RIBA Journal is the official magazine of the Royal Institute of British Architects. Packed with regular essential reading, in-depth building studies and practice matters, RIBA Journal is unmatched in its coverage of topics like commercial and legal aspects of running a practice PLUS there's our on-going CPD (Continuing Professional Development). And if you’re looking for a career move, you'll find a range of job vacancies, from architectural assistant to experienced building manager.
Main articles in this month’s issue:
- Where people live:
- Al-Jawad Pike steps up in Hackney
- A century of council housing lessons
- Author Gillian Tindall: people and places


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Many people adopt for various reasons. Whether you can’t have a baby yourself or want to brighten the lives of children who are in foster care, it’s a momentous occasion. One man adopted a girl that no one really seemed to want. However, he loved her and cared for her through adulthood with no problems. Suddenly, things changed, and he was confused beyond belief. What happened to make the child un-adoptable? Was it something she did, or was it something to do with her lineage?
Dale Jefferson lived in St. Cloud, Minnesota. This single man turned 44 years old and decided that he wanted a child. Since he wasn’t married or dating, he jumped at the chance to adopt Lise Barber, a 6-year-old. No one else wished to adopt her, and this might be his only shot!
Dale was not sure why he was so set on it, but he also didn’t really care. He knew that he wanted to have a child and that this could be his only opportunity to make that happen. He later realized he should have been more careful. 28 years after the fact, he found out the painful truth.

domain: sociology


text:
Coffee Table, OLYMPUS DIGITAL CAMERA: excellent bench coffee table
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domain: design


text:
Energy efficiency topic
of webinar series
The Marin County Sustainability Team is hosting two webinars for renters on how to be energy efficient.
The meetings are set for 10 a.m. Saturday and 6 p.m. July 28. The webinars will provide information on energy conservation and other topics.
More information is at bit.ly/3eAnmJx.
Mural restoration begins,
celebration Aug. 1
Volunteers will be working to restore a mural on a wall along Merwin Avenue near Fairfax Lumber and Hardware.
A ribbon-cutting ceremony with Mayor Bruce Ackerman is planned at 10 a.m. Aug. 1 featuring Frank Gonzalez, creator of the mural.
Boyle Park stand
to be renamed
The City Council approved a proposal on Monday to rename the Boyle Park snack shack after the late Suzanne Wickham, a longtime community volunteer.
Wickham, the wife of Councilman Jim Wickham, grew up in Mill Valley, taught dance at a local dance school, and volunteered for years with the Mill Valley Little League, running the snack shack at Boyle Park. Wickham, who was diagnosed with cancer, died March 7.
Caroline Joachim, president of Mill Valley Little League, requested the name change in May. The Historical Society endorsed the nomination and the parks and recreation committee approved the proposal in June.
4K cubic yards removed
in vegetation program
FireSafe Marin has completed 1,121 vegetation pickups, removing 4,715 cubic yards of flammable brush from yards within city limits, the agency reported this week.
The work is part of the organization’s grant-funded chipper program, in which residents can request removal of overgrown vegetation to be turned into mulch. FireSafe Marin has performed seven weeks of work this season and plans to continue another 15 weeks this year.

domain: news


text:
The Aloha Community Library is hosting a Book-tique Holiday Sale from 10 a.m.-8 p.m. Monday, Dec. 9.
The fundraiser sale will feature handmade goods and gently used books that would likely make great gifts and stocking stuffers. All proceeds go to the library.
The sale will run through Dec. 21 during regular library hours. The library is located at 17683 S.W. Farmington Rd., near Bales Market Place & Thriftway. For more information, call 503-746-6918 or visit alohalibrary.org.
-- Anna Marum

