Durham Gas, Plumbing – Heating #durham #gas, #durham #gas, #durham, #gas, #durham


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CALL TODAY 07745 028 777

Welcome We are a gas, heating and plumbing company based in Durham. We specialise in the installation, service and repair of boilers, fires and cookers in domestic properties. However, we also take on all forms of plumbing work, such as complete bathroom installations, plumbing repairs, and much more. We operate throughout the North East of England and offer a 24 hour emergency call-out service. Please contact us to book an appointment.

What We Do Durham Gas specialise in all aspects of gas, central heating and plumbing work. No job is too small. Please visit our services page to view a comprehensive list of services that we provide. If there is something you require that is not on the list, please contact us.

Need our 24 hour call-out service? call 07745 028 777

Why Choose Us? We carry out all work to a very high standard, be it a dripping tap or a full central heating system. We endeavour to go the extra mile to keep all of our customers satisified and happy, which is the most important thing to us. That is why most of our work is acquired by word of mouth and recommendations. We are also Gas Safe Registered; please visit the Gas Safe Website to confirm our registration. Our Gas Safe registration number is 234383.

Quickstamp 2016, Durham Gas Plumbing Heating

We undertake all gas, central heating and plumbing work

Excellent job, completed within budget and left the area clean. There was no hassle or fuss.


Gas City Speedway, speedway gas.#Speedway #gas


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Gas City Speedway

Speedway gas

Racing For July 7th POSTPONED to Monday July 10th

Gas City Speedway s portion of Indiana Sprint Week will have to wait until Monday July 10th due to heavy amounts of rainfall Friday.

Indiana Sprint Week Results

Chase Stockon wins Simpson Race Products Heat 1 followed by Schuerenberg, Chapple Bacon. Non-Transfers: Shuman, Cummins, Grant, Ted Hines, Clouser, Creech, Andretti, Hery

Kyle Robbins takes the victory in CSI Heat 2, followed by Coons, Daum Farney. Non-Transfers: Windom, Mattox, DiMattia, Williams, Hodges, Light, Schmidt Mellenberndt.

Tyler Courtney beats Clauson by a 1/2 car length to take Benic Enterprises Heat 3! He s followed by Clauson, Ballou Beauchamp. Non-transfers: Leary, K.Thomas, Stanbrough, T.Thomas, Darland, Goodnight, Smith Bares.

Shane Cottle charges to the Indy Race Parts Heat 4 win over McGhee, Meseraull Boespflug. Non-Transfers: Jarrett, C.Cottle, Spencer, Gaines, Hopkins, Ketcham Simon.

Jarett Andretti wins the C-Main followed by Darland, Hodges Hopkins. Non-transfers: T.Thomas, Gaines, Ted Hines, Ketcham, Goodnight, Clouser, Spencer, Creech, Mellenberndt, Schmidt, Hery, Bares Light.

Kevin Thomas, Jr. takes the semi win followed by Windom, Andretti, Grant, Hopkins Cummins. Non-transfers: C.Cottle, Hodges, Jarrett, Smith, Darland, DiMattia, Mattox, Stanbrough, Leary, Shuman, Williams, Simon.

Speedway gas

(Travis Branch Photo)

1. Tyler Courtney, 2. Bryan Clauson, 3. Chris Windom, 4. Shane Cottle, 5. Brady Bacon, 6. Jerry Coons, Jr., 7. Max McGhee, 8. Robert Ballou, 9. A.J. Hopkins, 10. Zach Daum, 11. Kyle Robbins, 12. Hunter Schuerenberg, 13. Chase Stockon, 14. Kyle Cummins, 15. Jarett Andretti, 16. Dave Darland, 17. Aaron Farney, 18. C.J. Leary, 19. Brent Beauchamp, 20. Justin Grant, 21. Chad Boespflug, 22. Thomas Meseraull, 23. Kevin Thomas, Jr., 24. Isaac Chapple.

Heat #1 Winner Ryan Cripe

Heat #2 Winner Jimmy Haager

Heat #3 Winner Roy Bruce, Jr

Heat #4 Winner Tim Wilber

B Main #1 Winner Michael Thayer

B Main #2 Winner Jamie Lomax

Speedway gas


Middletown NY Plumber And Heating Professional – Middletown Plumbing and Heating: Home


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Local, Professional Fair Pricing Guaranteed

Welcome to Middletown Plumbing Heating, your local plumbing and heating specialists.

