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Research Article - (2021) Volume 16, Issue 2
Background: Sickle cell disease (SCD) is one of the most common genetic disorders among Africans. Pulmonary complications of Sickle cell anaemia (SCA), both acute and chronic are the leading causes of morbidity and mortality in these patients. This study was aimed to determine the frequency and pattern of respiratory symptoms and ventilatory function among SCA patients in Nigeria.
Material and Methods: In this cross sectional study, Respiratory symptoms frequency, Forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC ratio, Forced expiratory flow between 25% and 75% of FVC, were determined in 50 SCA subjects and compared with values in 50 controls.
Results: The SCA patients had more respiratory symptoms and significantly lower ventilatory function tests values compared to the matched controls (p<0.05). The overall prevalence of at least one respiratory symptom among the sickle cell anaemia patient was (78%). The most common symptom was chest pain (58%). SCA patients had significantly lower mean ventilatory function indices than the control subjects with P<0.05 for FVC, FEV1 and FEF 25%-75%.
Twenty seven subjects (54%) of the SCA patients had abnormal lung function test compared with only two (4%) of the control subjects. Out of these, eighteen subjects (36%) had a restrictive pattern. There was no significant difference in the ventilatory function indices between SCA patients with respiratory symptoms and those without respiratory symptoms.
There was no association between the level of stable or foetal haemoglobin and the ventilatory function indices, (for each P>0.05).
Conclusion: The most common respiratory symptoms in the subjects with SCA were chest pain and breathlessness. More so, impairment of ventilatory functions indices (PEFR, FVC, FEV1, FEF25%-75%) was common. The most common pattern of ventilatory function in adult sickle cell anaemia subjects is restrictive while the presence or absence of respiratory symptoms was not associated with changes in ventilatory function indices. The level of stable HB and foetal Hb were not associated with changes in the ventilatory function indices.
Keywords: Respiratory symptoms; Ventilatory functions; Sickle cell anaemia
Sickle cell disease (SCD) is one of the most common genetic disorders among Africans. Of the children born annually with haemoglobinopathies worldwide, 61.4% have SCD and are all of African descent.1
Pulmonary dysfunction is a common cause of morbidity and mortality among individuals with sickle cell disease (SCD).1 Acute pulmonary complications, such as acute chest syndrome (ACS), predominate in children, while chronic lung disease is more common in adults with SCD. Acute chest syndrome occurs in ~50% of individuals with SCD over the course of their lifetime. Repetitive episodes of ACS may lead to sickle chronic lung disease, which is characterized by a restrictive pattern on pulmonary function testing.2 Sickle chronic lung disease is the cause of death for 20% of adults with SCD.3
Some authors have alluded to the fact that there were high numbers of respiratory symptoms (cough and wheeze) among patients with sickle cell disease which may also trigger acute painful episodes.4
The lung is among the major organs involved in sickle cell anaemia. 5,6 Pulmonary complications account for a large proportion of deaths among patients with sickle cell anaemia. According to the cooperative study of sickle cell disease (CSSCD), more than 20% of adults had fatal pulmonary complications of sickle cell anaemia. 7 Pulmonary complications, both acute and chronic, are the leading causes of morbidity and mortality in SCA patients. 7-9
Pulmonary manifestations in SCA include acute chest syndrome, airway obstruction, restrictive lung disease, thromboembolism, and sickle cell chronic lung disease, which in its most severe form ultimately lead to pulmonary hypertension (PH).10-12 Also in the spectrum of manifestation is chronic dyspnoea, asthma or recurrent wheezing without a diagnosis of asthma, pulmonary fibrosis, and sleep-disordered breathing which encompasses two broad and sometimes overlapping groups (Obstructive sleep apnoea and Nocturnal hypoventilation).
Hypoxia during any major respiratory insult is thought to contribute to diminished phagocytosis by pulmonary alveolar macrophages, the defensive cells of the ventilation-perfusion unit. As a result, bacterial pneumonia is common and frequently involves the middle and upper lobes of the lungs and may be complicated by bacteraemia which may in turn cause meningitis. These infections are estimated to be 20 to 100 times more frequent in patients with sickle cell disease than in persons with a Normal genotype.
It is also noted that the deficiency of properidin system leading to reduced opsonisation of capsular organisms as reason for frequency of infections
Most of the studies on the ventilatory function in patients with sickle cell anaemia have yielded a variable spectrum of abnormalities, including restrictive lung disease in a majority of cases, obstructive disease, and hypoxemia. It is worthy of mention that previous studies have documented characteristic patterns of pulmonary function in sickle cell anaemia patients. Some have also demonstrated lower levels of spirometric indices such as FEV1 and FVC in Sickle cell anaemia patients when compared with normal subjects.
Despite the significant contribution of pulmonary disease to SCA-related morbidity and mortality, pulmonary function test (PFT) abnormalities are not well described in adults with SCA in Nigeria especially in the South East sub region. The aim of this study was to determine the prevalence and pattern of respiratory symptoms as well as the ventilatory function in patients with sickle cell anaemia.
Ethical clearance for the study was obtained from the Health Research Ethics Committee of the University of Nigeria Teaching Hospital, Ituku–Ozalla, Enugu.
This work was a cross sectional study. SCA patients attending the SCA clinic at the University of Nigeria teaching hospital Enugu, South East Nigeria, were recruited over a one year period between January 2017 and February 2018. Every alternate patient attending the clinic was recruited if he or she gave written informed consent and did not have any exclusion criterion.
Majority of the patients attending were of same tribe (Igbo). The clinic runs once weekly and adult patients 18 years and above are usually in attendance.
The sample size was calculated using the fisher’s formula for estimating minimum sample size in health studies at 3.1% prevalence of sickle cell anaemia obtained from a study in Ibadan, south-western Nigeria. Considering 0.05 as the absolute sampling error that can be tolerated, 46 subjects were estimated but 50 patients were recruited and studied during this period to improve the accuracy of the study results and analysis.
The study population of 50 was drawn from an equal number of controls (50) who were comparable to the SCA patients in age, sex, height were recruited randomly and studied alongside the study population if they gave written informed consent and did not have any of the exclusion criteria. On the average about four SCA patients and four control subjects were recruited and studied weekly. The matching of the controls was a rigorous procedure carried out by simple observation first and then actual measurements of the parameters to be matched. The same exclusion criteria were used for the cases as well the control subjects.
All patients and controls recruited were assessed using a structured pre tested respiratory questionnaire to obtain their clinical and anthropometric data. They also had genotype and foetal haemoglobin assessment using the D10 high performance liquid chromatography machine. Their haemoglobin levels were assessd using the haemoglobinometer.
Spirometry testing was performed using a digital Spirometer (Spirolab III) Medical International Research, Italy (September, 2011) after the procedure was thoroughly explained to the patients and controls according to the ATS/ERS guidelines. Measurements were performed with the Patients in sitting position without nose clip. Forced expiratory manoeuvres were repeated until three accepted and reproducible tests were obtained. The spirometer was calibrated every day of the study using the calibration syringe following the calibration procedures already set by the equipment Manufacturer.
The FVC, FEV1, FEV1/FVC and FEF25-75% were determined for each subject and control. All the ventilatory function tests for the subjects and controls were conducted between 9.00 am and 12.00 noon.
The collated data was coded, entered and analysed using Microsoft Excel 2007 and Statistical Package for Social Science (SPSS) version 21 Descriptive statistics was used for continuous variables expressed as means and standard deviations while categorical variables were expressed as frequencies and percentages. The inferential statistics used were Independent Samples t-test, the Mann-Whitney U test, Chi-Square test, Fishers Exact test and Spearman Correlation. Specifically, the t-test was used for comparisons involving normally distributed continuous variables, while the Mann-Whitney U test was used for comparisons involving continuous variables that were not normally distributed. The Chi-Square Test was used for analyses involving two categorical variables while Fishers Exact Test was used when a Chi-Square Test assumption was not met by the data. Spearman Correlation was used to ascertain relationship of two numerical variables where the data was not normally distributed. Statistical decision rule was at 5% level of significance. Hence, significant difference was concluded when p-value was less than .05, (p<.05).
The frequencies of respiratory symptoms were compared between SCA patients and the controls. The mean ventilatory indices of the SCA patients were compared with the values found in the matched controls.
The reference equations will be used to calculate ventilatory function values in SCA patients and control subjects. Those with FVC less than 80% predicted with FEV1/FVC% normal or increased were classified as having restrictive lung impairment while those with FEV1/FVC less than 70% and those with FEV1 less than 80% predicted were classified as having obstructive functional lung impairment. Patients with ventilatory function values above 80% predicted were classified as normal.
Fifty eligible SCA subjects were recruited during this period and were studied with fifty controls. There were 24 SCA males representing (48%) of the total and 26 SCA females representing (52%) of the total. This was the same for the control group.
The age of the cases ranged from 18-46 years with mean and standard deviation of 26.28 ± 6.58 years and modal age group of below 25 years (42.0%); this was comparable to the controls. There were more students among the participants.
There was no statistically significant differences in the mean heights (p=0.839), however there was statistically significant differences in the mean weights (p<0.001) and BMI (p<0 .001) between the cases and control subjects.
The mean and standard deviation of stable Hb and foetal Hb for the SCA patients were 8.47 ± 1.16 g/dl and 6.96 ± 5.22% respectively (Table 1).
|Measured Variables||Cases (n=50)
|Control (n = 50)
|Stable (Hb g/dl)||8.47 ± 1.16||-||-||-||-|
|Foetal Hb(%)||6.96 ± 5.22||-||-||-||-|
|HB=Haemoglobin; SD=Standard deviation|
