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	<title>Ten Pin Bowling &#187; Bowling Techniques</title>
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	<description>Learn Ten Pin Bowling And Get Bowling Tips on How to Bowl Strikes here</description>
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		<title>The Ultimate Bowling Guide Review</title>
		<link>http://www.tenpinbowlingnow.com/the-ultimate-bowling-guide-review</link>
		<comments>http://www.tenpinbowlingnow.com/the-ultimate-bowling-guide-review#comments</comments>
		<pubDate>Thu, 05 Nov 2009 08:23:59 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Bowling]]></category>
		<category><![CDATA[Bowling Techniques]]></category>
		<category><![CDATA[Ten Pin Bowling]]></category>
		<category><![CDATA[bowling ball reviews]]></category>
		<category><![CDATA[bowling tips for beginners]]></category>
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		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/ten-pin-bowling/the-ultimate-bowling-guide-review</guid>
		<description><![CDATA[If you&#8217;re struggling to master Ten Pin Bowling and score really high numbers on a consistent basis, this &#8220;The Ultimate Bowling Guide&#8221; review may give you the tools you need to, among other Bowling secrets, learn the proper method for throwing the perfect hook ball to increase the number of strikes and eliminate the dreaded &#8230; <a href="http://www.tenpinbowlingnow.com/the-ultimate-bowling-guide-review">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<div class="announcement_post"><p><a href="http://www.tenpinbowlingnow.com/wp-content/uploads/ultimate_bowling_guide.jpg"><img class="alignleft size-full wp-image-1038" style="margin-left: 8px; margin-right: 8px;" title="ultimate bowling guide" src="http://www.tenpinbowlingnow.com/wp-content/uploads/ultimate_bowling_guide.jpg" alt="ultimate bowling guide review" width="200" height="113" /></a>If you&#8217;re struggling to master <a href="http://www.tenpinbowlingnow.com" target=_self>Ten Pin Bowling</a> and score <em>really </em>high numbers on a consistent basis, this &#8220;The Ultimate <a href="http://www.tenpinbowlingnow.com">Bowling Guide</a>&#8221; review may give you the tools you need to, among other <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> secrets, learn the proper method for throwing the perfect hook ball to increase the number of strikes and eliminate the dreaded gutter ball from your game for good.</p>
<p>In my &#8220;Ultimate <a href="http://www.tenpinbowlingnow.com">Bowling Guide</a>&#8221; review, you&#8217;ll learn why this book may be the best thing to perfect your <a href="http://www.tenpinbowlingnow.com">bowling</a>. It offers tips and strategies that should be able to help anyone reach better scores and bowl like a pro.</p>
<p>Click here to read my <a href="http://www.tenpinbowlingnow.com/the-ultimate-bowling-guide-review">The Ultimate Bowling Guide review</a>.</p>
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<p class='technorati-tags'>Technorati Tags: <a class='technorati-link' href='http://technorati.com/tag/Bowling' rel='tag' target='_blank'>Bowling</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+ball+reviews' rel='tag' target='_blank'>bowling ball reviews</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+guide' rel='tag' target='_blank'>bowling guide</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+guide+review' rel='tag' target='_blank'>bowling guide review</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+pro' rel='tag' target='_blank'>bowling pro</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+review' rel='tag' target='_blank'>bowling review</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+secrets' rel='tag' target='_blank'>bowling secrets</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+tips+for+beginners' rel='tag' target='_blank'>bowling tips for beginners</a>, <a class='technorati-link' href='http://technorati.com/tag/learn+bowling' rel='tag' target='_blank'>learn bowling</a>, <a class='technorati-link' href='http://technorati.com/tag/tips+for+bowling' rel='tag' target='_blank'>tips for bowling</a></p>

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		<title>How To Bowl Strikes Review</title>
		<link>http://www.tenpinbowlingnow.com/how-to-bowl-strikes-review</link>
		<comments>http://www.tenpinbowlingnow.com/how-to-bowl-strikes-review#comments</comments>
		<pubDate>Thu, 05 Nov 2009 08:22:59 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Bowling]]></category>
		<category><![CDATA[Bowling Balls]]></category>
		<category><![CDATA[Bowling Techniques]]></category>
		<category><![CDATA[Ten Pin Bowling]]></category>
		<category><![CDATA[bowling tips for beginners]]></category>
		<category><![CDATA[learn bowling]]></category>
		<category><![CDATA[tips for bowling]]></category>
		<category><![CDATA[bowling ball reviews]]></category>
		<category><![CDATA[bowling guide]]></category>
		<category><![CDATA[bowling guide review]]></category>
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		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/ten-pin-bowling/how-to-bowl-strikes-review</guid>
		<description><![CDATA[If you&#8217;re struggling to line up shots to ensure picking up a spare every single time and to throw strikes with every ball (and who does in the real world?), this &#8220;How To Bowl Strikes&#8221; review may give you the tools you need to learn all of the little secrets that make bowling so difficult &#8230; <a href="http://www.tenpinbowlingnow.com/how-to-bowl-strikes-review">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<div class="announcement_post"><p>If you&#8217;re struggling to line up shots to ensure picking up a spare every single time and to throw strikes with every ball (and who does in the real world?), this &#8220;<a href="http://www.tenpinbowlingnow.com">How To Bowl Strikes</a>&#8221; review may give you the tools you need to learn all of the little secrets that make <a href="http://www.tenpinbowlingnow.com">bowling</a> so difficult to master. </p>
<p>In my <a href="http://www.tenpinbowlingnow.com">How To Bowl Strikes</a> review, you&#8217;ll learn why this book may be the best thing for your <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> efforts &#8212; because, for example, most bowlers would be surprised to learn that throwing harder and faster is not necessarily better.</p>