Are you looking for a plumber in Middletown, New York? You’ve come to the right place. No job is too big or small! We gladly serve both residential and commercial accounts . Our qualified plumbing service technicians are fully trained and insured to assist you.

All of our plumbers are prepared to handle any job throughout the Hudson Valley and Orange County New York. Unlike the competition, our technicians undergo many hours of rigorous training before they even step through your door. We continuously conduct on the job training, so that are plumbers are always on the cutting edge of plumbing technology innovation. We use a network of plumbers, heating techs, and AC professionals, to make sure you get the best service, in the quickest time!

We understand that plumbing and heating problems can occur unexpectedly at any time, that’s why offer 24 hour emergency service.

We are dedicated to providing quality plumbing heating solutions, at the best price possible. We pride ourselves at providing superior customer satisfaction and value.

We provide a wide arrange of services to meet your needs. From replacing water heaters, to installing new gas lines, to fixing that leaky pipe, at Middletown Plumbing Heating we got you covered.

We gladly offer free quotes and estimates. We are here to answer any questions you may have. Don’t forget to ask about current discounts and promotions!

Middletown NY 10940 & 10941

At Middletown Plumbing Heating we pride ourselves in staying local. We love Middletown, New York, it is the home many of our network of service professionals. We always show our Middletown Middie Pride! We thank you for supporting us!

Check Us out on Yelp. We are listed as a Best 10 Plumbers in Middletown, New York!!

WHAT CAN YOU EXPECT FROM US?

At Middletown Plumbing Heating you can expect only the best service possible. We pride ourselves on treating every customer with care. Having any repair done to your home can seem daunting, however you can rest easy knowing that we only employ qualified trained technicians offering fast and reliable service. We work with only the best professionally trained technicians

Our network of plumbing techs are qualified to work throughout Orange, Ulster Sullivan Counties. We continually serve the following areas:

OUR PHILOSOPHY

At Middletown Plumbing Heating we believe in one simple concept. We do our best to serve you, the customer. Without you, we wouldn’t be here. You’re the boss! It is our goal to provide the highest level of customer service and satisfaction to every single job we undertake. Whether it may be simple water heater replacement for your home, or a large commercial plumbing job, we treat every challenge with the highest priority for our business. We totally understand you have the option to choose any other plumbing and heating company, and we humbly thank you for choosing to work with us. We love working Middletown, New York, and providing the best plumbing business, and we hope to continue to provide excellent value and service for many years to come. Give us a call at (845) 200-2351 if you have any questions.

Call Middletown Plumbing Heating for a free estimate on your water heater repair or replacement. We service all makes and models, and offer same day water heater replacement in Orange County. We gladly accept all major credit debit cards.

We work with the best plumbing businesses in the area to offer you the best plumbing and heating experience.
WE CONNECT YOU WITH THE HUDSON VALLEY’S BEST PLUMBERS


A-Plumbing Service and Repair Specialists: Plumbing Company for the South Texas Coastal


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FREE ESTIMATES

Our Guarantee to You:

Complete satisfaction with both our service and our plumbers is 100% guaranteed. Our highly-skilled, licensed and insured plumbing professional team want you to have the best experience possible. You can count on our plumbers to identify, explain and address your plumbing problem. We’ll be there when you need us, 24 hours a day, seven days a week, because we understand emergencies don’t come at convenient times.

Chamber Membership:

We love our Chamber of Commerce and have been a member since 2004! Our membership allows us to network with our community in a way that no other membership can. Participating in events, helping and giving support to our community here in the Texas Coastal Bend is rewarding, but we especially like working with our area youth and are proud donors to Rockport-Fulton High School’s “Project Graduation”!

Customer Loyalty:

We have the most technologically advanced plumbing tools & equipment available. We treat every plumbing project like an emergency and never sacrifice quality. With over 100,000 service calls logged, we pride ourselves on doing the best job possible! We have a 5-Star Rating from Yelp as well and Top-Rated by Angie’s List! We thank you sincerely for your business and trust! Give us a call TODAY: 361-790-9005 or 361-758-3516 today!

