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News — 18 Dec Vega joins Saatchi amp Saatchi London as Chief Creative Officer |
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Auba scores in the London derby |
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Central London Escorts |
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More Choices Among Tradesocio’s Liquidity to Attend Finance Magnates London Summit |
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London Masterclass 2018 |
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Former Premier League referee delivers Jorginho red card verdict during Arsenal vs Chelsea FootballLondon |
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Fund sells interest in London property |
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Hola! I’m a 23-year old Software Engineer turned Blogger and Photographer Ditched the 9 to 5 job for sleepless freelance nights I create content for brands through Photography and this blogI started blogging when I was in the second year of Engineering in 2015 Through the years I chose studying more about it on my own and earned certifications in Brand Management University of London and Google Digital Unlocked FICCII’m a self-taught Photographer based in Delhi Most of work revolves around fashion and product but I take up food amp interior projects as wellOn this blog I cover the topics: Blogging Photography Travel and Life |
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Western Film UCC Building University of Western Ontario London Ontario N6A-3K7 |
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LONDON NORTH WEST MIDLANDS KENT YORKSHIRE |
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Trinity College London becomes a ‘trusted partner’ of F |
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New posters designed by London students promote the benefits of TfL |
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Still Life Photographer London New York Paris Milan Dennis Pedersen |
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Wakili Indonesia dalam ajang kompetisi balet internasional di Royal Academy of Dance London |
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London Time Time Zone: UTC/GMT 0/1 HOUR |
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Traditional English Luxury is Hallmark of London’s Batty Langley’s Hotel |
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Robo Investing London UK Europes 1 Wealth Event 9 – 11 September 2019 |
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Khan’s London: Synagogue Jewish Shops Vandalised with ‘9/11’ Graffiti |
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Local Indian Takeaway near you in Camberwell London SE5 serving Aldgate EC3A Walworth SE17 Brixton SW2 Whitehall SW1A Clapham SW9 amp Bloomsbury WC1B |
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Clarke-Salter injury boost Drinkwater’s January return – How Chelsea’s loan stars are faring FootballLondon |
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White Label World Expo 27th amp 28th November 2019 – ExCel London |
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2-star hotels in London |
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WordPress Development Agency London amp Guildford |
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Discover great places in London |
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Ο Περιοδοντολόγος Ο Σπύρος Κουρής έχει ειδικευθεί στην Μεγ Βρετανία στο Queen Mary University of London στην Περιοδοντολογία και στα Οδοντικά Εφυτεύματα Έχει εργαστεί σε πολλές κλινικές του Λονδίνου παρέχοντας αποκλειστικά εξειδικευμένες υπηρεσίες στον τομέα του Περισσότερα… |
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Welcome to London South Bank University |
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Limited Company Formation in London |
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The Best IB International Baccalaureate Schools in London |
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London Marathon |
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Priyanka Gandhi reminded of the London Smog |
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Pierre-Emerick Aubameyang latest: Agent delivers bombshell on future Olivier Giroud return FootballLondon |
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The VR Job Hub: Sugar Creative Sony London Studio amp Ready at Dawn |
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In London there is a congestion charge for drivers who want to go through the centre of the city This idea should be introduced in other big cities |
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BBC London |
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STYLONDON |
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Street Art and Graffiti: Penang – Bali – Colombo- Amritsar- Mumbai – London |
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London calls for investment in women’s football |
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Moving from London to made impossible for refugee journalists |
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Emerald Heights Robotics Teams to Represent State at the IRC International Robotics Competition to be held in London in June 2020 |
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If you are looking for a London based home renovation builder or contacting company we are here to help |
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London eateries scoop prizes at this year’s Food Made Good Awards |
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SMART Executive City Handbag by FYB London |
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Perfume for Women Burberry London new Eau De Parfum Spray By Burberry |
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London Surf / Film Festival Accepting Short Film Submissions |
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British Airways to Deploy Guide Robots at London Heathrow Airport |
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London based Amazon marketing agency for sellers by sellers |
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BBNaija Khaffy Reinstated By London Metropolitan Police |
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One person killed in single-vehicle crash southwest of London |
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United Kingdom is the best country to do business with acceptable legal situations and business environment This is why we have registered our company in United Kingdom at 22 Wenlock Road Islington London N1 7GU You can check our company details from the below REFERRERS |
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Embassy of the Kingdom of Saudi Arabia in London |
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6 NTK tài năng của Học viện thiết kế và thời trang London tại AVIFW Thu Đông 2019 |
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City of London draft Transport strategy |
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LONDON SCHOOL OF COMMERCE |
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The world’s renowned stages demand the world’s best performers The Honors Performance Series assembles some of the world’s rising young musicians to perform under the baton of master conductors at several of the world’s most celebrated concert halls: Carnegie Hall in New York City USA Sydney Opera House in Sydney Australia Royal Festival Hall at Southbank Centre in London England and the Musikverein in Vienna Austria |
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Tantra Festival: 24-26 May 2019 London UK |
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Love London Hotels UK |
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London: Acrylic Nails £19 |
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Perfact Kitchen and Bathroom Renovations Services in London Ontario |
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Places to Eat in Camden London |
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Jules Verne wrote about it Phileas Fogg was his hero who completed the journey Michael Palin did it for TV And now we’ve done it alsoWhat do we all have in commonWe’ve all travelled around the world without flying Yes it really is possible It’s a fabulous journey and not just one for novels or tv documentaries Anyone can do it Our journey took us from London to Moscow Beijing Xian Nanjing Shanghai Osaka Tokyo Vancouver Seattle Florida Madeira – to name just a few placesWe crossed two oceans and several continentsFollow our amazing trip and get inspired to try it for yourself |
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Steve Taylor: Freelance web amp WordPress developer London |
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Ladies Of London S01E05 To The Manner Born WEB-DL x264-RKSTR |
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Annual Asian Food and Restaurant Awards returns to London |
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Uber takes legal action over new rules in London |
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Presentation Skills Course – 5th August 2020 – Impact Factory London |
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Presentation Skills Course – 24th August 2020 – Impact Factory London |
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An Insider’s View on the London Property Market |
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Kenwood Jack London |
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London Rex |
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Marshall University’s Marching Thunder set to lead London New Year’s parade |
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Burberry London by Burberry 100ml EDT for Men |
