Some or all of the listings below are provided by the Missoula office.
134 acres of privacy, minutes from the conveniences of Missoula. Deer and elk running through the property with views of Snowbowl ski area and the surrounding mountains. You're half way between the box stores and knee-deep powder. This unique property is split into 4 parcels with intentions for a pristine private building site at the top of the property. The log cabin on site serves as a private rustic retreat with a massive center fire place, 2 large bedrooms, 2 bathrooms and lots of garage storage space.Contact Casey Robinson 406 370 7333 or your real estate professional today for more information.
134 acres of privacy, minutes from the conveniences of Missoula. Deer and elk running through the property with views of Snowbowl ski area and the surrounding mountains. You're half way between the box stores and knee-deep powder. This unique property is split into 4 parcels with intentions for a pristine private building site at the top of the property. The log cabin on site serves as a private rustic retreat with a massive center fire place, 2 large bedrooms, 2 bathrooms and lots of garage storage space. Contact Casey Robinson 406 370 7333 or your real estate professional today for more information.
22 acres on Rock Creek, a Blue Ribbon trout stream. This beautiful cabin is situated on a flat bench 9 miles up Rock Creek road. The well-appointed cabin has and open floor plan with 2 sleeping areas and a very homey feel. Solid surface floors for your wader boot feet and 4 legged friends. Both levels are wide open rooms for bonding with family and friends. The upper level is an open kitchen, dining, living and sleeping area with a large bathroom and south facing deck. The lower level is a cozy open room with living space, two king size beds, large bathroom and laundry room. The property comprises of two large benches, the cabin sits up, with views of the expansive mountain hill sides. Rocky Mountain Big horn sheep run the hills alongside mule deer, whitetail deer, moose and elk.
Great investment opportunity! Two 4-plexes with great rental history currently at 100% occupancy and managed by Professional Property Management. Situated across the street from The Good Food Store, city transit, and The Kim Williams Trail. For all property and rental information contact The Beck Team at 406-360-7654, or your real estate professional today!
Welcome to Old Fort Condominiums where luxury meets maintenance free living. You will find yourself in awe with the amazing views of Lolo Peak while glancing out the windows of this south facing corner unit. This luxury condo with 9 foot ceilings and 8 foot solid fir doors along with open floor plan give way to plenty of natural light. This well appointed unit has engineered hard wood and tile floors, granite countertops, maple cabinets, and satin nickel fixtures. Cozy up at night to the glow of a gas fireplace and soft lighting of the backlit crown molding. There is one garage stall and storage unit located in the heated underground parking garage. An additional parking stall may be purchased.
Welcome to Old Fort Condominiums where luxury meets maintenance free living. This well appointed condo with 9 foot ceilings and 8 ft solid fir doors along with open floor plan give way to plenty of natural light. This luxury unit has engineered hard wood and tile floors, granite countertops, maples cabinets, backlit crown molding, and satin nickel features. Enjoy Missoula's beautiful summers on your expansive covered patio. In the wintertime, cozy up to the gas fireplace. There is one reserved parking space and storage unit located in the heated underground parking stall. An additional parking stall can be purchased.
The convenience of Luxury Condo living close to Community Medical Center, shopping, golf, and other entertainment. Brand New South facing condo on the second floor of the newly constructed Old Fort Condominium Building. Amazing views overlooking Larchmont golf course, and Lolo Peak. This Luxury unit boasts 9 foot ceilings with 8 foot solid, fir doors throughout, featuring engineered hard wood and tile flooring. The kitchen displays cherry cabinets accented oil-rubbed bronze hardware and under cabinet lighting, granite counter tops and GE appliances. Easy access laundry room right off the kitchen with stacked washer and dryer. Main living areas feature large, Pella windows that let in plenty of natural light & back lit crown molding for a soft light in the evening hours.
Custom designed log home in the heart of Sleeman Creek! Situated on 13.23 +/- acres the home features beautiful hardwood floors and exposed 9.5'' logs throughout the entire main level. The spacious living room features high ceilings and a Rumford Heating Fireplace that is sure to keep you warm on the coldest Montana nights. From the living area is access to the bright & sunny dining area and then into the spacious eat-in kitchen with bay window, and large pantry closet. The master suite has two walk-in his & hers closets and an attached bathroom with bathtub and stand-up shower. Also on the main level are the half bathroom, laundry room, and access to the attached double car garage.
The convenience of condominium living close to multiple amenities Missoula has to offer! This is a must-see amazing, South facing condo on the second floor of the Old Fort Condominium building. Beautiful views overlooking Larchmont golf course with Lolo Peak in the background. This unique unit boasts 9 foot ceilings with 8 foot solid, fir doors throughout, featuring engineered hard wood and tile flooring. The kitchen displays cherry cabinets accented oil-rubbed bronze hardware and undercabinet lighting, granite counter tops and GE appliances. Easy access laundry room right off the kitchen with stacked washer and dryer. Main living areas feature large, Pella windows that let in plenty of natural light & backlit crown molding for a soft light in the evening hours.
Beautiful Baron O'Keefe Ranch formerly known as Odyssey Arabians. Well set up for a horse operation. Two wells, Extensively fenced and cross fenced.
Nestled in the Lewis and Clark area this Orval Okken built, three bedroom, single level, zero entry gem with attached over-sized two stall garage is a rare find. With wide halls and doorways throughout the home it is open and easy to navigate. Off the main entry is an excellent office space making working from home that much simpler. The large kitchen is a cook's dream with plenty of cabinet and counter space, an island, and an eat at bar. Opening up to both the dining room and the spacious living room, complete with gas fireplace, it makes hosting a breeze. The master bedroom has a massive walk-in closet as well as a master bath with radiant floor heating and a large walk-in tiled shower.
Don't miss viewing this one owner custom-built home in the Ranch Club! This five bedroom, three bathroom home has been immaculately kept. The inviting interior space offers a Master on the main floor and a spacious living room with a gas fireplace and inviting Kitchen with Quartz countertops. Enjoy your full finished basement along with a wet bar and another gas fireplace offering a great entertainment area. Relax on your privacy fenced patio with mature landscaping offering privacy yet views of the golf course. This home is situated in the Ranch Club Golf Course and with membership you can enjoy all the amenities this course has to offer including golf, aquatic center, and gym. Call Kelly Mytty Donoghue (406)360-8966 or your real estate professional for a private showing.
This to be built Land/Home Package is ready for you and your family. This is beautiful Mostad Construction, Inc home featuring 3 bedrooms and 2 baths, as well as an open concept floor plan with lots of windows to take advantage of the amazing surrounding views. The home features a full unfinished basement that can be left as is or Mostad can get you a price to finish it out to fit the needs of you and your family. All lot lines on the images are apporximate and should be verified by the buyer and their agent. Please call Loren at 406-546-2827 or your Real Estate Professional for more information.
10 acres on Rock Creek, a Blue Ribbon trout stream. This beautiful cabin is situated on a flat bench 9 miles up Rock Creek road. The well-appointed cabin has and open floor plan with 2 sleeping areas and a very homey feel. Solid surface floors for your wader boot feet and 4 legged friends. Both levels are wide open rooms for bonding with family and friends. The upper level is an open kitchen, dining, living and sleeping area with a large bathroom and south facing deck. The lower level is a cozy open room with living space, two king size beds, large bathroom and laundry room. The property comprises of two large benches, the cabin sits up, with views of the expansive mountain hill sides. Rocky Mountain Big horn sheep run the hills alongside mule deer, whitetail deer, moose and elk.
Spectacular panoramic valley views and glistening city lights from this spacious updated 5 bedroom, 3.5 bath 3792 SF ranch style Farviews home with over-sized 2 car garage perched on a private fenced gradual grade 1/2 +/- acre lot overlooking Missoula in the sought after Lewis & Clark school district. This beautiful home offers an open functional floor plan with high vaulted exposed beam ceilings, and tasteful touch of wood doors & trims, a cozy formal seating area with a gorgeous gas fireplace and decorative mantel. Centrally oriented open kitchen boasts ample amount of stunning maple wood cabinetry, resurfaced counter tops with under cabinet lighting, a full set of matching stainless steel faced appliances, center island and large pantry closet.
Beautiful, architecturally designed, new 9 month quality built home by award-winning builder McElmurry Homes on a large premium 13,405 sq ft lot with panoramic views backs a natural common area. This spacious energy efficient 3,414 + sq ft, 5 bed, 3 bath ranch-style home with full walk-out daylight lower level and large over-sized 2 car garage boasts a spacious open functional main level living design with exquisite finishes throughout including dark stained shaker panel cabinets, tasteful tiles, fixtures, engineered hardwood floors and decorative painted trim package throughout.
Absolutely breathtaking, panoramic views of the Bitterroot Mountain range! This charming cottage built in 2010 sits on nearly 24 acres of fenced and cross fenced land ready for your horses and other critters. The main home offers 2 bedrooms and 2 bathrooms, hand-hewn hardwood floors, upgraded appliances, and additional details that create a unique home. The large deck and gazebo offer areas for entertaining guests or just relaxing with your family. The guest house is a tiny house that includes one bedroom plus a loft area for sleeping, full bath, and completely appointed, full kitchen. All of this and you are located adjacent to 400 acres of public land where you can ride, hike, and hunt directly from your property. You must see this rare gem for yourself.
Brand New Architecturally designed tastefully appointed 3,654 sq. ft 3 bedroom, 2 bath quality built ranch style home with unfinished full daylight lower level and large finished 2 car garage is just underway by Award Winning Builder McElmurry Homes with still time for Buyers to customize and personalize the finish product. This energy efficient home is situated on a private premium 13,197 sq ft gradual grade lot backing common area and offering spectacular valley views in the Linda Vista 21st Supplement.
Registered land surveyor has marked all corners and some lines, with steel T-posts. Exceptional views from this large 30 acre parcel with huge meadows and different age classes of trees. Extreme high volume spring on this property that flows into a small pond. Lots of wildlife. Call Geoff Oriet at 406-239-2464 or your real estate professional for your personal showing. There is partial water rights on the high volume spring to be included with sale of this property. See LA for info. Included in Associated Documents. US Forest Service lands on almost 3 sides of this parcel.
To-Be-Built home in the newest phase of the highly sought after Linda Vista subdivision with beautiful views of Blue Mountain, Lolo Peak, and Snow Bowl. This 3 bedroom 2 bath home is situated on a premium lot of 11,710 square ft. The main level is 1,736 square ft with an additional 1,700 square ft in the unfinished daylight basement with the potential for 3 additional bedrooms and 1 bath. There is still time for possible upgrades and customizations, giving you the opportunity to add your own personal touch. To request additional information please call Shelby Clegg at 240-7169 or your real estate professional.
New Construction in the newest phase of a highly sought after Linda Vista subdivision. This 3 bedroom 2 bath home is situated on a premium lot of 10,146 square ft. The main level is 1,846 square ft with an additional 1,800 square ft in the unfinished basement. Daylight basement has the potential for 2 additional bedrooms and 1 bath. Estimated completion date is May 1st. To request a showing or additional information call Shelby Clegg at 240-7169 or your real estate professional today.
Possibilities are limitless with this downtown property. It has been used as an office, with a number of different office divisions possible. This could also be single or multi-family (upper level has been rented out as a residential unit in the past). The lower level is accessed from the exterior and is currently being used for storage, but has washer/dryer hookups. Natural gas is also available, it is merely shut off. 5 off-street parking spaces off alley in back. The windows were replaced in 2018 and the exterior trim was painted in 2018. Potential changes could be needed for this property to qualify with another use. Call Lorin/Amy Peterson at 406-370-4144, or your real estate professional.
Located just a 15 minute drive down I-90, this over 100 year old home is rich with historic character, boasts plenty of living space, and provides many functional updates as well. This is rare find and a one of a kind home! Situated on just over 11 acres and surrounded by significantly larger parcels of ranches you're just minutes from a forest service access road, 5 minutes to interstate access, and about a 45 minute drive to Missoula.The home itself was originally built in 1912 and had extensive updates around 2008. The updates included a renovation to create the current gourmet kitchen, the master suite and the finishing of the basement. Additionally installed were at 95% efficient furnace, a new hot water heater, radiant in-floor heat for the basement, and 200 amp electrical.
Sweet 2 level home across from the park. Open Great room with kitchen, dining and living room looking out over the park. Main floor master bedroom with large master bath. Over sized side load garage, 2 great patios for entertaining and BBQ's. Ground has been broken and construction is under way, there is still time to choose the finishes. The home is located in the new neighborhood of 44 Ranch near parks, shopping and schools. Construction to be complete Summer 2019. Contact Casey Robinson 406 370 7333 or your agent today for more information.
Limited Time Special Offer: Seller Paid Buyer Incentives. This Townhome is well-appointed and thoughtfully designed, built in 2017 as the Model Home. This home was build with attention to detail by Mostad Construction. This home features many upgrades that promote warmth and comfort. Two spacious guest bedrooms, a master bedroom with a large ensuite bathroom and curbless walk in shower and a gourmet kitchen are accented by ceilings and main level living. Valley views surround this home in all directions with easy and convenient access to all of the amenities Missoula has to offer. This home is the perfect for those who live an active lifestyle and those who desire a more relaxed home environment without the stress and hassle of maintenance and upkeep.
Opportunity to own 40 acres of private, buildable, scenic property up Butler Creek. The Big Sky's the limit here. Property is already divided into two twenty acre parcels with power on each giving you more options.
Charming brand new tastefully appointed quality built two-story home just underway by Bob Martz Homes, Inc. with an anticipated June completion, Buyer's still have time to personalize this home with their own colors, amenities, and finishes. Situated on a premium level lot across the street from expansive 1/2 acre lots in the newest phase 8 of 44 Ranch Estates. This rural open setting with panoramic views is conveniently close to town , 5 acre community park and in the renowned Hellgate Elementary school district. Spacious 2,540+ square foot home greets you with an open main floor design with tasteful neutral dcor throughout. The spacious living room offers a large bay window, decorative gas fireplace, and huge open adjacent spacious dining area and gourmet kitchen.
High quality, new construction, 2 story home with custom finishes by Denny Martz Homes situated in Phase 7C of the desirable 44 Ranch Neighborhood. Perfect for entertaining, this home has an open floor plan with the large master suite and two spacious bedrooms on the upper floor. List price features stainless steel appliances, gas stove, recessed lighting and unfinished basement, quartz counter tops, tile backsplash. The interior products have already been picked out and the design package will not disappoint! The option for a fully finished basement has multiple layout options. All in all the home could have 5 bedrooms, 3 1/2 baths. For more information, please contact Laurie Rowley 406.360.3269 or your real estate professional.
Large 8.11 acre tract of Commercial and light industrial ground. Two Smokes Way is a private paved road with 3 phase power, public sewer, and natural gas. Close to the Wye with easy access to Highway 93 and interstate 90. the northern portion of Deschamps Lane from the tracks crossing to Moccasin Lane is scheduled to be paved in Summer of 2019. These large tracts have varying topography with gentle grades and ability to combine tracts for larger uses. Property is ready for occupancy. Call Geoff Oriet for your personal showing at 406-239-2464 or Casey Robinson at 406-370-7333 or your real estate professional.
