Saturday, February 6, 2010

Supplemental alpha-tocopherol: A Perspective on Approaching an Evidence-based Project


As part of a Continuing Professional Development project with ARAMARK Canada Ltd. at the Toronto Rehabilitation Institute (Toronto Rehab), I reviewed the literature on supplemental α-tocopherol. My objectives were to weigh the potential risks versus benefits of supplemental α-tocopherol in primary and secondary prevention of cardiovascular disease (CVD) to determine specific practice considerations for supplemental α-tocopherol including the type of supplement, dose and duration. This was an opportunity for me to hone my skills using evidence-based methods. As expected, a plethora of literature on this topic existed, so I focused on randomized controlled trials (RCTs).

Reading, critiquing, and comparing the many papers that exist on the topic was time consuming, but necessary. Some studies looked at α-tocopherol alone, while others looked at α-tocopherol in combination with other antioxidant supplements. Studies were inconsistent in terms of dose, unit of measure (mg versus IU) and source (natural versus synthetic). I discovered there are specific conversion factors to use depending on the unit of measure, as well as the source (natural or synthetic). Taking the Dietary Reference Intake (DRI) course in the past proved helpful as I was able to easily retrieve required information on α-tocopherol.

Working on such a large project really put my organizational abilities to the test. Initially feeling overwhelmed, I decided to arrange the stack of papers. Primary prevention papers were filed in one binder and secondary prevention in another. Within the secondary prevention group, where I devoted most of my time, I compartmentalized further. For example, the outcomes of short term trials (under five years) were examined separately from studies longer than five years. Within these groups, I looked at the dose and type of supplement (natural versus synthetic) and made the necessary conversions.

I highly recommend reading Deborah (Boyko) Wildish’s chapter on micronutrient supplementation (Wildish, 2008), a resource that helped me immensely in my critique.

Factors considered for each article:

  • Population being studied
  • Type of chronic disease(s) or conditions the participants experienced
  • Form of supplemental E
  • Dose and timing (i.e., when was it administered)
  • Study duration
  • Inclusion of other antioxidants e.g., vitamin C, β-carotene
  • Outcome measures

The checklist (p. 190) details factors impacting the strength of study design and quality of evidence.

Keeping to a schedule was paramount for completing such a large project. When I was away from the task for an extended period, I found I wasted valuable time simply reviewing what I had done. The next time I take on such a project, I plan to consistently devote a few hours each week to keep the project alive and the momentum flowing.

I highly encourage involving members of the interprofessional team. I liaised with our program physician, pharmacist and other RDs on issues related to α-tocopherol. Our staff librarian was most helpful in assisting me with the literature search and in obtaining journal articles. This was a huge time saver!

Project Conclusions

For Primary Prevention: No benefits or risks reported with 20-660 IU/d for three to 10 years. Thus, not enough evidence to support recommending supplemental α-tocopherol for primary prevention of CVD.

Secondary Prevention: Equivalent evidence reporting both risk and benefit associated with 22.5 to 800 IU/d for 1.4 to 9.4 years, and increased risk of mortality observed with α-tocopherol supplementation >150 IU/day. It was questionable whether lower doses offered any benefit. More research is required. Therefore, supplementation with vitamin E is NOT recommended for secondary prevention of CVD.

The experience of completing this project left me with several salient points of learning. Firstly, studies generally are not designed to measure treatment risk because inflicting potential harm on humans is unethical. Thus, whenever risk emerges in a study, even if small, it may be more serious than reported because the researchers focused on treatment benefits. Secondly, I learned that you must have a keen interest in your topic to sustain your interest. Finally, there must be practical application of your findings to your daily practice with clients and colleagues. Sharing the results of project work communicates our expertise to colleagues. Not only is this self-empowering, but it helps raise the profile of RDs, and fosters interprofessional relationships.


REFERENCES

Wildish DE. (2008). Addressing clinical queries for micronutrient supplementation in the management of diseases and medical conditions: What can I tell my patient? In: Yoshida T, Ed. Micronutrients and Health Research. Publishers, Inc.: 181-205.

Other references available upon request.


CONTACT:
Maria Ricupero, RD, CDE
ARAMARK at Toronto Rehab
T: (416) 597-3422 (5239)
E: ricupero.maria@torontorehab.on.ca

324 comments:

1 – 200 of 324   Newer›   Newest»
more information said...

Nice information, valuable and excellent design, as share good stuff with good ideas and concepts, lots of great information and inspiration, both of which I need, thanks to offer such a helpful information here.

paper writing services said...

Your content is extremely educational! Looking at your work has enlightened me. Discovered a lot from it. Not everyday that I have the possibility to see something like this

Unknown said...

Packers and Movers in Navi Mumbai @ http://top3th.co.in/packers-and-movers-navi-mumbai/
Packers and Movers Thane @ http://top3th.co.in/packers-and-movers-thane/

Peccatum said...

Thanks for recommendations. I'll keep it. top essay writing reviews

Unknown said...

Thanks a lot for sharing. It was very informative. I would like to share little something just as well. If you are a student and you need to know how to write a perfect college essay, take it as you have already got it. An excellent service will provide you with an excellent quality of paper in a timely manner for affordable pricing.