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LỄ KHAI MẠC OLYMPIC LONDON 2012: BOND BEAN amp QUEEN |
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London Stock Exchange and Deutsche Brse Merger Blocked by EU |
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London amp Paris |
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london: Steak or Lobster Burger For Two |
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IMPA London |
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OMG You ROCK!!!! Thank you – thank you – thank you!!! Billy Green London UK |
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South London |
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United kingdom London |
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Clara 180 mm London Blue Topaz and Diamond Wedding Band |
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INA BRINKMANN LLM LONDON |
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Learn Monetization at Pocket Gamer Connects London |
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London is the capital of… |
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Premier League: Chelsea beat Arsenal in entertaining London derby |
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10-Storey Tower of Apartments and Penthouses on Thames London |
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LONDON CALLING |
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Tanzania High Commission London UK |
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LONDON’S PREMIER HEALTH CLUB |
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Francisco Laranjo is a graphic designer based in London UK and Porto Portugal His writings have been published in Design Ob server Eye Grafik among others He is the editor of the design criticism journal Modes of Criticism Smyth: Speculation could restore our sense of wonder |
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Various London ‘Asian Escort Agencies’ |
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London Shanghai – or both |
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Busta Rhymes Flips Out on Passenger on Flight to London |
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We are ‘Bobby’s Flowers’ a floral company established in the heart of the square mile we’ve been serving the city of London for over a decade with weekly flower vases for the office and hand tied bouquets for your home or loved ones Based between StPaul’s and Bank In Bow Church Yard StMary le Bow we’re open 6 days a week offering a selection of ‘ready to go’ hand-tied bouquets crafted by us on the day or made to order If you can’t make it over to us why not give us a call we would be happy to arrange delivery for you Same day too! Here we are totally passionate about what we do and how we do it and we would very much look forward to welcoming you at the stand |
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The Beer Tsunami of 1814 a Deadly Disaster Hits London |
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Impressionists in London TATE Britain until 7 May 2018 |
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Justin Bieber goes off on Tim Hortons lids – The London Free Press |
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Wandsworth takes part in the London Parade |
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Down and Out in Paris and London Author: George Orwell |
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Recoating of relay covers grey generously supplied by RSCOATINGS of Fenny Stratford Milton Keynes Now working on Colossus cipher pattern extraction ready for another Cipher Challenge later in the YearValves for Colossus: EF36 EF37 EF37A 6J5 6V6 6K8 807 GT1CThe Baudot teleprinter code table Codes and Ciphersin theSecond World War The history science and engineering of cryptanalysis in World War II created by Tony Sale Between 1939 and 1945 the most advanced and creative forms of mathematical and technological knowledge were combined to master German communications British cryptanalysts Alan Turing at the forefront changed the course of the Second World War and created the foundation for the modern computer In 1991 the Bletchley Park the wartime home of Allied code breaking was saved from destruction by Tony Sale and some colleagues They transformed it into a museum devoted to the recognition and reconstruction of this crucial aspect of world history which had remained completely secret until the early 1970s Anoraks CornerBreak Enigma!!! and Lorenz too!!!this is for the Nerds Video pods are here!Break Lorenz!! Break real Lorenz enciphered messages using Colossus WARNING! this may overheat your brain!! Are you up to breaking real Enigma messages Status Log Scenario 6 now up! ENIGMA Tony Sale’s reconstruction of Enigma decipherment for the film Enigma This film is based on Robert Harris’s novel Enigma Although essentially fiction it contains detailed sequences of Enigma codebreaking which have been scrupulously reconstructed by Tony Sale Go to these pages by Tony Sale for full details VirtualBP An interactive exploration of Bletchley Park and World War II code breaking from 1938 to the present day Status Log Not perfect but ready by Friday The Enigma Follow a sequence of pages explaining how the Enigma worked Keyboard of an Enigma The Lorenz cipher and the Colossus A sequence of pages explains the Lorenz cipher and how it was broken by the Colossus Colossus Mk 1 rebuild slowly evolves into Colossus Mk2 by 2004 See how the dedicated Colossus Rebuild Team achieved this The first stage of the rebuilt Colossus has been working since 6 June 1996 LEFT: in wheelchair Tommy Flowers designer and engineer in 1943 CENTRE: HRH The Duke of Kent patron switching onRIGHT: Tony Sale rebuilder and curator Bletchley Parkand its Museums: The original Mansion and many Huts in the surrounding park are largely unchanged since 1945 Open a MAP of the Park Follow a Virtual Tour of the Park Five pages with fifty small pictures Bletchley Park Mansion Lectures by Tony Sale Lecture Notes on the Enigma and the Bombe on Naval Enigma and on the Colossus are available Continue to the Lecture Index page Original World War II Documents Fish Notes by Captain Walter Fried describing in great detail the work of the Newmanry and Testery in Bletchley Park on breaking the Fish codes Tunny Lorenz and attempting to break Sturgeon Siemans Continue to Fish Notes Annex to Fish Note F 071 giving a detailed account of breaking Lorenz from Delta D and lists the Colossus runs used Continue to Delta D and Colossus runs Critical Observations on German Traffic Analysis in Sixta Part of the History of Sixta written by Robert G Nunn Jr at the end of the war Continue to Observations on Sixta The History of the American 6813th Detachment Written by members of the American 6813th Signal Security Detachment seconded to Bletchley Park from August 1943 Continue to Introduction to the 6813th History The Report on the British Bombe Written by members of the United States 6812th Division who were seconded to the Bombe outstation at Eastcote in North London in 1944 Continue to Introduction to the US 6812 Bombe Report Tentative List of Enigma and Other Machine Usages A report written in Bletchley Park in 1945 Continue to Usages Index The German manual for the naval use of the Enigma 1940 This document the Enigma General Procedure was captured and translated by the British It can now be read on this site Continue to the Index page to the Enigma General Procedure The German manual for the doubly enciphered Naval Enigma messages 1940 This is the protocol for the offizierte messages which were doubly enciphered for officer’s eyes only It was also captured and translated by the British Continue to the Index page to the Offizier and Staff Procedure The Bletchley Park Cryptographic Dictionary 1944This document listed and defined the hundreds of specialist concepts and activities at Bletchley Park Continue to the Introduction to the Dictionary The Newmanry History 1945 This document kept secret until 2000 is the most crucial part of a longer General Report on Tunny It gives the complete story of how the Lorenz cipher was broken from the amazing breakthrough of 30 August 1941 up to the extremely sophisticated programming of the Colossus Continue to The Newmanry History The Special Report on Fish 1944 This document gives a complementary account of the breaking of the Lorenz ciphers through the use of Colossus as reported at the time by an American cryptanalyst attached to Bletchley Park Continue to The Special Report on Fish |
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cravat tight-fitting breeches and periwig Louis XIV and His Family oil painting by Nicolas de Largillière 1711 in the Wallace Collection LondonReproduced by authorization of the trustees of the Wallace Collection London photo JR Freeman and Co Ltd From the start the vest had long sleeves that appeared beneath the turned-around sleeves of the coat and afterward the sleeves were abstained from completely Neither coat nor vest had a neckline or lapels To finish the new mode tight-fitting breeches were worn with leggings gartered beneath the knee By 1670 this kind of suit had become the immovably settled style for men and was worn with no fundamental change until the finish of the eighteenth centuryI even loved purchasing ties So natural – one size fits all – and conceivably bargainous I had an extravagant peacock silk one that my then-sweetheart now-spouse had gotten me from Liberty yet additionally an oddly chic green blobby-stripy one we found in an old swap meet in Florence for about 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rumpled appearance is another method for conveying that as well In any case it’s his exceptional consultant Dominic Cummings whose dress is significant of the age by one way or another – a disdainful mess of athleisure dadwear and state funded school signifiers: the dark Levi’s hoodie with workshirt jabbing out the hastily snatched tote sack the sewed gilet This chaos is the thing that the individuals decided in favor of he is by all accounts saying Manage it Pursue the Fashion Statement email Understand more I am currently in my mid-30s and I don’t work in a London paper office any more I am independent and I do a ton of my writing in a cooperating space in Bristol where I moved a few years prior in the midst of nut-spread influencers and CBD new companies and 20-something computerized advertising types who make statements like: Better believe it 33 of my capital is in crypto It’s sort of fun Be that as it may I have never at any point endeavored to wear a tie there Bristol isn’t 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Virginia Woolf Birthday Lecture London 25 Jan 2020 |