Brand new, to be built, well-appointed and thoughtfully designed townhomes, built with high quality and attention to detail. Valley views surround these homes in all directions with easy and convenient access to all of the amenities Missoula has to offer. These homes are the perfect solution for those who live an active lifestyle and don't have the time, or those who desire a more relaxed home environment without the stress and hassle of maintenance and upkeep. Each residence offers warmth and comfort with high ceilings and main level living. Spacious bedrooms, a gourmet kitchen and well thought out floor plans that maximize the living space and functionality.
Brand New Move-in-Ready quality Bob Martz, Inc. built 4 bedroom, 2.5 bath Multi-level home with large detached 3 car garage is situated on a premium level 7,200 sq ft lot located in the scenic 44 Ranch subdivision and within the renowned Hellgate Elementary School District. This energy efficient 2,465 sq ft home boasts an open spacious functional floor plan with large main level living areas perfect for entertaining with gorgeous engineered hardwood flooring, tall vaulted ceilings and decorative gas fireplace.
Just 8 miles South of Missoula and over the beautiful Clark Fork River lies 92.8 +/- acres and so many possibilities! This original homestead consists of various land types with 14.975 +/- acres of agricultural and over 76.83 +/- acres of forest on a towering hillside overlooking the expansive hay fields. The level residential portion is 1 +/- acre and consists of the 1915 barn and 1920 home that can be replaced with the home of your dreams! Come take a look and see how you can bring this old homestead back to life! Other features included irrigation, 1997 garage, & water rights. For more information, please contact Diane Beck 406-360-7654...or your real estate professional!
Incredible 2 level townhome in walking distance to Milwaukee Bike Trail. The Caddis features main floor living with master bedroom and utilities on the main level with zero entry. Upper Level has two very nice additional bedrooms. Two car garage, with a patio and a separate porch. This to be built townhome is located in the new neighborhood of Koly Court Townhomes off of Grove Street, a few blocks away from Natural Grocers, shopping and schools. Occupancy is scheduled to be available in May/June 2019. Contact Casey Robinson 406 370 7333 or your real estate professional today for more information.
New custom architecturally designed quality ranch-style home underway by Award winning builder McElmurry Homes on a premium 6,300 sq. ft., spectacular view lot with unfinished full daylight lower level. This spacious 2,602 sq. ft 2 bedroom, 2 bath home will feature an open, functional floor plan with spacious open adjoining main level living areas, tastefully appointed with quality finishes throughout to include: cabinets, tiles, hardwood flooring's, and trim packages per builder allowances. Large well-lit open gourmet kitchen with ample quality cabinetry, counter-tops & pull up center elongated breakfast bar and generous $3,000.00 builder appliance allowance.
Nestled on the shores of beautiful Flathead Lake in Polson this 125 +/- feet of level gravel beach is in a calm serene bay with 2.2 +/- acres. Build your retreat with amazing views, privacy and summer fun. Not your average postage stamp lake front lot. Plenty of room to spread out with room for a toy barn or shop. East facing for morning sun. Call Casey Robinson today at 370-7333 for more information or your professional agent.
Brand new, to be built, well-appointed and thoughtfully designed townhomes, built with high quality and attention to detail. Valley views surround these homes in all directions with easy and convenient access to all of the amenities Missoula has to offer. These homes are the perfect solution for those who live an active lifestyle and don't have the time, or those who desire a more relaxed homeenvironment without the stress and hassle of maintenance and upkeep. Each residence offers warmth and comfort with high ceilingsand main level living. Spacious bedrooms, a gourmet kitchen and well thought out floor plans that maximize the living space andfunctionality.
The Adams floor plan is an incredible 2 level townhome in walking distance to Milwaukee Bike Trail. Main floor living with master bedroom and utilities on the main level with zero entry create a one level living home. The Upper Level has three very nice additional bedrooms with 2 full baths. One of the upper level rooms is a second master Suite. Single car garage, with a patio and a separate porch. This to be built townhome is located in the new neighborhood of Koly Court Townhomes off of Grove Street, a few blocks away from Natural Grocers, shopping and schools. Occupancy is scheduled to be available in May/June 2019. Contact Casey Robinson 406 370 7333 or your real estate professional today for more information.
Bordering a large ranch with Amazing 360 degree views from this 1.66 acre parcel. Very clean comfortable house. Huge private master suite with very large master bathroom. Brand new carpet and paint in many areas of the home new metal roof. New stainless appliances. Plenty of room for all of your large toys and a large pasture with room for a few horses. This property is definitely worth a look and consideration. Please call for your personal tour.
Welcome to Suite 201 in Building A of Polleys Square located at the Old Sawmill District. This new residential community is located close to downtown and is an easy commute to the University along the river trail system. This 2 bedroom, 2 bath unit is located on the 2nd floor of Building A and offers great views of Lolo Peak from the back deck. High-end amenities include wood floors, granite counters, a lovely master suite with walk-in closet and large ensuite bathroom with floor to ceiling tiled shower. The open floor plan and high ceilings allow for great natural light. Secure building access and under ground parking plus a storage unit are also included.
Beautiful single level townhome in walking distance to Milwaukee Bike Trail. The Drake features single-level living with zero entry, a two-car garage, plus a porch and separate patio. This to be built townhome is located in the new neighborhood of Koly Court Townhomes off of Grove Street, just blocks from Natural Grocers, shopping and schools. Occupancy is scheduled to be available in May/June 2019. Contact Casey Robinson (406)370-7333 or your real estate professional today for more information.
Brand new, to be built, well-appointed and thoughtfully designed townhomes, built with high quality and attention to detail. Valley views surround these homes in all directions with easy and convenient access to all of the amenities Missoula has to offer. These homes are the perfect solution for those who live an active lifestyle and don't have the time, or those who desire a more relaxed homeenvironment without the stress and hassle of maintenance and upkeep. Each residence offers warmth and comfort with high ceilings and main level living. Spacious bedrooms, a gourmet kitchen and well thought out floor plans that maximize the living space and functionality.
3 bedroom, 2 bath + 3 car garage. Single floor living. New home with one year warranty from developer. Open floor plan with large rooms. Paved walking path on most of south side of Megan Drive. Close to many recreational opportunities in the Ninemile area. Quick commute to Missoula. Call Geoff Oriet @ 406-239-2464 or your real estate professional for more info.
Beautiful Home in a beautiful setting. This charming 1990 square foot, 3 bed, 2 bath home is ready to be your next home. It features hardwood floors throughout the open main living area. The large master bedroom features a walk in closet and ensuite bath complete with jetted soaker tub. The three car garage has enough room for your cars and toys. The covered back patio features panoramic views that stretch from the Bitterroot Mountains across the valley to the Sapphire Mountains. This home is located close to all Stevensville has to offer, great hiking and outdoor adventures to a great brewery. All of this and you are less than 30 minutes from either Missoula or Hamilton. Please call Loren Mostad of Windermere at (406) 546-2827 or your Real Estate professional for more information.
Located on the pristine McGregor Lake in McGregor Highlands, a gated community with paved roads and community water and septic, boat launch, pavilion and walking trails. McGregor is a hidden Gem with less boat traffic compared to other area lakes. Excellent fishing and recreating on its crystal-clear water. Gently sloping lot with even lakeshore. The road is in, community water and sewer to save on building costs vs drilling and developing a private septic. Owner is a licensed Broker in the State of Montana. Only 35 miles from Kalispell with easy access just off Highway 2 away from the highway so youre not sandwiched between the highway and the water. This is the perfect lakefront piece.
The main living area of this Gary Ince built six bedroom three full bath home is open concept with vaulted ceilings and lots of natural light. The living room is spacious and the layout is perfect for hosting. Equipped with beautiful stainless steel appliances and lots of cabinet space along with a pantry the kitchen is open to the dining room separated only by an eat at counter. Through large double glass doors you can enjoy the deck right off of the dining room making BBQing and enjoying your morning coffee while listening to the creek a breeze. Also on the main floor is the master bedroom, two additional bedrooms, and two full bathrooms.
Custom 3 bedroom, 2 bath home on 1 acre lot with very open floor plan and covered front porch. Very nice sized bedrooms. Master bedroom has huge walk in closet, on suite bathroom with custom tile shower. Guest bathroom has custom tile tub surround. The great room has doug fir skip sawn flooring. Nearing completion For more info Call Geoff Oriet at 406-239-2464 or your real estate professional. I will update pictures approx. once a week until done.
Large 6.58 acre tract of Commercial and light industrial ground. Two Smokes Way is a private paved road with 3 phase power, public sewer, and natural gas. Close to the Wye with easy access to Highway 93 and interstate 90. the northern portion of Deschamps Lane from the tracks crossing to Moccasin Lane is scheduled to be paved in Summer of 2019. These large tracts have varying topography with gentle grades and ability to combine tracts for larger uses. Property is ready for occupancy. Call Geoff Oriet for your personal showing at 406-239-2464 or Casey Robinson at 406-370-7333 or your real estate professional.
Large 6.66 acre tract of Commercial and light industrial ground. Two Smokes Way is a private paved road with 3 phase power, public sewer, and natural gas. Close to the Wye with easy access to Highway 93 and interstate 90. the northern portion of Deschamps Lane from the tracks crossing to Moccasin Lane is scheduled to be paved in Summer of 2019. These large tracts have varying topography with gentle grades and ability to combine tracts for larger uses. Property is ready for occupancy. Call Geoff Oriet for your personal showing at 406-239-2464 or Casey Robinson at 406-370-7333 or your real estate professional.
Adorable, like new tastefully appointed, low maintenance ranch style condominium situated on a level quiet corner cul-de-sac lot in a established newer subdivision with it's own neighborhood park surrounded by picturesque mountains and only a half block away from Rattlesnake Elementary School. This beautiful energy efficient 4 bedroom, 2 bath 1,800 sq ft condo with central air conditioning is the wonderful home boasting an ample open functional main level living floor plan with tall vaulted ceilings, a full finished lower level and large attached 2 car garage.
Enjoy quality, comfortable well appointed main level living in this spacious 3 bed 2 bath 1,555 SF move-in ready air-conditioned home with attached finished 2 car garage situated in a convenient newer Frenchtown subdivision on huge level fenced manicured 1.21 acre lot. This beautiful ranch-style home offers an open functional floor plan with tall vaulted ceilings boasting exquisite stained wood trim finishes and gorgeous engineered wood flooring with ample natural lighting from the large picture windows.
New 3 bedroom, 2 bath home in nice area. High producing well. Close to many recreational opportunities. Short distance to Missoula. Very open floor plan. Custom Tile shower in Master Bathroom. Skip sawn Doug Fir Flooring in living room and kitchen. Huge walk in closet in master bedroom. Vaulted ceiling in living room. Call Geoff Oriet at 406-239-2464 for your personal showing or your real estate professional.
Beautiful Florence lot on 1.11 acres. With newer upgrades and hard to find 4 bedrooms. Beautiful yard and landscaping and small shop attached to garage. Underground sprinklers. Paved driveway and newer finished basement. Unreal views of the Bitterroot mountains. Come see this centrally located Bitterroot home Today.
The overlooking Missoula views are waiting for you. Look out your winder over the entire city every day and twinkling lights at night when you live at 239 Grandview Drive. Located in the South Hills neighborhood, this home is within close proximity to parks and trails. There is room for updating design to fit your style for your dream home! With a whole unfinished basement you have the opportunity to wait and finish when you're ready or finish it now to your taste. Huge back patio and fenced in backyard. To schedule your own personal tour, call Diane Beck at 406-360-7654 or your real estate professional today!
The Mayfly floor plan is an incredible 2 level townhome in walking distance to Milwaukee Bike Trail and proposed river front parks. Upper level master bedroom with master bath, main floor utilities. One car garage, with a patio and a separate porch. This to be built townhome is located in the new neighborhood of Koly Court Townhomes off of Grove Street, a few blocks away from Natural Grocers, shopping and schools. Scheduled completion May/June 2019. Contact Casey Robinson 406 370 7333 or your real estate professional today for more information.
To be built home in popular Linda Vista subdivision. This 3 bedroom 2.5 bath home with attached double car garage is situated on a 6400 square foot lot that backs up to park area. Estimated completion date is August 1st. For additional information please call Shelby Clegg at 240-7169 or your real estate professional.
To be built home in popular Linda Vista subdivision. This 3 bedroom 2 bath home with attached double car garage is situated on a 6400 square foot lot that backs up to park area. Estimated completion date is August 1st. For additional information please call Shelby Clegg at 240-7169 or your real estate professional.
New Build! 3bed 2bath One Level with 2 stall garage in convenient newer neighborhood close to Hellgate Elementary. Nice Amenities/Fixtures. Call Ryan Klemundt at 406-396-4270 or your local real estate professional for more details.
Dont miss out on this 28 acres on the North Westside of Seeley Lake only 4 miles from town. Theproperty has enough trees on it that you dont see your neighbors much a year round pond and meadows forhorses. It is bordered by US Forest Service on 3 sides and has incredible views and near by access to the Bob Marshall Wilderness. This is a great property of those that love the outdoors whether it be sending time on the lake, fly fishing, hiking, hunting, snowmobiling or packing into the Bob Marshall Wilderness. This property has it all to offer.Call Clint to schedule a showing 406 240 1175 or your agent.
Picturesque Already Fenced and Set up Big Flat Horse Property!Premium level post and rail fenced 5 acre lot with two high producing wells located within a newer nicely established neighborhood of upper-end homes, near the Clark Fork River access, offering majestic 360 degree views and just 10 county paved road minutes from Missoula. This beautiful parcel with numerous building sites and excellent road access boasts utilities to the property, one domestic well, one irrigation well, both rated at 150 gallons per minute, professional post rail and wire fencing already in, and a 100' x 200' fenced arena. Seller financing available with approved credit and 20 plus percent down payment. Please call Kent Pratt at 406 544 7001 or your real estate professional for more details.
This 3 bedroom, 2 bathroom home, with over 2000 Square Feet has been fully remodeled. Remodel (in approximately 2014) included: new windows, new doors, interior and exterior paint, cabinets, appliances, counter tops, roof, siding and more. The main level has 2 bedrooms, a full bathroom, a living room, a kitchen with a breakfast bar area and a dining area. Downstairs is another bedroom and bathroom, a family room, a utility room and access to the single car garage. This home is located on a cul-de-sac and is conventionally located close to schools, shopping, restaurants and more. For more information please call Alana Schaefer at 406.493.0066 or your real estate professional.
Large 5.36 acre tract of Commercial and light industrial ground. Two Smokes Way is a private paved road with 3 phase power, public sewer, and natural gas. Close to the Wye with easy access to Highway 93 and interstate 90. the northern portion of Deschamps Lane from the tracks crossing to Moccasin Lane is scheduled to be paved in Summer of 2019. These large tracts have varying topography with gentle grades and ability to combine tracts for larger uses. Property is ready for occupancy. Call Geoff Oriet for your personal showing at 406-239-2464 or Casey Robinson at 406-370-7333 or your real estate professional.
Large 4.43 acre tract of Commercial and light industrial ground. Two Smokes Way is a private paved road with 3 phase power, public sewer, and natural gas. Close to the Wye with easy access to Highway 93 and interstate 90. the northern portion of Deschamps Lane from the tracks crossing to Moccasin Lane is scheduled to be paved in Summer of 2019. These large tracts have varying topography with gentle grades and ability to combine tracts for larger uses. Property is ready for occupancy. Call Geoff Oriet for your personal showing at 406-239-2464 or Casey Robinson at 406-370-7333 or your real estate professional.