Unknown said...

Samsung Galaxy S7
Samsung Galaxy S7 edge


26 january republic day
republic day 2016
republic day in hindi
republic day images pictures
26 january republic day images
indian republic day quotes
greetings of republic day
26 january republic day images
image of republic day
republic day photo
indian republic day
speech on republic day
republic day pictures
26 january republic day
republic day greetings
republic day greetings
republic day images
republic day photos
republic day pic

Unknown said...

26 january republic day
republic day 2016
republic day in hindi
republic day images pictures
26 january republic day images
indian republic day quotes
greetings of republic day
26 january republic day images
image of republic day
republic day photo

Unknown said...


Happy Valentines Day 2016 Quotes wishes
Happy Valentines Day 2016 Quotes wishes
happy valentine day wishes for girlfriend
Happy Hug Day Images for Girlfriend Boyfriend
Happy Kiss Day SMS for Girlfriend Boyfriend
Happy Promise Day SMS for Him Her

rahhul said...

short quotes for mothers day
quotes about mother day
happy mothers day hearts
mother day quotes bible
quotes mother day
famous mothers day quotes
mothers day short quotes
funny mothers day quotes for card
famous quotes about mothers
inspirational mothers day quotes
inspirational quotes for mothers day
mothers day famous quotes
best mothers day quotes sayings
mothers day quotes in spanish
happy mothers day words of inspiration
short mothers day sayings
mothers day card quote
happy mothers day god mommy
spanish mothers day quotes
mother s day quote
mother day poems quotes
happy mother to be quotes
mothers day quotes spanish
short mother day quotes
short happy mothers day quotes
quotes for mothers day in spanish
happy mothers day quotes in spanish
christian mother day quotes
mother day quotes 2016
love quotes mother
quotes for mother to be

Unknown said...


Easter images free download
Download Free Easter Pictures


Easter images free download
inspirational easter quotes
happy easter images quotes


Passover 2016


Memorial Day Quotes
Memorial day 2016 USA


Good friday 2016
Good friday 2016 date
Good friday 2016 US
Good friday 2016 Canada
Good friday 2016 UK

when is mothers day
when is mothers day
when is mothers day


Saint Patricks day 2016
st patricks day images
st patrick's day
saint patricks day ireland
st patrick's day
st patrick's school
st patrick's day 2016 chicago
saint patricks day images

rahhul said...

International Women’s day images, quotes & pictures 2016
International Women’s day images
International Women’s day quotes
International Women’s day pictures
International Women’s day 2016
International Women’s day images 2016
International Women’s day quotes 2016
International Women’s day pictures 2016
Happy Womens day Messages, SMS & wishes
Happy Womens day Messages
Happy Womens day SMS
Happy Womens day wishes
Womens day Messages, SMS & wishes
Wish you very happy womens day
Wish you very happy womens day for mom
Wish you very happy womens day for sister
Wish you very happy womens day for teacher
Wish you very happy womens day for mom, sister & teacher
Wish you very happy womens day poem
Womens day GIF Image
Womens day HD wallpapers
Womens day wallpapers for desktop
Womens day wallpapers for background
Womens day GIF Image Mobile
Womens day HD wallpapers free
Womens day wallpapers for Mobile
Womens day GIF Image & HD wallpapers for desktop background, Mobile free

Unknown said...

My Blog
Website
Check Also
GOOD Info

Unknown said...

Check out about facetime for pc here
how to use facetime

Unknown said...

gudi padwa

holi one

when is holi

holi wishes

happy holi images

Unknown said...

holi festival of colours

holi quotes

nag panchami

color festival

Unknown said...

festival of colors

holi greetings

holi video

holi messages

holi pics

Unknown said...

buddha purnima

holi india

holi photo

holi pictures

holi party

holi photos

colour festival

holi picture

what is holi

holi colors

happy holi image

holi date

holi shayari

holi festival india

Unknown said...
This comment has been removed by the author.
Unknown said...

What do you Say for Passover, Happy Passover in Hebrew
Earth Day Projects for Middle School
Earth Day Events Ideas
Earth Day Celebration Ideas
earth day story

Memorial day Destinations
Memorial day festivals 2016

father's day wishes, quotes, messages
Father’s Day Arts and Crafts Ideas for Toddlers
Father’s Day Craft Activities

Father's day gifts ideas
Happy Fathers Day Greetings, Messages, Wishes, Ecards

yuvikhan said...

good Ali takes on Kapil's Nani who's 90% impaired. thekapilsharmashow Be adequate it to declare, the inaugural occurrence Live-in-Delhi, despite the Badshah was disappointing. nice.

chor chindi said...


results 2016 date
www.mahresult.nic.in
Ssc mahresult 2016 date

Unknown said...

Mothers Day Sayings & Poems for Grandmothers
Mothers Day Short Quotes for Cards from the Bible
Mothers Day Messages for cards in English, Urdu & Malayalam
Mothers Day Poems from Daughter for kindergarten
Mothers Day Images & Cards 2016

Mother’s Day Songs Download For Church in Spanish
Mothers Day Sayings Free Printable Cards From Son
Mothers Day Funny Quotes From Son and Daughter
Mothers Day short poems 2016
Happy Mother's day free images 2016

Aadhar Status said...