<p>Click here to read my <a href="http://www.tenpinbowlingnow.com/how-to-bowl-strikes-review">How To Bowl Strikes review</a>.</p>
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<p class='technorati-tags'>Technorati Tags: <a class='technorati-link' href='http://technorati.com/tag/Bowling' rel='tag' target='_blank'>Bowling</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+ball+reviews' rel='tag' target='_blank'>bowling ball reviews</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+guide' rel='tag' target='_blank'>bowling guide</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+guide+review' rel='tag' target='_blank'>bowling guide review</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+pro' rel='tag' target='_blank'>bowling pro</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+review' rel='tag' target='_blank'>bowling review</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+secrets' rel='tag' target='_blank'>bowling secrets</a>, <a class='technorati-link' href='http://technorati.com/tag/bowling+tips+for+beginners' rel='tag' target='_blank'>bowling tips for beginners</a>, <a class='technorati-link' href='http://technorati.com/tag/learn+bowling' rel='tag' target='_blank'>learn bowling</a>, <a class='technorati-link' href='http://technorati.com/tag/tips+for+bowling' rel='tag' target='_blank'>tips for bowling</a></p>

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		<title>History of Cost Segregation</title>
		<link>http://www.tenpinbowlingnow.com/history-of-cost-segregation</link>
		<comments>http://www.tenpinbowlingnow.com/history-of-cost-segregation#comments</comments>
		<pubDate>Fri, 22 Jul 2011 23:38:15 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Bowling Techniques]]></category>

		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/history-of-cost-segregation</guid>
		<description><![CDATA[Cost segregation evolved as the result of multiple court cases and IRS rulings. The body of knowledge is summarized in the Audit Techniques Guide (ATG), published by the IRS. Component depreciation was a prior methodology that produced similar results via separating a building into components. These components often included the roof, plumbing, electrical and elevators. &#8230; <a href="http://www.tenpinbowlingnow.com/history-of-cost-segregation">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p>
<p>Cost segregation evolved as the result of multiple court cases and IRS rulings. The body of knowledge is summarized in the Audit Techniques Guide (ATG), published by the IRS.</p>
<p>Component depreciation was a prior methodology that produced similar results via separating a building into components. These components often included the roof, plumbing, electrical and elevators. There were concerns some investors were using component depreciation in an abusive manner. As a result of the tax law changes in 1986, tax rates were lowered substantially but many tax reduction techniques (such as component depreciation) were eliminated.</p>
<p>From 1987 to 1996, there was a limited ability to depreciate any portion of a real estate separately. Some owners and tax practitioners experimented with assertions that portions of the cost basis were personal property (Section 1245) and not real estate (Section 1250).</p>
<p>The case for differentiating between personal property and real estate was HCA (Hospital Corporation of America). After this case was determined in 1996, the IRS decided not to appeal it. Depreciating real estate offered more potential for tax deductions and tax reductions.</p>
<p>The following is a summary of some of the items prescribed and the depreciable life in years: <strong></strong>Vinyl Tile                         5 years <br />Interior Signage               7 years <br />Parking Lot Striping         7 years <br />Paving                            15 years <br />Landscaping                   15 years <br />Sidewalks                      15 years</p>
<p>Carpet                            5 years</p>
<p>The IRS has summarized their portion on cost segregation and its practice in the Audit Techniques Guide. While many real estate investors and tax practitioners are unfamiliar with the tax reduction benefits from using cost segregation, the IRS reports it is appropriate as the most accurate method to depreciate real estate.</p>
<p>Cost segregation produces tax deductions and reduces federal income taxes across the country and in every size market. Below are just a few examples of where cost segregation generates meaningful tax deductions.</p>
<p> 
<p>City:</p>
<p> 
<p>Baltimore, MD <br />Atlanta, GA <br />Miami, FL <br />Los Angeles, CA <br />Memphis, TN <br />Las Vegas, NV <br />Washington, DC <br />Philadelphia, PA <br />New York, NY <br />Dallas/Ft. Worth, TX <br />Grand Rapids, MI <br />Detroit, MI <br />Rochester, NY <br />Greensboro, NC <br />Fresno, CA <br />Cincinnati, OH <br />Columbus, OH <br />Allentown, PA <br />Oklahoma City, OK <br />Dayton, OH <br />St. Louis, MO <br />Indianapolis, IN <br />Birmingham, AL <br />Charleston, SC <br />Louisville, KY <br />Lancaster, PA <br />Riverside, CA <br />Scranton, PA <br />Madison, WI <br />Chattanooga, TN</p>
<p>Cost segregation produces tax deductions for virtually all property types.</p>
<p> 
<p>Property Type:</p>
<p> 
<p>Daycare center<br />School <br /><a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> alley <br />Drugstore <br />Office warehouse <br />Racket club <br />Car wash facility <br />Auto dealer <br />Auto salvage yard <br />Skating rink</p>
<p>Almost every industry, including the following, can generate cost-efficient tax deductions by using cost segregation.</p>
<p> 
<p>Industry:</p>
<p> 
<p>Furniture stores <br />Day care facilities <br />Nondurable good wholesalers<br />Wood product manufacturing <br />Building supply dealers <br />Laundry facilities <br />Chemical manufacturing <br />Apparel manufacturing <br />Automotive repair facilities <br />Food and beverage stores</p>
<p>O’Connor &amp; Associates is a national provider of commercial real estate consulting services including cost segregation studies, <a href="http://www.industrial-space-rent.com/Federal_Tax_Reduction/index.cfm">federal tax reduction</a>, due diligence, insurance valuations, investment hypotheses, financial modeling, gift tax valuations, highest and best use analyses and lease abstractions.</p>