The most frequent respiratory symptoms in SCA patients were chest pain, breathlessness and cough with frequencies of 58%, 46% and 36%, respectively. Compared with males, females reported a significantly higher prevalence of breathlessness (29.2% vs. 61.5%; p=0.022). Beyond breathlessness, there were no significant sex differences in the frequency of respiratory symptoms among the cases.
The mean FVC, FEV1, PEFR and FEF25-75 in the SCA patients were significantly lower in the SCA patients than in the control group with p<0.05 for each parameter.
The mean ratio of FEV1 to FVC (FEV1/FVC) was higher in the control group (84.57 ± 7.45%) than the SCA patients (83.85 ± 7.45%) but the difference was not statistically significant (p=0.693).
The mean percentage predicted values for FVC, FEV1 and PEFR among sickle cell anaemia patients (86.62 ± 18.73%, 89.34 ± 18.30%, and 93.85 ± 24.92, respectively) were lower than in the control population (104.16 ± 13.63%, 109.10 ± 13.39%, and 111.69 ± 20.1%, respectively). The difference in the observed means for each of the parameters between the two study groups achieved statistical significance with p<0.001.
Overall, a total of 27(54%) SCA patients had abnormal lung function test compared with only 2(4%) of the control subjects (Figure 1). The difference was statistically significant (P<0.001).
Comparatively, the Non symptomatic patients had higher values but the differences were not statistically significant. PEFR (p=0.198), FVC (p=0.667), FEV1 (p=0.228), FEV1/FVC (p=0.461), and FEF25-75 (p=0.239).
Comparison between the SCA patients with normal and abnormal ventilatory function revealed a significant difference both for stable Hb (p=0.030) and foetal Hb (p=0.016). The patients with normal ventilatory function had higher mean in the stable Hb (8.85 ± 1.09 g/dl) and foetal (Hb 8.89 ± 6.11%) than those with abnormal ventilatory function (stable Hb 8.15 ± 1.14 g/dl, foetal Hb 5.31 ± 3.68%) (Table 2).
|Normal V F Mean ± SD||Abnormal V F Mean ± SD||Mann-Whitney U||p-value|
|Stable Hb(g/dl)||8.85 ± 1.09||8.15 ± 1.14||200||0.03|
|Foetal Hb(%)||8.89 ± 6.11||5.31 ± 3.68||187||0.016|
|P value based on: Mann-Whitney U test; V F= ventilatory function SD= Standard deviation|
Furthermore, there was no statistically significant correlation between the foetal/stable Hb and the measured ventilatory function parameters viz; Stable Hb and PEFR (p=.433), FVC (p=.321), FEV1 (p=.147) and FEF25-75 (p=.154); and likewise between the ventilatory indices and foetal Hb PEFR (p=.125), FVC (p=0.154), FEV1 (p=.151) and FEF25-75 (p=.052) (Table 3).
|Stable HB||Correlation Coefficient||0.113||0.143||0.1||0.154|
|Foetal HB||Correlation Coefficient||0.125||0.154||0.2||0.052|
|P value based on Spearman Correlation|
This study revealed that majority of the patients with sickle cell anaemia were symptomatic (had at least one respiratory symptom). The most common respiratory symptom was chest pain followed by breathlessness. The study also showed that more than half of the subjects had impaired ventilatory function and the pattern of ventilatory dysfunction found among these patients was largely restrictive.
This finding was corroborated by previous researchers who found chest pain and breathlessness as the most common respiratory symptoms in SCA patients. The chest pain could be as result of a subclinical acute chest syndrome or rib infarction. Most SCA patients have difficulty with opsonised organism and this may lead to recurrent chest infection which may not have been apparent during the time of study. It’s also possible that the background or past acute chest syndrome may have been responsible for the increase prevalence of breathlessness in the cases.
This study clearly showed that most of the SCA patients had an abnormal ventilatory pattern with most being restrictive. Patients with respiratory symptoms were generally found to have lower ventilatory parameters than those without respiratory symptoms this finding is not unexpected and could suggest that patients with respiratory symptoms have more affectation of the respiratory tract due to chronic micro thromboembolism as well as impaired immune function which occurs in SCA patients. Further formal lung function laboratory studies with transfer factor tests preferably in a larger population of SCA individuals will be necessary to establish the significance of this finding.
In this study as well, it was found that cases with lower haemoglobin and foetal haemoglobin had a much lower ventilatory indices. It is also possible that those with a lower Hb may have had more crises in which the lungs were equally affected. Considering SCA as systemic problem, it is no surprise that the ventilator indices were lesser compared to the control group. It’s also noted that SCA patients with a higher foetal Hb had lesser symptoms and most likely and of course may explain the finding of lower ventilatory indices in those with lower foetal Hb.
The limitation of this study is that it was not possible to study the diffusion capacity of the lungs to carbon monoxide due to lack of such facilities as well as the overwhelming difficult logistics in procuring the equipment
This study was a cross sectional study so it could not look at the rate of possible decline of lung function indices as a result of the disease.
It was also not possible to determine the exact pathological changes responsible for the ventilatory dysfunction found among the studied Sickle Cell Anaemia patients as lung biopsies were not done.
It is hoped that this study of ventilatory functions in SCA patients will stimulate further research in this regard more especially in the area of identifying the rate of decline in ventilator function among this patient population.
The most common respiratory symptoms in the subjects with SCA were chest pain and breathlessness. More so, impairment of ventilatory functions indices (PEFR, FVC, FEV1, FEF25%-75%) was common. The most common pattern of ventilatory function in adult sickle cell anaemia subjects is restrictive while the presence or absence of respiratory symptoms was not associated with changes in ventilatory function indices. The level of stable HB and foetal Hb were not associated with changes in the ventilatory function indices.
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Jamie's recipe to becoming a Runner
The recipe to become a Runner
"Place one foot in front of the other, moving faster than your regular walking pace"
- 2 feet
- 1 pair of shoes
- Place the shoes on your feet and lace them up
- Open the door and step outside
- Place one foot in front of the other, moving faster than your regular walking pace
- Repeat step 3 until you’ve reached a target distance, or you just feel ready to stop
- Feel good that you’ve just done something awesome
Running really is as simple as that, it doesn’t take anything more than a pair of legs and some shoes. You don’t need to invest a lot of money into buying the best running kit or most expensive footwear – all you need is some shoes and clothing that feel comfortable to run in, and a little bit of time.
As Bill Bowerman once said: “If you have a body you are an athlete”. It does not matter who you are, your size or your shape, any ‘body’ can become a runner – it really is as simple as stepping out of the door and putting one foot in front of the other. You don’t even need a lot of time, even a small amount of running can give significant health benefits.
The benefits of running are vast, far too many to list here!
We’re probably all aware of some the main physical benefits: weight loss, improved cardiovascular fitness, improved heart function, increased muscle mass, increased energy, protection from disease (running just 50 minutes a week is said to help protect from risk of stroke, diabetes, high cholesterol, high blood pressure, and much more).
Perhaps more importantly though, in my opinion at least, is the mental benefit - i.e. the way that running makes you feel! Runner’s high is an actual thing… when you run, powerful feel-good brain chemicals are released (endorphins and endocannabinoids); these chemicals help to ease stress and anxiety, and can alleviate depression. In fact my wife finds me particularly annoying when I return from a run – I get back filled with energy, hyperactive and seem to be super happy at everything, it’s really an amazing feeling!
Running is a great time to think, away from the distractions of daily life – in a twenty minute run I can do more productive thinking than at any other time during the day. I also find that my concentration and memory improve on days when I have done a run (or maybe it’s because if I haven’t been running I’m just thinking that I want to go running!?).
Perhaps more importantly though, in my opinion at least, is the mental benefit - i.e. the way that running makes you feel! Runner’s high is an actual thing…
I started running in 2016, having signed up to do the Great North Run. I had done it once before in 2010 with pretty much no training, and back then it ended with a vow never to “do anything that stupid ever again”. In 2016, my training was once again sparse and my runs were few and far between; yes I was running, but I still wasn’t really ‘into it’!
That feeling of getting ‘into it’ didn’t really come until late 2017, when I set myself a challenge to raise money for charity – I would run at least 5km a day for the whole of November. When I first laid out the challenge it was genuinely something I didn’t think I’d be able to do; I didn’t consider myself ‘a runner’ at all, but it was for a great cause so I was sure as hell going to give it my best shot.
I got through the challenge (just!), but from all that unfamiliar activity my hip and knees broke down in early December 2017 and I was out of action heading into 2018. I initially felt a little disheartened since I’d grown to like running throughout November, but I soon switched my focus back to the other training I was doing (namely callisthenics and body weight training).
In the summer of 2018 I injured my shoulder and couldn’t do any weight training; to compensate for the exercise void in my life I started running again. This time I quickly got ‘into it’, clocking up more and more miles as the days / weeks / months passed me by (or maybe I passed them by!).
Fast forward almost two years, and running now plays a big part in my daily life – I don’t feel like my day can start until I have at least a couple of miles in my legs. Regardless of the weather (in fact it’s often the runs when you’re battling against inclement weather that feel the most rewarding!) I set my alarm and hit the road while my wife and two children are still asleep, arriving back home in time for breakfast. Some days I’ll do an easy 20 mins and others I’ll do a couple of hours, but either way I always find time to squeeze something in!
Running helped me through one of the most difficult times of my life. In August 2019 I lost a best friend to suicide, and it was through running that I was able to grieve. I spent countless lonely hours pounding the pavements whilst processing my thoughts and coming to terms with what had happened, slowly making my way through the stages of the grieving process. I still think of him every time I run, and I know that I always will.
Running is my therapy - whether I start a run feeling good or bad, I always end it feeling better. All from following the simple recipe:
- Put on shoes
- Open the door and step outside
- Place one foot in front of the other and repeat
So what are you waiting for!? Get out that door and start cooking up some good vibes!
"Running is my therapy - whether I start a run feeling good or bad, I always end it feeling better."