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Ανδρικά παπούτσια Pepe Jeans London PMS30593 595 |
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Accreditation of the Chinese Embassy in London |
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2016/11/01: OUR SIXTH NOVEL BY ANNA BUCHAN STARTS IN GLASGOW BUT THEN SHIFTS TO LONDON !! FIGHT THE TRANS-PACIFIC PARTNERSHIP’S COPYRIGHT EXTENSIONS! IF THIS TYRANNICAL TRADE AGREEMENT WERE IN EFFECT TODAY WE COULDN’T OFFER YOU ANY EBOOKS BY ANNA BUCHAN UNTIL 2019 !! |
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Radley London 250 Giveaway |
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London in United Kingdom |
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3D Printshow London 2012 |
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Galentine’s Day in London |
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The Best Private Schools in London |
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London UK Jobs com |
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How to submit a job offer to London UK Jobs |
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Svenske Flamur 36 mördad i London |
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Race Review: Hackney Half-Marathon 2019 in London UK |
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About Yale University Press London |
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Good Food Retail: Six London boroughs taking action |
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TouriaDrouzi LondonUK |
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thefoldlondoncom |
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Škotski stručnjak vraća se u London spasiti ‘čekićare’: Osjećam se kao kod kuće i ponosan sam |
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‘Fearless’Chelsea youngster set to sign new long-term contract londonfootballnewscouk |
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Klaudia Polish London |
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London SE1 3PH United Kingdom |
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Exclusive Image From London Gone Viral |
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Real prudent investment in a diversified portfolio of assets optimises the potential outcomes Real Capital London |
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London 2020 |
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Born in Manchester in 1954 Tim Parks grew up in London and studied at Cambridge and Harvard In 1981 he moved to Italy where he has lived ever since raising a family of three children He has written fourteen novels including Europa shortlisted for the Booker prize Destiny Cleaver Sex is Forbidden and most recently In Extremis all of them published in half a dozen countries |
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London Hd Wallpaper |
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3 Pcs Iconic London Illuminator Liquid Highlighter |
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NATO Engages 2019 in London: NATO Needs Frank Conversations |
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AIRPORT amp OUTSIDE LONDON AREAS |
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White Label World Expo London 2019: The Biggest Expo for E-Commerce Sellers |
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December London meetup and 7th anniversary party |
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the cass London Metropolitan University |
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Radio Ava serves as a 24-hour media in London for Persian people and produces entertainment programs arts sports education and information This Radio delivers the programs on various platforms connected to the Internet and the Radio Ava website Since 2013 Radio Ava has been launched and the radio station was moved to North London in 2018 The main focus of Radio Ava’s activities is to support the Persian people who work in various fields Due to lack of a media with this line of activity in Farsi-language media the focus of Radio Ava is to fill this gap in the media |
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Take A Luxury Vacation In London! |
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Jim Crean: ‘The London Fog’ |
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Things to do in London |
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Private Parking Solutions London Ltd |
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Good Morning Britain’s Charlotte Hawkins treats her daughter to a Disney-themed day out in London |
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Hammersmith Rd London W14 8UX |
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Venetian Domus Grimani in London |
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Martin Keown names the one key factor in Chelsea’s win over Arsenal FootballLondon |
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Mark Reading interview on London Kendal Street Case |
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London Pass Prices |
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Ten Things To Do In Brixton South London |
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Covercoco London Eye Lash Serum 100 Natural |
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English Antique Furniture—Specialist Dealer in London |
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Do you recognise him London Police rele |
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Pride of London |
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Zeitzeuge: Gemeindearchiv von Aulets Arquitectes auf Büro: Second Home London Fields von Cano Lasso |
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London Streets Poem/Ghalib Anniversary/Lana Del Rey Spoken-Word Album – Poetry News Roundup December 26th |
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FACEIT Major London 2018 |
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London’s Best Set Menus amp Lunch Offers |
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Flying Solo: London’s best solo dining spots |
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MAP FinTech Wins Best RegTech Reporting Solution Award at the Finance Magnates London Summit 2019 |
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Workshop in London mit Dr Zack Ally |
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BOOK YOUR TICKETS FOR COINGEEK LONDON |
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Are you moving to London for University Here’s What you Need to Know about Student Accommodation |
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Airfare of the Day: Swiss/Virgin Australia BUSINESS CLASS London LHR/LCY to Sydney SYD from £2285 |
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London Dog Events Calendar |
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3rd London Trip |
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The London Post |
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The London Property Market Could Suit Long-Term Foreign Investors In 2018 |
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The London Trip: All About The London Pass |
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Lehman’s London staff win 300 million pensions fight |
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London Conspiracy to replace Vega Squadron for MLG Pro League LAN finals |
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30122019 10:50 London derbisi – VİDEO |
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London Police Shoot Dead Suspected Terrorist |
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British Council accredited English coursesin London Eastbourne and Dublin |
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Children’s Nurseries in London |
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London Experience Study |
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Trinity Honorary Awards presented at London ceremony |
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London Review of Books |
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Moving from Canada to London to Work as a Freelancer |
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Beefeater Jim’s Tower of London promotion |
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Wi-Fi Now InternationalNovember 12-14 2019ILEC Conference Centre London |
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Kings College London – Medical Ethics amp Law |
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Private Counselling And Psychotherapy London |
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2020 is coming – check out the photos from our London Hype List showcase featuring Bloxx and Lauran Hibberd |
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Jaz: first-class degree from London College of Fashion despite dyslexia |