<p><a href="http://www.poconnor.com/"><strong>www.poconnor.com</strong></a></p>
<p> Patrick C. OConnor</p>
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		<title>Top Denver Internet Marketing Company Reveals SEO Strategies</title>
		<link>http://www.tenpinbowlingnow.com/top-denver-internet-marketing-company-reveals-seo-strategies</link>
		<comments>http://www.tenpinbowlingnow.com/top-denver-internet-marketing-company-reveals-seo-strategies#comments</comments>
		<pubDate>Sun, 10 Jul 2011 09:58:37 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Bowling Techniques]]></category>

		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/top-denver-internet-marketing-company-reveals-seo-strategies</guid>
		<description><![CDATA[Many businesses seek out a Denver Internet Marketing Company because they understand that the techniques and strategies behind online advertising are continually changing and evolving. Few business owners can keep up with learning every new concept from Web 2.0 social network marketing to keyword density and researching. The best Denver Internet Marketing Company will be &#8230; <a href="http://www.tenpinbowlingnow.com/top-denver-internet-marketing-company-reveals-seo-strategies">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p> 
<p>Many businesses seek out a <strong><a href="http://www.onlinemarketingseo.com/" target="_blank">Denver Internet Marketing Company</a></strong><strong> </strong>because they understand that the techniques and strategies behind online advertising are continually changing and evolving. Few business owners can keep up with learning every new concept from Web 2.0 social network marketing to keyword density and researching. The best <strong>Denver Internet Marketing Company </strong>will be one that can cover all bases at an affordable price and that is the idea behind OptiTrex&#8217;s Internet Marketing business model.</p>
<p>&#8220;I wanted to offer something unique to my clients,&#8221; explains Adam J. Morien, founder of OptiTrex <strong>Denver </strong><strong>SEO</strong><strong> Company.</strong> &#8220;Not only would I align new businesses with a dedicated team of copywriters and web designers who could help them create an individualized, professional site with fresh, relevant, continuous content but I&#8217;d also revolutionize their search engine position by using proven <strong>Denver </strong><strong>SEO</strong> strategies like link building, blogging, keyword usage, meta-tagging, link exchanging, page ranking, site traffic monitoring and more!&#8221;</p>
<p>In his search engine optimization, Morien&#8217;s <strong>Denver Internet Marketing Company </strong>focuses on Chris Anderson&#8217;s &#8220;Long Tail&#8221; marketing strategy, which aims at delivering high-quality, targeted traffic. Instead of using broad terms to cast a wide net, his optimization techniques cast a narrower net but reel in traffic that is more likely to purchase. According to ComScore, 30-40% of all searches are estimated to have local intent, so capturing a targeted audience is essential.</p>
<p>To deliver this traffic, OptiTrex&#8217;s <strong><a href="http://www.onlinemarketingseo.com/internet_marketing/Denver_SEO.html" target="_blank">Denver SEO Company</a></strong><strong> </strong>will assess what the locals are searching for. Whether it&#8217;s a blog, a search engine listing, an article or a press release, Morien&#8217;s copywriters will include researched, targeted phrases that include &#8220;long tail&#8221; terms such as: geographic locations, nearby neighborhoods, towns, brand names, industry services and products. The density of these keyword phrases is important too, Morien says. In some cases, long tail search terms brought in more than 40% of all traffic to a client&#8217;s website. </p>
<p>Another practical <strong>Denver Internet Marketing Company </strong>technique OptiTrex uses is the experimental approach to <strong>Denver </strong><strong>SEO</strong>. The search engine optimization professionals will test each ad, keyword and ad location to see what&#8217;s working and what&#8217;s not working. According to Stephan Spencer of Netconcepts, 80-90% of the pages crawled by spiders were not delivering visitors which means most web pages just sit there doing nothing for the company. The goal, then, will be to convert each page of a business&#8217;s website into a search engine attractor and any non-performing pages will be researched and retooled. This intensive approach has been proven to be very effective in numerous marketing studies, shows dedication and yields positive results with internet marketing clients. </p>
<p>Good <strong><a href="http://www.onlinemarketingseo.com/internet_marketing.html" target="_blank">Internet Marketing Company</a></strong> will: inspire gut reaction with title tags and headers, keep urls shorter / easier to remember and will optimize internal linking structure so web users can easily navigate the client&#8217;s website. &#8220;Use blogs to harvest long tail traffic,&#8221; Senior SEO strategist Mary <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> recommends. &#8220;Blogs get spidered quickly, and can rank quickly.&#8221; OptiTrex <strong>Denver SEO Company</strong> can deliver not only search engine optimization and Internet marketing, but also a full range of copywriting services including (but not limited to) blogging.</p>
<p> Adam J. Morien</p>
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		<title>How it all begun</title>
		<link>http://www.tenpinbowlingnow.com/how-it-all-begun</link>
		<comments>http://www.tenpinbowlingnow.com/how-it-all-begun#comments</comments>
		<pubDate>Tue, 03 May 2011 08:14:08 +0000</pubDate>
		<dc:creator>tpbauthor</dc:creator>
				<category><![CDATA[Bowling]]></category>
		<category><![CDATA[Bowling Balls]]></category>
		<category><![CDATA[Bowling Techniques]]></category>
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		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/?p=1396</guid>