domain: sports


text: Singing workshops are also available for corporate organisations, e.g. churches or singing groups. We incorporate the IVA technique in our teaching, where topics on how our voice works, how to warm up our voice, men and women’s transition passages, etc., will be discussed. Participants will also get to involved in demonstrations on how to use vocal exercises to project their voice, increasing vocal range, and eliminate abrupt changes in their voice when going from low to high notes. We also have workshops teaching singers how to sing better, relating to the genre they sing.

domain: artistic


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The other day I had the pleasure of being interviewed on BYU radio on Sirius XM. Here is a rough outline of what we talked about!
- Why do so many people try the keto diet and then end up stopping after a short amount of time?
It’s my opinion that too many people have become part of the instant gratification nation. If they don’t drop 10# in the first week, they give up. As I tell the people I advise, you put this weight on over a period of ime, if you plan to lose it in a healthy fashion, it will take time as well. There is no doubt that keto will help you lose eight quickly, but results vary and I think the more overweight you are, by percentage the faster you will see losses. It’s easier to lose 10% body weight at 300# than 10% body weight at 150# and people don’t seem to get that. Additionally, you should be exercising as well and when you gain muscle mass it weighs more than fat for the same mass; therefore the scale does not tell the whole story. I advise people to take multiple measurements and keep them in a spreadsheet. My markers are: shoulders, chest, waist, hips, thighs.
What Is the Keto Diet?
- keto dietis an eating style that limits % of carbohydrates.
- 90% fat, 6% proteinand just 4% carbohydrates,
- forces the body to use fat as its primary fuel. triggers ketosis.
- Ketosis – your body breaks down both dietary and stored fat for fuel and creates ketones in the process.
- Ketones are a byproduct of burning fat that are generated in the liver and can be measured in the blood.
- Keto originally developed in the 1920s to help control epilepsyin children.
- It’s also a very effective way to drop weight quickly, manage type 2 diabetes. and thus, some individuals are adopting the ketogenic diet as a health regimen.
- The keto diet is so popular right now because of its reputation for causing quick fat loss., however, the sourceof the fat you eat doesn’t necessarily matter when you’re trying to lose weight on the keto diet-if you’re still in ketosis, it’s likely still “working,” .
- Bacon Cheeseburgers, for example, are high in fat and protein and low in carbs, so they don’t disrupt your body’s state of ketosis. That means that technicallythey fit the keto diet parameters, and you’ll still lose weight. (Even though, it’s common knowledge that burgers certainly aren’t a health food.)
One of the most important things to remember when you’re following a keto diet is that there are healthier-and less healthy-ways to follow this diet,” she says.
“To do keto the right way, you should always be supporting your health.”
- Can you tell the difference between clean keto and dirty keto?
Clean Keto vs. Dirty Keto-and Why It Matters
Clean keto puts more emphasis on food quality than traditional keto diet. focuses on whole, unprocessed foods that are nutrient-dense foods, high in fiber and low in net carbs-but are still packed with other nutrients-such as avocados, green vegetables, and healthy fats
The meals have no more than 50 grams of carbs per day, a moderate protein intake of 15–20% of daily calories, and a high fat intake of at least 75% of daily calories.
Clean keto consists mainly of whole foods from quality sources, such as grass-fed beef, free-range eggs, wild-caught seafood, olive oil, and non-starchy vegetables.
High carb foods, including grains, rice, potatoes, pastries, bread, pasta, and most fruits, are severely restricted or banned.
Clean keto also minimizes your intake of processed food, though it can still be eaten in moderation.
What is dirty keto?
- Dirty keto, on the other hand, is following the keto diet and adhering to its carb restrictions without actually steering clear of unhealthy foods. “The dirty keto approach includes lots of meat, butter, bacon, and pre-made/packaged convenience food,” Although dirty keto is still low in carbs and high in fat, its food sources are often not as nutritious.
- includes seemingly healthy things like protein bars, shakes, and other snacks that boast being sugar-free and low-carb.
- These foods aren’t made with health in mind, because, “when any diets become trendy, companies try to make money off of it by making processed foods [that fit the diet],”
- “When people go on diets, they tend to gravitate towards the unhealthy part or asking the question: ‘What can I get away with?'”
- As a long-time advocate of the keto lifestyle, the dirty keto is concerning: “I don’t want people to just lose weight; I want people to heal and perform better”
- And, yes, you should care, even if you’re losing weight on the “dirty” version of the keto diet. While you can technically attain ketosis and garner some of the keto diet’s benefitsusing this approach, you may miss out on several key nutrients and increase your risk of disease.
- “The biggest foundation of weight loss is health,”. “If you have any inflammation, if your gut is imbalanced, if your hormones are off, if your blood sugar is off-all of those things are going to make weight loss a lot more difficult and maintaining that weight loss a lot more difficult.”
- Dirty keto follows the same breakdown of fats, protein and carbs. But compared to a regular keto diet, there’s one key difference — it doesn’t matter where these macronutrients come from. A clean keto diet encourages you to eat organic vegetables, pasture-raised meat and quality fats like coconut oil and grass-fed butter. On the dirty keto diet, you can hit a drive-thru for a bun less double bacon cheeseburger and diet orange soda.
- What is your experience with both?
I have lost weight doing both styles. The biggest difference is how I feel. By consuming less sodium and refined or processed items, I retain less water and feel lighter even if I weigh the same.
- What are the benefits of clean keto?
In a nutshell you are eating foods that your body recognizes. They are whole foods that are unprocessed and contain all the vitamins, minerals, fats and proteins you need while doing away with excess sodium or preservatives. Your body has an easier time processing these and converting them into healthy energy sources with less inflammation.
- Why is dirty keto dangerous?
Contains processed foods
Dirty keto is also called lazy keto, as it allows for highly processed and packaged foods.
It’s popular among individuals who want to achieve ketosis without spending lots of time prepping clean keto meals.
For instance, someone on dirty keto might order a double bacon cheeseburger without the bun instead of grilling a grass-fed steak and making a low carb salad with a high fat dressing.
Dirty keto meals are often high in sodium. For people who are sensitive to salt, high sodium intake is associated with high blood pressure and an increased risk of heart disease (4Trusted Source, 5Trusted Source).
Processed foods are also likely to have far more additives and fewer of the micronutrients your body needs. What’s more, they are associated with several negative health effects, including weight gain, diabetes, overall mortality, and heart disease (6Trusted Source, 7Trusted Source, 8Trusted Source).
Certain additives, including monosodium glutamate (MSG) and trans fats, are linked to adverse conditions
Moreover, the added sugars in many processed foods may prevent you from reaching and maintaining ketosis.
May lack micronutrients
Dirty keto foods are lacking in vitamins and minerals that your body requires.
Examples of foods that can be eaten on a dirty keto diet – regularly or only on cheat days – depending on your interpretation:
- Artificial sweeteners.
- Processed oils.
- Processed proteins.
- Low-carb snack foods, such as potato or tortilla chips and cookies.
- Chai and coffee drinks that contain coconut milk and sugar-free syrup.
- Pork rinds and beef jerky.
- Cheese chips.
- Salami and cheese.
THE IMPACT OF DIRTY KETO ON YOUR BODY
If you’re eating junk food that doesn’t meet your body’s basic nutrient needs, there are going to be consequences.
Your body uses vitamins and minerals from whole foods to support everything from your cells to your immune system, strengthen your bones, keep your brain sharp and give you energy .
The processed foods allowed in the dirty keto diet contain additives and preservatives that can decrease your healthy gut bacteria and actually damage the lining of your gut. Also, processed foods like chips, meat jerky and even soda can be loaded with sodium, which causes water-retention, bloating and puffiness. When you’re in ketosis, your body needs more water than usual in order to stay hydrated, so adding excess sodium to the mix can exacerbate dehydration, constipation, and other symptoms of the keto flu. In short, preservatives reverse all the gut-strengthening, inflammation-busting benefits of a clean keto diet that encourages a diet high in whole foods.
While the dirty keto diet may be tempting for people on a busy schedule, it emphasizes processed food and may severely curtail your micronutrient intake and you probably won’t feel your best if you’re eating too many preservatives and not enough nutrients from whole foods.
Skip: Dirty Keto Foods
Pre-packaged and processed keto diet foods: Just because packaging boasts being keto-friendly doesn’t mean it’s a good idea to eat them. “Artificial foods are filled with chemicals and they can disrupt your gut bacteria and can even affect your brain,” Especially avoid artificially sugar-free foods, like chocolate protein bars (which are often sweetened with sugar alcohols). “You’re better off having a piece of high-percentage dark chocolate if you want a treat,”
Full-fat dairy: Overuse of high-fat dairy products (ex: full-fat cheese) can lead to a diet that is extremely high in saturated fat, which puts people at risk of cardiovascular disease,. “If most of the foods you’re choosing are highly processed or filled with saturated fat, you’re probably consuming an overall unhealthy diet,” says Shusterman.
Processed and red meats: Limiting processed and red meats (such as sausage, bacon, and beef) in favor of less processed, leaner options like fish and poultry. “Fish, like salmon, provides omega-3 fatty acids, an essential fat in our diet, and a great source of protein, is a really good start. If you are going to eat red meat, I recommend buying only grass-fed and organic meats. “When cows are grain-fed they are full of omega-6 fats, which is inflammatory,” When people worry about the costs I stress that you can eat less and still feel satiated because its whole food.
Ketogenetic diets, whether they’re clean or dirty, can lead to rapid weight loss, but maintaining that reduction long term can be really challenging. “In general, any diet that requires users to make such drastic changes and all but eliminate the foods they enjoy, will typically offer limited long-term success,”
For some this diet tends to be a temporary solution to a permanent problem. This diets attract users because they enable them to eat very indulgent and satiating foods,” he explains. That’s because fatty foods may help you feel fuller longer.
For some the lack of variety gets old quickly. “In time, the average user grows weary of these diets and ultimately ends up returning back to the root cause of obesity,”
These root causes include:
- Overconsumption of calories, often from processed carbohydrates.
- Lack of portion control.
To give us an idea of what clean keto really looks like, can you give us examples of what you typically eat for breakfast, lunch and dinner on clean keto?
Foods to eat on clean keto
- Healthy Fat sources: grass-fed butter, ghee, avocados, coconut oil, MCT oil, olive oil, sesame oil, and walnut oil Sustainable Malaysian PALM OIL
- Palm oil has scientifically proven benefits for the heart, brain and liver. It is loaded with carotenoids– much more than carrots and tomatoes. Much better for cooking and grilling, as it holds up to high heat and has a neutral flavor.
HEALTH and NUTRITION
- Naturally trans-fat free, cholesterol-neutral and the bonus: It’s non-GMO.
- Supplements contain tocotrienols (vitamin E), carotene and vitamin A in their natural form, which are derived from Malaysian sustainable palm oil.
- Use the cooking oil or you can find Malaysian palm oil in many foods.
- Good for brain and heart health
- Good-for-you saturated fat
- It can be used in high heat without becoming a carcinogen, unlike other oils including olive oil.
- Contains nutrients that protect the skin from the inside
- Contains nutrients that protect the skin from the inside
Malaysian sustainable palm oil is a good-for-you oil. It is naturally trans fat-free and non-GMO. It also has beta carotene, tocotrienols and other nutrients that have been shown to support good health.”
- Deforestation/Environmental Impact/RSPO
- 50% of the country’s rainforests are protected forever; the U.S. only has 4% of its native land remaining. It takes 10 times more land to produce the same amount of canola oil or soybean oil. Livestock requires the most land usage
- The trees grow for 30 years, and produce a harvest every 3 months. There’s no chemical processing. They just squeeze out the oil.
- Palm isn’t labor intensive. They just chop off the palm fruit and bring it to the processing plant, which runs on steam.
What I love about Malaysian palm oil is knowing that half of this country’s forests are protected.
- High fat protein sources: grass-fed beef, chicken thighs, salmon, tuna, shellfish, eggs, bacon (in moderation), full fat Greek yogurt, and cottage cheese
- Low carb vegetables: Eat produce that’s an array of colors to ensure you’re getting a good variety of vitamins and minerals. A lot of vegetables are high in fiber, which makes their net carbs very low. cabbage, broccoli, asparagus, Brussels sprouts, spinach, kale, green beans, peppers, zucchini, cauliflower, and celery. To pair the veggies with fat, bake them in butter, sauté or steam and eat with guac or tahini.
- Limited portions of berries: strawberries, blueberries, and blackberries
- Nuts, nut butters, and seeds: walnuts, pecans, almonds, and hazelnuts, as well as hemp, flax, sunflower, chia, and pumpkin seeds
- Cheeses (in moderation): Cheddar, cream cheese, Gouda, Swiss, blue
- Beverages: Clean hydration is important because you’re cutting a lot of sugar and sodium out of your diet and this helps flush your system.water, sparkling water, diet soda, green tea, black tea, coffee, protein shakes, milk alternatives, vegetable juice, and kombucha
Clean keto refers to the traditional keto diet, which is meant to get your body burning fat as its main fuel source instead of carbs. This eating pattern consists of whole, minimally processed foods that are low in carbs but high in fat.
- Can you help us clear up the misconception that keto has to be all organic, expensive and hard to follow?
- How can we make the keto diet, or other diets for that matter, cheaper?
1st-portion sizes, 2nd whole foods cost less for satiety sake, not engineered
- What are some of your favorite clean keto recipes?
Fathead pizza, squash “lasagna”, cauliflower puree [blank canvas for flavor -spice, roasted garlic, pesto
- What are good resources to find new recipes for keto or other diets?
Eat primal, Mark Sisson
- How do you curb your cravings for foods that do not fall under the keto umbrella?
Flirting with keto or cyclical keto. I don’t like to think that I am on a restricted plan otherwise I would not last, but when I need a break I cycle. Keto Cycling / Flirting with Keto
Although there are a lot of keto products on the market, it can be hard to stay on the keto diet. This is not Atkins, which doesn’t demand that you stay in ketosis. And it’s easy to make the mistake of eating a higher ratio of protein than fat, which can knock your body out of nutritional ketosis. If staying on keto full time is too demanding, there are a few options that might work for you.
- Intermittent fasting. This is a way to dip your toe into the keto world. If you go on an
18-hour fast, you can stimulate ketosis. Ideally your body will be running on fat calories
(ketones). Then maybe try a keto cleanse, which is basically following the keto diet for a
few days or weeks.
- Keto cycling/Flirting with keto. A lot of keto advocates are into this. They follow a
ketogenic diet for three to four weeks, a few times a year. It can be very therapeutic.
Think of keto cycling as hitting the reset button on your metabolism. It helps jumpstart
your weight loss.
Additional keto tips and strategies
- Don’t fall for the water weight myth. Some people will tell you that the first pounds
you drop when you stop eating carbs are nothing but water weight. Studies now show
there’s some fat in there as well!
- How have you been able to make healthy eating a lifestyle rather than a fad?
Results, blood testing proof, race results. If I got on a scale every day, I’d be a slave to the numbers. By focusing on empirical data such as smaller clothes, faster running or cycling times, blood results, I have inspiration to keep moving forward.