Now Baby's that different is what came straight to mind as I unwrapped this sauce from the bubble wrap. The cute little container, label, and friendly orange sauce splashing inside was definitely different from what I am used to seeing. I thought the way this sauce was presented in the bottle it would have been great if it came with a brush attached to the lid. But then again I realize the unsanitary, messy factor that could be involved. Be warned though, this is extremely watery and the jar does not lend itself to easy pouring.
This sauce has to be one of the citrusiest sauces I have ever smelled. It is overloaded with orange but you can still pick out the peppers and spices in there. The apple cider vinegar also gives this sauce a nice punch.
Ingredients: Apple cider vinegar, oranges, peppers, spices.
The taste was definitely unique. For my field taste I marinated some wings in the sauce. After the wings marinated for a few hours in the fridge it was apparent that they had soaked up much of the sauce. After cooking up the wings you could still smell the tangy, citrusy aroma. A note to people who give this a try, a little goes a long way in regards to the flavor staying true to the original application. The taste was definitely unique. I had never had a spicy orange chicken wing before. The flavor carried over extremely well to the wing and I think this is something that many people would enjoy to experiment with. I definitely have to try this sauce on some fish or pork chops. That is where I think this sauce would shine best.
Orange Blaze is quite unique. I look forward to experimenting with it the future. Due to the very thin consistency of this product you may find yourself going through it very quickly. When I did cook with it though I was able to stretch a little of it a long way. So play around with the amount you need to use.
As for the heat, it would be on the lowmedium level. But a bit of zing does slice through the orange tang. If it was any hotter it would probably have been a bit too much.
I was quite impressed with this product and I look forward to trying it in some more recipes. Definitely worth a shot!
Overall	7.5/10 "" Worth a try!
You seem to get all the fruit reviews..lol.Tell me are you likeing fruit better now a days?
Can't find this web site – baby that's hot?
Have they moved web sites?
Does anyone know where this site has moved or a contact?