Aadhar Card Print Now
Aadhar Card Update

Unknown said...

kik chat pc download
kik messenger for pc no bluestacks
can you get kik for pc

Anonymous said...

good Having an Google android smartphone that means go to xenderdownloads you to understand better how Xender utilized for copy documents between gadgets. Xender Download App nice.

Unknown said...

aadhar card status

http://happymothersdayquotes.co.in/ said...

Happy Friendship Day
Eid Mubarak
Happy Independence Day
Happy Friendship Day
Happy Raksha Bandhan
Happy Teachers Day

http://happymothersdayquotes.co.in/ said...

Raksha BandhanDp
Raksha Bandhan Quotes from Sister
Raksha Bandhan Quotes

Unknown said...

happy Krishna Janmashtami Photos
Teachers Day Drawings
labor day activities 
ganesh chaturthi greetings 
eid al adha prayer
World Heart Day
grandparents day speech
world suicide prevention day canada
constitution day facts
diwali greetings
happy autumnal equinox

Unknown said...

Ganpati Photos
Teachers Day Wishes
Ganesh Chaturthi Messages
Samvatsari Quotes
Teachers Day Speech in Hindi

Anonymous said...

To get high quality new year wallpapers, happy new year quotes, happy new year wishes and more,
just have a look at my site Happy New Year 2017 and
enjoy the first day of the year with your near and dear ones.

Anonymous said...

good Permit me produce entire overview of Mobdro request https://imobdro.com iphone app on android os Afterward call us nice.

Unknown said...


Happy Veterans Day Quotes & Sayings to Husband, Boyfriend, Dad and Brother 2016
Thank You Veterans Quotes, Poems, Images, Sayings and Flags 2016

Anonymous said...

CTET 2016 Result
ctet result sep 2016
ctet result sept 2016

Get App Here said...


Install Kodi
Kodi APK App

Unknown said...

This is awesome Gaming Chair Hub

Anonymous said...

awesome Below are just a couple of pictures of our nighttime couple's Best Wedding Photographers in Ahmedabad | Wedding Photography in Chennai Whatever their excuse, insist on getting these shots nice.

Unknown said...

awesome collection of movies TV shows for your entertainment. play view apk Play View App Download most recent edition Play view.APK great.

eaadhar said...

It's a Great Information. Do check out Complete List of Documents for Aadhar Card

Update Aadhar Card offline

Download & Print Aadhar Card online

Verify Aadhar Card Update Status

Aadhar Seeding Guide

Anonymous said...

good All kind of categories of flicks, TELEVISION programs and playview apk This makes it really simple to discover the exact kind of motion nice.

flip diving said...

Thanks for the post, it is really interesting and useful info.This is very helpful article.

Anonymous said...

good To login to an existing account, click to open up the application Snapchat Online There is no is way like on your phone where you could nice.

Anonymous said...

Great page together with this short article and also Download 9Apps APK because other site takes a lot of time to Fine.

directory post said...




happy valentines day to sisterhappy valentines day quotes
happy valentines day 2017 pictures
happy hug day 2017

Anonymous said...

Happy Propose Day Quotes
Valentines Day Quotes For Him
Happy Republic Day Images
Happy Republic Day Quotes
New Quotes Images

Anonymous said...

Great all ideal latest versions of WhatsApp. whatsuply.com not officially for PC but still you can use it on Fine.

Anonymous said...

Great application file from any other market Area or App Shop. aptoide pokemon go make it possible for Unidentified sources and Fine.

Anonymous said...

Valentines Day Images
Valentines Day 2017
Rose Day 2017 Wallpapers

shailu said...

Happy Valentines Day Quotes for Her

Happy Valentines Day Quotes for Him

Valentines Day Quotes for Friends

Happy Valentines Day Quotes

Funny Valentines Day Quotes

Cute Valentines Day Quotes

Unknown said...

Hello author i really want to thank you for your kindness to give us some of the precious time to write this article for us.
Propose Day whatsapp images
Chocolate Day whatsapp images
Rose Day whatsapp images
Teddy Day whatsapp images
Promise Day whatsapp images
Kick Day whatsapp images
Perfume Day whatsapp images
holi wishes
valentines day dress code

cathrynzbrown said...

good visit Setups FaceTimeand then check in with your Apple ID Download FaceTime for PC on for an audio telephone call, faucet symbol. better.

ipl 9 live score said...


Valentines Day Pictures
Valentines Day SMS
Valentines Day Wishes

virginiadavis said...

good and also the version is obtainable doesn't work properly, thus iyoutvplayer.com click on the You TV Player.Apk file. The file can invite your permission nice.

Unknown said...

Easter Images
Good Friday Images
Happy Holi Images

Unknown said...

Thank you so much for share such a wonderful information and ideas. April 2017 Kalnirnay Calendar The author clearly describe all the parts of the article and we can easily understand each and every information.Quality articles is the vital to welcome the clients to pay visit the webpage,that's what this site is giving.