domain: library


Left my bike alone after The Race and Norwegian rally and waited for a 'hot' day
and dyno my bike again. Unfortunately, it doesn't get as hot over here as it
does in Norway ( )
so had to settle for a hottisch 23°C today.
The yellow and blue graphs are from today, the white one is from Earlier this year.... February I think it was:
Due to the filthy rich main jet WOT is not possible below 5K, which is what
Jørgen noticed also
The clutch slip on the first run today (blue line) at 5.5 K is also clear, just like the rumble below 5 K and on topend.
On the 2nd run I opened the slides gradually till 5.5K which gave a smoother line but slightly lower power in lower area's.
The white line, generated in Feb at 8°C made the overrich situation between 4-5K less obvious both below 5K as well as past 8K.
Max torque is 112 Nm @ 6700 RPM.
All for reference.
Nev pipes, SSO billet heads, TMX38 flatslides (Nev bored to 39.5), 1 mm cylinder lift, 1 mm raised ex port, cleaned up transfers and inlet, length inlet +15 mm for better lowend. A rather simple tune realy. Engine has been together for 7 years now. Standard cast iron liners (72 mm bore) are nikasilled meaning they will not wear. Think to remember stock Kaw pistons are in there. Ignition is HPI with fixed curve. Timing not fine tuned yet, neither is carb-setting.
Overrich mixture allows running WOT for prolonged periods of time without overheating (trackuse).


Hazmat crews called after suicide-by-ricin attempt
She was taken to the hospital, where she was conscious and speaking to police a day later
The Associated Press
NORTH LOGAN, Utah — More than a dozen members of the Utah National Guard were called to help with decontamination in North Logan after authorities say a 37-year-old woman tried to commit suicide there with highly toxic ricin.
North Park Police Chief Kim Hawkes says authorities responded about 10:30 p.m. Wednesday, after the woman's out-of-state cousin reported receiving troubling texts and a call from her.
Police brought in a hazardous materials team that detected small amounts of ricin on a grinder, and they evacuated a family of four that was living upstairs from the woman's basement apartment.
Ricin is derived from castor beans. Hawkes says the woman apparently ordered 60 castor beans online, ground them up and ate half of them.
She was taken to the hospital, where she was conscious and speaking to police a day later.


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Food Service: Dietary Aide and Cook
Diversified Healthcare - Clinton, LA
Dietary Aide and/or Cook. Performs duties as assigned by the Cook or Dietary Manager. Regency Place Nursing and Rehab Center, a 129- bed skilled nursing...
Culinary Service Worker / Dietary Aide
Warde Rehabilitation and Nursing Center - Windham, NH
Culinary Associate – Full time and Part Time positions available Shifts run 6:30 a.m. to 2:30 p.m., 11 a.m. to 7 p.m. and 3:30 p.m. to 7 p.m. with
Dietary Aide (Food Service)
Senova Healthcare - Middleton, WI
DIETARY AIDES / FOOD SERVICE TEAM MEMBERS*. Food service, dietary, culinary, kitchen, student, cooking. Qualified candidates will be responsible for assisting...
Food Service, Dietary Aide
Senova Healthcare - Osseo, MN
Senova Healthcare, a national healthcare care services company, has openings within their dietary department team located in Osseo, MN....
Food Service Aide
Columbus Regional Healthcare - Columbus, GA
2.2 (a) Complies with dietary restrictions on special, modified diets to ensure optimal food preferences are met within guidelines of diet order limitations (b)...
Food Service - Dietary Aide ( Part time)
Senova Healthcare - Milwaukee, WI
Senova, a provider of healthcare culinary services is currently seeking Dietary Aides for a nursing home in the Milwaukee, WI area. Scheduling Options include:....
Dietary Aide - Room Service Assistant (2)
Floyd Valley Healthcare - Le Mars, IA
The Room Service Assistant is responsible for the handling and preparing of cold foods as prescribed by Floyd Valley Dietary policies and in accordance with...
Northwell Health - Staten Island, NY
Prior related food or dietary experience, preferred. Deliver trucks to units for Dietary Aides or floor staff to deliver....
Food Service Worker/Dietary Aide
Capital Health - Trenton, NJ
Overview: Position #: AAAA Salary -- $10.00 - $14.00 an hour based on experience! Responsibilities: Prepares list of items required for setting up
Food Service Aide
SavaSeniorCare - Niantic, CT
Assists the Dietary Manager and Cook in the preparation and service of food to residents. Must be able to interpret and implement written or oral programs,...