		<description><![CDATA[There is no doubt any other game that is is as simple, enjoyable and challenging than Bowling. This game can be played by men and women alike and has no limit when it comes to age.  It is really easy to learn bowling and since it can be played indoors, it makes a very good &#8230; <a href="http://www.tenpinbowlingnow.com/how-it-all-begun">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p>There is no doubt any other game that is is as simple, enjoyable and challenging than <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a>. This game can be played by men and women alike and has no limit when it comes to age.  It is really easy to <a href="http://www.tenpinbowlingnow.com">learn bowling</a> and since it can be played indoors, it makes a very good sport for the winter. How though did this worldwide sport played by an estimated 95 million people begin?</p>
<p>The first traces of the game can be traced to ancient Egypt. Some remnants of this ancient form of the game where discovered in a boys&#8217; grave in the 1930&#8242;s.</p>
<p>In the modern world though, we can see the came first come into the scene as early as 1366 in England. There is even a rumor that King Edward III outlawed the game because his troops were neglecting their archery practice in order to bowl.</p>
<blockquote><p><em>The game of <a href="http://www.tenpinbowlingnow.com">bowling</a> we play today was not always played with 10 pins. It actually started as a nine-pin game played throughout Europe. One very unique variation of the game of <a href="http://www.tenpinbowlingnow.com">bowling</a> is still being played in Edinburgh. The player takes a ball without holes and heaves it at the pins from between his legs, which results in the player landing on his stomach.</em></p></blockquote>
<p><em>More on the games history<a href="http://www.azdailysun.com/news/local/article_346c4a3e-7476-11e0-a0a3-001cc4c03286.html"> here</a>.<br />
</em></p>
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		<title>Matt Weggen-Impressive Performance</title>
		<link>http://www.tenpinbowlingnow.com/matt-weggen-impressive-performance</link>
		<comments>http://www.tenpinbowlingnow.com/matt-weggen-impressive-performance#comments</comments>
		<pubDate>Tue, 03 May 2011 08:03:14 +0000</pubDate>
		<dc:creator>tpbauthor</dc:creator>
				<category><![CDATA[Bowling Balls]]></category>
		<category><![CDATA[Bowling Techniques]]></category>
		<category><![CDATA[bowling tips for beginners]]></category>
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		<description><![CDATA[Matt Weggen isn&#8217;t sure why he soared from 636 in team to his historic 806 and 826 in minor events last week at the United States Bowling Congress Open Championships. &#8220;Honestly, I felt like everyone on the pair were in the correct part of the lane, I just seemed to be the only one that &#8230; <a href="http://www.tenpinbowlingnow.com/matt-weggen-impressive-performance">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<blockquote><p><em>Matt Weggen isn&#8217;t sure why he soared from 636 in team to his historic 806 and 826 in minor events last week at the United States <a href="http://www.tenpinbowlingnow.com">Bowling</a> Congress Open Championships.</em></p>
<p><em>&#8220;Honestly, I felt like everyone on the pair were in the correct part of the lane, I just seemed to be the only one that could get anything going consistently. I don&#8217;t think I have any secrets, but my slower ball speed might have actually helped for a change.&#8221;</em></p></blockquote>
<p>Those statistics truly are impressive!In fact, Weggen is the third <a href="http://www.tenpinbowlingnow.com">bowler</a> ever with two 800s  in the Open Championships and the first with back-to-back 800s in  doubles and singles. After this extraordinary performance, he stated the above during Facebook conversations.</p>
<p>In the <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> world, it sometimes is all about luck. Even some of the best bowlers don&#8217;t have everything all together at all times. Waggen&#8217;s partner for example, Scot Carpenter didn&#8217;t have a good a game as Waggen and was only able to throw only one double in a maddening 578, and noted that the next highest player on their pair was only about 60 over for six games of minors.</p>
<p>A lesson for all who want to<a href="http://www.tenpinbowlingnow.com"> learn bowling</a>: Don&#8217;t give up if you don&#8217;t seem to get it right the first time around.</p>
<p>Learn more about Waggens performance <a href="http://host.madison.com/sports/recreation/bowling/article_6d442ff0-6dde-11e0-b1ba-001cc4c002e0.html">here</a>.</p>
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		<title>Acute Respiratory Case Study&quot; a Cute Exacerbation in Copd&quot;</title>
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		<pubDate>Mon, 17 Jan 2011 23:51:26 +0000</pubDate>
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				<category><![CDATA[Bowling Techniques]]></category>

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		<description><![CDATA[Evidence based case study in management of acute Exacerbations of COPD. Introduction: Chronic pulmonary diseases have become increasingly one of the most common chronic lung diseases and a major cause of morbidity and mortality in modern world. It is characterized by airflow limitation that is not fully reversible.  Chronic Obstructive Disease is a leading cause &#8230; <a href="http://www.tenpinbowlingnow.com/acute-respiratory-case-study-a-cute-exacerbation-in-copd">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p>
<p><strong>Evidence based case study in management of acute </strong><strong>Exacerbations of COPD.</strong></p>
<p><strong>Introduction:</strong></p>
<p> 
<p>Chronic pulmonary diseases have become increasingly one of the most common chronic lung diseases and a major cause of morbidity and mortality in modern world. It is characterized by airflow limitation that is not fully reversible. </p>
<p> Chronic Obstructive Disease is a leading cause of the death in the worldwide (Calverley et al, 2003). The condition can result in loss of work quality and quality of the life can be significantly effected (Barnes, 1999). In UK 27,478 men and woman die because of the chronic obstructive lung diseases and most of the death ( more than 90%) was in  the age of above 60 years old(British Thoracic Society. 2006). </p>