Unknown said...

Super website with a great sharing and amazing stories is ur web.. please keep doing what u do now.. Heart Clipart
Tiger Clipart
Wedding Clipart
thanks to you, It's a great sharing and really informative.. will keep following ur web. thanks to you and ur great website.

massage in dubai said...
This comment has been removed by the author.
deborahmitten said...

by the Google ex-employees. Searching to download and install IMO App the multiple methods to download and install IMO for PC.

Unknown said...

Super website with a great sharing and amazing stories is ur web.. please keep doing what u do now.. Printable Calendar
thanks to you, It's a great sharing and really informative.. will keep following ur web. thanks to you and ur great website.

ruthduff said...

yet the same is true concerning computers and also particularly SHAREit for PC This is a tidy, quickly, in addition to cost-free treatment that will.

Unknown said...

cool information about the cinemabox pc download for mobile watch all movies online without signup

KellieWilliams said...

download page in a direct fashion. After APK data download, mobdrodownloadapp show agreement to the EULA. This is very easy.

julieazevedo said...

This Application is a cost-free industry where numerous Aptoide Download application got updated in the year and altered several.

kristislichler said...

This is still a variation behind. At the time of this writing Paul D. Sheely some cases and also I'm compelled to enter it in manually.

Akshay said...

Mother’s Day is celebrated for our family most special person our mother. Mother is a god gift for all people in the world. Every son/daughter is celebrated Mother’s Day for their mother; mothers day wishes they express their feelings, love, and joy with their mom. Mother’s Day is celebrated in all over the world on different days; it means Mothers Day Date is not same in all over the world. In most countries, Mother’s Day is celebrated second Sunday of month May. Mother’s Day was first celebrated in 1908 when Anna Jarvis held a memorial for her mother at St Andrew’s Methodist Church in Grafton, West Virginia. St Andrew’s Methodist Church now holds the International Mother’s Day Shrine.

amybtarnet said...

years of experience having fun at a very high and also competitive Robert D. Pinson have in the high quality as well as construct of their indoor tables.

Unknown said...

Introduce the tips of refrigeration repair extremely effective of the Vietnamese people in the event of failure in the home appliance refrigeration. How about you, please see and try to see if this knowledge is necessary to you
  Http://suadienlanhbachkhoa.com.vn

Anonymous said...

pan card so now you can check the details of your pan card online.

Unknown said...

http://xembongdatructiep24h.blogspot.com/
http://nhandinhkeobongda24h.blogspot.com/
http://topeleven.com.vn/

sửa máy giặt bách khoa said...

Mothers Day Date is not same in all over the world. In most countries, Mother’s Day is celebrated second Sunday of month May. Mother’s Day was first celebrated in 1908

check cashing Philadelphia said...

. In USA you will realize U.S. Everyplace, every city and 24/7. We honestly want to serve you the simplest matters with 100 percentage satisfactions. It is extraordinarily exhausting to say as soon as exactly must be forced to money your test. Usually it ought to terribly tough to cash if it is now not official hours

KellieWilliams said...

Be affirmed by the numerous individuals of the application quickshortcutmaker no need of android play store simply one click required.

shashank pandey said...

party city 4th of july decorations

patriotic decorations

4th of july nail art ideas

4th of july fireworks 2017

desserts for the fourth of july

Unknown said...
This comment has been removed by the author.
Unknown said...
This comment has been removed by the author.
Unknown said...

hi friend,
visit my website link,
http://leelathestar.weebly.com 
thanks

dellamccabe said...

Tutu Helper Without Jailbreak. Obtain Tutu Helper App Apk for iphone tutuhelpers with the installment of Tutu Helper App it is necessary that you

kathleenrobinson said...

of paths as well as time to obtain to places and wedding photos bigphotographers play. On a couple of weddings I also went to.

Best Home Improvement Company NYC said...

Ajrin Construction Inc. is a licensed New York general construction firm working as General Contractors in NYC, truly devoted to our services and remain firm until our Clients’ purposes are served to satisfaction. We feel much concerned of the value of your property, safety and security more than our profit or anything else.Best Home Improvement Company NYC

neha2195kumavat@gmail.com said...

nice 1

ElizabethMartin said...

As i claimed before Voot app is not offered for PC ivootapp Smartphone users due to its appeal, in short period.

MicheleDavila said...

We will certainly update pro variation quickly, please anticipate it. VivaVideo With over 200 million customers around the world as well as.

Unknown said...

Geometry Dash is a rhythm based action game which is a 2013 mobile and Steam game developed by Sweden-based developer

Robert Topala and published by his own company RobTop Games. Geometry Dash is a Republic based platforming games and it

is currently offering 21 official level and more than 30 million online level made by the players geometry dash 2.1 apk

Chris Dean said...

Curious about how everyone is getting Google Play gift card codes to buy their favorite paid apps, books, movies without spending an extra money from their pocket? You may be interested to check out this post earn google play money

hooda said...