Our Green Philosophy:

A-Plumbing offers valuable tips and recommendations to home owners and businesses with regard to Water Conservation. A leaky or dripping faucet or a running toilet can waste many gallons of water per day. We fix leaks and help conserve our precious water. We support the efforts of our local and state agencies who remind us daily. TO THINK GREEN AND CONSERVE WATER!

Copyright 2017 FREE ESTIMATES


Five 40-MPG Mid-Size Sedans You Can Buy Today #mid-size #suv #gas #mileage


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Five 40-MPG Mid-Size Sedans You Can Buy Today

2013 Toyota Avalon Hybrid, Catskill Mountains, NY, May 2013

Imagine it’s 2025 and the full impact of tougher gas-mileage regulations has taken effect.

That year, it’s easy to buy a mid-size sedan–perhaps even something a bit larger–that returns 40 mpg in regular use.

Here’s the thing, though: For 2013, there are already a handful of sedans that do that.

We’ve recently tested a few hybrid sedans, and two of them–the 2013 Toyota Avalon Hybrid and the luxury 2013 Lexus ES 300h–showed 40.0 mpg (or a few tenths higher) on their dash displays.

We drove both on our usual test route, which is about two-thirds highway and one-third around-town usage.

And with better noise suppression than ever before, the cars mask the characteristic hybrid behavior–howling engine under hard acceleration–so well that some drivers may never know they’re actually powered not only by a combustion engine but by an electric motor as well.

Your mileage may vary, of course, but these are hardly exotic cars: They’re hybrid versions of high-volume sedans that sell in the tens of thousands every year.

The number of cars that do just that will grow in the years to come. Here’s our list of this year’s cars that get 40 mpg or higher.

2013 Ford Fusion Hybrid, test drive, Catskill Mountains, NY, Mar 2013

(1) 2013 Ford Fusion Hybrid: 47 mpg combined

Ford has been under fire lately because the fuel efficiency of its C-Max Hybrid hatchback achieved by owners doesn’t appear to match that car’s 47-mpg rating–which it lowered to 43 mpg late Thursday.

The 2013 Fusion Hybrid sedan, so far, remains at 47 mpg, though many owners report lower averages under real-world conditions.

Nonetheless, it’s safe to say that the Fusion Hybrid will return 40 mpg or close in most uses.

We achieved 36.8 mpg in a winter test drive. which would likely hit about 40 mpg in more temperate weather.

The 2013 Fusion Hybrid is also eligible for a software upgrade to boost its real-world mileage ; the revised software will be used on all 2014 Fusion Hybrids as well.

2013 Lincoln MKZ Hybrid, New York City, June 2013

(2) 2013 Lincoln MKZ Hybrid: 45 mpg combined

Using the same powertrain as the Fusion Hybrid, the heavier and more luxurious Lincoln MKZ Hybrid is rated lower, at 45 mpg.

It too is eligible for the software upgrade, but we haven’t had a chance yet to test the MKZ Hybrid on our usual test route.

In a very short and atypical city drive, we got 26.8 mpg –but that was hardly a fair test, so we’re not putting a lot of importance on that result.

This is a case where we’re giving the MKZ Hybrid the benefit of the doubt. If we learn otherwise once we test it, we’ll revise this article.

2012 Toyota Camry Hybrid

(3) 2013 Toyota Camry Hybrid LE: 41 mpg combined

Now we get to no fewer than three Toyota products: two mass-market sedans and a luxury Lexus.

The Camry Hybrid, which was Toyota’s first non-Prius hybrid sedan starting in 2007, is rated at 41 mpg combined for the LE trim level and 40 mpg for the heavier, more luxurious XLE.

Toyota sells tens of thousands of Camry Hybrids every year. While you may not notice them on the street, our experience has been that they achieve close to their EPA-rated mileage.

2013 Lexus ES 300h

(4) 2013 Lexus ES 300h: 40 mpg combined

We just tested a Lexus ES 300h, the new hybrid model of the mid-size Lexus sedan, this past weekend.