<p>Rehabilitation for patients with chronic lung diseases is well established and widely accepted as means of enhancing standard therapy in order to improve symptoms and maximise the patients function (Siafakas et al, 1995; Ries, 1990; Casaburi, 1993; Fishman, 1996). In 1974, the American College of Chest Physicians (ACCP) focused in there definition of Pulmonary rehabilitation on three important features and they suggested that Successful pulmonary rehabilitation depends on three importance features, Individuality of each case, Multidisciplinary team approach and attention to physiopathology and psychopathology of each case.</p>
<p>One of the main problems with COPD patient is the increase in the pulmonary secretions leading to increase in shortness of breath. These two factors affect the patient’s function and quality of life.  For exacerbation, Physiotherapy is often required to help clear secretions and reduce WOB, including non-invasive ventilation to prevent intubation (Alexandera, 2001). </p>
<p>There are various techniques, which can be used in physiotherapy to improve patient’s condition. The research suggests that the postural drainage is beneficial in clearing  the chest from secretions (Clarke,1989;Faling,1986), respiratory muscle relaxation manoeuvre is effective for improving the pulmonary function of pulmonary emphysema patients (Fujimoto et al, 1996), relaxation can help reduce dyspnoea and anxiety in chronic obstructive pulmonary disease (COPD) patients (Louie, 2004).</p>
<p><strong>Case description <img src='http://www.tenpinbowlingnow.com/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' />  case history, physical examination, and intervention)</strong></p>
<p> 
<p>Patient is a 67-years-old woman with acute exacerbation in Chronic Obstructive Pulmonary Disease (COPD). She complained of increased shortness of breath with loose, non-productive cough. A febrile on auscultation, bilateral rales, rhonchus, and expiratory wheezing. Patient said she is on bronchodilators and low-dose steroid. Patient said she has been suffering from this problem since 10yrs and has been on medication since. She does not do any exercises and her general practitioner who she usually sees has never mentioned about seeing any physiotherapist. Recently during this episode of acute exacerbation, she was advised by the hospital doctor to see a physiotherapist. </p>
<p>The strategy in this case study used was the problem-solving model, which included following six steps; </p>
<p> 
<p>Step 1: Patient assessment, </p>
<p> 
<p>Step 2: defining the problem, </p>
<p> 
<p>step3: determining the goals, </p>
<p> 
<p>step4: identifying appropriate techniques, </p>
<p> 
<p>Step 5: applying the techniques,</p>
<p> 
<p>step6: re-evaluation of the patients situation(Donna,1987).      </p>
<p><strong>Evaluation and assessment:</strong></p>
<p> 
<p>Accurate assessment is the key player of physiotherapy and forms the bases of rational practice. A Problem based assessment leads to reasoning in the pulmonary rehabilitation. As result, a thoughtful evaluation will guide to both effectiveness and efficiency  because time will be saved by avoiding unnecessary treatment (Physiotherapy in Respiratory Care An evidence-based approach to respiratory and cardiac management). </p>
<p>Ward reports and medical notes of the patient were evaluated to know about; </p>
<p> 
<p>·         The past and present relevant history.</p>
<p> 
<p>·          social history , accommodation</p>
<p> 
<p>·         Conditions required precautions in relation to certain treatments e.g. light-headedness ,bleeding disorders or swallowing disorders</p>
<p> 
<p>·         Recent cardiopulmonary  resuscitation to examine the X-ray in case of gastric aspiration or fracture</p>
<p> 
<p>·         Checking for possibly of bony metastases, long-standing steroid therapy that this leads to risk of osteoporosis and checking for the history of radiotherapy over the chest. These all findings contraindicate percussion or vibration over the ribs.   </p>
<p> 
<p>·         The patient’s experience increased shortness of breath and the assessment indicate airway secretion. </p>
<p>A part of the patient evaluation was subjective assessment and that was by listening to patient’s problem in her own words. Following symptoms were checked: </p>
<p> 
<p>Respiratory symptoms by looking for the how long the symptoms been troublesome.</p>
<p> 
<p>·         Frequency, duration, and the severity.</p>
<p> 
<p>·         Any pain, chest pain, musculoskeletal pain or cardiac pain. </p>
<p> 
<p>·         Checking functional limitations including the daily living. </p>
<p> 
<p>·         Observation to check the breathing rate and pattern before the patient a ware of the physiotherapist’s presence to avoid any role-play. </p>
<p> 
<p>·         General appearance , colour, hand checked which is a good and rich source of information like cold hand indicate a poor cardiac output, oedema, jugular venous pressure, chest shape.</p>
<p><strong>Objective measurement: </strong></p>
<p> 
<p>Exercise testing was used to monitor the progress of the patient due following few reasons:</p>
<p> 
<p>·         Lung function tests are not a good predictor of exercise capacity (Bradley et al, 1999).</p>
<p> 
<p>·         The laboratory tests are for physiological measurement rather than monitoring of patients progress.</p>
<p> 
<p>·         The patients own estimate of exercise tolerance is not objective (Hough, 2001).</p>
<p> 
<p>Exercise testing:</p>
<p> 
<p>As long as the patient was not suffering from acute breath illness, exercise testing was used as an objective measure to monitor the progress. Oximetry on exercise testing was used which is advisable to measure the level of oxygen during the exercise (Martine et al, 1992). Because the patient was in acute exacerbation condition, only simple stair climbing testing was used and count the number of steps can be climbed up and down in 2 minute and rest allowed but included within the 2 minutes.  Each minute was passed the patient was informed about the time. The result of the test was only 10 steps per 2 minutes. Exercise testing revealed increased shortness of breath and from assessment of patient, it was clear that she had airway secretions.</p>
<p><strong>Defining the problem:</strong></p>
<p> 