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TechAviv members meet locally across 6 main branches – Tel Aviv Silicon Valley New York Boston Los Angeles and London We also have members in Washington DC Arizona Atlanta North Carolina Ohio Barcelona Portugal Berlin and Singapore |
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London Retail Property Quiz 2019 |
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LONDON’S RUSSIAN ART WEEK SHOWS STABILITY OF DEMAND AND PRICE -– THAT’S A SMALL DEFEAT FOR ANGLO-AMERICAN WAR Links |
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“BOOM FOR REAL” BASQUIAT EXHIBITION Barbican London |
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London Fog |
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London Savers Club |
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Check in Palmers Check out London |
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Christmas at Hogwarts: The Complete Guide to the Harry Potter Studio Tour London |
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Identity Summit London 2020 |
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Read the full line up of events and how to obtain passes at the Southbank website “We Live With Death” Southbank Centre Belvedere Road London SE1 8XX 22 Feb – 25 Mar EXIT magazine free with membership go to http://wwweuthanasiacc/ and click “join” on the left hand side |
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Paris London New York City Chicago Rome Tokyo Moscow Barcelona Beijing Cairo Delhi Istanbul Johannesburg Rio de Janeiro Mexico City Madrid Milan More Cities |
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Trinity College London CertTESOL- Residential course in Thailand January 2020 – Early Bird discount |
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Everton Soares’ entourage will arrive in Europe on Friday Their first destination will be London to talk with Everton and West Ham and after the weekend they will arrive in Italy to meet with Milan Kia is the name of the agent Price tag set at €40M |
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เปิดแนวคิด พี่ตูน ก่อนเริ่มก้าวใหม่ กับโครงการ London Marathon ออกวิ่ง 5 ภาค กับ กิจกรรม Toyota C-HR I Adidas Play to Win |
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Presentation Skills Course – 6th July 2020 – Impact Factory London |
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Borheh is a London based multidisciplinary creative studio |
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LONDON College Of Music |
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Travel Journal: London |
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UK – London |
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Новогодняя игрушка на eлку лондонский кэб LONDON TAXI 634388 Multi |
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JO MALONE LONDON Oud amp |
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About London |
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Premier position Pan Asia awarded by a London-based global hedge fund |
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Mayor’s London Scientist Prize |
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London 24 The Shard 32 London Bridge St London SE1 9SG United Kingdom 44 20 3026 2145 |
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Graham Nash – Garde Arts Center – New London CT – September 21 2019 |
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Come and see us at ICE London 2020 |
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In this series of blog posts I share our trip to Italy with you This was one of my favourite train tours We visited Florence Naples Pompeii and Turin and saw some amazing sights We took the scenic route from London to Naples via Zurich and the Bernina Express It was definitely worth the in a day |
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0-30 MHz SDR M0TAZ London |
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Interview with Lydia Grey one of The Silver Ladies of London |
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All you need to know about independent travel to London |
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Why Platinum X Escort is the cheapest escorts’ agency in London |
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The Coach House II St Donatts Road London SE14 |
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London: The City of Dreams History and Stories |
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Greater London |
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Protecting London’s Wildlife |
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London Street Art |
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Big Ben is ticking again in London ushering in the beginning of 2020 |
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Download Saheed Osupa London Delight Audio |
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Отель JW Marriott Grosvenor House London объявил о завершении многомиллионной реновации |
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Field – The Piano Concertos – London Mozart Player ORourke Bamert 20084 CDs |
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The 50 Greatest Street Arts In London |
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Pre amp post-cruise tours to explore in and around London with transfers |
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Playboy London |
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NAMASTEY LONDON |
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Student University of London Careers PhD Programs – Study in UK |
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American Airlines Boeing 777-300ER business class Los Angeles to London |
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How do I create my own Merlin’s Magical London Pass |
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3-star hotels in London |
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獨立音樂訊 充滿力量的美聲英倫團 London Grammar- Truth Is a Beautiful Thing |
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CPD at London Metropolitan University |
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Alexandra London Upskirt |
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London Boys – The Twelve Commandments Of Dance Special Edition 2009 |
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Britain ANTI-RACISM campaigners called for unity to defeat racism today after a synagogue and several north London shop fronts were defaced with anti-semit |
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ITV1 London HD |
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London Unveils Autumn’s Can’t-Miss Cultural Events |
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Best 3D Modelling Companies in London |
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Our Family Trip to London: How Much Did We Spend |
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dampi Leaders Global Forum 2020 in London |
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ریمل حجم دهنده ریمل لندن Rimmel London Volume Flash نارنجی |
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Eden Hazard denies London power shift: Chelsea ‘have won a lot of trophies’ Spurs |
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THE CASS LONDON METROPOLITAN UNIVERSITY Diploma Unit 8 2018-2019 Semester 1 |
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TOP CATCHES OF THE Mitmachen und Tickets für London Game gewinnen |
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Harry Styles is going to play a teeny-tiny London show this week |
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Arrests in Manchester Peterborough and London for terror offences |
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Hi I’m Josh McCartney – a London-based Nothern England born senior art director and former baby |
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London Ru – русская газета в Лондоне |
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London Pass – End of Year Sale! |
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Velocity Conference London 2017 – VLOG 8 |
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Tires and Tire Services in London St Thomas Aylmer Strathroy and Tilsonburg ON |
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Utakarsh Santosh Auti LondonUK |
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London Nghỉ Dưỡng Chap 6 |
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A mysterious man is on an impending mission to attack the country from his base in London Karan Singh Dogra sets out to hunt down the antagonist aided by the British Intelligence Will our Commando able to prevent the attack and save the country |
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Brook St West End London |
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„Kelionių kompasas“: Londonas ir mada video 0 |
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The Best Music Teachers in London |
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Chicago Bears vs Oakland Raiders live stream: how to watch 2019 NFL London games from anywhere |
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London Family Planning Conference – 2017 |
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London Triathlon |
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Chagos-Archipel: London ignoriert UN-Beschluss und eigenes Gericht |
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The San Francisco Bay Calls at Oakland’s Jack London Square |
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Burberry London for Men |
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ITV1 London |
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Inaugural London Litigation Associates Launch Reception |