This is extremely helpful info!! Very good work. Everything is very interesting to learn and easy to understood. Thank you for giving information.
abcya | brainpop

Unknown said...

You have done a great job here free download the calendar

barbaradillon said...

Panasonic are attempting to increase their digital customer reach by evaluating Top-Rated Water Flosser that just sets you back a number of dollars! Or, make use of a transformer.

Phạm Văn Độ said...

Our company specializes in supplying tháp giải nhiệt, thap giai nhiet top quality, prestige go with the brand

Unknown said...

Công ty Redsand là địa chỉ cung cấp các sản phẩm uy tín và chất lượng về ECRMdịch vụ quản trị website Đà Nẵng giá tốt nhất. Rất cảm ơn chủ bài viết đã cho mình để lại comment này.

Mobdro apk download said...


Very Interesting and wonderfull information keep sharing
myjio login

Anonymous said...

Though with rise of demand and third party apps trying to develop the APK for Android devices, soon there will be a Facetime for Android available in the market facetime app android
xmodgamesdownloads.com

Anonymous said...

The 2019 AFC Asian Cup qualification was the qualification process organized by the Asian Football Confederation to determine the participating teams for the 2019 AFC Asian Cup
Womens World Cup 2019 Live Streaming
ICC World Cup 2019 Live Streaming
ICC World Cup 2019 Theme Song
AFC Acian Cup 2019 Live Streaming

Anonymous said...

Significantly, the title of the tune which is in English, whatever is left of the verses are in Russia. Also, the Fanatics of FIFA are very certain that the tune
2018 World Cup Theme Song
speed post tracking
ipl 2018 live streaming
FIFA World Cup Live Streaming
World Cup Theme Song

Unknown said...

Open your tool, begin your internet browser and Official Site Type your game pin in the empty boxes and also enter.

Unknown said...


Nice post. I learn something new and challenging on sites I stumbleupon everyday. It's always useful to read through articles from other authors and practice a little something from other sites. yahoo mail login

Arnold James said...

You have done a great job here free download calendar of may

WhatsApp status said...

If you are searching status that makes others cry, then check out our collection Sad WhatsApp Status

Anonymous said...

If you are searching status that makes others cry, then check out our collection Sad WhatsApp Status

Every Quotes said...

If you are looking for Quotes then check our latest collection of Quotes

Unknown said...


Cricket World Cup Latest News and Updates With Live Streaming, schedule, groups, Results, News, Updates, Scores Click Now Get Free ICC World Cup 2019 Live Streaming

Unknown said...


Find What is intriguing here. Check it now Spotify Premium apk

Rajkumar Saini said...

Hey There. I found your blog using msn. This is a very well written article. I’ll be sure to bookmark it and come back to read more of your useful info. Thanks for the post. I’ll definitely return.
4th of July Images Free
Fourth of July Pics
4th of July Images Free

Cục đẩy công suất - Khang Phú Đạt Audio said...

Thanks for this wonderful post. The information in this article is very helpful to me. Thanks a lot for sharing. Keep blogging https://suachuamaygiatelectrolux.com.vn/

Blogger said...

The 2018 Asia Cup will be a One Day International cricket tournament scheduled to be held in the United Arab Emirates in September 2018. Asia Cup 2018 Live Streaming

Anonymous said...

Life has never been this easy till I saw your post on it. Thanks for the share

Ceramic Braces

parsaya said...

I was very impressed by this post
https://www.parsaya.com/beauty

ravi said...

thanks for sharing this post.
whirlpool refrigerator service center in hyderabad

sam said...

چاپ افست یکی از دو روش قدیمی است که یک پلیت یا زینک دارد که متریال روی آن قرار گرفته و چاپ می شود. این عمل همراه با انتقال جوهر صورت می گیرد که ممکن است رنگ ها در چند مرحله روی کاغذ اجرا شود. در حالی که در چاپ دیجیتال تهران دستگاه جوهر را به طور مستقیم روی کاغذ یا پارچه می افشاند. معمولا کیفیت چاپ افست را بیشتر از چاپ دیجیتال می دانند، اما هزینه های اولیه زیادی دارد و اگر چاپ انبوه نباشد، هزینه بیشتری نسبت به قیمت چاپ دیجیتال دارد. بنابراین چاپ دیجیتال جایگزین بسیار مناسبی بوده و مزایای زیادی هم دارد.
چاپ بنر فوری را می‌توان مهم‌ترین مدیا در گروه چاپ فضای خارجی به شمار آورد که برای انواع تبلیغات، به خصوص معرفی شرکت‌ها، محصولات و خدمات، به کار می‌رود.

Unknown said...

Jio Phone WhatsApp Download

HR Home appliances service said...

Great post Thanks for sharing...
Samsung refrigerator service center in Hyderabad

HR Home appliances service said...

Great blog post. I really like this blog. Thanks for sharing this post...

ravi said...

thanks for sharing this post
haier refrigerator service center in hyderabad

ravi said...

thanks for sharing this post
whirlpool ac service center in hyderabad

اجاره خودرو said...

سعادت رنت معتبر ترین شرکت اجاره خودرو در ایران

نوین سئو said...