<p>Shortness of breath was probably due to increased secretions with the patient and so physiotherapy was planned after the use of bronchodilators. Percussion can trigger bronchospasm in patients with asthma and in this case would benefit to have maximum bronchodilator prior to treatment. (Donna 1987)<strong></strong></p>
<p><strong>Determining the Goals:</strong></p>
<p> 
<p>Promote airway clearance; encourage relaxation and breathing exercise; encourage exercise to promote airway clearance. </p>
<p><strong>Identifying Appropriate Techniques:</strong></p>
<p> 
<p>   Due to short shortness of breath, modified positioning was used for postural drainage as per the patients comfort, turning the patient side to side to prevent any shortness of breathiness (Hough 1991). Trendelenberg position was also used with percussion and vibration was gently applied due to consideration that the patient was on long-term steroid therapy. Emphasis was placed on both lower lobes as no specific area of pathology was described. Relaxation exercises were done for upper chest and neck to increase the ventilation, abdominal areas. Patient was also taught home postural drainage to help in early recovery. </p>
<p>Walking and cycling was encouraged, as it is most widely used modalities of exercise training in chronic obstructive pulmonary disease rehabilitation (Vallet et al, 1997). Patient was given endurance (aerobic) training program for 4-12 weeks (Casaburi et al, 1997; Wijkstra et al, 1996), and she attended supervised training sessions 2-5 times a week. Each session duration was 20-30 minute.    </p>
<p><strong>Applying techniques:</strong></p>
<p> 
<p> Techniques for vibration and postural drainage (Gumery et al 2001) were applied with consideration to the contraindications and patients condition and motivation. As the patient was on long term of cortico- steroid treatment, possibility of osteoporosis was considered which may led to fracture while doing tapping in postural drainage. </p>
<p><strong>Re-evaluation:</strong></p>
<p> 
<p>The patient was re-evaluated after the secretions were mobilised and on observation, patients breathing was found to be more effective. The progress was slow as the patient was reconditioned. Patient was encouraged to remain active to help in early recovery. Patient and family was given education about restoration and maintenance of exercise tolerance and basic self-management. Home visits were made to check for adequate heating, and health or safety hazards. In addition, this visit was also supportive for the family. </p>
<p>The exercise was prescript for the patient to keep the patient fit and increase the vital capacity. The mode of the exercise was related to the patient’s life style and the patient was encouraged to use stationary bike. The bike was suggested as it supports 85% of the body weight, and large muscle groups can be exercised with less strain than walking (Bach and Haas, 1996, p.309). Furthermore, exercise programs for the muscles of ambulation were prescribed as they are a part of virtually every program of pulmonary rehabilitation (Ries, 1990; Casaburi, 1993; Carter et al, 1992; Olopado et al, 1992). Over the period of rehabilitation, the patient also said that her functional capabilities improved and this helped her to great extent in her ambulation. Exercises were also given for muscles of the shoulder girdle as these muscles can help provide support to pull on the ribcage (Criner et al, 1988). Patient was encouraged to resume her sports hobbies – <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> to combine exercise and recreation. </p>
<p> 
<p> Patient was scheduled for a follow up appointment after 6 weeks of rehab and treatment to monitor the patient’s progress. (Broussard 1979; Fujimoto et al. 1996; Gift, Moore, and Soeken, 1992; Louie, 2004). Patient was also provided with breathlessness rating scale to check her breathlessness after each session of exercise.</p>
<p> 
<p>On the follow up appointment subjective and objective re assessment was done. Patient as observed to check the breathing pattern and frequencies, auscultation was done to check the chest for any signs of secretion and obstructions. The patient was sent to take x-ray to check the clarity of the chest. Stair climb test was done and there was a good progress in the patient’s condition as the result was increased significantly from 10 steps in 2 minute before 6 week to 25 step. </p>
<p>Improvement was also seen on the self reported and measured breathlessness rating scale where the patient scored 2 whereas she scored 4 during initial assessment and also the recovery rate post exercises reduced from 5-10mins to 2-5mins and the patient also reported that she was doing fine the day and was comfortable.</p>
<p> 
<p><strong>Summary:</strong></p>
<p> 
<p>From the above case study, it can be derived that patients suffering with similar conditions can benefit from appropriate exercise and active lifestyle. It is very important to keep encouraging the patients and educating them regarding the condition and help those to self manage. </p>
<p> 
<p>Although suggestions for appropriate management can be made based on available evidence, the supporting literature is spotty. </p>
<p> 
<p><strong>References</strong></p>
<p>   1.   Alexandra Hough 2001, <em>Physiotherapy in Respiratory Care An evidence-based approach to respiratory and cardiac management</em>, third edn, Nelson Thomas Ltd, United Kingdom.</p>
<p> 
<p>   2.   Back, J. R. &amp; Haas, F. pulmonary rehabilitation. Phys.Med.Clin.North Am [7], 205-406. 1996.</p>
<p> 
<p>   3.   Barnes PJ 1999, <em>Managing chronic obstructive pulmonary disease</em> Science Press, London.</p>
<p> 
<p>   4.   Bradley, J., Howard, J., &amp; Wallace, E. 1999, &#8220;Validity of a modified shuttle test in adult cystic fibrosis&#8221;, <em>Thorax</em>, vol. 54, pp. 437-439.</p>
<p> 
<p>   5.   British Thoracic Society 2006, <em>The Burden of Lung Disease</em>, Second edn.</p>
<p> 
<p>   6.   Broussard, R. 1979, &#8220;Using relaxation for COPD&#8221;, <em>Am.J.Nurs</em>, vol. 79, no. 11, pp. 1962-1963.</p>
<p> 
<p>   7.   Calverley PM &amp; Walker P 2003, &#8220;Chronic obstructive pulmonary disease&#8221;, <em>Lancet</em>, vol. 362, pp. 1053-1061.</p>
<p> 
<p>   8.   Carter R, Coast JR, &amp; Idell S 1992, &#8220;Exercise training in patients with chronic obstructive pulmonary disease&#8221;, <em>Med Sci Sports Exerc</em>, vol. 24, pp. 281-291.</p>