text:
Q: AngularJS + Gulp files and folders structure and right gulpfule.js config I want to create a three page app, i need follow structure:
frontend
-app
--page1
---page1.js
---page1.html
--page2
---page2.js
---page2.html
--page3
---page3.js
---page3.html
-assets
--style
---main.scss
--js
---main.js
--images
-index.html

public (for production version)

gulpfile.js
package.json

How should i create a tasks for scripts (scripts in different folders) in gulpfile.js?
Maybe my structure is wrong, then how could it to look like?

A: Your structure seems right. You can use any architecture you want for your project. Regarding Gulp, you just have to know how to filter the javascript source files when you call gulp.src(). It should be something like this:
gulp.task('scripts', function() {
    return gulp.src('./app/**/*.js')
        .pipe() //Do whatever process you need here
        .
        .
        .pipe(gulp.dest('./assets/js/'));
});

A quick recommendation would be to create a gulp.config.js file to handle all the string variables, filters, directories, among others. Then require it in your gulpfile.js and use those variables to provide a cleaner code. It should be something around this:
gulp.config.js (located in the same folder of the gulpfile.js)
module.exports = function() {
    var src = './app/';
    var dest = './assets/';

    var config = {
        js: {
            src: src + '**/*.js',
            dest: dest + 'js/'
        }
    };

    return config;
}

gulpfile.js
var config = require('./gulp.config.js')();

.
.
.

gulp.task('scripts', function() {
    return gulp.src(config.js.src)
        .pipe() //Do whatever process you need here
        .
        .
        .pipe(gulp.dest(config.js.dest));
});

This should work for you.

redpajama_set_name: RedPajamaStackExchange


text:
Chirundu, Zambia is a town in the Southern Province of Zambia at the border with Zimbabwe and is a key point on the Great North Road. It is the site of two of the five major road or rail bridges across the Zambezi river, the Chirundu Bridges.

The Chirundu Petrified Forest is an area of fossil trees 21 km west of Chirundu, lying just south of the Chirundu-Lusaka road near the Kariba turn-off. It is a listed National Monument of Zambia.

Chirundu was the home to the local cult leader and faith healer Emmanuel Sadiki roughly from the year 1988 to 1989.

On the Zimbabwe side the township is also called Chirundu.

External links
 https://www.tripadvisor.com/Tourism-g676296-Chirundu_Southern_Province-Vacations.html
 https://www.lonelyplanet.com/zambia/chirundu
 http://www.wildzambezi.com/locations/5/chirundu

References

Zambia–Zimbabwe border crossings
Zambezi River
Siavonga District
Populated places in Southern Province, Zambia