domain: medical


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domain: health


Watch & Listen
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Joao is a guitarist/composer who is passionate about all genres of music, especially the Classical Guitar.
I can perform outdoors
Classical, Baroque, Musical theatre, Opera, Classical crossover, Contemporary classical, Medieval music, Film / TV music, Blues, Jazz, Light music, Originals, Pop, Acoustic, Ambient pop, Funk, R&B, Rock, Progressive rock, Classic rock, Arabic, World music, Bossa nova, Brazilian music, Choro, Flamenco, Klezmer, Latin, Reggae, Samba, Tango, Spanish music
Arranger, Composer, Transcription, Instrumental teaching, Theory teaching
Dina M, 4 months ago
Andrea A, 1 year ago


text:
Master of space and time joins the cosmos.
By Blurt Staff
Leon Russell has passed away at the age 74 today. According to his website,
“Leon Russell died on Nov. 13, 2016 in Nashville at the age of 74. His wife said that he passed away in his sleep. The Master Of Space And Time was a legendary musician and songwriter originally from Tulsa, Oklahoma who performed his gospel-infused southern boogie piano rock, blues, and country music for over 50 years.
“Leon was inducted into both the Rock and Roll Hall Of Fame and the Songwriter’s Hall of Fame in 2011.
“Leon led the famous Joe Cocker’s ‘Mad Dogs & Englishmen’ tour and performed with George Harrison and Friends at the Concert For Bangladesh. Leon has also toured with Delaney & Bonnie and Friends, Edgar Winter, The New Grass Revival, Willie Nelson, and Sir Elton John.
“Leon’s songwriting credits include ‘A Song For You’, ‘Delta Lady’, ‘Hummingbird’, ‘Lady Blue’, ‘Back To The Island’, ‘Tight Rope’, and ‘This Masquerade’.
Russell apparently had ongoing health problems, including surgery for brain fluid leaking in 2010, pneumonia that same year, and a heart attack this past July.