We haven’t finished writing up the test report yet, but the car delivered an even 40.0 mpg over almost 300 miles of mixed driving.

And it did so with a level of noise suppression that all but camouflaged any hybrid personality.

We think that’s a good thing for Lexus buyers.

2013 Toyota Avalon Hybrid, Catskill Mountains, NY, May 2013

(5) 2013 Toyota Avalon Hybrid: 40 mpg combined

Finally, there’s the Avalon Hybrid–which we tested in May.

It too returned 40.2 mpg in our test. and we found it stylish, roomy inside, and unexpectedly pleasant as an all-around sedan.

Coming for 2014 will be the Honda Accord Hybrid, which may well earn a rating that puts it into this list as well.

Meanwhile, if you want to travel 100 miles on only 2.5 gallons of gasoline–$10, more or less–these are your options.

Your choices will only expand in the years to come.


ABS Plumbing #denver #plumber, #water #heater, #water #leak, #sump #pump, #stove #gas


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Plumbing

ABS Plumbing

Customer Testimonials from Service Magic

We are all familiar with plumbing problems. Leaks, flooding, sink clogs, noisy pipes, water that simply won’t heat up. Thoroughly acquainted with Denver’s unique plumbing structure, our expert plumbers in Denver are set to provide you with the best and most professional plumbing solutions for residential and commercial plumbing problems. Whether your septic tank needs pumping, a restaurant’s grease trap needs cleaning, or low water pressure requires boosting – ABS Plumbing can take care of the job to your complete satisfaction.

The expert team of ABS Plumbing provides plumbing quotes for every home plumbing service you need. Ranging from fixing various toilet plumbing problems, sewage systems and pipelines in case of running water problems, to installing boilers in your shower.

Get your plumbing estimate here by filling out our form to the left.

We provide these main services:

  • Water Heater Repair
  • Water Heater Installation
  • Tankless Water Heater Install
  • Tankless Water Heater Repair
  • Stove/Gas Line Repair
  • BBQ Gas Line Repair
  • Shower Leak
  • Water Leak
  • Full List of Services

Our bathroom and kitchen renovation services include :

  • TV/Video Inspection of Sewer Lines
  • High Pressure Water Jetting Latest Technology
  • Drains electrically cleaned
  • Grease Trap Replacement

ABS plumbing provides emergency plumbing service at an affordable rate in the Denver metro area. This includes Aurora, Castle Rock, Denver Tech Center, Golden, Lakewood, and other Denver areas.

We are here to take care of your home or business plumbing needs. We provide fast and friendly service for: toilet repairs, old pipe repairs or replacements, garbage disposals, faucets, or noisy pipes. We come to your place with fully stocked trucks that have the majority of plumbing parts for your home. Call ABS Plumbing for a professional licensed plumber at 720.530.3309.


Plumber Epsom #plumber #epsom, #plumber #surrey, #drainage, #24 #hour #drain #clearance, #boiler


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A B Heating Plumbing and Drainage are based in Epsom Surrey and undertake all plumbing. heating and drainage related services from water leaks or drain repairs to full bathroom installations.

A 24 hour, 365 days a year emergency service is available. Call us anytime on freephone 0800 834722

  • No obligation quote
  • All work guaranteed
  • No call out charge
  • 2,000,000 public liability insurance

All of our staff are fully trained and experienced, so you can rest assured that all our work is completed in a professional, and above all, safe and efficient manner.

We are committed to a very high standard of workmanship and customer satisfaction. We consider ourselves to be reliable tradesman who respect your property and do our best to keep the work areas clean and tidy, and aim to leave your property as we found it – except with a better heating system or cleared drains!!

A and B arrived within 2 hours of my phone call. Completed the job brilliantly, tidied up and left. Very courteous. – Customer in Ashtead

We are a member of Checkatrade and you can view more of our customer testimonials here or on our Checkatrade profile .

Quick Quote

Areas covered

A B Heating Plumbing and Drainage cover a 10 mile radius around Epsom which covers most of North Surrey and parts of South London including:

Ashtead, Leatherhead, Dorking, Elmbridge, Reigate Banstead, Sutton Merton, Croydon, Kingston, Richmond, Wandsworth and parts of Sussex.