redpajama_set_name: RedPajamaWikipedia


The Glasgow Coma Scale (GCS) is the most widely used scoring system for comatose patients in intensive care. Limitations of the GCS include the impossibility to assess the verbal score in intubated or aphasic patients, and an inconsistent inter-rater reliability. The FOUR (Full Outline of UnResponsiveness) score, a new coma scale not reliant on verbal response, was recently proposed. The aim of the present study was to compare the inter-rater reliability of the GCS and the FOUR score among unselected patients in general critical care. A further aim was to compare the inter-rater reliability of neurologists with that of intensive care unit (ICU) staff.
In this prospective observational study, scoring of GCS and FOUR score was performed by neurologists and ICU staff on 267 consecutive patients admitted to intensive care.
In a total of 437 pair wise ratings the exact inter-rater agreement for the GCS was 71%, and for the FOUR score 82% (P = 0.0016); the inter-rater agreement within a range of ± 1 score point for the GCS was 90%, and for the FOUR score 92% (P = ns.). The exact inter-rater agreement among neurologists was superior to that among ICU staff for the FOUR score (87% vs. 79%, P = 0.04) but not for the GCS (73% vs. 73%). Neurologists and ICU staff did not significantly differ in the inter-rater agreement within a range of ± 1 score point for both GCS (88% vs. 93%) and the FOUR score (91% vs. 88%).
The FOUR score performed better than the GCS for exact inter-rater agreement, but not for the clinically more relevant agreement within the range of ± 1 score point. Though neurologists outperformed ICU staff with regard to exact inter-rater agreement, the inter-rater agreement of ICU staff within the clinically more relevant range of ± 1 score point equalled that of the neurologists. The small advantage in inter-rater reliability of the FOUR score is most likely insufficient to replace the GCS, a score with a long tradition in intensive care.
The assessment of comatose patients is an important part of critical care. Unfortunately, there is no objective measure of coma like temperature or blood pressure. Thus, so far the assessment of the level of coma has to rely on clinical scores. The Glasgow Coma Scale (GCS), originally designed for patients with head trauma , has become the most widely used scoring system for patients with an altered level of consciousness in the ICU. Important limitations of the GCS include inconsistent inter-observer reliability , concerns over the predictive value in brain injury patients undergoing modern neuro-intensive care , the impossibility of assessing the verbal score in intubated patients, and the exclusion of brainstem reflexes. Over the past decades, a variety of alternative scoring systems have been developed [4–7], although none of them reached widespread acceptance.
The FOUR (Full Outline of UnResponsiveness) score, a coma scale consisting of four components (eye response, motor response, brainstem reflexes, and respiration pattern) was recently proposed by investigators from the Mayo Clinic . Validation among patients receiving no sedative agents by dedicated staff in neuro-intensive care demonstrated good to excellent inter-rater reliability [8, 9]. By contrast to the GCS, the FOUR score does not rely on a verbal response. In the ICU, a variety of conditions such as intubation, sedation, or delirium preclude a reliable assessment of a verbal response and, therefore, the FOUR score is an attractive tool. However, before this new score can be recommended for routine use in the ICU, the following limitations should be addressed: so far the FOUR score has not been validated in critically ill patients outside of the Mayo Clinic; so far the FOUR score has not been validated in sedated patients; and so far the FOUR score has only been validated by dedicated staff in neuro-ICUs. This may have resulted in a much higher inter-rater reliability than that achievable by ICU staff of general ICUs.
Accordingly, the aims of the present study were: to compare the inter-rater reliability of the GCS and the new FOUR score among unselected patients in general medical ICU; and to compare the inter-rater reliability of neurological scoring provided by staff members of general medical ICUs with that of neurologists.
The study was performed on one of the two subunits of the medical ICU of the University Hospital of Basel, Switzerland. The study was approved by the regional ethical committee. As GCS scoring was already routinely performed on our unit prior to the study and no therapeutic decisions were based on the FOUR scoring, the ethical committee waived the need to obtain individual informed consent.
Ratings were performed by two board-certified staff neurologists (S.R. and A.C.) serving as gold standard, eight ICU nurses, and four ICU physicians. Prior to the study, all raters received an instruction by one of the neurologists including a supervised scoring of GCS and FOUR score in two patients.
We prospectively studied the FOUR score and the GCS in consecutive adult patients admitted to our ICU. Exclusion criteria were the unavailability of both neurologists and the patients' unwillingness to participate in the ratings. Scoring was performed between 9:00 am and 10:00 am on weekdays only. Scoring occurred at the first possible occasion after admittance and each patient was scored only once. Eligible patients were identified by the head-nurse and colour-coded on the main board showing all patients presently admitted. If available, raters performed their ratings on the coded patients in the time frame specified. Raters were not aware of other ratings or the results thereof. Patients were included if at least one of the neurologists and one member of the ICU staff were able to perform a rating within a time interval of one hour. In addition, 100 consecutive patients were rated by both of the two neurologists to assess their inter-rater agreement. Patients were included if both neurologists were able to perform their ratings within a time interval of one hour.
For GCS scoring, the raters used a one-sided A4-sized form containing written instructions. In intubated patients, the rating for the verbal domain of the GCS was defined to be 1. For the FOUR scoring, the raters used a one-sided A4-sized form containing both written and visual instruction: the written instruction was a German translation of the original instruction from the Mayo Clinic ; the visual instruction was a coloured copy of the version published in 2005 , adapted in size to fit the scoring form. The definition of the FOUR score and the GCS are displayed in Table 1.
FOUR score = Full Outline of UnResponsiveness.
Acute physiology and chronic health evaluation (APACHE) II scores were obtained for the first 24 hours after admittance to the ICU. For patients that stayed for 28 days or more in our hospital or died during their hospitalisation, 28-day mortality was assessed using the in-hospital electronic patient documentation system. Twenty eight-day mortality of discharged patients was assessed by contacting the physician treating the patient at home or in another institution.
Data were analysed using SPSS (version 15.0), a commercially available statistical software. Three categories of pair-wise ratings were analysed: 1) neurologist - neurologist, 2) ICU staff ICU staff, and, 3) neurologist ICU staff. For each category no more than one pair-wise rating was analysed in every patient. In case of more than one pair-wise rating in a given category (e.g. patient was rated by two neurologists and two members of ICU staff resulting in four pair-wise ratings in the category neurologist ICU staff) the rating to be analysed was randomly chosen using computer-generated numbers. Pair-wise-weighted kappa values were calculated for the GCS and the FOUR score. A kappa value of 0.4 or less is considered poor, values between 0.4 and 0.6 are considered fair to moderate, values between 0.6 and 0.8 are considered good, and values above 0.8 are considered excellent agreement . Although assessment of inter-rater reliability using kappa statistics is scientifically appropriate, this approach does not result in measures of obvious clinical usefulness. Rather than an exact agreement we determined that for the dynamic environment of the ICU a precision in scoring within the range of ± 1 score points for both GCS and FOUR score would be sufficient for the majority, if not all, clinical decisions based on the scoring result. Thus, an inter-rater agreement within a range of ± 1 score points for both GCS and FOUR score was chosen as primary outcome. Secondary outcomes were exact inter-rater agreements and ratings of the sub-components of the two scores. For the primary outcome, a difference of 10% or more between the agreement rates of the neurologists and of the ICU staff was considered to be of clinical relevance. We estimated that scoring around 250 patients would allow to detect that difference with an α of 0.05 and a power of 90. Anticipating a drop-out rate of around 20% we planned to include 300 patients. We decided to analyse three pre-defined sub-groups for the primary endpoint: intubated patients, sedated patients, and patients with neurological diseases as primary admittance diagnosis. As previous work reported that the motor component of the GCS (GCS-mot) has a similar predictive value as the total GCS , and the combined eye and motor component of the FOUR score (FOUR-EM) has a similar predictive value as the total FOUR score  we separately analysed the predictive values for mortality and agreement rates for the GCS-mot and the FOUR-EM. Cronbach's α  was calculated to assess the internal consistency of both scores. Predictive values of the scores were assessed by calculating the area under the curve (AUC) with 95% confidence intervals from receiver operating characteristic (ROC) curves. Frequency tables were analysed using Fisher's exact test. A P less than 0.05 was considered to represent statistical significance.
The study took place between May 2006 and April 2007. During the study period 992 patients were admitted to the subunit of our ICU where the study took place. In 664 cases, patients had to be excluded because no neurologist was available or patients were unwilling to participate. Scoring was performed on 328 patients. Of the 328, 61 (33 female; mean age 62 ± 17 years; APACHE II 13 ± 7) had to be excluded because no pair-wise rating occurred within a time interval of one hour. Thus, 267 patients (85 female; mean age 63 ± 17 years; APACHE II 14 ± 8) were included in the study resulting in 437 pair-wise ratings. Pair-wise ratings of the two neurologists were obtained in 100 of the 267 patients (40 female; mean age 64 ± 16 years; APACHE II 15 ± 7). The admittance diagnoses of the 267 included patients are displayed in Table 2. At the time of scoring 60 of 267 (22.5%) patients were intubated or had a tracheostoma and 52 of 267 (19.5%) received sedative drugs in the eight hours preceding scoring.
FOUR score = Full Outline of UnResponsiveness; GCS, Glasgow Coma Scale.
Overall 437 pair-wise ratings were analysed. Cronbach's α for the GCS (0.87) and the FOUR score (0.83) indicate a high degree of internal consistency for both scores. The frequency distribution of the GCS and FOUR scores are displayed in Figure 1. The agreement of the ratings in the three categories is displayed in Figure 2. Overall, there was a statistically significant difference (P = 0.0016) with regard to exact agreement between the GCS score (71%) and the FOUR score (82%) but not for the agreement within a range of ± 1 score point (GCS 90%; FOUR 92%). Tables 3 and 4 display the kappa values for the GCS and FOUR score, respectively. Note that the inter-rater agreement of the neurologists was significantly better than that of the ICU staff with regard to the FOUR score (Table 4) but not for the GCS (Table 3). No significant difference in inter-rater agreement was found for the three components of the GCS (Table 3). In the FOUR score, however, the inter-rater agreement significantly differed between the four components with the component 'respiration' achieving the highest agreement rates and the component 'brainstem' achieving the lowest agreement rates. In addition, the agreement between the neurologists for the components 'brainstem' and 'respiration' was significantly better than that between ICU staff (Table 4). Figure 3 displays the disagreement in pair-wise ratings for both scores. As a high proportion of scorings yielded maximum scores (Figure 1) and the agreement rates were highest at theses scores (Figure 3) we calculated kappa values after excluding the maximum scores (i.e. GCS 15 and FOUR score 16, respectively) and found a significant difference between the kappas with or without excluding the maximum scores for the GCS (kappa ± 95% confidence interval, 0.61 ± 0.05 vs. 0.48 ± 0.06) and the FOUR score (0.68 ± 0.05 vs. 0.54 ± 0.08).
Data = weighted kappa ± 95% confidence interval. No statistically significant differences exist between rater pairs or the different components of the GCS.
Data = weighted kappa ± 95% confidence interval. * P < 0.05 vs. neurologist-neurologist at same component of the score; † P < 0.05 vs. all other components of the FOUR score with the same raters.
Frequency distribution of GCS and FOUR scores. Frequency distribution of 814 rated Glasgow Coma Scale (GCS) scores (top panel) and 814 rated Full Outline of UnResponsiveness (FOUR) scores (bottom panel).
Inter-rater agreement of GCS and FOUR scores. Scatterplots of the pair-wise ratings of neurologists (top panels), ICU staff (middle panels), and neurologist-ICU staff (bottom panels) for the Glasgow Coma Scale (GCS; left side panels) and Full Outline of UnResponsiveness (FOUR) score (right side panels).
Disagreement rates for GCS and FOUR scores. Disagreements of more than one score point in pair-wise ratings of the Glasgow Coma Scale (GCS) score (top panel) and the Full Outline of UnResponsiveness (FOUR) score (bottom panel) respectively. Scores are divided into quartiles. As a substantial proportion of ratings were at the maximum of the each scale (i.e. GCS 15, FOUR 16), the maximum category is shown separately in addition to the quartiles. Disagreements are expressed as a percentage of the total number of ratings in a given quartile of the GCS score and FOUR score, respectively. White bars = disagreements between the neurologists; black bars = disagreements between the neurologists and ICU staff; grey bars = disagreements between ICU staff. For both scores, disagreements were significantly (P < 0.001) less frequent in the maximum category (i.e. GCS 15, FOUR 16) than in all other categories. * For the lowest quartile of the FOUR score, the disagreement between neurologist and ICU staff (P = 0.034) and between ICU staff and ICU staff (P = 0.045) was significantly greater than that between the neurologists.