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Follow my London Lifestyle Blog on Instagram |
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Nanny Housekeeper Job in London |
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London School of Business amp Finance |
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London Housing Supply Update |
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Hamis iratokkal akartak Debrecenből Londonba repülni |
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Londonból járt haza edzést tartani a SZOTE kupagyőztes trénere |
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London Franklin Sq |
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Online Placement Test Of Aspect Center – London |
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LINKS TO BMJ article on publishing raw data and real time statistical analysis on e-journals Demonstation of raw data and real time statistical analysisNorthern Region Fetal/Maternal Medicne Special Interest Group GuidelinesRecent BMJ letter regarding DELAYED CORD CLAMPINGOBGYNNETFetal medicine Unit St Georges London Joseph Woo’s Ultrasound The Fetusnet Correct application of Bayes theorem in estimating sequnetial conditional risk |
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This Love And Loss Story On The London Underground Is Going Popular On Twitter |
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London Post |
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London Ruby User Group |
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London derbisi – VİDEO |
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CAPA World Aviation Outlook Summit 2-3 Dec 2020 London United Kingdom |
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World Athletics in London 2017 : Usain Bolt Stood in Third |
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LONDON LOVE STORY 3 TRAILER 2018 DRAMA ROMANTIS |
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7 Best Areas to Invest in UK Property Near London in 2020 |
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ARTICLES ABOUT LONDON |
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London Passes with Travel gives you ability to travel within London for free |
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MAMMA MIA! London |
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Iranian fashion designer takes on London Fashion Week |
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Ealing London UK |
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Digital marketing workshop – London UK |
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London Summit 2019 – What People Say About the Industry’s Leading Event |
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Incubate London’s GEW Event |
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Getting Lean in London |
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OPENING JUSOOR FOR STUDIES CENTER IN London |
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Japanese girl incall or hotel visiting massage and escort London and Heathrow |
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Exhibition Review: Greens of Greenwich Linear House London |
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home workout home workout London Monitoring Desk Getting rid of obesity is a lifelong task but no… |
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Casio Music UK have partnered with London Live’s HotTopics |
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Puzzle 3D London Bridge |
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Food delivery in London |
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An unusual afternoon tea in London: The Gin Lover’s Afternoon Tea |
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Recruiters Headhunters and Headhunting/Recruiting for Hampshire Berkshire Surrey Oxfordshire Midlands and London |
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London Fog Women’s Double Breasted Peacoat with Scarf Black M |
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Harrods in London |
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Aphex Twin Luke Vibert – London 14092019 WAP436X |
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Kandidatas pakeisti Čeburiną Marijampolėje – Londono „Arsenal“ nukovęs baltarusis 25 |
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Leo 2019: Sirius Dag Hammarsköjld amp the UN Britain’s Crisis Boris Johnson Leo London Make America “Grate” amp Ilhan Omar |
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Best fares to London Liverpool Street from |
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Museum of London to Host “The Clash: London Calling” Exhibition |
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Vanhal- Symphonies – London Mozart Players Bamert 1998 |
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How sport and nature is helping change the fortunes of at-risk young Londoners |
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1 Chose a London pass that fits your plan 2 Order Pick up on arrival or have it shipped 3 Show the pass at any of the attraction |
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The London Trip – Harry Potter Studio |
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Kitchen Porter Wanted in London |
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SBS GROUP EXPAND IN LONDON WITH RENEWED INCREASED ORDER |
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London Film Academy ‘Think Film Breathe Film Live Film’ |
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ATS London 2020 |
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Gatsby London |
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30/12/2019 Đoán giá robusta London theo đồ thị kỹ thuật đến 3/1/20 |
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10 con số từ derby London: Phá quy luật bất bại ‘thảm họa’ Arsenal lỗi nhất NHA |
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Camberwell Tandoori – Best Indian Restaurant amp Takeaway in Camberwell London |
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India – UK Friendship Promoted in London “Modi Jaisa Koi Nahi” DSG President Mr Jolly’s Speech Applauded |
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Bocoran Togel London 31 Desember 2019 Hari Selasa Hari Langit |
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Meet us at World Travel Market London |
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London venture capital firm exits investment in retail tech business |
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This Week In History – The Second Great Fire of London |
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Graffiti Featuring Star Of David And ‘9 11’ Painted On Buildings In North London |
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Take the train to London |
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Here’s your sneak peek inside Glossier’s new London store |
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Variety Of Fruits In London |
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Shannon London |
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Discover what’s best on London’s stages |
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Conversations with Londoners: Walking the Space Between Words |
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Talent Management and Leadership Development Summit 2020 in London |
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4-day pre-cruise break in London with sightseeing |
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Megha Shetty LondonUK |
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Fox Stopped By Williams In London! |
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London Art Fair 2020 – Coming Soon |
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Launch Event – London |
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New Kosher BBQ Joint Open in London Suburbs: Koymen Smokehouse |
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International London Office |
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August 2018 In Review – London amp Norway |
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Case handphone – London Stamp |
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OPENING HOURS: ASIAN ART IN LONDON 2019 |
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SOCHI-2014 Presentation London |
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About North London Toyota |
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Learn what it was like to live in Charles Dickens’ London |
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Actuarial Consultant Wanted in London |
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Beautik London: set de regalo |
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NEW DOCUMENTARY CASIO amp LONDON LIVE EXPLORE CURRENT STATE OF MUSIC EDUCATION |
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Christmas in London |
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The Horizon Campus achieved the rare status of approval from the Ministry of Higher Education and the University Grants Commission UGC in Sri Lanka to award its own degrees Horizon Campus is also the only fully private institution to be listed on the prestigious Association of Commonwealth Universities ACU and a Registered Centre to offer University of London Degree programmes in Sri Lanka The Horizon Campus has become an Institutional Member of the Asia Pacific Quality Network a renowned global institute for maintaining quality in higher education institutes It has entered in to a memorandum of understanding with the Arkansas State University USA and Nilai University Malaysia to offer degree programs in Biotechnology |