domain: medical


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Manages daily restaurant operations and assists with menu planning maintains sanitation standards and assists servers and hosts on the floor during peak meal periods.
Strives to continually improve guest and employee satisfaction and maximize the financial performance in areas of responsibility.
Duties and Responsibilities:
- Oversea the dining area, supervises food and beverage service staff in accordance with operating policies that he or she may help establish.
- Creates a positive team atmosphere among Team Members.
- Maintains records of staff periodic manner and operating costs.
- Provides feedback and coaching to the Team regularly.
- Understands building capability through Cross training
- Treats all Team Members fairly, with respect.
- Sets high standards for appropriate team behaviour on shift.
- Works with food and beverage staff to ensure proper food presentation and proper food-handling procedures.
- Handle guest complaints in restaurants.
- Schedules periodic food and beverage service staff meetings to ensure correct interpretation of policies and obtain feedback from staff members.
- Maintain budget and employee records, prepare payroll, and pay bills, or monitor bookkeeping records.
- Check the quality of deliveries of fresh food and baked goods.
Has effectively managed Team Members for 12+ months.
Previous experience in similar Job role.
Coached and improved performance of at least one poorly performing Team member/Manager.
A high standard of spoken Italian & English.
Flexible working hours subject to the demands of the business.
Effective Communication, Supervising People, Teamwork.
Valid EU passports for more than six months.
- Salary Offers Range : €3300
- Experience Level Senior
- Total Years Experience 5-10

domain: food


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Kaskaskia College Monthly Lecture Series Presents Special Black History Month ProgramThe Kaskaskia College Community Education Department, in conjunction with the Centralia Area Historical Society, will host a special Black History Month program on Monday, February 11th. The program will take place at 7 p.m. at the Centralia Historical Museum, located at 240 South Locust Street in Centralia. Punch and cookies will be served at this free event.
The program will feature Tron Young reading Dr. Martin Luther King's “I Have a Dream” speech. Young is a graduate of Kaskaskia College and is principal of Schiller School in Centralia. Brandon Smith and Delmar Hill from Elmwood Speaks will portray Earl and Emma Burris. The couple ran a grocery store in Centralia, and Mr. Burris worked for the Illinois Central Railroad.
If you would like to be a speaker or for more information, contact Cydney Richardson at Kaskaskia College at 618-545-3256 or the museum at 545-0657.
See other LocalNews news:Illinois State Trooper to be Honored with Agency's Medal of Honor
Governor Rauner Reviewing Federal Plan to Cut Greenhouse Gas Emissions from U.S. Power Plants
Florida-Based Health Care Tech. Company Hiring Out of Decatur
Illinois Equal Justice Foundation Benefiting from Windfall Given to Them by The State
Attorney for Group of Former Illini Women's Basketball Players Says No Surprise Reports of Mistreatment Were Unfounded

domain: news


You have searched for Vijaynath Vittal Shetty
in the news | LAST UPDATED : Jan 24, 2018, 10.56AM IST
- Shilpa Shetty Kundra gets frightened out of her wits on the sets of Super Dancer
Super Dancer is giving viewers major dance goals. The judges on board have been seen motivating the little kids and their talent. On the other hand, the little bundles of joy have not just made the viewers and judges smile and cry but have also scared them out literally.
- 'Casteist' jibe: Salman Khan, Shilpa Shetty get summons
As film actors Salman Khan and Shilpa Shetty Kundra have failed to appear before the Churu police on Monday in connection with the FIR relating to their alleged derogatory remarks against Dalits, the police have now asked them to appear without fail on January 22.
- 'Bhaagamathie' trailer is out, Anushka Shetty wows with her powerhouse performance as the possessed!
After her roles in films like ‘Arundhati’ and ‘Baahubali’, Anushka Shetty’s upcoming film ‘Bhaagamathie’ is a much-awaited one. Apart from the, by now famous, nailing-her-hand-to-the-wall scene, it is the scenes at the end that grab one’s attention.
- Fresh complaint filed against Salman Khan and Shilpa Shetty
An official of the Rojgar Aghari Republican Party of India on Monday filed a fresh complaint against actress-entrepreneur Shilpa Shetty and superstar Salman Khan for using the word "bhangi" on a public platform, hurting the sentiments of the Scheduled Caste community.
- Shilpa Shetty’s husband Raj Kundra shares a ‘then’ and ‘now’ picture with son Viaan
Time sure flies and who better than our favourite celebrities with their fast-growing kids would know that. The latest one to realise the same is none other than actress Shilpa Shetty Kundra’s darling husband Raj Kundra.
- Jagannath Shetty gets advance bail
The court of additional sessions judge, AK Patil, on Thursday granted anticipatory bail to hotelier Jagannath Shetty, the owner of Vaishali and Roopali hotels on the Fergusson College Road, in connection with an allegation of usurping properties of his late father-in-law Shridhar Babu Shetty, the founder-owner of the hotels.
- Shilpa Shetty Kundra celebrates Christmas with Super Dancer Kids
Shilpa Shetty Kundra, who is very fond of kids, invited all the Super Dancer Chapter 2 contestants at her residence to celebrate Christmas. Viaan was very excited to interact with the contestants as he was meeting his favourite contestant Muskan Sharma for the first time.
- Anand, Singh and Shetty slam double centuries
In a rare occurrence, three batsmen scored double hundreds in a day in the Times Shield. Aakash Anand (268*, 281b, 24x4, 1x6), Shashank Singh (207, 212b, 19x4, 9x6) and Bravish Shetty (214) all cracked double centuries on Wednesday to put their teams in a strong position.
- Shilpa Shetty Kundra wins PETA's 'Hero To Animals' Award
Actress-entrepreneur Shilpa Shetty Kundra has been honoured with a 'Hero to Animals' Award by animal rights organisation PETA for speaking out against the cruelty of circuses; signing a petition asking the government to uphold the ban on jallikattu, bull races, and bullfights; and adopting a stray kitten.