Our Services include:


Federal Tax Credits For Solar Energy Systems #solar #energy #tax #credits, #solar


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Federal Tax Credits: Solar Energy Systems

Solar Water Heaters

Solar water heaters come in a wide variety of designs, all including a collector and storage tank, and all using the sun’s thermal energy to heat water. Solar water heaters are typically described according to the type of collector and the circulation system.

At least half of the energy generated by the “qualifying property” must come from the sun. The system must be certified by the Solar Rating and Certification Corporation (SRCC) or a comparable entity endorsed by the government of the state in which the property is installed.

Note: The credit is not available for expenses for swimming pools or hot tubs. The water must be used in the dwelling.

Photovoltaic systems must provide electricity for the residence, and must meet applicable fire and electical code requirements.

Tax Credit includes installation costs.

Solar Panels (Photovoltaic Systems)

Solar Panels or Photovoltaic Systems are solar cells that capture light energy from the sun and convert it directly into electricity.

Requirements
Photovoltaic systems must provide electricity for the residence, and must meet applicable fire and electrical code requirements.


Gas Globes, Oil Company Collectibles #globe, #gas #globe, #gas #station, #filling, #petro,


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Gas Globes.com – Oil Company Collectibles, Inc. since 1975

We are the largest buyer and seller of original gas pump globes in the world.

You’ll find our prices competitive. Most of our customers are repeat buyers. That is why we’ve been in business for so many years.

We Buy One Piece or Entire Collections!

Oil Company Collectibles is always interested in buying gas pump globes, single lenses or entire collections, common or rare, as well as quality petroleum signage. Please contact us on any gas globes, signs or gas pumps you have for sale. Finders fees are available Expert appraisals are available for general insurance coverage, claims or peace of mind.

Selling? Consider Consignments!

Oil Company Collectibles will buy any gas globes, common or rare, gas pumps, signs, cans and other non gas and oil items. We just sold a Coca Cola Tray Collection! But also consider consignments. We are selling a lot of consigned items these days. We can sell any of your items, gas globes, signs, gas pumps, non gas or whatever on this well visited site for a 15% commission. I sell 90 plus % of all consignments very quickly! Why consignments? Unlike an auction we can control the price you would like to get for your item. We have hundreds of buyers waiting for good pieces to arrive and they want your gas globes, signs, etc. You don’t have to wait until the next auction date and payment is right away. All you have to do is just send us a good photo. I’ll get it on the site right away and as soon as it sells in your agreed upon price range you’ll get paid. Call Scott for details at 440-355-6608 9-8 EST

We keep an extensive “wants list ” for our customers and contact you when we find the items you are looking for. Also call us with any wanted globes or signs at 440-355-6608 9-8 EST and check out our site daily as it changes several times a week! You can also email me anytime

Thanks for visiting Oil Company Collectibles and welcome to the world of gas and oil collectibles!

Stay in touch!

Feel free to contact me for more information

Address: Box 556, LaGrange, Ohio 44050-0556 USA
Quick Appraisal by phone $25
Telephone: (440) 355-6608 * 9 a.m. – 8 p.m. EST
Payment by: Visa, Mastercard, American Express, Discover, personal checks money orders gladly accepted
Contact Scott: Contact Us form

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Dallas Plumbers #gas #water #heaters #dallas, #electric #water #heaters #dallas, #tankless #water


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Dallas Plumbers


Search

Plumbers Dallas

In a plumbing emergency, you ll need to stop the flow of water quickly. To do this, you need to know the location of the shutoff valve for every fixture and appliance, as well as the main shutoff valve for the house, and how they operate. It may be beneficial to have drawn a map and keep it accessible for everyone you live with.

First thing you do is call us for your emergency plumbing in Dallas needs. We will dispatch one of our Dallas emergency plumbers to your home. Our team provides 24 hours, 7 days a week emergency service. Our live operators are there to answer your calls 24 hours a day so you don t have to worry about leaving a message on some machine and wait to have your call returned the next day, when its too late.