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Hire A SEO Expert In London To Boost Your Site’s Ranking |
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London Youth Games |
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London Borough of Culture 2019 programme |
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Delicious London Lifestyle Blog Food Reviews |
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Recruitment Officer in London |
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Draft new London Plan: Six key points arising from the Mayor’s response to the Panel |
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Bachelor of Law LLB – University of London |
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London… London… Ingin Ku Ke Sana |
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London Metropolitan University |
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Paul Vick Architects LTD 80 – 82 Chiswick High Road Chiswick London W4 1SY |
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High Commission in London hosts Christmas celebration highlighting Christ’s message of peace |
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Inside London’s coolest new hotel The Standard |
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Brexit – Mélyponton a londoni tőzsdén az új vállalati részvények száma |
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London Stock Exchange and Deutsche Brse Merger Blocked |
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ICO issues first fine under GDPR to London pharmacy |
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Reubens Reopening in London |
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The London Effect |
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Siswi SMP Kristen Gloria 1 ikuti kejuaraan balerina internasional Phyllis Bedells Bursay 2017 di London |
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The Best AV Jobs In London |
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Scratch Stars Awards 2017 At Tropicana Beach Club London! |
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London Day une beleza e saúde |
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The London Gin Nº1 |
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John F London ON Canada 25 |
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LINCCX 21–24 April 2020 London United Kingdom |
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Call now to book one of our £100 per hour Escorts in London today: 0749 343 6128 |
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GET IN Whitechapel Road E1 1DT London |
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Offices – City of London – Acquisition |
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States of Modernism: Collapse London 16 Dec 2019 |
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The London |
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Web Design London: |
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First night in London now rescheduled |
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Amenajare apartament smart tech cu influente londoneze |
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CẢM NHẬN CỦA JOSH ĐẾN TỪ LONDON |
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Aparthotel- City of London – Redevelopment |
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Emerson sends message to Chelsea fans following mistake against Arsenal FootballLondon |
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Apple’s gold iPhone 5S is still drawing queues in London |
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London Courier firm explains business case for e-cargobikes |
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Primary school interior design in London by Gavin Hughes |
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London’s Green Spaces: Richmond Park |
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Post-cruise Cotswolds from Southampton to London |
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London’s public transport: How to find your way around in London |
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New trailer for The Gentleman a crazy action about the London marijuana king |
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london-special: Steak Lobster and |
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Property Prices in East London’s Newham Have Surged 429 in 20 Years |
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Unai Emery sends Granit Xhaka message to Mikel Arteta amid€30m Hertha Berlin talks FootballLondon |
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London event to promote environmentalism |
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Battersea Power Station helps train London’s next generation of construction workers |
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Welcome to All In London mate |
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London Short Film Festival |
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Review: The Overtones Christmas Party at the Indigo O2 in London |
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КОКТЕЙЛЬ ЛОНДОНСКАЯ ЛИХОРАДКА LONDON FEVER |
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Brooke Banner Marcus London |
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London E1 1JE |
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The benefits of a London Travelcard include: |
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Local Indian Restaurant amp Takeaway near you in Camberwell London SE5 serving Walworth SE17 Nunhead SE15 New Cross SE14 Southwark SE1 East Dulwich SE22 amp Pimlico SW1P |
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Working in London |
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Agnes dos Santos Kensington Salon46 Blythe RoadW14 0HALondonUnited Kingdon Our Phone:0207 602 7040 / 078 1714 7389 Our dos Santos |
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London Blue Topaz Rope Gemstone Ring in Sterling Silver |
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Vicarage Crescent London |
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Reubens Has Reopened in Central London |
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London South Bank University |
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First World Problems: Sports Team Stumble At London’s Kentish Town Forum |
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United Kingdom-London |
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London Bible Week |
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Go Behind the Scenes at London Fashion Week Spring |
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London – UK |
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Paul McCartney amp Wings – 1979-12-29 – London UK SBD Aud |
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XStore London |
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Tango dancers embrace London’s shivering homeless |
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Beyond the Bay: Penelope Isles at Oslo Hackney in London |
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Central London |
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Case handphone – London big Ben 2 |
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Platinum X Cheap Escorts London |
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Dj Mark I Generalna Proba Dnevne Žurke – London Pub |
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Registered Business Address in London |
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Last Week for Mehring Books Holiday Sale Agents: The FBI and GPU Infiltration of the Trotskyist Movement by Eric London – How Leon Trotsky’s Assassination was prepared |
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Madonna heads to London with boyfriend and brood amid Guy Ritchie ‘legal clash’ |
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1920 London 2016 1920 ลอนดอน |
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Uber’s London ban marks global backlash for ride-hailing giants |
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International conference on the physiology of neonatal transition at birth University of Birmingham 19th April 2013 link to INTRODUCTION VIDEO See Opening presentation by Dr Tonse Raju How can it be safe to suddenly clamp the cord within a few seconds of birth and when it is full of blood and still circulation 40 of the babies combined cardiac output Learn more below Go to Calculators UK Date Version fetal health assessment US Date Version using Hook background risk UK Date Version using Hook background risk French Version using Hook background risk Italian Version using Hook background risk Risk of placental abruption Decision support for chicken pox in pregnancy Risk of malignancy index for ovarian cancer Kaplan Meier survival Odds ratio confidence interval Graphic risk explanator BMJ article about why cord early cord clamping must stop Letter about neonatal resuscitation in Archives of Disease in ChildhoodClamping the umbilical cord at birth is not necessary although it has been convenient so that the baby can be removed from its mother before delivery of the placenta usually 5 to 10 minutes after the birth of the baby We now clearly recognise that taking the baby away from its mother at birth is harmful to both the baby and the mother Some years ago it was thought that early cord clamping was an important element in active management of the third stage of labour to prevent post partum haemorrhage This is now known not to be the case RCOG Greentop guideline 52 page 4 addendum ILCOR also recognise just how important it is for the newborn baby to transiton naturally from placetnal respiration to pulmonary respiration European Resuscitation Guidelines Page 1222Clamping