چگونه ایمیل بسازیم در کامپیوتر یا ثبت سایت در گوگل وبمستر چقدر است. بدانید که زبان سئو چیست و سئو داخلی چیست و سئو خارجی چیست را مطالعه کنید بدانید که سرویس هاست چیست بدانید که تعریف دامنه چیست و تعریف وبلاگ و بهترین وب سرور و به چه دردی میخورد.

Unknown said...

Get free holiday tickets to Bali 3 days 2 nights by attending the event from my official website

game poker dominoqq capsa online indonesia
game pokercc qqraja

شرکت طراحی سایت کاشان said...

Remember that the right guide can make or break a trip. I have realized that having wonderful travel experiences all depends on how you look and who you keep company with! So just drop me a line and make the iran tourism video the most impressive chapter among your global tour memory.

Jamz said...


اجاره روزانه خانه در تهران
سايت تفريحي
سايت تفريحي
سايت تفريحي
مجله خبري
اس ام اس
سئو
استخدام
استخدام تهران
اجاره سوئيت در تهران يک روزه

goliaa said...

کلینیک لیزر|دکتر علیرضا زارعی|درمان بواسیر، هموروئید، شقاق، فیستول و کیست مویی


بهترین روش درمان فیستول| و درمان بواسیر (درمان هموروئید) با لیزر|

کیست مویی چیست؟درمان کیست مویی با لیزر با کمترین عوارض در مرکز جراحی با لیزر
مزایای درمان کیست مویی با لیزر نسبت به عمل جراحی کیست مویی

دلایل بروز بیماری کیست مویی

goliaa said...

کلینیک لیزر|دکتر علیرضا زارعی|درمان بواسیر، هموروئید، شقاق، فیستول و کیست مویی

کلینیک لیزر درمانی دکتر علیرضا زارعی متخصص جراح|درمان بیماری های بواسیر، هموروئید، شقاق، فیستول و کیست مویی
ونک لیزر|درمان هموروئید ،بواسیر، شقاق ،فیستول ،کیست مویی با لیزر

کلینیک نوین | درمان بواسیر، هموروئید، شقاق، کیست مویی، زگیل و فیستول با لیزر توسط دکتر متخصص

Teresa Halminton said...

This is very helpful for me to know. Thank you so much.
instagram search

prakash gohel said...

This is amazing and wonderful article. I am really impressed and must say this is an interesting article. The information given in this article is unique and superb.I recently found many useful information in your website especially this
blog page. Among the lots of comments on your articles. Thanks for sharing.|| khatarnak attitude status in hindi || Best royal attitude status in hindi || hindi attitude status ||

Gary said...

ICC Cricket World Cup 2019 All Team Squad


Successful India Cricket Team Captains

Cricket World Cup History

2019 Cricket World Cup Teams

Cricket World Cup 2019 Schedule

HR Home appliances service said...

Great post. Thanks for sharing...
Samsung Refrigerator Service center near me

Hema Banavatu said...

Nice Post.
Thank you for sharing.
Samsung Washing Machine Repair in Alwal Hyderabad

Hema Banavatu said...

Very Nice Post.
Thank you for sharing.
Samsung Washing Machine Service center in Hyderabad
LG Refrigerator repair in Hyderabad
LG Washing Machine Service center in Hyderabad

ravi said...

nice post
samsung washing machine service center near me
whirlpool washing machine repair in hyderabad
lg refrigerator service center in hyderabad

nowinseo said...

امروزه تعداد کاربران بازی های رایانه ای بسیار بی شمار شده است. با ورود نسل جدید کنسول های بازی و گیم های با گرافیک بسیار بالا و واقعی کمتر کسی از افراد هستند که به دنبال سرگرمی دیگری بروند. بازی های xbox , بازی های ps3 , بازی های ps4 و بازی های pc به شدت طرفداران زیادی دارند. اما برای بازی های کنسول نیاز به خرید اکانت بازی هم دارید که در وبسایت گیم استور game-store می توانید انواع اکانت های قانونی و اکانت های ترکیبی و اکانت های هکی را خریداری کنید. فروشگاه بازی play station4

game001 said...

امروزه تعداد کاربران بازی های رایانه ای بسیار بی شمار شده است. با ورود نسل جدید کنسول های بازی و گیم های با گرافیک بسیار بالا و واقعی کمتر کسی از افراد هستند که به دنبال سرگرمی دیگری بروند. بازی های xbox , بازی های ps3 , بازی های ps4 و بازی های pc به شدت طرفداران زیادی دارند. اما برای بازی های کنسول نیاز به خرید اکانت بازی هم دارید که در وبسایت گیم استور game-store می توانید انواع اکانت های قانونی و اکانت های ترکیبی و اکانت های هکی را خریداری کنید. فروشگاه بازی play station4

Hema Banavatu said...

Very Nice Post.
Thank you for sharing.
Samsung Washing Machine Service center in Hyderabad
Samsung Washing Machine Service center near me

SportsALA.com said...