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|System: Xbox 360|
|Dev: From Software|
|Release: June 19, 2012|
|Players: 1 + 2-player co-op|
|Screen Resolution: 480p-1080p|
Far too many of the veet's functions require bafflingly precise movements, and the game simply is not advanced enough to interpret these things in the heat of battle. Even when the veet was at rest, though, and no enemies were around to get my adrenaline pumping and make my movements more frenzied, it simply would not do what I wanted it to do.
Heavy Armor has co-op multiplayer on certain levels, which would be fun, although competitive deathmatches would have been better. It allows some modicum of vehicle customization, though not nearly as much as I'd have liked. And the story is brutal and at least fundamentally interesting - I wanted to know more about "Uncle" and how he/they came into power.
Unfortunately (and I'm loathe to admit this), I did not get very far in Heavy Armor, despite hours of attempts. Normally I'd finish a game before subjecting the internet to my opinion, but I'm making an exception this time, because whatever else Heavy Armor has to offer could not possibly offset the deeply, horribly flawed concepts at the very core of its design. I don't want to belittle the enormous amount of work that clearly went into creating this game, but those involved had to know that what they ultimately produced is broken.
Gesture controls aren't automatically preferable to traditional input methods simply based on the fact that the real life motion a player is performing is more-or-less analogous to the action of their avatar in the game. In other words: just because you're pulling a lever in the game doesn't mean it's more fun to pretend you're pulling a lever in real life, especially when the simple press of a button could produce the same effect with far more consistency and less frustration. And Steel Battalion: Heavy Armor is particularly guilty of this regrettable conceit of motion game design.
It literally doesn't work about 80 percent of the time. It either fails to recognize that you've made any motion at all or simply interprets your gestures incorrectly. How a game could have shipped in this state is a complete mystery to me, but unless they've got a game-changing patch waiting in the wings that will make this game playable, I can't recommend it to anyone at all. And that's a shame, because there's a great idea at its core. It's just everything surrounding that core that makes it unbearable.
Date: June 25, 2012

domain: hobby


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On the stage of the Spring Festival Evening, many stars have been popular, and they can board the stage of the Spring Festival Evening. It is a very great thing for many stars. It is already very fortunate to board it. But this stage has a lot of nails. For example, if we are familiar with Zhao Benshan, Feng Gong, Cai Ming, etc., they all have been a lot of spring nights, but their current status is different. The Spring Festival Evening is 27 years, because of the excessive insorture, no one is sought after, it is distressed in bed, let's take a look! In fact, this person is Cai Ming. She has been in a consecutive CCTV Spring Festival Evening. She has been called "Queen Queen", and Cai Ming is very beautiful. I didn't expect that she can play so many comedies, but she is in the comedy The role in the middle is generally very beautiful. Today, Cai Ming has been nearly 60 years old, but she is still very loved, and there is still a number of times a few times a few years ago. Nowadays, the sequelae has occurred due to excessive cosmetic, and the status looks very poor. Since I have fallen into the storm, Cai Ming's physical condition has also had a problem. She went to the hospital alone after she was sick. She lies in the bed. She looked very vicissitudes, and people saw very distressed, although the status did not look very well. But Cai Ming still accepted an interview and worked very dedicated to work. What do you think about this? Welcome to the next message below.
The first half of the National Day has ended. In this movie, "I and my hometown" led the Chinese mainland box office market with the largest winner in the 15 billion box office. "Ginger Teeth" followed by a 1.3 million box office, "winning" is also ranked third with 560 million box rooms. The most worse part of a new "urgency". As the ninth cooperation of "Li Cheng" combination, "rushing" 400 million costs, Many labeling of Chenglong's classic signature comedy action film, I was originally hoped by the audience, thinking that I will play 2017 "Kung Fu Yoga" The miracle of the box office, did not think that it was endless. The booking of the movie is still less than 200 million, and the word-of-mouth is extremely serious, and the Douban score, only 56,000 people score only 5 points, only 8% of the action movie. The box office of "Urgent Pioneer" is already an unfair fact, but for the viewer who is optimistic about this movie, the movie is so late, how much feels some, and another sound in the Internet "President" is placed in the Spring Festival, will the box office will not be higher? It is not only good to see if someone is, it may be more miserable, and the two reasons are the key. The external factor "Urgent Pioneer" originally planned 2020 Spring Festival file released, so when the film started, it created very strong Chinese annual atmosphere. When people meet, the New Year's greetings make people feel kind, and the dance dragons on the streets are also very bonded to the Spring Festival atmosphere. If the audience looks at this movie during the Spring Festival, the effect will definitely be more feeling more than usual, and how much will be rising, and how much is a little help for the film's style. However, although the time is a place, the opponent in the Spring Festival is better than the National Day. In addition to the "Jiang Zi" "" Mom ", there is also Lin Chaoxun's" Emergency Rescue "in the stage, than" ginger teeth "" I and my hometown "more strong" Tang Dynasty "3". If the "pioneer" is in the same stage, the number of the release is obviously impossible for the number of drainage points, regardless of the quality of these movies. From the pre-sale and the number of people who want to see the number, "pioneer" is also far behind other films, compare the "winning" and "ginger teeth" now have been crushed. , Let alone pay attention to "Chinatown Detective 3" and "Emergency Rescue". No matter when the movie is released, the shortcomings of the movie will never cover it. Although the rhythm of the whole film is good, the scene is smooth, the action is brood, and the scene is high enough to look at it, but these advantages are still not enough to support the audience's super high expectations for this movie. "Urgent Pioneer" has been promoted from the beginning, and the audience is going to see the Jackneaky. This is the largest and most deadly mistake of the film. This operation directly allows the audience to have a spoofed feeling (the operation is not like the "love apartment" of the year?) Review the "Kung Fu Yoga" in 2017, although the word of mouth is a bit, but because Jackie is still an agency, the audience is still willing to pay, the final film has won an amazing box office of 1.75 billion. The nature of the "emergency front" is not the same, although the film is still full of dragon comedy action style, but the most important main bone has changed, it is a Jackie Chan but not the previous Jackie Chan, but Demlimed into two people, an Allen responsible for funny, Yang Yang, which is responsible for desperate. Director Tang Ji Li although it is very hard to deviate into the classics of the Dragon in the film, it is still useless. In addition to Jackie Chan, the embarrassing acting of individual actors has also become the tensile item of the film, in summary, the "emergency front" box office in the Spring Festival file may be lower. In fact, this film is not so bad, many people think that it is better than "Kung Fu Yoga", may be that the audience is too high for the expectations of this movie, plus the "unexpected" of Cheng Long, so that the movie is not Stay. Only personal fools, only refer to.
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Recently, there is a topic. However, according to Xiaobian, Wang Junkai appeared in Sichuan Nanchong is not a public trip, and many fans do not know this. Wang Junkai sent a fans when there was a message spread in Sichuan, and did not gather a noisy in public situations! Don't affect the life of the surrounding people! Wang Junkai Sichuan first stop, Wang Junkai, this trip, in fact, in the past, and the crew has been prepared before. The Ministry of Municipal Party Committee requested the Ministry of Publicity Department to help the crew coordinated the local security, traffic guarantee, order maintenance, etc. to help shoot movies during the shooting period, mainly because Wang Junkai is a star, everyone listens to a star. It is more exciting to look at it. In the video, we see a grandfather of the young girls in the nearby school. Video screenshot Wang Junkai as the captain of TfBoys, these years, this year, no matter whether it is variety, music or film and television drama, it can be said to be a hundred flowers. Xiao Kai can not take a comedy film, and the result is surprising! Xu Wei evaluates Wang Junkai to say, in the public's life, the star is a person who appears on the screen, and you know that there is a star around you. In most people's hearts, you will have a lively, so you can understand ! So since this is, I am looking forward to Wang Junkai's work! Wang Junkai "Actors please place" 2 Guo Jingming gives the He Yixi S card that plays Wei and Chong, is lucky or unfortunately street dance three-finals VCR exposure street dance players are not known.
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When I went to October, I hope that the Queen National Day and the Mid-Autumn Festival is finally here. For office workers, the last holiday is already five months ago, this rare National Day, the autumn holiday can be Thoughts, I want to look forward to it. Due to the cause of the epidemics, this year's National Day holiday is different. The friends and family around me have no one to choose from travel, there are not many people, most still chooses to turn a circle in the province, some or even choose which I don't want to go, I will stay in my own city. Although I didn't want to travel, I didn't go out in eight days. I was obviously impossible. When this autumn is cool, it is a dazzling that the girl who is suitable for girls can be described as a dazzling. Today, Xiaobian will come with everyone. See two beautiful wear of this autumn. The first set is that there is a long sleeve white t-shirt, the existence of the jeans, can be seen everywhere in the streets of the summer, but it has been exhausted, but in fact it, because of the fall of the fall Cool is just offsetting the sultry of jeans, and then with a long sleeve t-shirt, simple and common but beautiful. The second set is that the sweater is equipped with sports pants. It is not to say that everyone knows that this is the sports style, the sports style is also popular in these years, a sportswear, giving you a beautiful feeling, walking The streets of the holiday, self-contained sunlight positive energy.
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Recently, the Adidas NMD family will once again ushered in new color. This exposure Adidas NMD R1 "Golden" uses a refreshing pure white upper as the main color, and the stabilization module is a familiar red, blue dress embellishment. The biggest highlight is that the COLORBOOST specification is enabled in the middle of the bottom, which is used to create a unprecedented modern vision. It is reported that Adidas NMD R1 "Golden" will be available in the near future, the item number FV3642, the price is $ 130.
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A few days ago, UNVESNO released 2020 spring and summer Season.3 style Lookbook. This theme is derived from Victor 'Fleming' s "Green Wonder", from the strange chapter to extract inspiration, combined with the design of the summer series, extract the characters, details, and color in the chapter, will The theme of pocket girls This topic runs through the whole season. This spring and summer series surrounds the 80s country rock rock, uses the color of the smoke powder, wonderful blue, wall ash, flowers, highlights the character of the child's kidwear children; a large number of joined romantic aesthetics Element, such as anti-conceptist "urchin Billy" multi-face rock music portrait, Victorian romantic aristocrat girl holds flower print, fairy tale realistic portrayal, restore the white dream project "Beautiful days" print, rebellion young Pierre? Nar's Polo shirt, "symbiotic text" college sent V-neck short sleeve. It is reported that the current unvesno 2020 spring and summer series has been officially released, you can enter the unvesno online store to buy.
(First, the first year, the TV series "Chen Ying order" is hot, the protagonist Xiao Wan and Wang Yibo open the red mode, once the most popular top stars. However, the actors Xiao Wan have been blocked in recent controversy, and Wang Yibo has developed rapidly. It has achieved excellent results in film and television, variety, business and other aspects, and countless circle powder. Wang Yibo Shuai photo is more extensive, especially in terms of sports, and it is also quite a wide range of sports than other star artists. It is reported that Wang Yibo's skills in the skateboard and motorcycles are very powerful, not that it is purely playing as simple, and often participates in some formal competitions. However, in the recent competition, an accident occurred, and fans were worried. Wang Yibo Championship photo Wang Yibo competition photo on October 7, Zhuhai Zic Motorcycle Tournament, except for some professional players Wang Yibo, Yin Zheng also participated in the competition, it is reported that Yin is a good grade for B5 group. Originally Wang Yibo can also get the second name of the group, but there is an accident. Wang Yibo falls the picture Wang Yibo falls the picture Wang Yibo falls the picture Wang Yibo falls the picture. It is reported that Wang Yibo fell by the racing car behind the last circle of corner, and the overtaking fell under the condition of overtaking. What caused Wang Yiban with a car to fly out of the track, and I can see Wang Yibo in the animation, and I am worried. Wang Yibo studio reported that after Wang Yibo, fans were very concerned about whether there was injury. Soon after the Wang Yibo studio sent a statement to peace and gave the situation, Wang Yibo student wrote: "Thank you for Tracer-85 @ UNIQ- Wang Yibo's concern, a bodies are currently no more important, please rest assured. The competition has appealed, and the results of the event organizing committee will be released again. "From the studio, I can see Wang Yibo does not hurt, and also reflect professional racing. The literacy of the hand, how to avoid injuries after falling, and the results of the competition need to be released. Network broke screenshot network broke the screenshot Hu Tongming team friend cheering In addition, there is a message on the Internet. It is reported that the racing car with the pair of Wang Yibo is Hu Tongming, No. 18 Hu Tongming. However, all the staff in his team saw that others were tired. The car, actually cheered, and there is a video as evidence, the message is exposed to trigger a hot discussion. In addition, netizens also put Hutoming has similar precautions, questioned whether they deliberately or smoke. For this, Wang Yibao is required to recommend arbitration to cancel the number of Hu Tangming competitions, and ask Hu Tongming to apologize in social media, and the event awards ceremony.