and cutting the cord at birth is an intervention which has no purpose Withdrawal of such an intervention does not require proof of harm There is however plenty of evidence of harm ! The latest in a long line of trials showing harm is in a recent BMJ study from Sweden Why do so many intelligent caring obstetricians and neonatologists not stop routine cord clamping at birth Part of it may be complacency Some are also very concerned like myself Many think the harm that cord clamping may do is very minor and pressure of time prevents them from looking into it more carefully However I will show you that the harm of cord clamping can sometimes be very serious Perth Austrialia professor tells of serious risks of cord clamping RCM to recommend delayed cord clamping International conference on transition and cord clamping at birth April 2013 It is increasingly recognised that the circulatory changes involved in transition at birth cannot occur within a few seconds of birth While the healthy fetal circulation and the healthy neonatal circulation are moderately well understood the underlying triggers the precise sequence and speed of the changes in the circulation are not How can we interefere in something we do not understand Nearly all textbooks and journals which include the physiological transition of the neonate at birth describe a marked change in the peripheral vascular resistance and an increase in the afterload of the heart One notable exception is Gray’s Anatomy Gray’s Anatomy describes inflation of the neonatal lungs as the first change after birth and does not describe any changes in the afterload of the heart Afterload is the force that the myocardium generates during ejection against systemic and pulmonary vascular resistances Reductions in afterload increase stroke volume if other variables remain constant Gray’s Anatomy also describe the release of bradykinins from the pulmonary vascular epithelium which are vasoconstrictors to the umbilcal arteries A high oxygen tension in the blood reaching the umbilcal arteries also has a vasoconstrictor effect on these vessels Those texts that describe the sudden increase in afterload of the heart explain that this is the result of withdrawal or closure of the placental circulation Although Hofmeyer did demonstrate a sudden increase in arterial pressure in the healthy neonate in response to the application of a clamp on the umbilical cord 35 seconds after birth there have been no other investigations of the arterial effects of clamping the umbilical cord On the other hand the effects of the cord clamp on the venous circulation has been investigated in some detail very recently by Farrar et al showing that sometimes as much as 40 of the neonatal blood volume is permanently trapped in the placenta by early cord clampingThere is enough understanding of the fetal and neonatal circulation to build a computer simulation and determine whether or not the marked rise in afterload of the heart is likely to occur during a physiological transition This is what it shows Although the transition of the neonate has not been well investigated it occurs successfully in the vast majority of births and has been observed by thousands of midwives There is no question that a healthy baby will start to breathe soon after birth and the umbilical cord will stop pulsating and become white and empty a few minutes later In animals it is well established that the high vascular resistance of the fetal lung falls quickly after the lungs are inflated with air Thus the cardiac output will be partly redirected into the pulmonary circulation when the baby starts to breath and this has the effect of reducing the placental blood flow see above In reality it is likely that the rate of fall in vascular resistance of the lungs will be closely matched by the rate of rise in vascular resistance of the placental circulation Since the two most clearly understood triggers for closure of the umbilical arteries will not be present in the umbilical arterial blood until the after the lungs start to function There have been no longitudinal studiesto measure the circulation in the fetus and neonate In the fetal circulation the right ventricular output 250mls/min/kg is slighly greater than that of the left 200mls/min/kg After transition and closure of the ductus arteriosus the outputs must equalise How this is achieved by the neonatal heart is not understood and failure to equalise could be a consequence of a sudden increase in afterload at birth Heart loads are also thought to have a considerable influence on the active adaption of the heart after birth18 This model shows no evidence to support the idea that a physiological transition is accompanied by any significant change in the after load of the heart nor any significant change in the systemic vascular resistance as has been described Tit shows that there is no need for any change in the cerebral circulation This is of considerable importance as our investigation indicates that the sudden rise in afterload of the heart is the result of early cord clamping which will result in a marked increase in the cerebral circulation and in the cerebral vascular pressure The neonatal brain cannot be expected to cope with a sudden increase in the cerebral blood flow by a factor of 22 without some risk of injury Studies of the venous effects of early cord clamping show the result is hypovolaemia which can be severe 10 and will lead to a subsequent fall in cardiac output and fall in cerebral circulation This could account for the findings of Meyer and Mildenhall 19 who showed a fall in the superior vena cava blood flow a surrogate measure for cerebral blood flow in preterm babies who had immediate cord clamping from 20 to 12 of the CCO Baenziger et al 20 showed a similar fall in cerebral circulation with early cord clamping Until respiration is well established the pulmonary vascular resistance will remain high leading to a high afterload of the heart In cases 456 and 8 after physiological transition the cerebral blood flow fell from the fetal level by up to 16 This is the result of the pulmonary circulation taking a greater proportion of the cardiac output in the neonatal model than did the placental circulation before transition The vascular resistance of the placenta was adjusted in these cases to provide a placental flow down to 20 Given the importance of maintaining a consistent cerebral circulation this seems an unlikely physiological pattern but could have implications in intra-uterine growth restriction when the placental blood flow is reduced Most investigations measured the normal placental blood flow at 40 of the CCO Simulation might be the only way of demonstrating these marked changes which early cord clamping imposes on the neonatal circulation Clinical studies of the short and long term consequences of cord clamping have shown evidence of harmful effects on the brain particularly in preterm babies21 It would be extremely difficult and may be unethical with the current evidence and guidelines to carry out direct measurements in the newborn baby The model indicates that the description of a marked rise in afterload of the heart does not occur in a physiological transition video News item Liverpool Women’s support BASICS concept Return to calculator LINKS TO ALL MY OTHER CALCULATORS Down Syndrome risk calculator with growth calculator UK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurementsUK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurements and nasal bonesUK dates ie D/M/Y version Down Syndrome risk calculator using gestation specific liklihood ratios for both CRL and BPD measurements US dates ie M/D/Y version Down Syndrome risk calculator with growth calculator FRENCH version translation by Docteur Eric Launay Paris Down Syndrome risk calculator with growth calculator SLOVENIA version translation by Mag Stanko Pušenjak dr med Down Syndrome risk calculator with growth calculator ITALIAN version translation by D Spagnolo-HSRaffaele MilanoDown Syndrome risk calculator with growth calculator ROMANIAN version translation by Razvan Socolov MD PhD Iasi- Romania A customised for fetal sex parity maternal age EDD calculator for the Darlington population – see how to make your own Software to generate your own customised EDD calculator UK date style entry Software to generate your own customised EDD calculator US date style entry Simple fetal weight calculator Chicken pox in pregnancy: – decision assistance Customised ideal fetal weight calculators According to Gardosi J Mongelli M Chang A Risk of malignancy index calculator for ovarian tumours Critical Appraisal Page with off-line calcalator package for single treatment trial Critical Appraisal Page with off-line calcalator package for Diagnostic test Calculator for confidence intervals of relative risk Calculator for confidence intervals of odds ratio A whole range of statistical calculators Generates a table for any ultrasound parameter measurement converted to gestation using any polynomial equation Generates a table for gestation to any ultrasound parameter measurement using any polynomial equation Calculator for risk of Down syndrome using second trimester US markers using work published by Greggory De Vore Risk of Abruptio Placentae as published by Baumann P et al Mathematic modeling to predict abruptio placentae Am J Obstet Gynecol 2000183:815-22 Down sydrome risk calculator providing risk as a RATE Calculator for discordance between twin parameters for NE protocol Explore transitional circulation at birth and the effect of ICC Go to OBGYNnet paper on proposal for valid customised charts generation Back to the future for Hermanni Boerhaave published by OBGYNNET Comments and suggestions are welcome and will be included in the comments section To E-MAIL me CLICK HERE TO SEND COMMENTS AND PLEASE SEND ME YOUR NAME AND E-MAIL IF YOU INTEND TO KEEP AN OFF-LINE COPY at DJRHutchonHotmailcoukThis