text:
Sunday, June 28, 2015
Shaun Berk's 10 Movie Recommendations- 502nd Edition
Welcome to the 502nd Edition of my series. Not too much happening right now especially working 2nd shift. I am making the most of it and grateful to be in the new position that I am in. I believe that in time I will have my day shift and return to the world of theater. I am not unhappy with things. I will not get on with my selections for the week.
The American President (1995): Rob Reiner directed this film based on a screenplay by Aaron Sorkin which is in a sense a political romantic comedy. Michael Douglas stars as widowed president Andrew Shepherd who mostly has the American public behind him and the next election appears locked. Things change when he meets environmental lobbyist Sydney Ellen Wade, played by Annette Bening, and takes a liking to her to the point of finally getting a date. Andy's political opponent Senator Bob Rumson, played by Richard Dreyfus, looks to use this against him by attacking his character as well as Sydney's. Martin Sheen, Michael J. Fox, Anna Deavere Smith, Samantha Mathis, Shawna Waldron, David Paymer, Nina Siemaszko, Wendie Malick, Beau Billingslea, Gail Strickland, Joshua Malina, John Mahoney, and many others co-star in this film. Douglas was good in a more toned down and good-hearted role and worked very well with Bening and even Shawna Waldron who was his supportive daughter. This would likely be favored from Democrats more than Republicans. This would not be a bad selection for a date night.
I Shot Andy Warhol (1996): Mary Harron directed this biopic on Valerie Solanas, played by Lili Taylor, who did just what the title said. She was a radical in the 60s who held nothing back about her hatred of men in her "Scum" manifesto. She also wrote a play called UP YOUR ASS in which she wanted Andy Warhol, played by Jared Harris, to produce but ignored her leading into the title. Martha Plimpton, Lothaire Bluteau, Anna Levine, Peter Friedman, Tahnee Welch, Jamie Harrold, Donovan Leitch Jr., Michael Imperioli, Reg Rogers, Bill Sage, Jill Hennessey, Stephen Dorff, and many others co-star. Dorff was very good as the transvestite Candy Darling. This was originally going to be a documentary but filmmakers could not find much footage or very many people to interview so they based it on the book by Jeremiah Newton. I just recently watched BASQUIAT which actually came out in the same year which was based on Warhol's protege of the title. Both movies have the qualities and could make for a good double feature.
Rendition (2007): This is part one of a two part Peter Sarsgaard series. Gavin Hood directed this CIA film. A terrorist bomb kills an American envoy in a foreign country. The investigation leads to an Egyptian named Anwar, played by Omar Metwally, who lives in America. Jake Gyllenhaal stars as Douglas Freeman who is a CIA operative observing the investigation and witnesses torture and is at odds with what he should do being in a foreign country. Reese Witherspoon co-stars as Isabella who is the wife of Anwar and is looking for information on her husband which no one is giving. Peter Sarsgaard, Meryl Streep, Alan Arkin, Igal Naor, J.K. Simmons, Simon Abkarian, Bob Gunton, and many others co-star in this film. This was based on a true story of Khalid El-Masri, who was mistaken for a terrorist with a similar name. This is a pretty compelling story with well written characters.
See Holland Before it Gets Too Big (1969): This is my short for the week. A man with a guitar and sketchpad travel through Holland on a bike. He does many sketches of sights he sees and also sees the vision of the woman that he puts into them. He tries to figure out if she is real or a figment of his imagination. It was an interesting short film that had great locales for the country.
The Circus (1928): This is my silent film for the week which was a comedy from the legendary Charlie Chaplin who also wrote and directed the film. Chaplin plays his usual character of the Tramp. He is mistaken for a pickpocket and when running from the police, he stumbles onto a circus where he is in front of an audience and makes them laugh more than anyone. The ringmaster hires him on only to discover that he can only be unintentionally funny so he looks to put him into situations that will get laughs. The tramp also falls for the owner's acrobatic daughter but another performer comes into the picture making him feel he must compete. This is one of Chaplin's more unknown films. This came out shortly after talkies started but Chaplin decided to stick to silents. There is a scene that is part of the bonus features and has been put out there where someone appears to be talking on what seems to be a cell phone. I am sorry to spoil your thoughts on time travel but it was found to be a 1924 Siemans hearing aid. Chaplin has never spoken much on this film and maybe due to his studio burning down during production and among other things lead to a nervous breakdown. It is still a good production and has many funny moments.