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Israel's Elbit Systems announced on April 12 that it was awarded two contracts to boost the capabilities of its Hermes 900 UAVs already deployed by Latin American customers.
The contracts worth a total of approximately $20 million will be performed within 12 months, according to the company. The customers were not identified.
Under the contracts, Elbit will integrate satellite communication and automatic takeoff-and-landing systems that will upgrade the medium-altitude, long-endurance unmanned aircraft to the latest configuration. This will enable not only extension of the operational range to more than 1,000 km, but also autonomous takeoff and landing independent of GPS reception, Elbit said.
Since its debut 10 years ago, Elbit's Hermes 900 was selected by numerous customers across four continents, performing a wide range of missions in the fields of Intelligence Surveillance Target Acquisition and Reconnaissance (ISTAR), homeland security and maritime search and rescue, according to the company.
The drone is said to be able to carry a payload of up to 350 kg, reach a maximum altitude of 30,000 feet, and fly for up to 36 hours. It has been acquired by such countries as Iceland, Chile, Mexico and Brazil. The Hermes 900 has also been deployed by the Israeli Air Force.


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1. Seafood consumption (>1 meal/week) associated with decreased Alzheimer disease neuropathology among apolipoprotein E (APOE ε4) carriers.
2. Cortical mercury and selenium levels were positively correlated with the number of seafood meals consumed per week.
Evidence Rating Level: 3 (Average)
Study Rundown: Seafood consumption is considered a mainstay of many healthy diets, particularly due to its macronutrient make-up, high in levels of the long-chain omega-3 fatty acids. However, seafood is also known to be a source of mercury, a neurotoxin, which when ingested in large amounts can lead to neurocognitive impairment, among other ailments. Despite potentially concerning levels of mercury, many seafood products also contain selenium, which serves to bind mercury and reduce its toxicity. With all of these potentially overlapping effects of seafood on neurological health, the purpose of this cross-sectional analysis was to study the association between neuropathologies like Alzheimer disease, dietary omega-3 fatty acids, and brain levels of mercury and selenium.
The study found that seafood consumption was indeed correlated with higher brain levels of mercury. However, mercury levels were not significantly associated with increased brain neuropathology. Overall an increased seafood consumption was associated with less Alzheimer pathology among those at the greatest risk of developing Alzheimer disease—APOE ε4 carriers. The relationship between seafood consumption and neuropathology was not significant among those without the APOE ε4 gene. This study was limited by a low proportion of participants completing the dietary questionnaires and a relatively narrow demographic spread. However, it is one of the first investigations into the effect of mercury levels on brain neuropathology. Future studies should widen the sample population while strengthening the number of participants with both dietary and pathological data.
In-Depth [cross-sectional study]: This cross-sectional analysis evaluated 286 autopsied brain specimens from deceased participants at the Rush Memory and Aging Project (MAP). Specimens were included among patients who died between November 2004 and November 2013 and who completed a dietary assessment prior to death. Brain cortical mercury levels were positively correlated with the number of seafood meals consumed per week (ρ 0.16, p = 0.02). After adjusting for age, sex, education, and total energy intake, seafood consumption was significantly correlated with decreased risk of neuropathologically defined Alzheimer disease among APOE ε4 carriers (β −0.53 score units; 95%CI −0.96 to −0.10). Of note, further increases in omega-3 fatty acid supplementation was not correlated with any changes in the risk of Alzheimer pathology.
©2016 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

domain: biology


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In 1225, Saint Francis of Assisi (1182-1226)--Italian founder of the Franciscan order of monks and a notorious nature lover--wrote "The Canticle of the Sun," an incantatory hymn of praise for all creation. Poet Reeve Lindbergh--daughter of aviator Charles Lindbergh and poet Anne Morrow Lindbergh--has gently respun part of this work in the stunning picture book The Circle of Days. A celebration of air, water, fire, earth, and life itself, this mesmerizing hymn begins, "Lord, we offer thanks and praise / For the circle of our days. / Praise for radiant brother sun, / Who makes the hours around us run."
We take our hats off to artist Cathie Felstead, illustrator of A Caribbean Dozen, who with watercolor, gouache, and collage, has created some of the most breathtaking land, sky, and seascapes we've ever seen. With a remarkable use of color and cut paper, we witness the change of seasons, the scuttling of crabs, a skyful of fireworks, and moonlit cows. As an artist, she says she responded to the simple poem because, "Saint Francis took pleasure in the world with a childlike directness. He is the kind of saint whose words reach out to everyone." Youngsters will be soothed by the simple rhythm of the poem, and there's no better way to celebrate the wonders of our planet than with the graceful beauty of Felstead's unforgettable paintings. (Click to see a sample spread. Illustrations © 1998 by Cathie Felstead. Permission by Candlewick Press.) (All ages)

domain: library


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Room set photography includes tiles from the same range but may not be the tile design or colour you are currently viewing.
White Pearl Herringbone
NB. For a full Glossary of Terms, please click here
Size305 x 285 x 2mm
12 x 11 1/4 x 1/16"
The height of luxury - all these mosaics are made from natural shell.


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'Transcendence' is a collection of short comics about transgender characters, the obstacles that get in their way in everyday life, and how they overcome these difficulties.
Told By a Transgender Artist
Transcendence is a comic series of short narratives about transgender characters and the difficult situations they face in everyday life. The first story in the series will be released on the Creative Show's opening night on Thursday 8th June 2017, and will also be available to buy online or at the show.
The comic and other works within this project will be on display for the public during the University of Bolton's Creative Show Opening Night at 6.30pm til 9pm on Thursday 8th June 2017. The show remains open after this until Thursday 22nd June 2017.
Creative Show General Opening Times
Friday 9th June – Thursday 22nd June
Monday – Friday
10.00am – 4.00pm
Saturday 17th June
10.00am – 4.00pm
Understanding is the first story in the series. The story follows a non-binary transgender character who finds themselves time and time again in the same difficult situation. A close friend of theirs, Laura, outs Skylar as trans to her friends, not realising that even with good intentions, outing someone can be harmful and even put them in danger. Can the two of them resolve this tricky situation before things get out of hand?
There are many charities and organisations that support trans people of all ages, and knowing that you are not alone in what you're feeling and going through can help massively. Please reach out and get the help you need.
Morf are based in Manchester, UK, and run a free binder scheme for trans people who are in need of a binder but struggle affording one.
''Morf is Manchester's social & peer support group for trans*masculine people, who want to meet other trans*masculine people, discuss relevant issues, and have fun, in a safe, trans-positive environment.''
The LGBT Foundation (formerly known as The Lesbian & Gay Foundation) is a charity based in Manchester with a history dating back nearly 40 years. It campaigns for a fair and equal society aimed at meeting the needs of lesbian, gay, bisexual and trans people. It serves over 40,000 LGBT people a year and provides more direct services and resources to more LGBT people than any other charity of its kind in the UK.