Our Dallas plumbers are the best in skill, attitude and workmanship. They will care for your home and complete the job with speed and precision. They will clean up when they are finished and take personal responsibility for your satisfaction. They will not smoke or swear in your home and they are drug-free. Don t waste most of a day waiting around for a so-called service person from another plumbing company to show up. Now you can arrange service to fit your schedule, with our professionals.

In a plumbing emergency, you ll need to stop the flow of water quickly. To do this, you need to know the location of the shutoff valve for every fixture and appliance, as well as the main shutoff valve for the house, and how they operate. It may be beneficial to have drawn a map and keep it accessible for everyone you live with. First thing you do is call our for your emergency plumbing needs. We will dispatch one of our emergency plumbers to your home. We provide 24 hours, 7 days a week emergency service. Our live operators are there to answer your calls 24 hours a day so you don t have to worry about leaving a message on some machine and wait to have your call returned the next day, when its too late.

Our plumbers are the best in skill, attitude and workmanship. They will care for your home and complete the job with speed and precision. They will clean up when they are finished and take personal responsibility for your satisfaction. They will not smoke or swear in your home and they are drug-free. Don t waste most of a day waiting around for a so-called service person from another plumbing company to show up. Now you can arrange service to fit your schedule, with our professionals.


My Local Plumber #plumbing, #water #heater, #toilet, #plumbing #repair, #water #leak, #water


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Welcome to My Local Plumber!

We wish to serve all your plumbing needs. Whether it’s a simple faucet repair or installing an entire plumbing system, if your home or office needs a service call, we want to provide you with expert, friendly service. Our staff of licensed plumbers are knowledgeable in all aspects of residential and commercial plumbing systems. Contact us today for a FREE Estimate!

Your Family Owned and Operated Neighborhood Plumber!

Areas We Serve:
Addison
Carrollton
The Colony
Coppell
Dallas
Farmers Branch
Frisco
Flower Mound

Lewisville
Las Colinas / Valley Ranch
Plano

Richardson
University Park

Are you searching for a great plumber who is prompt, reasonably priced, honest and treats you like family? Your search is over because that is what we love to do. Our highly trained plumbers will diagnose your problem and explain your options. Our knowledgeable staff is always respectful of your wishes and will never try to sell you anything you don’t need. Whether you need a simple repair in your home or a large commercial job done at your company, we’re happy to serve!

CALL US TODAY FOR A FREE ESTIMATE!

(Free Estimates Via Phone, Text, and Email Only)


Oil & Gas Contract Management: Principles & Practices #ene021, #ene021-c, #ene021-t, #ene021-w,


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USE OF YOUR INFORMATION – Click to show/hide including your marketing options.

Euromoney Learning Solutions is part of the Euromoney Institutional Investor PLC group of companies.
Click here for more details on our group s activities.

We will use the information you provide here to process your order/registration/request including communicating with you about it. We may monitor your use of our website(s). As an international group, we may transfer your data on a global basis. Subject to your choices below, we may also use your data for marketing purposes. By submitting your details, you will be indicating your consent to the use of your data as identified here. Further information is set out in our privacy policy on this site.

Your marketing choices
Please tick if you don’t want to receive offers from our group companies by:
Telephone Email Mail Or from companies outside our group

Euromoney Institutional Investor PLC group companies provide a range of business to business products and services. These are focused on international finance, metals, commodities, telecoms, law, tax, insurance, energy, transport and emerging markets. Products and services include magazines, newsletters, books, directories, electronic information and data, training, seminars and conferences. Full details are available at www.euromoneyplc.com

We will use the information you provide here to process your order/registration/request including communicating with you about it. If you are registering for a trial, you will receive follow up emails and/or a telephone call about your trial. As part of the trial, you may also receive email updates and other features as specified for that product. We may monitor your use of our website(s). As an international group, we may transfer your data on a global basis. Subject to your choices on the form, we may also use your data for marketing purposes. Further information is set out in our privacy policy on this site.


JG-L NEWS ARCHIVES PAGE #adult #jolly #jumper, #ankle #cuffs, #article, #articles, #ballet


– NEWS ADVENTURES –

ARCHIVE ACCESS PAGE

I will generally do one update per month, and these will, for the most part, come with new pages from different sections of the site. These updates will normally be loaded between the 15th and 20th of the month. Occasionally, small addendums will be tacked onto the main update. You’ll find that I normally remember to hot-link to the appropriate new page(s).