A Face in the Crowd (1957): Elia Kazan directed this film which was written by Budd Schulberg. Andy Griffith makes his film debut as Larry "Lonesome" Rhodes who is actually discovered while spending time in jail when radio person Marcia Jeffries, played by Patricia Neal, goes there to interview inmates and finds that Rhodes is a decent singer and very amusing to listen to. He gets to host his own radio show where he becomes very popular for saying many things people want to hear. He then gets a tv show where everyone is at the palm of his hand becoming corrupted by his rise to fame. Walter Mathau co-stars as writer Mel Miller who begins to see right through Lonesome. Lee Remick and Anthony Franciosa also co-star in this film. I had seen this before and thought "I will never look at Andy Griffith in the same way again" and that remains true. Just think "Andy Griffith driven to insanity" and you will see he is so much more than Andy Taylor and Ben Matlock. I believe he gives his best performance in this film. The movie itself is also rather ahead of its time kind of like when the 1976 film NETWORK came out. The character of Lonesome Rhodes is essentially a reality tv star before the phrase even existed. This is a very underrated film that everyone should see.
Koyaanisqatsi (1982): Godfrey Reggio directed this film which is in a sense a documentary which was produced by Francis Ford Coppola. The movie is a long montage of photos to go along with a music score written by Philip Glass. The footage features images of nature and reality and the relationship between them. It shows the effect that man has had on the landscapre. It is done without any kind of narration but it still is very effective. The photos were put together very well with a really good score written by Glass. This is one I hope to get on the radar. This is followed by POWAQQATSI and NAQOYQATSI which I have not seen but suppose I should.
Django (1966): This is my spagetti western for the week which was directed and co-wrote by Sergio Corbucci. Franco Nero plays the title character who is a drifter coming into town dragging a coffin along with him. This town has a couple feuding parties of a group of Mexican bandits and a group of sadistic vigilantes which he gets into the middle. Nero does a good job as the anti-hero. It has some fun and over the top violence. It is the inspiration for Tarantino's DJANGO UNCHAINED and is reprising his own role in the upcoming DJANGO LIVES. I found this on the El Ray network so if they are still showing it, you might take a look.
Untamed Youth (1957): I believe this is the first time I have ever used Mamie Van Doren on my list. She stars as Penny and along with her sister Jane, played by Lori Nelson, are arrested for the horrible crime of hitch-hiking along their way to Los Angeles. They must choose between 30 days in jail or work on an agriculture farm so they choose the work. They find that the person who runs things mistreats them. Keep in mind, this is a b-movie which was more entertaining than anything like the music numbers which are some of the first Rock 'N Roll numbers in film. Many probably aren't sure who Van Doren is but sounds familiar so just to let know many including myself heard of her for the first time in Tarantino's PULP FICTION when Vincent and Mia are at the restaurant where servers are characters. Mia believes there are two Marilyn Monroes but Vincent lets her know that the other one is Mamie Van Doren. She was signed by Universal who tried to make her into their Marilyn Monroe. She ended up doing mostly b-movies but did get to be in a pretty high profile film TEACHER'S PET with Clark Gable. She still remains a sex symbol from that era.
The Judge (2014): I end with this law film which was directed by David Dobkin. Robert Downey Jr. is a very successful big city lawyer named Hank. He learns of his mother's death and returns to his small town home in Indiana where his father Joseph is the judge in the small town. His father is soon suspected of murder forcing him to stay and defend his estranged father. In setting out to learn the truth of what happens, he also reconnects with his family and others in the town. Vera Farminga, Billy Bob Thornton, Vincent D'Onofrio, Jeremy Strong, Leighton Meester, Ken Howard, Balthazar Getty, and many others co-star in this film. The best part of this movie is the interaction of Downey and Duvall who are great as the father and son. I also felt it was a good and moving portrait on a dysfunctional family.