domain: sociology


Not only is that expensive and inconvenient, but it also contributes to the growing problem of electronic waste. But with the PS4 Nyko Charging Station, we can reduce our impact on the environment while still enjoying our favorite games.
But let's get back to the environmental benefits. Did you know that the average American throws away about 25 pounds of batteries every year? And that's just one person. Can you imagine how much electronic waste is produced on a global scale?
By using the Nyko Charging Station, we can do our part to reduce that number. The rechargeable battery pack can last for up to 25 hours of gameplay, and it can be recharged over and over again. That means less waste in landfills and a healthier planet for us all.
Now, I know some of you might be thinking, ""But wait, doesn't charging the battery pack use electricity, which also has an environmental impact?"" And yes, that's a valid concern. But keep in mind that using rechargeable batteries still has a much smaller carbon footprint than using disposable batteries. Plus, as more and more renewable energy sources become available, the environmental impact of charging will continue to decrease.
So there you have it, gamers. Not only does the Nyko Charging Station make our gaming experience better, but it also helps protect the planet we all love. It's a win-win situation!
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Belmar Mayor Matt Doherty announced that he turned down Governor Phil Murphy’s offer to be the Chief Administrator of the New Jersey Motor Vehicle Commission at the Borough’s Council meeting on Tuesday night.
BELMAR, NJ — On a day that should have been a time of celebration at Belmar Elementary School is a time of grief as the school mourns the drowning of one 13-year-old student and prays for the 12-year-old student who is clinging to life.
Today, June 16, marks the final day of the school year for Belmar Elementary School — less than 15 hours after two unidentified students, who were cousins, were pulled from the surf at the Ninth Avenue beach along Ocean Avenue. While attempts to save one of the girls were unsuccessful, the other girl is in critical condition on life-support at Jersey Shore University Medical Center, Neptune.
What makes the situation even more heart-wrenching is that the tragic scene began to unfold at about 6:30 p.m. on June 15 — the same time 55 eighth-graders were participating in their graduation ceremony at Belmar Elementary School, unaware of the massive emergency scene just six blocks away.
TRENTON – Several popular Jersey Shore bars including D’Jais in Belmar are seeking a permanent extension to seasonal liquor licenses granted temporarily after Hurricane Sandy that allowed them to open earlier in the year. The bill pending in the Legislature would allow the holders of the nine coveted seasonal licenses to open in time for St.… Read the rest of this entry »
The Emperor and Empress of Belmar. photo via facebook
Belmar Mayor Matt Doherty has been accused of fraud, tortious interference, breach of contract and breach of covenant in suit filed against Doherty personally and the Borough of Belmar by the landlord of Salt, the Harmon Brothers’ establishment whose liquor license transfer was denied by the Borough last Spring.
The suit filed by William Wolf of Bathgate, Wegener and Wolf on behalf a Loko Co, LLC, a development company owned by Gregory Kapalko, alleges that Doherty urged Kapalko to suspend the permitting applications with the NJ DEP for the construction of the waterfront property that Loko has an agreement with the Borough to redevelop and instead enter into a Joint Venture with Ollie Klein, the owner of Klein’s Fish Market, and Stephen and Mark Coleman, Florida based real estate investors. Doherty promised that the Borough would extend the schedule of the Redevelopment Agreement if Klein and the Colemans were involved in the project, according to the suit. Loko complied with Doherty’s suggestion and he reneged on the deal to extend the Redevelopment Agreement.
Belmar Mayor Matt Doherty, a candidate for Monmouth County Freeholder, is a long term supporter of the gas tax increase that is up for a vote in the State Legislature on Friday.
In 2014, Doherty wrote a letter endorsing the work of Foward New Jersey, a coalition of unions and other special interest groups who will collect the $2 million per mile construction costs that the $.23 per gallon gas tax will fund. Forward New Jersey has been lobbying for the gas tax increase for almost two years and is waging a social media campaign to counter the grass-roots opposition to the tax increase as you are reading this article. Doherty’s letter can be found here.
Belmar Mayor Matt Doherty told The Asbury Park Pressthat he would disclose all donations to his campaign for Monmouth County Freeholder under the amount of $300, but only those donations received after July 13. July 13 was the date that the Doherty administration filed the 12 year old pay to play ethics ordinance with the state.
“I’m going to follow the ordinance and the state statutes to the letter.” Doherty told app. It’s disappointing that the reporter let him get away with that Clinton speak.
By a margin of 829-292, Belmar voters repudiated the hubris of Mayor “Lawless Matt” Doherty on Tuesday.
In a special election to decide the validity of the pay to play/ethics law that the borough council approved shortly after Doherty became a candidate for Monmouth County Freeholder last Spring voters said NO to the mayor’s attempt to change the rules for his own ambitions. Doherty, a Democrat, had claimed that the new law had nothing to do with his candidacy for Freeholder. Rather, it was designed to make it easier for Belmar Republicans to raise money.
The law, which had it been approved by the voters, would have allowed Doherty to conceal contributions to his campaign for Freeholder in the amount of $300 or less and to accept donations from liquor license holders, developers and other vendors and professionals with business before the Borough and still take official action on that business. The existing pay to play/ethics ordinance in the borough prohibits those activities.
The big one is not until November 8, but for Belmar and Sea Bright residents, Tuesday September 27 is also election day as both borough’s are holding special elections with a public question.
In Belmar, voters are asked to approve or reject “Matt’s Law”, an amendment to the borough’s pay to play and ethics ordinance which significantly loosens to reporting requirements of campaign contributions and allows borough officials to act in their official capacities in matters involving campaign donors like liquor license holders, developers and other borough vendors. The ordinance is nicknamed for Mayor “Lawless Matt” Doherty because it was passed by the council at roughly the same time Doherty became a Democrat candidate for Monmouth County Freeholder. Doherty said the ordinance had nothing to do with his candidacy, but was designed to make it easier for Belmar Republicans to raise campaign funds.


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- What’s On
- Room Hire
- Contact Us
At Insole Court we lease long term work spaces to a range of businesses, charities and organisations. You can get in touch with them here.
If you are interested in leasing a room, contact [email protected] to discuss available spaces
Beth Morris Workshops
A reputable on-site community art school running all-age weekly inclusive workshops, weekend guest artist workshops and loads of creative school holiday activities. info@bethmorrisworkshops / 07968564281


President of Ghana, John Dramani Mahama has been counted among the three presidents with the highest approval rates in the world by its citizens.
According to a report by the intelligence community, the most rated head of state is Russian president Vladimir Putin with 89.9 percent; follow by Bolivian president Evo Morales with 58 percent, John Mahama of Ghana at 54.6 percent and 54 percent of Iranians approved president Hassan Rouhani’s performance.
The approval rating of Russian President Mr. Vladimir Putin is higher among his citizen due to the successful anti-terrorist operation in Syria where the Russian Air Force is conducting a successful campaign against Islamic State (IS, formerly ISIS) and the accession of the Crimean Republic into the Russian Federation.
According to the report, Bolivian President Evo Morales has a 58 percent approval rating among the electorate according to survey results by pollster Ipsos.
The long-serving leader received unanimous backing from residents of the second-largest city El Alto with 69 percent saying they support his government.
While in the southeast city of Santa Cruz, 55 percent of those polled gave their approval.
President John Mahama’s approval rate is swelling among the citizens of Ghana due to his ability to solve a long term energy crisis and building visible infrastructure across the country.
The reports says, president john Mahama has 63 approval rating among people in the northern part of Ghana, 61.17 percent in southern/ coastal areas and 50.7 among the middle parts of the country which traditionally is hustle to the ruling party/government, totaling his nationwide overall approval rating to 54.6
Majority of Ghanaians also believe that their president is well accepted in the international community and also have the ability to transform the country.
The intelligence report quoted, Information and Public Opinion Solutions saying, Some 54 percent of Iranians approved of President Hassan Rouhani’s performance in late August.
His rating was up six percent compared to May, before the nuclear deal between Iran and the world’s six major powers was announced on July 14. But some 24 percent of Iranians disapproved of his performance in the August poll, down from 33 percent in May.
Some of the African leaders who made-up to the list with slightly higher above 50 percent ratings includes, Paul Kagame of Rwanda, Senegalese president Macky Sall, and out-going Benin president Thomas Yayi Boni.


Singles are a touch on the weak side but albums have come roaring back, starting with Nas’ most clearly commercial album since 1999’s Nastradamus. Nasir was a better album than it was given credit for, people were sick of Kanye and they felt he preempted God’s son on his own release. On King’s Disease once you get past “Ultra Black” there is a lot of ace material here, including “Full Circle” with -gasp- The Firm including Foxy Brown and “Car #85” with Charlie Wilson. Nas remains, debatably, our best rapper, it is certainly a pleasure to see only his name as the writer, and this is a strong collection of outro aggro black excellence. And? “The McCartneys live past the Lennons, but Lennon’s the hardest” (Grade: B+).
I reviewed Bright Eye’s’ Down in the Weeds, Where the World Once Was here, a mix of Bright Eyes is a band, Conor not at his best, but good, and a few dogs with fleas (Grade: A-). Troye Sivan is a masterful singer songwriter for teens and especially young gay bottoms, everywhere, if “Call Me By Your Name” was a pop star, it would be Troye Sivan. His latest release is the six song EP In A Dream, with some dream pop, some electronic disco beats, and lots of downbeat sad songs that aren’t really sad, like “STUD” (Grade: B+). Old 97’s twelfth album Twelfth album is their best since 2014, catchy alt country pop movements with tons of hooks and melody and yet there is nothing to excite you here the way “Longer Than You’ve Been Alive” heralded you in, it is, in a word, mediocre (Grade: B-). The Killers are U2 for Americans who read at an 8th Grade level, Imploding The Mirage is better than the singles had us expecting and while I dislike the bands bombast rock as much as the next guy at least there’s a clutch of memorable tunes here, including the opener “My Own Soul’s Warning” and K.D. Lang featured “Lightning Fields” in which Brandon tries to compete with the great singer (Grade: C+).
Over at singles, Pharrell Williams on “Entrepreneur” finds a hook that feels like a fetishism of race (“black man”), a gorgeous sound and production that Williams should have turned down when Jay Z added a pretty good rap (Grade: B+); Katy Perry’s “What Makes A Woman” is a lovely little pop stroke with a strong opinion, fresh beat, as she needs “tissues for her issues and bandages for her heart” (Grade: B); Fivio Foreign wins the New York drip and drill crown after Pop Smoke’s death, and his voice and timing is a hard spitter look back in anger on “13 Going On 30” (Grade: B); electronic metal and hard rockers Deftones return for the first time since 2016 and while I am not much of a fan of the band “Ohms” has a rolling arsenal of guitar riffs that will pin your ears back and Chino Moreno in fine voice (Grade: B). Father John Misty recorded the same song twice, a piano ballad both, “To S.” has a less prevalent beat (Grade: C+) than “To S.” (Grade: C+), neither are all that and I am sure Alyson Camus will explain em to us at some point.
Finally, Maluma is a superstar Colombian proponent of Reggaeton, Latin pop, Bachata, and rap, and on the 22 song, 73 minute genre buster PAPI JUANCHO he is both welcome and long winded. Last year he dropped in on a good Madonna song, here he remains at a roots level of his ten years in the music business, there is no denying the 26 year old’s skills, but he should have broken off at twelve, if you want to skim try “Bella-K,” “Boy Toy” and the Urbana version of “ADMV” (Grade: B)
Down in the Weeds, Where the World Once Was – Bright Eyes – A-
Ohms – Deftones – B
To S.- Father John Misty – C+
To R. – Father John Misty – C+
13 Going On 30 – Fivio Foreign – B
PAPI JUANCHO – Maluma – B
King’s Disease – Nas – B+
Twelfth – Old 97’s – B
Entrepreneur – feat. JAY-Z – Pharrell Williams, JAY-Z – B+
What Makes A Woman – Katy Perry – B+
Imploding The Mirage – The Killers – C+
In A Dream – Troye Sivan – B+
Gunna: 150,300, Abel: 148,000: it amounts to a statistical error
the police owe us an explanation.
sex and skills level the playing field
Fast Money, indeed
“flashes of vivid memories from an ancient time with an ex-lover”
Less push, More flow
350 rock critics, wannabe rock critics, or people with OCD
a new Tupac Shakur exhibit opening downtown LA
a pop LP that isn’t popular is a question mark…
her mama don’t like you and she likes everyone…