<p> 
<p>   9.   Casaburi R &amp; Petty TL 1993, <em>Principles and practice of pulmonary rehabilitation</em> WB Saunders, Philadelphia.</p>
<p> 
<p>10.   Clarke, S. W. Rationale of airway clearance. Eur.Respir.J.Suppl 7, 599-603. 1989. </p>
<p> 
<p>11.   Criner GJ &amp; Celli BR. Effect of unsupported arm exercise on ventilatory muscle recruitment in patients with severe chronic airflow obstruction. Am Rev Respir Dis 138, 856-861. 1988. </p>
<p> 
<p>12.   Donna L &amp; Frownfelter 1987, <em>Chest Physical Therapy and Pulmonary Rehabilitation an Interdisciplinary Approach. </em> 2 edn, Year Book Medical, INC, Chicago.</p>
<p> 
<p>13.   Faling, L. J. 1986, &#8220;Pulmonary rehabilitation&#8211;physical modalities&#8221;, <em>Clin.Chest Med</em>, vol. 7, no. 4, pp. 599-618.</p>
<p> 
<p>14.   Fujimoto, K. e. a. 1996, &#8220;Effects of muscle relaxation therapy using specially designed plates in patients with pulmonary emphysema&#8221;, <em>Intern.Med</em>, vol. 35, no. 10, pp. 756-763.</p>
<p> 
<p>15.   Gift, A., Moore, T., &amp; Soeken, K. 1992, &#8220;Relaxation to reduce dyspnea and anxiety in COPD patients&#8221;, <em>Nurs.Res</em>, vol. 41, no. 4, pp. 242-246.</p>
<p> 
<p>16.   Gumery, L., Proyer, J., Prasad, S. A., &amp; Dodd, M. clinical guidelines for Physiotherapy Management of Cystic Fibrosis.  2001. CSP.</p>
<p> 
<p>17.   Louie, S. W. 2004, &#8220;The effects of guided imagery relaxation in people with COPD&#8221;, <em>Occup.Ther.Int</em>, vol. 11, no. 3, pp. 145-159.</p>
<p> 
<p>18.   Martin D, Powers S, Cicale M, Collop N, Huang D, &amp; Criswell D 1992, &#8220;Validity of pulse oximetry during exercise in elite endurance athletes&#8221;, <em>J Appl Physiol</em>, vol. 72, no. 2, pp. 455-458.</p>
<p> 
<p>19.   Olopade CO, Beck KC, &amp; Viggiano RW 1992, &#8220;Exercise limitation and pulmonary rehabilitation in chronic obstructive pulmonary disease&#8221;, <em>Mayo Clin Proc</em>, vol. 67, pp. 144-157.</p>
<p> 
<p>20.   Ries AL 1990, &#8220;Position paper of the American Association of Cardiovascular and Pulmonary Rehabilitation: scientific basis of pulmonary rehabilitation&#8221;, <em>J Cardiopulmonary Rehabilitation</em>, vol. 10, pp. 418-414.</p>
<p> 
<p>21.   Siafakas NM, Vermeire P, &amp; Pride NB 1995, &#8220;Optimal assessment and management of chronic obstructive pulmonary disease (COPD):  the European Respiratory Society Task Force&#8221;, <em>Eur Respir J</em>, vol. 8, pp. 1398-1420.</p>
<p> 
<p>22.   Vallet G, Ahmaidi S, &amp; Serres I 1997, &#8220;Comparison of two training programmes in chronic airway limitation patients: standardized versus individualized protocols&#8221;, <em>Eur Respir J</em>, vol. 10, pp. 114-122.</p>
<p> 
<p>23.   Wijkstra PJ, van der Mark TW, &amp; Kraan J 1996, &#8220;Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease (COPD)&#8221;, <em>Eur Respir J</em>, vol. 9, pp. 104-110.</p>
<p> Waleed Tawfiq</p>
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		<title>This is about techniques for bowling. Please explain the following:1, what is break the wrist technique?</title>
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		<pubDate>Fri, 03 Dec 2010 16:01:00 +0000</pubDate>
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		<description><![CDATA[2. What is backend reaction? 3. How to lead with the tip of the pinky when throwing? Thanks! 1. &#34;Breaking the wrist&#34; technique is used when you want to lessen the hook on your ball after delivery. Instead of holding your wrist straight up or cupped, let your wrist straight and almost flat. That will &#8230; <a href="http://www.tenpinbowlingnow.com/this-is-about-techniques-for-bowling-please-explain-the-following1-what-is-break-the-wrist-technique">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p>2. What is backend reaction? 3. How to lead with the tip of the pinky when throwing? Thanks!<br />
<br />1. &quot;Breaking the wrist&quot; technique is used when you want to lessen the hook on your ball after delivery.  Instead of holding your wrist straight up or cupped, let your wrist straight and almost flat.  That will definitely make your <a href="http://www.tenpinbowlingnow.com">bowling</a> ball go straight for single pin or corner spares, and will lessen the hook on extremely dry conditions.</p>
<p>2. &quot;Backend reaction&quot; is how your <a href="http://www.tenpinbowlingnow.com">bowling</a> ball reacts as it nears the pindeck and/or last 3rd of the lane.  My two strike <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> balls are the same, but have different backend reactions due to exotic drillings.  One has a smooth continuous hooking motion from start to finish and is used for inside shots when the outside is too dry.  The other one goes straight first when I want to play a down and in outside shot, then has a sharp hook into the 1-3 pocket for it&#8217;s backend reaction.</p>
<p>3. Leading with the tip of the pinky is a true basic <a href="http://www.tenpinbowlingnow.com">bowling</a> followthrough after releasing the ball.  Your pinky should be pointing straight up with your hand looking like you shook someones hand.  I tuck my pinky during my delivery so that I can put more hook on the ball, but after following through, it will end straight up.  </p>
<p>Hope this helps!</p>
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		<title>Bolivia s Secret Bowling Technique</title>
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		<pubDate>Sat, 14 Aug 2010 09:52:44 +0000</pubDate>
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		<description><![CDATA[STORY: By turning the two-handed bowling technique into a new and improved fluid motion, a team of Bolivian bowlers are taking the world by storm. Young practitioners of the novel style showed up at a bowling alley in Santa Cruz on Tuesday to practice the technique developed by successful Australian bowler Jason Belmonte. Just two &#8230; <a href="http://www.tenpinbowlingnow.com/bolivia-s-secret-bowling-technique">Continue reading</a>]]></description>
			<content:encoded><![CDATA[<p><img src="http://i.ytimg.com/vi/lVMMPkvnid8/2.jpg" align="left">STORY:</p>