In 163 pair-wise ratings, ICU staff agreed exactly with the neurologist in 68% of the GCS scores (P = ns vs. agreement of the neurologists) and in 81% of the FOUR scores (P = 0.011 vs. GCS; P = 0.14 vs. agreement of neurologists). An agreement between the ICU staff and the neurologist in the range of ± 1 point was observed for 88% of the GCS and for 91% of the FOUR scores, respectively (P = ns for GCS vs. FOUR; P = ns vs. agreement of the neurologists).
In 174 pair-wise ratings, ICU staff agreed exactly in 73% of the GCS scores (P = ns vs. agreement of the neurologists) and in 79% of the FOUR scores (P = 0.017 vs. GCS; P = 0.04 vs. FOUR score agreement of the neurologists). An agreement between ICU staff in the range of ± 1 point was observed for 93% of the GCS and for 88% of the FOUR scores, respectively (P = ns for GCS vs. FOUR; P = ns vs. agreement of the neurologists). The internal consistency of the ICU staffs' ratings was high for both the GCS (α = 0.87) and the FOUR score (α = 0.83).
Twenty eight-day mortality was 13%. There was no significant difference in the predictive values of the GCS (AUC of the ROC 0.78, 95% confidence interval 0.68 to 0.87), the FOUR score (AUC of the ROC 0.79, 95% confidence interval 0.69 to 0.89), and the APACHE II score (AUC of the ROC 0.86, 95% confidence interval 0.80 to 0.92) for 28-day mortality (Figure 4). However, mortality was significantly (P < 0.001) higher for patients with the three lowest total FOUR scores of 0 to 2 (83% died), when compared with patients with the lowest GCS score of 3 (45% died).
Predictive value for 28-day mortality. Receiver operating characteristic curve for the predictive value of Glasgow Coma Scale (GCS), Full Outline of UnResponsiveness (FOUR) score, and acute physiology and chronic health evaluation (APACHE) II score on 28-day mortality. There was no statistically significant difference between the areas under the curve of the three scores.
The exact inter-rater agreement was better for the FOUR score than for the GCS in the three predefined subgroups intubated patients (n = 60; 78% vs. 65%, P = 0.026), sedated patients (n = 52; 73% vs. 62%, P = 0.095), and patients with neurological disease as primary admittance diagnosis (n = 86; 80% vs. 69%, P = 0.046). The exact inter-rater agreement of the neurologist and the ICU staff for the FOUR score was 79% vs. 68% for intubated patients, 88% vs. 74% for sedated patients, and 91% vs. 79% for patients with neurological disease as primary admittance diagnosis, respectively. Due to the comparatively small absolute numbers these differences failed to reach statistical significance. There was no significant difference with regard to inter-rater agreement with a range of ± 1 point between the GCS and FOUR score or different kind of rater pairs for the predefined subgroups.
The AUC of the ROC of the GCS-mot for 28-day mortality was 0.75 (95% confidence interval 0.64 to 0.86) and did not significantly differ from the total GCS or the FOUR score. Over all 437 pair-wise ratings, the exact agreement for the GCS-mot was 87% (P < 0.0001 vs. the total GCS; P = 0.006 vs. FOUR score). The agreement within a range of ± 1 score point of the GCS-mot was 95% (P = 0.0012 vs. GCS; P = 0.0002 vs. FOUR score).
The AUC of the ROC of the combined FOUR-EM for 28-day mortality was 0.76 (95% confidence interval 0.66 to 0.87) and did not significantly differ from the total FOUR score, the GCS, or GCS-mot. Overall, 437 pair-wise ratings, the exact agreement for the FOUR-EM was 85% (P = 0.07 vs. total FOUR score; P < 0.0001 vs. GCS). The agreement within a range of ± 1 score point of the FOUR-EM was 92% (P = 0.095 vs. total FOUR score; P = 0.21 vs. GCS).
The present study compared the inter-rater agreement of GCS and FOUR score as well as the inter-rater agreement of neurologist and ICU staff in unselected critically ill patients. In the primary outcome, i.e. the inter-rater agreement within the range of ± 1 score point, there was neither a significant difference between the GCS and the FOUR score nor a difference between neurologists and ICU staff. Exact inter-rater agreement was significantly better between neurologists than between ICU staff. Moreover, exact inter-rater agreement was significantly better for the FOUR score than for the GCS.
Recently, Wijdicks and colleagues, Wolf and colleagues, and Iyer and colleagues from the Mayo Clinic devised and validated the FOUR score [8, 9, 13]. Compared with the GCS, this new coma scale does not depend on a verbal response and provides greater neurological detail by inclusion of brainstem reflexes and breathing patterns. The present study is the first validation of the FOUR score in the ICU outside the institution that developed the FOUR score. In addition, the present study is the first validation of the FOUR score in unselected patients in a medical ICU. In agreement with the initial reports we observed that the inter-rater reliability for the FOUR score is at least as good as that of the GCS [8, 9, 13]. Moreover, our results demonstrate that the FOUR score is superior to the GCS with regard to exact inter-rater agreement. The inter-rater agreement in the present study was considerably lower for both GCS (kappa 0.59 vs. 0.82 to 0.98) and FOUR score (kappa 0.63 vs. 0.82 to 0.99) than previously reported [8, 9, 13]. This may be explained by the higher number of patients included in the present study, the inclusion of intubated and sedated patients, inherent variations in the level of consciousness among unselected ICU patients, organisational aspects of the scoring, and differences in the neurological expertise of the raters. Indeed, our neurologists achieved an inter-rater agreement for the FOUR score (kappa 0.80), but not for the GCS (kappa 0.67), comparable with that reported by Wijdicks and colleagues, Wolf and colleagues, and Iyer and colleagues [8, 9, 13]. Previous work demonstrated that the FOUR score predicts mortality as well as the GCS [8, 9, 11, 13]. This is confirmed by our finding that the predictive value for 28-day mortality of the FOUR score equalled that of the GCS, and the APACHE II score. Moreover, in agreement with previous work our results demonstrate that mortality in medical ICU patients with the lowest FOUR score is higher than in patients with the lowest GCS.
The inter-rater agreement of the neurologists was never worse and partly significantly better than that of the ICU staff. However, as far as precision in scoring within the range of ± 1 score points is concerned, ICU staff equalled neurologists. This finding indicates that the precision in neurological scoring sufficient for the clinical settings achieved by general ICU staff cannot be significantly improved by dedicated specialists from outside the ICU.
The repetitive assessment of the level of consciousness is a routine procedure in ICU and so far the GCS is the most widely used tool. The present study confirms previous reports on a less than perfect inter-observer agreement of the GCS [2, 14, 15]. For the new FOUR score, the inter-rater agreement was never worse and partly better than that of the GCS. As the GCS is routinely performed in our unit, we were surprised and disappointed by the comparatively low inter-rater agreement of a longstanding standard procedure. To the best of our knowledge, there are no systematic data on the consistency of individual raters in repetitive ratings such as GCS in the ICU. Such a study would be very difficult to perform because within the time frame the level of consciousness could be kept reliably stable in critically ill patients most health-care workers would not forget their previous scoring result. It is doubtful, however, that repetitive ratings are generally more precise than the pair-wise ratings reported in the present study. Thus, our findings suggest that in the clinical setting scores of individual patients should be cautiously interpreted taking into account both the dynamic course of critical illness and inter-rater and intra-rater disagreements.
Despite its limitations, the GCS has remained the standard coma scale over the past decades. In modern ICUs, multiple scores are repetitively used. Ideally, these scores should be simple, reliable, and predictive for relevant outcomes and/or relevant clinical decisions. With regard to these criteria, the present study revealed that the FOUR score is at least equivalent and partly even superior to the GCS. Given that the inter-rater reliability of the FOUR score between the neurologists was better than that between ICU staff and that the inter-rater reliability for the brainstem component of the FOUR score was significantly lower than for the other three components there is a potential for improvement for the inter-rater reliability of the FOUR score in the settings of the ICU. By contrast, our data reveal no such potential for improvement for the GCS. Compared with the GCS, the FOUR score contains more items. In addition, the brainstem categories of the FOUR score rely on up to three different items (pupil, corneal, and cough reflex) whereas all categories of the GCS rely on one item only. Thus, the FOUR score requires more time than the GCS and is more difficult to remember in acute situations. Although the FOUR score provides more neurological detail than the GCS it cannot replace a more in-depth neurological evaluation. Balancing the advantages and disadvantages of both scores, it is fair to state that the new FOUR score is a suitable alternative to the GCS. However, we think it is unlikely that the small advantage in inter-rater reliability will prompt intensivists to replace the GCS, a score with a long tradition in the ICU, by the new FOUR score.
Eken and colleagues reported, that in patients presenting with an altered level of consciousness, head trauma, or any neurological complaints on an emergency department, the FOUR-EM had a similar predictive value for unfavourable outcomes as the total FOUR score and the GCS . Their finding is in agreement with the work of Gill and colleagues showing that the three individual GCS components alone performed similar to the total GCS score for the prediction of 4 clinically relevant TBI outcomes . The present study confirms and extends these previous findings by demonstrating that among unselected critically ill patients in the medical ICU the predictive values of the FOUR-EM and of the motor component of the GCS for 28-day mortality does not differ from the total FOUR score or the GCS. Moreover, the inter-rater agreements for the FOUR-EM and the GCS-mot in the present study were better than for the total FOUR score and the GCS. Thus, reducing the complexity of a score can substantially improve inter-rater reliability without necessarily losing predictive power. In a multivariable analysis in over 8,000 head trauma patients Murray and colleagues  found that in addition to the GCS-mot, pupil reaction has an independent predictive value. Therefore, we tested whether adding the information on bilateral pupil reactivity to the FOUR-EM would significantly increase the predictive value for 28-day mortality, which was not the case.
A limitation of our study is that due to the inclusion of unselected, and especially sedated, patients and the maximum time interval allowed for pair-wise ratings of one hour no perfectly stable experimental conditions for scoring were achieved. Particularly, we cannot exclude that some inter-rater disagreements are caused by true alterations in the level of consciousness. However, as raters performed the GCS and the FOUR score simultaneously such true alterations in the level of consciousness cannot explain the observed differences in the inter-rater agreement between the two scores. Moreover, our study conditions reflect the dynamic environment in the ICU so that our results give a fair estimate of the reliability of two coma scales in daily practice. A further limitation of our study is that no surgical patients, and especially no head trauma cases, were included so that the findings relate to unselected medical critically ill patients only. An inherent limitation of the validation of coma scales is the absence of an objective measure of the level of coma. Thus it should be kept in mind that better inter-rater reliability does not necessarily mean better accuracy.
The FOUR score performs better than the GCS with regard to exact inter-rater agreement, but not for the clinically more relevant agreement within the range of ± 1 score point or the predictive value for 28-day mortality. Although neurologists outperform ICU staff with regard to exact inter-rater agreement, the inter-rater agreement of ICU staff within the clinically more relevant range of ± 1 score point equals that of the neurologists. Thus, a precision in neurological scoring sufficient for the clinical settings cannot only be achieved by dedicated staff in specialised neuro-ICUs but also by ICU staff in general ICUs. The small advantage in inter-rater reliability of the FOUR score is most likely insufficient to replace the GCS, a score with a long tradition in the ICU.
The FOUR score, a new coma scale not relying on verbal response, performs better as the GCS with regard to exact inter-rater agreement, but not for the clinically more relevant agreement within the range of ± 1 score point.
In neurological scoring, the inter-rater agreement within the range relevant for clinical decisions of ICU staff equals that of neurologists.
MF participated in the design of the study, performed the neurological scoring, and was responsible for data management. SR participated in the design of the study and performed the neurological scoring. AC performed the neurological scoring. MS was responsible for identifying suitable patients and performed the neurological scoring. AL participated in the design of the study and performed the neurological scoring. FT participated in the design of the study and performed the statistical analysis. PH participated in the design of the study and performed the neurological scoring. SM participated in the design of the study, performed the neurological scoring, and drafted the manuscript. All authors contributed to the interpretation of the results and read and approved the final manuscript.