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STATEN ISLAND, N.Y. -- Want to buy a pre-fabricated tiny home? If so, Amazon.com is now selling them.
That's right, Amazon prime members can have a tiny home delivered to their doorstep. Priced at $36,000 the pre-fabricated homes are shipped in containers, "fully finished," according to the online retailer.
The tiny homes being sold on Amazon.com are manufactured by MODS International. They boast:
- A bedroom, shower, toilet, sink, kitchenette and living area.
- Double patio doors within secure container doors.
- Bottom sewer connection, easy side water and electrical connection.
- Heat and air conditioning.
However, before buying one of these homes you need to find out where you might be able to erect it. New York City has specific property size guidelines -- including a required frontage for all homes -- regardless of a house size.
FOLLOW TRACEY PORPORA ON FACEBOOK


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Brandi Glanville The Real Housewives of Beverly Hills
13 Fabulously Funny Faces of the Real Housewives
Brandi Glanville Talks Quitting The Real Housewives of Beverly Hills
Last week, the celebrity gossip world was buzzing with rumors that Brandi Glanville would be fired from The Real Housewives of Beverly Hills.
Now, Brandi is claiming that those reports are bogus, but she admits fans shouldn't be surprised if she parts ways with the show that made her famous in the very near future.
Brandi Glanville to Be Fired From RHOBH?
Is Brandi Glanville about to be fired from The Real Housewives of Beverly Hills?
It's not the first time this has been rumored, but is this time the most legitimate?
19 CRAZY Real Housewives Scandals: Cheating! Prison! Porn!
Early Thursday morning, Kim Richards was arrested for public drunkenness and some really indecent behavior that may have included kicking a cop.
It was an embarrassing incident for the reality star, one her colleagues have labeled a "cry for help," but Richards can at least find solace in the following:
The Real Housewives of Beverly Hills Reunion Recap: Kim vs. Kyle!
Tuesday on The Real Housewives of Beverly Hills Season 5 Episode 22, the reunion came to a close, mercifully, but not before more crazy drama unfolded.
As expected, Kim and Kyle Richards' bizarre feud was at the center of it all.
The Real Housewives of Beverly Hills Recap: So Many F-Bombs, So Little Time
The second installment of The Real Housewives of Beverly Hills reunion saw more secrets revealed, more fingers pointed and more alarming allegations made.
What specifically did RHOBH viewers learn this time around?
17 Real Housewives With & Without Makeup: What a Difference!
You've seen them throw shade ... and tables and wine glasses. You've seen them scream and yell, cry and hug, and laugh with (and at) one another.
You've seen them get married, get divorced, raise children, raise their voices and cause a raucous at reunions on a nearly monthly basis for years.
The Real Housewives of Beverly Hills Reunion Recap: Everyone vs. Brandi
Monday on Bravo, The Real Housewives of Beverly Hills Season 5 Episode 20 saw the cast reunite for a reunion every bit as awkward as you might expect.
The women rehashed accusations of drug use, eating disorders and backstabbing, and called each other bitches, liars, and attention whores. Standard.
Brandi Glanville: Nip Slip Caught by Bravo Cameras! Watch It Now!
If you watched the televised sleeping pill that was last night's The Real Housewives of Beverly Hills season finale you may have dozed off before the one scene that made it worth tuning in for.
During one of Brandi Glanville's signature tipsy pity parties (We'll give her a pass this time; her dad is apparently really sick.), the former model and current wine sponge got so caught up in the moment (Read: wasted) that she didn't realize she'd suffered a full-blown nip slip right in the middle of da club:
The Real Housewives of Beverly Hills Season 5 Episode 19 Recap: That's It!?
Tuesday night on The Real Housewives of Beverly Hills Season 5 Episode 19, the fifth season came to a close with a finale that was a bit of a letdown.
At least compared to the insanity that led up to it, which you're well aware of if you watch The Real Housewives of Beverly Hills online. Let's explain ...
The Real Housewives of Beverly Hills Recap: Amster-Boy and the Amster-Math
Last night on The Real Housewives of Beverly Hills Season 5 Episode 18, Brandi Glanville revealed a possible fling with an Amster-Boy, and much more.
"The thought of spending the night with a hunk or five menopausal mamas ... I'm picking the hunk," she said of the young man, 23, she met in Amsterdam.

domain: celebrity


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Women struggling to conceive in the region will be given access to fertility treatment for the first time in more than three years.
Family doctors in Scarborough and Ryedale yesterday agreed to lift a ban introduced in 2011 by health chiefs to save cash.
The decision brings the area into line with two other clinical commissioning groups (CCGs) in North Yorkshire which have already lifted bans. A decision by officials in the Vale of York has yet to be made.
Carrie Wollerton, executive nurse at NHS Scarborough and Ryedale CCG, told a meeting of its board yesterday that funding should be considered in the light of moves by neighbouring organisation to reintroduce IVF.
She said: “There are various factors we must now consider in terms of reintroducing IVF, including things like the number of cycles to commission and the criteria for who is eligible to receive them.”
Campaigners yesterday claimed Yorkshire had the worst access to IVF in the country, with some people accessing none and others receiving up to three cycles of treatment.
The group IVFyes said those in East Anglia and the North East had the best access to NHS-funded fertility care but access generally fell well below the three cycles of treatment recommended.
Nicola Bates, founder of IVFyes, said: “It’s really disappointing to see that clinical commissioning groups in Yorkshire are providing such poor access to IVF treatment for couples who find themselves unable to conceive.
“This situation is blatantly unfair, and the Government needs to take address it urgently.”
Around 3,000 couples a year seek IVF treatment in Yorkshire, the majority funding it themselves. If IVF was fully funded at three cycles per couple, it is estimated treatment in the region would cost £14 million a year.
But analysis by The Yorkshire Post suggests the cost of care in 2014-15 is instead likely to be between £7m and £8m.


Path to school
Reported in the Slabs - Uneven / Damaged / Cracked category anonymously at 21:34, Mon 9 December 2019
Sent to Northamptonshire County Council 1 minute later. ref: 1881421.
The path leading to and from Overstone Primary is completely unsuitable for purpose. It is far too narrow meaning that parents have to walk behind or in front of their child, causing a risk to them considering the very heavy traffic on this road during drop off and pick up hours. It is also very uneven meaning that a narrow ‘stroller’ cannot go down the path without being knocked, bumped or wheels becoming trapped in the uneven surface.
Thank you for reporting a fault. We will use the information you have provided to assess and prioritise this fault in accordance with our published response times for fault reports.
State changed to: Investigating
Posted by Northamptonshire County Council at 21:35, Mon 9 December 2019
Thank you for your enquiry - A works order has been raised to repair defects that meet NCC investigatory levels. To be undertaken within 28 days.
State changed to: Closed
Posted by Northamptonshire County Council at 07:26, Thursday 30 January 2020
This report is now closed to updates. You can make a new report in the same location.


Fescue grass is a heavy-duty grass that works well in a variety of soils and is drought resistant, according to Aaron Patton and John Boyd of the University of Arkansas. Tall fescue grows in bunches and, when mowed regularly, works well as a sod grass. Tall fescue does not spread, making it easy to manage. Turf-type tall fescue varieties are now available as cultivars, which are shade tolerant with finer leaves. Caring for fescue requires mowing regularly, fertilization and aeration.
Mow fescue grass a height of 2.5 to 4.0 inches. Mow so that only a third of the grass blade is removed at a time. This prevents disease and prevents the buildup of grass clippings.
Fertilize fescue grass between March and May 1 or between September and January 1. Apply 1 pound of nitrogen per 1000 square feet of lawn. Nitrogen is the most important element for a lawn's growth, according to the University of Colorado, and requires application twice a year.
Water fescue grass regularly between April and October. Watering is not needed as often during the spring unless the weather is hot or the fescue is planted as sod. Water when the grass turns a dark bluish color, when footprints are visible after walking on it, or when the leaves begin to curl slightly. The University of Missouri recommends watering in the early morning to prevent the burning of leaves.
Aerate the lawn between March and May or September and November. Aeration removes small plugs of dirt from the soil, removing compaction and increasing water absorption. Aerating increases the effectiveness of fertilization, according to the University of Missouri, so aerate before application of fertilizer.


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In the end, it all came down to one kick. One kick to put Italy into the final. One kick to erase the years of underachievement, one kick to quench a nation’s longing, one kick for everything. The kick fell to Jorginho. With his customary hop and skip, and a composure verging on the ridiculous, he sent Unai Simón the wrong way and rolled the ball into the corner.
That one kick ended almost three hours of the highest tension, as well as Spain’s flawed, valiant campaign to regain the trophy they won in 2008 and 2012. For Pedri, the brilliant 18-year-old midfielder who ran the game and completed 98% of his passes, the tears flowed and would not stop. But once the sadness has ebbed there will be real pride for Luis Enrique and his team: progress to build on, a new generation of fearless young stars to fete and nurture. Judge this team not too harshly. Dani Olmo – one of their best players – put a penalty over the bar. Álvaro Morata – whose goal forced extra time in the first place – had his saved. It is no kind of margin at all.
from The Guardian https://ift.tt/3hkXALh
via Google News