<p>By turning the two-handed <a href="http://www.tenpinbowlingnow.com">bowling</a> technique into a new and improved fluid motion, a team of Bolivian bowlers are taking the world by storm. Young practitioners of the novel style showed up at a <a href="http://www.tenpinbowlingnow.com">bowling alley</a> in Santa Cruz on Tuesday to practice the technique developed by successful Australian <a href="http://www.tenpinbowlingnow.com">bowler</a> Jason Belmonte.</p>
<p>Just two fingers are inserted into the holes and the thumb is left out. The right hand is used to cradle the ball and create extra spin on release. Then, if you&#8217;re lucky, you get a strike. Trainers in eastern Bolivia are studying videos on YouTube of Belmonte and fellow two-hander <a href="http://www.tenpinbowlingnow.com">bowler</a>, Osku Palerma.  They&#8217;re passing the technique on to young bowlers like Sebastian Nemtala Garcia.</p>
<p>[Sebastian Nemtala Garcia, Amateur Bowler]:<br />
&#8220;(I learned) from coach, Bene Villa and players Jason Belmonte and Osku Palerma, who are also two-handed players. The method can be learned more quickly and because we are training for the Bolivian Games, we had to learn as quickly as possible. There isn&#8217;t much time, so we opted for this more effective way of playing.&#8221;</p>
<p>A two-handed ball nearly drops into the right gutter before veering back into the pins. Properly thrown, it can rack up strike after strike. Marcelo Garafulic, the president of the Bolivian <a href="http://www.tenpinbowlingnow.com">Bowling</a> Federation, wants to bring up an entire generation of bowlers using the unusual, but successful, technique.</p>
<p>[Marcelo Garafulic, Bolivian <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> Federation President]:<br />
&#8220;We&#8217;re specializing and focusing on two-handed <a href="http://www.tenpinbowlingnow.com">bowling</a> in Bolivia with concrete results. We get more medals this way.&#8221;</p>
<p>Training started at the end of March 2008 . Since then Bolivian bowlers have had unprecedented success in international tournaments, winning medals in Argentina and Brazil. They&#8217;ve also managed to win the elusive perfect game, not once, but twice.</p>
<p>[Marcelo Garafulic, Bolivian <a href="http://www.tenpinbowlingnow.com">Bowling</a> Federation President]:<br />
&#8220;Gold, silver, bronze; we won all the medals there were to win, and Bolivia had never won an official championship. We also got a perfect game, which means three hundred points, all strikes to the end. Thanks to these clinics we got a perfect game in a month and two months later another three hundred. Breaking the record of thirty four years with no championship and then this perfect game.&#8221;</p>
<p>And with young bowlers from Santa Cruz, Cochabamba and La Paz honing their two-handed throws on the lanes five hours a day, Garafulic hopes Bolivians are on the way to joining Belmonte on the professional ten-pin circuit.</p>
<p>Duration : <b>0:2:39</b></p>
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<p class='technorati-tags'>Technorati Tags: <a class='technorati-link' href='http://technorati.com/tag/belmonte' rel='tag' target='_blank'>belmonte</a>, <a class='technorati-link' href='http://technorati.com/tag/bolivia' rel='tag' target='_blank'>bolivia</a>, <a class='technorati-link' href='http://technorati.com/tag/bolivian' rel='tag' target='_blank'>bolivian</a>, <a class='technorati-link' href='http://technorati.com/tag/bowlers' rel='tag' target='_blank'>bowlers</a>, <a class='technorati-link' href='http://technorati.com/tag/Bowling' rel='tag' target='_blank'>Bowling</a>, <a class='technorati-link' href='http://technorati.com/tag/game' rel='tag' target='_blank'>game</a>, <a class='technorati-link' href='http://technorati.com/tag/garafulic' rel='tag' target='_blank'>garafulic</a>, <a class='technorati-link' href='http://technorati.com/tag/had' rel='tag' target='_blank'>had</a>, <a class='technorati-link' href='http://technorati.com/tag/handed' rel='tag' target='_blank'>handed</a>, <a class='technorati-link' href='http://technorati.com/tag/news' rel='tag' target='_blank'>news</a>, <a class='technorati-link' href='http://technorati.com/tag/ntd' rel='tag' target='_blank'>ntd</a>, <a class='technorati-link' href='http://technorati.com/tag/ntdtv' rel='tag' target='_blank'>ntdtv</a>, <a class='technorati-link' href='http://technorati.com/tag/president' rel='tag' target='_blank'>president</a>, <a class='technorati-link' href='http://technorati.com/tag/secret' rel='tag' target='_blank'>secret</a>, <a class='technorati-link' href='http://technorati.com/tag/technique' rel='tag' target='_blank'>technique</a>, <a class='technorati-link' href='http://technorati.com/tag/way' rel='tag' target='_blank'>way</a>, <a class='technorati-link' href='http://technorati.com/tag/young' rel='tag' target='_blank'>young</a></p>

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		<title>Basic Bowling Techniques (Part 2)</title>
		<link>http://www.tenpinbowlingnow.com/basic-bowling-techniques-part-2</link>
		<comments>http://www.tenpinbowlingnow.com/basic-bowling-techniques-part-2#comments</comments>
		<pubDate>Mon, 19 Jul 2010 11:56:38 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Bowling Techniques]]></category>
		<category><![CDATA[Bowling]]></category>
		<category><![CDATA[Jason Belmonte]]></category>
		<category><![CDATA[PBA]]></category>
		<category><![CDATA[Pete Weber]]></category>
		<category><![CDATA[Randy Pedersen]]></category>
		<category><![CDATA[Roto Grip]]></category>
		<category><![CDATA[storm]]></category>

		<guid isPermaLink="false">http://www.tenpinbowlingnow.com/bowling-techniques/basic-bowling-techniques-part-2</guid>
		<description><![CDATA[Basic Bowling Techniques with Storm&#8217;s Randy Pedersen (Part 2) In this episode, Randy explains the four and five step approach. Duration : 0:2:33 addthis_url = 'http%3A%2F%2Fwww.tenpinbowlingnow.com%2Fbasic-bowling-techniques-part-2'; addthis_title = 'Basic+Bowling+Techniques+%28Part+2%29'; addthis_pub = ''; Technorati Tags: Bowling, Jason Belmonte, PBA, Pete Weber, Randy Pedersen, Roto Grip, storm]]></description>
			<content:encoded><![CDATA[<p><img src="http://i.ytimg.com/vi/hjbXpnKFByA/2.jpg" align="left">Basic <a href="http://www.tenpinbowlingnow.com" target=_self>Bowling</a> Techniques with Storm&#8217;s Randy Pedersen (Part 2) In this episode, Randy explains the four and five step approach.</p>
<p>Duration : <b>0:2:33</b></p>
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