text:
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Editorial Letter
English Bazaar Patrika
Gandhiana
SANCHAY
Samantar Gujarat
Samantar
Ami Ek Jajabar
Opinion Online Team
English Bazaar Patrika Team
Samantar Gujarat Team
પૂર્વ આફ્રિકાના રંગભેદની નાબૂદીના ઇતિહાસનું એક પ્રકરણ ...
Hind Swaraj vs Hindu Rashtra
Different Shades of Diaspora — My Lived Experiences from East Africa
ગુજરાતી ભાષાનું ભવિષ્ય : જાણીતા ગુજરાતી લેખકોની નજરે-૩
Upendra Trivedi : lone Shining Star of the Gujarati Cinema
Human Development Index : Through the Lens of Gandhi, Ujama and Ubuntu
Festival of Natural Fibres - 1
Misaligned priorities:
Review of Movie - Rashmi Rocket
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Zohra Sehgal
Reginald Massey
Zohra Sehgal in Bhaji on the Beach, 1993; she was one of the first Indian actresses to achieve an international profile. Photograph: Ronald Grant Archive
Zohra Sehgal, who has died aged 102, was one of the first female Indian actors to achieve a truly international profile, with roles in the films Bend It Like Beckham (2002) and Bhaji on the Beach (1993). Typically in her later years she played the part of a traditional south Asian woman struggling to come to terms with the pressures of living in a modern, alien culture as her children and grandchildren increasingly abandon the old ways. She also appeared in a number of TV series, including The Jewel in the Crown (1984) and Dr Who (1964-65), and her Bollywood output was prolific well into her 90s.
Zohra arrived in the UK in 1962, to take up a British Drama League scholarship. After working as a dresser at the Old Vic and playing bit parts in the theatre, she became the face of the BBC's early attempts at multiculturalism, presenting programmes aimed at new migrants and appearing in the 1977 serial Padosi (Neighbours). This led to roles in Courtesans of Bombay (1983), a docudrama directed by Ismail Merchant, but it was The Jewel in the Crown that brought her wider recognition, and made her a reliable feature of many subsequent British Asian productions, including Channel 4's first Asian comedy series, Tandoori Nights (1985-87). She was in her 80s by the time she moved back to India, but went on to appear in a string of films, culminating in Cheeni Kum (2007), in which she played the mother of the Bollywood superstar Amitabh Bachchan.
She defied expectations throughout her life: a career in show business was not the conventional choice for a girl from an aristocratic Muslim family in Saharanpur, northern India. Born Sahibzadi Zohra Begum Mumtaz-ullah Khan, she was one of seven siblings; her mother died when she was young and her father rather spoiled her. She first encountered art and culture at Queen Mary College, Lahore, where strict British schoolmistresses educated the daughters of the Indian upper classes.
Having resolved to become a dancer and actor, she managed to get to Germany in 1933, where she studied under the dance pioneer Mary Wigman. She later toured several countries with the dancer Uday Shankar, elder brother of Ravi Shankar, who was then a small-part dancer in his company.
She met her husband, the painter Kameshwar Sehgal, in an arts centre founded by Uday Shankar in the Himalayan foothills. Again, it was an unconventional choice: Kameshwar was eight years younger than Zohra and he was a Hindu. They married, in the face of considerable opposition, in 1942.
The couple started a dance school in Lahore, but the tensions over their marriage forced them to move to Bombay, which was then a comparatively liberal city. They joined the Indian People's Theatre Association (IPTA), which consisted of progressive and secular intellectuals, poets, writers, film-makers, actors and artists. Most of the country's leftwing luminaries were active IPTA members.
In 1946, Zohra appeared in Dharti Ke Lal (Children of the Earth), a film about the Bengal famine of 1943 that formed part of a new wave of socially engaged Indian cinema. The same year, she featured in Neecha Nagar (The Lowly City), a groundbreaking social realist film, Indian cinema's first international critical success and winner of the Palme d'Or at the Cannes film festival. The atmospheric soundtrack of both films was provided by Ravi Shankar.
After partition in 1947, Zohra, as a leading lady of Prithvi theatre (run by Prithviraj Kapoor), toured the country performing plays advocating communal harmony. In 1959, tragedy struck when Kameshwar took his own life, leaving her to bring up their two young children. Three years later, she took up the British Drama League scholarship and they went to London.
It may have been her regular yoga exercises and absolute discipline in matters of eating and sleeping that gave Sehgal the energy of a woman less than half her age. When I asked her in early 2013 what she had enjoyed most in life, her eyes lit up. "Sex! Sex! And more sex!" she declared.
Padma Vibhushan title in 2010. She is survived by her dancer-choreographer daughter, Kiran; her son, Pavan; four grandchildren; and a great-granddaughter.
Zohra Sehgal, actor, dancer and choreographer, born 27 April 1912; died 10 July 2014
courtesy : "The Guardian", Tuesday 22 July 2014
Category :- English Bazaar Patrika / Sketches
The woman behind the Mahatma
Shail Raghuvanshi
Kasturba Mohandas Gandhi
Mahatma Gandhi, the Father of the Nation needs no introduction. That he worked hard to transform himself from Mohandas Karamchand Gandhi to the Mahatma, everyone knows. That he fought hard to help India and its citizens to get their deserved freedom is also well known. Though, how much of it is appreciated today I am not very sure. What few know or even bother to remember is the person behind the Mahatma's success. Yes, indeed. I am referring to Kasturba Gandhi, the simple, unassuming wife of the Mahatma.
Born Kastur Kapadia in Porbabdar, she became Kastur Ba after marrying Gandhiji. She bore him four sons - Harilal, Manilal, Ramdas, and Devdas. History offers proof of the sacrifices that this woman made to enable the Mahatma to work towards procuring freedom for India. Adjusting to a new way of life, giving up the little pleasures that every married woman desires, letting go of dreams that any girl has of wedded life - this and a lot more did Kasturba do, just to let her husband lay a foundation for the task that lay ahead of him. Kasturba let the revolution that ushered in independence usurp her dreams and desires. Not an easy thing to do. Understanding the power of sacrifice for a noble cause is something that requires a lot of self-introspection which most people do not have. But do we remember Kasturba for all that she did?
In many ways, Kasturba's relationship with Gandhiji was like any other wife in most Indian homes. Most of the time, the man-woman equation is unequal, particularly so for Kasturba and Gandhiji as they were married in an age when equality of rights in an Indian marriage was something unheard of. Arun Gandhi, the grandson of Kasturba and Mahatma Gandhi, says in his book, Kasturba: A Life, "The story of my grandmother's life is simply this: while Mohandas experimented with truth, Kasturba experienced it."
Of course, this certainly does not belittle all that Gandhiji did for us. Even today, I credit my freedom to him and will always do. I am only trying to see another aspect into the Gandhiji saga. Kasturba is said to have always been caring and ever helpful. More than anything else, she was always patient with her husband. Having been forced to do without a lot of amenities, she did not permit her husband's power with the masses to go to her head. Again, something very difficult to do, as pride in a husband's power and fame is very normal for any woman. Poverty and celibacy were ways of life she willed herself to accept - tough decisions to make. So many times, in our hurry to acquire and maintain a career, so many times in our obsession to live the lives of liberated women, we tend to disregard qualities that define a woman. Yes! They are love and sacrifice. I know! I know! You might rightfully ask me as to why sacrifices need to be made by women alone. Men can make them too! True! But, we cannot generalize in today's world. Not all men are selfish. So many men make sacrifices we never get to hear about. Many men today are volunteering to care and help around in the house. But it is a fact that, even today, women are expected to be loving, to run the household, work outside, take care of the needs of their families and still retain their 'femininity.' It is a man's world still.
It is an unfair society, agreed, but becoming bitter about it will definitely get us nowhere. Nor will getting lost in the tug-of-war of egos get us anywhere! Again, you might question the oft-repeated statement, "Behind every successful man there is a woman..."
"Why be the woman behind the successful man?" you may ask.
"Why not be the successful woman before the man instead?"
It certainly is a question for our times, considering the current environment where women contribute significantly in almost every field that was earlier considered to be a male domain. But what most women tend to conveniently forget now-a-days is that success need not be measured by a career and a 'high funda' lifestyle. No success is victory if it forces you to compromise on all those values you hold dear, like relationships and the joys of a family. At the far end of your life, when you have become old and need to depend on others for physical and emotional requirements, will our families and friends be there for us? Were WE there when they needed us the most? Did we take time out (from our busy and successful lives) to share their joys and woes? Or did we say, "Not now, later. Can't you see I am busy?" Sadly, we were busy getting further and further away from the love that we need the most.
There are many women today who maintain a wonderful balance between work/job and home. They make time for themselves and for their loved ones. Life for them is not a race to prove their identities. Instead, they journey through life experiencing every moment for what it is and not for what it should be.
Women like Kasturba Gandhi often go unnoticed because of their beautiful humility. Arun Gandhi says, "Kasturba Gandhi spent virtually her entire life with the daily all encompassing reality of Mahatma Gandhi's search for Truth." Women like these are the ones who make a house a home. Housewives by choice or by circumstance, they live their lives to the fullest, forsaking those little desires they once thought important. They are successful women in their own right, just as much as those working women who believe in themselves and in the right to be happy without trampling on the feelings of their loved ones.
Kasturba was died on February 22, 1944. As we remember Mahatma Gandhi, the successful man, let us salute Kasturba - the successful woman behind the successful man!
http://www.mkgandhi.org/articles/kasturba.html
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redpajama_set_name: RedPajamaCommonCrawl