Updates will continue to be in an A. B C. sequence, so that there will be four per year from each section .

BELOW, YOU WILL FIND A FULL, HOT-LINKED LIST OF ALL THE NEWS PAGES CREATED SINCE THIS SITE WENT ON LINE IN APRIL OF 2005 AND SO BY CLICKING ON THE MONTH, YOU WILL BE TAKEN TO THE LAST (OR ONLY) UP-DATE FOR THAT MONTH.

MONTHS IN RED INDICATE THAT THERE WERE NO UPLOADS FOR THAT MONTH

2013. January. February. March. April. May. June. July. August. September. October. November. December

2014. January. February. March. April. May. June. July. August. September. October. November. December

2017. January. February. March. April. May. June. July. August. September. October. November. December


Venous blood gas (VBG) interpretation – Oxford Medical Education #cord #blood #gas


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Venous blood gas (VBG) interpretation

Venous blood gas (VBG) interpretation

  • Arterial blood gases (ABGs) are commonly used for estimating the acid-base status, oxygenation and carbon dioxide concentration of unwell patients. However, arterial blood can be difficult to obtain due to weak pulses or patient movement. Due to thicker, muscular and innervated walls, arteries are also more painful to puncture than veins. As such, a venous blood gas (VBG) is an alternative method of estimating pH and other variables.
  • To learn how to interpret an ABG sample (including acid-base disturbances) click here .
  • The values on a VBG and ABG are comparable (arterial and venous values are NOT significantly different for practical purposes) except in the cases of O2 and CO2. From a 2014 meta-analysis and related papers:
    • VBG analysis compares well with ABG analysis for pH estimations in adults
      • Peripheral venous pH is only pH 0.02 to 0.04 lower than the arterial pH
      • Peripheral venous HCO3 concentration is approximately 1 to 2 meq/L higher than arterial HCO3
    • However, venous and arterial PCO2 are not comparable
      • The 95% prediction interval of the bias for venous PCO2 is unacceptably wide, extending from -10.7 mmHg to +2.4 mmHg
    • Venous and arterial PO2 are also not comparable
      • The arterial PO2 is typically 36.9 mmHg greater than the venous with significant variability (95% confidence interval from 27.2 to 46.6 mmHg).
  • Note that much of the utility of VBG and ABG analysis is to gather serial readings to determine response to treatment. An initial VBG allows repeated VBG analysis (limiting patient discomfort) as opposed to requiring repeated ABG analysis to compare with an initial ABG.
  • In light of the above if there is no concern about the respiratory system it is reasonable to take a VBG as opposed to an ABG in the first instance when presented with an unwell patient.
  • A classic example of this is DKA. where the key variables are pH, lactate and potassium, all of which can be gathered from a VBG
  • However where there is concern about a respiratory component to an illness, an initial ABG is necessary.

References

  • Byrne AL, Bennett M, Chatterji R, Symons R, Pace NL, Thomas PS. Peripheral venous and arterial blood gas analysis in adults: are they comparable? A systematic review and meta-analysis. Respirology. 2014;19(2):168
  • Kelly AM, Klim S, Rees SE. Agreement between mathematically arterialised venous versus arterial blood gas values in patients undergoing non-invasive ventilation: a cohort study. Emerg Med J. 2014;31(e1):e46

Heating, Air Conditioning, Electric, Plumbing Service & Repair #woodfin, #emergency #service, #heating


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YOUR HOME TEAM HAS A NEW HOME

All of us at Woodfin are happy to announce that Your Home Team has relocated to a new home. Our main facility is now located at 1823 N Hamilton Street, Richmond, VA 23230. Only our location has changed, nothing else! We’re still the same Woodfin team you’ve come to know and trust over the years. We are confident that our relocation will only strengthen our commitment to you. Click here to learn more about our new location.

Employment Opportunities Our Service Areas Follow Us:

Woodfin has great employees offering great service for heating and cooling, heating oil delivery, plumbing and electrical in Richmond VA.

Call Us: (804) 730-5000

24/7 Emergency Service
Open 8am-5pm: Monday – Saturday

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