Watch cricket live on Smartcric, smartcric com, smartcric.com. Afghanistan Premier league (APL), Asia Cup 2020, PSL 2019, IPL 2019 live, ICC World Cup , all live on smartcric.Watch Afghanistan Premier League and Pakistan vs Australia whole Series live on smartcric Here https://sportsala.com/smartcric-live-free/

Hema Banavatu said...

Very Nice Post.
Thank you for sharing.
Whirlpool Washing Machine Service center in Hyderabad

ravi said...

nice post
Lg Washing machine repair service in hyderabad

Hema Banavatu said...

Very Nice Post.
Thank you for sharing.
Samsung Washing Machine Repair Service in Hyderabad

ravi said...

nice post
Lg Washing machine service center in hyderabad

yanmaneee said...

nmd
curry 4
jordan shoes
valentino
balenciaga
lebron 16 shoes
retro jordans
mbt shoes
nike air max 95
air max 95

Hema Banavatu said...

Very Nice Post.
Thank you for sharing.
Godrej Refrigerator Service center in Hyderabad
Godrej AC Service center in Hyderabad

HR Home appliances service said...

Great post. Thanks for sharing...
Samsung Washing Machine Service center in Hyderabad

ramya said...

Nice post.Thank u for sharing information.
Samsung Washing Machine repair in Hyderabad

Himaja Latha said...

Very Nice Post.
Thank you for sharing.
Whirlpool Refrigerator Service center in Hyderabad
LG Refrigerator Service center in Secundrabad
Samsung Washing Machine Service center in Moulali Secundrabad

ravi said...

nice post
Whirlpool Washing Machine Service center in Alwal Hyderabad
LG Washing Machine Service center
Samsung Washing Machine Service center in Sainikpuri

ramya said...

Nice information.Thank you for sharing.

shailaja said...

Great post thanks for sharing

Whirlpool Washing Machine Service center in Alwal

HR Home appliances service said...

Great article. Really interesting post. Thanks for sharing...

Whirlpool Washing Machine Service center in Malkajgiri
Whirlpool Washing Machine Service center in Hyderabad

ramya said...

Nice post.Thanks for your information.
Whirlpool Refrigerator Service center in Hyderabad

ramya said...

Nice information.
LG Refrigerator Service center in Secundrabad

ramya said...

Nice post.
Thanks for sharing.
Samsung Refrigerator Service Center In Hyderabad

Hema Sree said...

Very Nice Post.
Thank you for sharing.
LG Refrigerator Service Center In Miyapur
Samsung Refrigerator Service Center In Kukatpally
Samsung Refrigerator Service Center In Kondapur

shailaja said...

Nice Post.thanks for sharing

LG Washing Machine Service Center in Kondapur

shailaja said...

Thank you for posting such a good article.

Whirlpool Refrigerator Service Center In Miyapur

ravi said...

nice post
LG Refrigerator Service Center In Kuktapally

Samsung Washing Machine Service Center in Miyapur
Samsung Refrigerator Service Center In Yousufguda

shailaja said...

Good Article.thanks for sharing

Samsung Washing Machine Service Center in Yousufguda

ramya said...

Nice Post.Thanks for sharing.
Whirlpool Washing Machine Service Center

ramya said...

Nice post.Thank you for sharing.
LG Refrigerator Service center in Secundrabad

ramya said...

Great post.
Whirlpool Washing Machine Service Center in Yousufguda

ramya said...

Nice post.
Thanks for sharing.
Whirlpool Washing Machine Service Center in Hyderabad

ramya said...

Nice post.Thanks for sharing your information.
Whirlpool Refrigerator Service Center In Hyderabad

ramya said...

Excellent article.
Whirlpool Washing Machine Service Center in Hyderabad

Himaja Latha said...

Very Nice Post.
Thank you for sharing.
LG Refrigerator Service Center in Hyderabad
Samsung Washing Machine Service Center in Hyderabad
Samsung Refrigerator Service Center in Hyderabad

shailaja said...

Good post.Thank you for sharing Information.

Whirlpool Refrigerator Service Center In Hyderabad

shailaja said...

Thank you for posting such a good article.

Godrej AC Service center in Hyderabad

Bindu Latha said...

Nice Post.
Thank you for sharing.
Godrej Washing Machine Service Center in Hyderabad

Unknown said...

Thanks for sharing an article like this. the information which you have provided is better than another blog
Copa America 2019 Groups, Draw
Copa America 2019 Venues
Copa America Winners
Copa America 2019 Tickets
Copa America 2019 Favourites

isaacball said...