Web page is at About the author This page’s count says this page has been visited times since 23rd May 1999 All my calculators will work OFF-LINE if you wish Instructions for use OFF-LINE You are welcome to copy them over But check for updates from time to time! LINKS TO BMJ article on publishing raw data and real time statistical analysis on e-journals Demonstation of raw data and real time statistical analysisNorthern Region Fetal/Maternal Medicne Special Interest Group GuidelinesRecent BMJ letter regarding DELAYED CORD CLAMPINGOBGYNNETFetal medicine Unit St Georges London Joseph Woo’s Ultrasound The Fetusnet Correct application of Bayes theorem in estimating sequnetial conditional risk Go to OBGYNnet paper on proposal for valid customised charts generation Back to the future for Hermanni Boerhaave published by OBGYNNETIn the Hermanni Boerhaave story I am trying to point out that using a scan measurement only provides a measure of the age of the fetus Another set of data needs then to be applied to provide an estimate of the date of delivery The true mean or modal interval from LMP to delivery may be closer to 282 days rather than the 280 proposed by Boerhaave By drawing up the charts in the way I have proposed an estimate for the date of delivery is provided directly by the chart using the same type of data which was used to generate the chart and from no other data The precise interval from LMP to delivery becomes irrelevant Not only this but the data on which the chart is based is relatively free of error The date of the scan the scan measurement and the date of delivery are all known There is another advantage in this method Because relatively large numbers of secure data can be obtained we can look for differences that might exist in sub-populations defined by ethnicity parity age fetal sex and maternal size all of which have been shown to affect the size of the newborn This is what I showed at the BMFM society meeting in York Ref1 with a difference of 44 days between the two extreme groups Adding to the database since has made the differences more convincing Although it is possible to draw up a graphic chart using the methodology I have just described I am not sure that this is a good way to use the data For dating there is no need to have the complete range of measurements throughout pregnancy There are well recognised times when dating by ultrasound is the most accurate The data from routine ultrasound services is going to be abundant at these times and therefore most confident at the same gestations as ultrasound should be used to provide an accurate EDD Data for other gestations is unnecessary for datingThere is an important difference in generating an ultrasound EDD using this methodology from the traditional ultrasound charts Taking a BPD of say 40 mm the data shows us that on average the woman will deliver a healthy normal baby after 150 days Based on a very large population which is quite feasible the confidence interval for this could be very narrow With a traditional chart we can see that a baby with a BPD of 40 mm will on average be 130 days gestation There will always be a range of gestations for each measurement The traditional centile lines on these charts emphasises this point This range will be small if the population is large but it is just not feasible to get large numbers of women who are sufficiently secure in their menstrual data Within this population there will remain a small number of women whose gestation does not relate as expected to their menstrual period Finally to provide an estimated date of delivery the interval from LMP still has to be known and this provides room for further error I believe it is this inherent error in traditional ultrasound dating which convinces the majority of obstetricians and midwives that they should favour an integrated use of ultrasound and menstrual dates CESDI also recommends this approach Ref2 Widespread adoption of the Boerhaave method for generating the EDD charts could be expected to speed up the general acceptance of pure ultrasound dating We have recently shown that is really not possible to accurately date or assess growth using a chart and wheel Ref3 and these will always be necessary until we have either universal computerised maternity systems or programmes built into the ultrasound scannersReferences1 Hutchon DJR Customised ultrasound dating charts British Maternal and Fetal Medicine Society fourth Annual Conference University of York Abstartcs – Journal of Obstetrics and Gynaecology 1999 19:suppl 1s572 Hutchon DJR Routine ultrasound is the method of choice for dating pregnancy Br J Obstet Gynaecol 1999:1066163 Hutchon DJ et al Clinical interpretation of ultrasound biometry for dating and for assessment of fetal growth using a wheel and chart: is it sufficiently accurate Ultrasound Obstet Gynecol 1999 Feb132:103-6 Copyright 1999 DJR Hutchon Restricted use is hereby granted personal OK so long as this code is not directly sold and the copyright notice is buried somewhere deep in your HTML document REFERENCES Smith GCS Smith MFS McNay MB and Flemming JEE First-trimester growth and the risk of low birth weight New England Journal of Medicine 1998339:1817-22 Kurmanavicius J Wright EM Royston P Zimmermann R Huch R Huch A Wisser J Fetal ultrasound Biometry: 1 Head reference values British Journal of Obstetrics and Gynaecology 1999 106:126-135 Kurmanavicius J Wright EM Royston P Zimmermann R Huch R Huch A Wisser J Fetal ultrasound Biometry: 2 Abdomen and femur length reference values British Journal of Obstetrics and Gynaecology 1999 106:136-143 Bergsjo P Denman III D W Hoffman H J Meirik O Duration of human singleton pregnancy – a population based study Acta Obstet Gynecol Scand 199069:197-207 Altman D G and Chitty L S New cahrts for ultrasound dating of pregnancy Ultrasound Obstet Gynecol 10 1997 174 – 191 Moore T R and Cayle J E The amniotic fluid index in normal human pregnancy American Journal of Obstetrics and Gynecology 1990162:1168-73 Cuckle H S amp Schmi I Calculating correct Down’s syndrome risks British Journal of Obstetrics and Gynaecology 1999106:371-372 Wald N J Watt H C amp Hackshaw A K Integrated screening for Down’s Syndrome based on tests performed during the first and second trimester The New England Journal of Medicine 19993417:461-467 Pandya P P Johnson S Malligianis P and Nicolaides K H First Trimester fetal nuchal translucency and screening for chromosomal abnormalities Ultrasound and early pregnancy Chapter 7 Cuckle H S Wald N J Thompson S G Estimating a woman’s risk of having a pregnancy associated with Down’s syndrome using her age and serum alpha-fetoprotein level Br J Obstet Gynaecol 1987 94:387-402 Snijders R J M Holzgreve W Cuckle H and Nicolaides K H Maternal age-specific risks for trisomies at 9-14 weeks gestation Prenatal Diagnosis 1994 13:543-552 For the purposes of the calculator I have assumed a uniform loss of pregnancy as a result to miscarriage between 9 and 14 weeks and 15 and 20 weeks Zosmer N Souter V L Chan C S Y Huggon I C and Nicolaides K H Early diagnosis of major cardiac defects in chromosomally normal fetuses with increased nuchal translucency Brtish Journal of Obstetrics and Gynaecology 1999106:829-833 Morrison J J Rennie J M amp Milton P J Neonatal respiratory morbitiy and mode of delivery at term: influence of timing of elective caesarean section British Jouranl of Obstetrics and Gynaecology 1995 102 101-106 Madar J Richmond S amp Hey E surfactant deficient respiratory distress after elective delivery at ‘term’ Northern Region Maternity Survey Meeting 1999 Accepted for publication in Acta Paediatrica Hyett J A Noble P L Snijders R J M Montenegro N amp Nicolaides K H Fetal heart rate in trisomy 21 and other chromosomal abnormalities at 10 – 14 weeks of gestation Ultrasound Obstet Gynecol 7 1996 239-244 I am grateful to Professor Howard Cuckle for information on the Gaussian LR equation for a single variable DOWN SYNDROME AGE RISK CALCULATION This risk assumes no previous affected pregnancy A previous affected pregnancy increases the risk further to about 1 in 200 at age 30 and 1 in 25 at age 45 The maternal age specific incidence of trisomy 21 at birth is 54 lower than at 9-14 weeks of gestation LINKS Return to calculator Go to OBGYNnet for paper on proposal for valid customised charts generation Northern Region OampG Trainees website Go to Fetal weight calculator |
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IT Support Engineer – Kingston South West London £28k |
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North London Escorts |
1 |
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Chelsea Kalahkan Arsenal dalam Derby London di Emirates – PILKADA |
1 |
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London’s Tropical Subterranean Cocktail Bar Is A Rum-Filled Delight • The Leaf And |
1 |
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Housekeeper near London United Kingdom |
1 |
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Global marketer loving life in London |
1 |
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London provided intense learning experience for MSU Texas senior |
1 |
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Two avenues of e-cargobike subsidies for London-based businesses |
1 |
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PCCW Global wins four industry awards at two London events |
1 |
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CC London |
1 |
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London Wildlife Festival |
1 |
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Pack London Dry Tanqueray 6x1L |
1 |
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STUDIRAJ U LONDONU |
1 |
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CCC LONDON ⊲ |
1 |
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IoT TECH EXPO LONDON |
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