It looks as that Google+ is following the path of Facebook as Google+ introduces a new feature on their site. The latter has added a feature that Facebook was using for a longtime now – the "ignore" and "block" options.
Ignore signifies that users is not going to see what the other person shares on his page. The new block option regulates the means a person can network with what a Google+ user is sharing. Both intended to reduce the social media clutter on Google+.
When users choose to disregard someone, they will not notice anything that the other person posted on their own page, catch notifications about what they do on +, or even notice them on their + Circles page.
Google+ users now can ignore people in two ways. First, with the ignore button. Any notifications coming from that person is going to be put on the ignore list. To activate the feature, the user can just highlight anyone they want to ignore and click on ignore.
When users want to block someone, a control that is available from Circles a user's + profile, anywhere the ignore option emerges and from the announcement widget, that the user detached both from Circles and extended Circles.
Blocking someone would also mean that the person who block would not see anything the blocker reveals with their Circles, and cannot make a statement on + posts a blocker makes.
To avoid hurting some feelings, the person, who got block never gets a notification that a user has blocked them. Most of the time, they just found out, but there are times that the person, who blocks them are not that serious for them that they hardly visit the page of that user. In this case, they never learn that they got block.
Just like Facebook did with the feature that Google+ tries to imitate, the version of Google+ has its way to unblock or un-ignore someone. To un-ignore a user, + users can find their way to the list of unseen users under "more actions" on their + Circles page. To unblock someone, simply visit their profile and begin following them once more.
The two features introduced two days prior to Facebook sprucing up its privacy-control features, which makes it easier to control shared items to their group and to have a quick look at what people can see.
Moreover, Facebook profile elements from music and books to addresses and phone numbers can be separately checked on or off to show to everyone.


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The purpose of this webpage is to provide information ( a majority are secret are hard to find) on the iPhone, iPad iPod touch. How to download app on ipad without wifi. Below you will find a list of the various apps that you can download for your smartphone iOS devices , tablet, as well as information on how to download each app for Android links to.
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It will mainly concentrate on the more feature rich iPhone but sometimes information on the iPad iPod Touch will be added if it is not too distracting. Shaw offers a number of apps that can connect you to your products and services while you' re on the go. In the video calling it allows staying connected with everyone by talking seeing them.
Here' s a complete step- by- step guide on how to download install iOS 12 OTA ( over the air) without losing your files settings. WinX MediaTrans is the best iPhone manager software to two- way transfer photos music videos for iPhone XS ( Max) / XR/ X/ 8/ 7/ 6S iPad manage music , backup large 4K video files, Windows ( 10) PC without iTunes: backup media files, e- books for iOS ( 12) . GoodReader is undoubtedly the most powerful versatile useful file management / general productivity app for iOS.
Read reviews, compare customer ratings, see screenshots, and learn more about HotspotShield VPN & Wifi Proxy. Download HotspotShield VPN & Wifi Proxy and enjoy it on your iPhone, WiFi Password Hacker App for iPhone, iOS & iPad Free. This app Allow to Break break the password of all the networks nearby and gain the access. Well, if I must, I have to say that it is easy to use and the videos and photos are clear and crisp. The App Store has thousands of free Xender App: Xender is one of the amazing file sharing application for your system.
The Xender app specially designed for connecting two different devices like PCs or smartphone, with that the application that allows you to share all sort pictures, videos, apps,. Simple trick to download Apps over 150MB on iPhone or iPad without WiFi - using cellular data ( 3G, 4G or LTE) internet connection.
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The data link processor open-architecture reduces Link 16 integration costs and provides interoperability.
For several years, BAE Systems has developed what is now a family of Link 16 test and integration tools. The data link processor (DLP), a compelling example of that design expertise, is a fully-functional joint tactical information distribution system (JTIDS) and multifunctional information distribution system (MIDS) host processor.
The DLP is scalable, from an embedded Link 16 host processor to a fully functional Link 16 host, with situational awareness display and controls. Available in many different form factors, including 6U/3U VME, Compact PCI, and PC-104, the DLP supports conduction or convection-cooled cards to meet overall system design and installation requirements.
The DLP supports open architecture and scalable designs to dramatically reduce Link 16 costs while improving systems interoperability and accelerating a variety of functional certification processes. DLP supports a variety of Link 16 platforms (e.g., MIDS LVT1, MIDS FDL, Class 2 Navy air and ship, Class 2 F-15, and related terminals), as well as in-facility engineering and check-out.
Modular hardware and software, easily adapts to user requirements.
Scalable functionality from embedded applications to full stand-alone host functionality.
Expandable core design shown to also support wideband SATCOM and special- purpose (for example, common data link) equipments and protocols.
Message catalogs – implements the full TADIL-J catalog, in accordance with MIL-STD-6016.
1990 – Under Navy leadership and corporate funding, the Link all-purpose work station (LAWS) software is developed. LAWS executes on ruggedized portable PCs, under a MS Windows® operating environment. Used extensively in shipboard integration and testing.
1993 – Submarine JTIDS processor (LAWS-derivative) provides temporary host interface functionality for Link 16 usability testing onboard Los Angeles class submarines.
1994 – LAWS-derivative demonstrates ability to transfer Link 16 messages over UHF and MILSTAR SATCOM (S-TADIL-J).
1994 – Software functionality demonstrates sensor-to-shooter Link 16 connectivity as part of the battlefield awareness and data dissemination technology demonstrations.
1996 – MIDS field test equipment, supports successful MIDS international acceptance testing.
1997 – Prototype DLP repeats 1994's successful S-TADIL-J testing.
1998 – DLP supports P3/S3 Link 16 DoD-level advanced concepts technology demonstration.