Thanks for sharing such information, really helpful.

https://blog.us.playstation.com/2019/03/12/throwback-ninja-platformer-the-messenger-arrives-on-ps4-march-19/?ref-cat=249748
https://business.forums.bt.com/t5/Email-computing-hosting-domains/Lost-the-password-for-a-btconnect-email-address/td-p/81785
https://forums.adobe.com/thread/2589405
https://community.box.com/t5/Desktop-and-Mobile-Forum/Can-t-change-Box-Drive-Location/td-p/67013
https://community.amd.com/thread/232601

eblis said...

tourism in iranhas been affected by many political, social and economic factors in the recent decades. But what is important is that Iran tourism is growing these days.
Tourist guide iran, By the development of the media, Iran is now well known in western countries and lots of tourists travel to Iran annually. However, travel to iran has the potential to have much more visitors.
pars travel agency is very extensive; the magnificent touristic sights and attractions can be found in every corner of the country. You can choose to hike and ski in the Alborz mountains or see the nomadic life in Zagros mountain chain.
A beach trip in south by the Persian Gulf and or in the north by the Caspian Sea could be another choice. But among all major tourist attractions, they are eager to have a deep journey in the pure and rich history and culture of Iran.
Private tours to Iran, Mostly central and western part of Iran are where you can find magnificent monuments that reflects the history of different eras and dynasties.
You can ask us to design an itinerary for you based on your time, interest and budget or you can design and customize your favorite tour to Iran. Whether as a solo traveler or as a couple or in the company of your family and friends, PERSIAPSSENGER can provide you the best tours to iran travel from australia 2019 .
Iran tours 2019, Iran is known as a culturally rich country with hundreds of historical monuments that reflect the history and culture of the era they are built in.

ravi said...

whirlpool washing machine service center in hyderabad
whirlpool refrigerator service center in hyderabad
whirlpool microwaveoven service center in hyderabad
whirlpool ac service center in hyderabad
whirlpool home appliances service center in hyderabad
whirlpool home appliances repair in hyderabad

shailaja said...

thanks for sharing such a good article.
Samsung Home Appliance Service Center in Hyderabad

ramya said...

Great post.Thanks for sharing
Samsung washing machine service center in Hyderabad

shailaja said...

Very Nice Post.Thank you for sharing Information.
Whirlpool Home Appliance Service center in Hyderbad

shailaja said...

Good Post.Thank you for posting

LG Home Appliance Service center in Hyderbad

shailaja said...

Excellent post thanks for sharing

Samsung Home Appliance Service Center in Hyderabad

shailaja said...

Very Good Post Thanks for sharing

Godrej Home Appliance Service Center in Hyderabad

shailaja said...

such a good article.Thank you for sharing Information.

Videocon Home Appliance Service Center in Hyderabad

shailaja said...

Good Post.Thank you for sharing Information.

Whirlpool Home Appliance Service center in Hyderbad

ramya said...

Nice post
Thanks for sharing.
Whirlpool Home Appliances Service Center

shailaja said...

Excellent post Thank you for sharing Information.

Samsung Home Appliance Service Center in Hyderabad

shailaja said...

Very Nice Article Post Thanks for sharing

Godrej Home Appliance Service Center in Hyderabad

shailaja said...

Such a Nice Article.Thank you for sharing Information.

Videocon Home Appliance Service Center in Hyderabad

shailaja said...

Excellent post thanks for sharing

Whirlpool Home Appliance Service center in Hyderabad

shailaja said...

Thanks for sharing.Excellent Article.
Godrej Home Appliance Service Center in Hyderabad

shailaja said...

Nice post.Thanks For Sharing.
Videocon Home Appliance Service Center in Hyderabad

shailaja said...

Excellen Article Thankks For Posting.

Whirlpool Home Appliance Service center in Hyderbad

shailaja said...

Good Post.Thank you for posting

LG Home Appliance Service center in Hyderbad


shailaja said...

Very Nice Post.Thanks for sharing

Godrej Home Appliance Service Center in Hyderabad

shailaja said...

Nice Post.Thanks for shering.


Samsung Washing Machine Service Center Hyderabad

ramya said...

Good post Thank you or sharing information.
Samsung washing machine service center Hyderabad

shailaja said...

Great Article.Thanks for sharing

Samesung Washing Machine Service Center in Hyderabad

shailaja said...

very Nice Article.Thanks for sharing

Samsung Refrigerator Service Center In Hyderabad

ramya said...

Good post Thanks for sharing your information
Samsung washing machine service center in Hyderabad

Unknown said...

Good post thanks for sharing
samsung washing machine service center in hyderabad

Unknown said...

Nice artcle tanks for sharing
samsung washing machine service center in hyderabad

Richa Jain said...

Youth Result - The Source of Latest Government Jobs, Recruitment, Syllabus, Admit Card, Board Results Related Complete Education Information Platform.

rajkingsh@85gmail.com said...

This is really a great article and great read for me. Its my first visit to your blog and i have found it so useful and informative specially this article.
Happy 4th of July Pictures

Unknown said...

Great post Thanks for sharing

Washing Machine Service Center in Hyerabad

ramya said...

Great post.
Washing machine service center in Hyderabad

shailaja said...

Very Good Post Thanks for sharing

Washing Machine Repair Center in Hyderabad

Unknown said...

Great Post,
Thanks For Sharing,
Washing Machine service center in Hyderabad

shailaja said...

Thank you for posting such a good article.

Refrigerator Service Center in Hyderabad

shailaja said...

Good post Thanks for sharing

Refrigerator Repair Center in Hyderabad

Unknown said...

Very Nice Article, Thanks For Sharing.

Washing Machine service center in Hyderabad

«Oldest ‹Older   1 – 200 of 324   Newer› Newest»