Well, that is it for this week but I did bring the Fun and Useless Facts segment.. Tell me what you like and dislike. Stay tuned for next week which so far includes Keira Knightley, more Peter Sarsgaard, and many others.
FUN AND USELESS FACTS
Keep in mind, these are mostly facts from actors in different movies and usually don't look at what people within the movies have in common. If you have more to lend, knock yourself out.
Michael Douglas (The American President) is pursued by Robert Duvall (The Judge) in the 1993 film FALLING DOWN.
Michael Douglas (The American President) and Robert Downey Jr. (The Judge) were in the 2000 film WONDER BOYS.
Annette Bening (The American President) and Robert Duvall (The Judge) were in the 2003 film OPEN RANGE.
Annette Bening (The American President) and Robert Downey Jr. (The Judge) were in the 1999 movie IN DREAMS.
Martin Sheen (The American President) and Robert Duvall (The Judge) were in the 1979 film APOCALYPSE NOW.
Martin Sheen (The American President), Bob Gunton (Rendition), Walter Matthau (A Face in the Crowd), and Vincent D'Onofrio (The Judge) were in the 1991 film JFK. Sheen is uncredited as the narrator. This might be the first time since doing this that I managed to find four people from different movies in one movie.
-Martin Sheen (The American President) plays Uncle Ben in the 2012 film THE AMAZING SPIDER-MAN.
-J.K. Simmons (Rendition) plays editor J. Jonah Jameson in the Sam Raimi trilogy who is out to expose Spider-Man while paying Peter Parker to get photos. He has the perfect look and voice as he also voices the character in cartoons when necessary.
-Vincent D'Onofrio plays Kingpin in the Netflix series DAREDEVIL. Kingpin is a common enemy to Spider-Man, just not in film but in the comics.
Martin Sheen (The American President) and Vera Farminga (The Judge) were in the 2006 film THE DEPARTED.
Samantha Mathis (The American President), Bill Sage (I Shot Andy Warhol), and Reese Witherspoon (Rendition) were in the 2000 film AMERICAN PSYCHO.
Samantha Mathis (The American President) and Bob Gunton (Rendition) were in the 1996 action movie BROKEN ARROW.
David Paymer (The American President) and Robert Downey Jr. (The Judge) were in the 1993 film HEART AND SOULS.
David Paymer (The American President) and Jake Gyllenhaal (Rendition) were in the 1991 comedy CITY SLICKERS.
Gail Strickland (The American President) and Reese Witherspoon (Rendition) were in the 1991 film THE MAN IN THE MOON.
John Mahoney (The American President) and Lili Taylor (I Shot Andy Warhol) were in the 1989 film SAY ANYTHING...
Anna Deavere Smith (The American President) and Bill Sage (I Shot Andy Warhol) have both been in the series NURSE JACKIE.
Nina Siemaszko (The American President) and Bob Gunton (Rendition) were in the 1992 tv movie SINATRA.
Jared Harris (I Shot Andy Warhol) and Robert Downey Jr. (The Judge) are longtime rivals Professor Moriarty and Sherlock Holmes in the 2011 film SHERLOCK HOLMES: A GAME OF SHADOWS.
Jared Harris (I Shot Andy Warhol) and Billy Bob Thornton (The Judge) were in the 1995 film DEAD MAN.
Jared Harris (I Shot Andy Warhol), Jamie Harrold (I Shot Andy Warhol), and Robert Downey Jr. (The Judge) were in the 1994 film NATURAL BORN KILLERS.
Lili Taylor (I Shot Andy Warhol) and Vera Farminga (The Judge) were in the 2013 film THE CONJURING.
Jake Gyllenhaal (Rendition) and Robert Downey Jr. (The Judge) were in the 2007 film ZODIAC.
Jake Gyllenhaal (Rendition) had a childhood crush on Martha Plimpton (I Shot Andy Warhol).
J.K. Simmons (Rendition) and Billy Bob Thornton (The Judge) were in the 2006 film THE ASTRONAUT FARMER.
J.K. Simmons (Rendition) and Vera Farminga (The Judge) are in the 2009 film UP IN THE AIR.
Bob Gunton (Rendition) and Vincent D'Onofrio (The Judge) are partners in crime in the new Netflix series DAREDEVIL.
Bob Gunton (Rendition) and Robert Downey Jr. (The Judge) were in the 1987 movie THE PICK-UP ARTIST.
Meryl Streep (Rendition) and Vera Farminga (The Judge) were in the 2004 movie THE MANCHURIAN CANDIDATE.
Charlie Chaplin (The Circus) is portrayed by Robert Downey Jr. (The Judge) in the 1992 film CHAPLIN.
Walter Matthau (A Face in the Crowd) plays coach Morris Buttermaker in the 1976 comedy THE BAD NEWS BEARS. Billy Bob Thornton (The Judge) plays the part in the 2005 remake of the same title.
Lee Remick (A Face in the Crowd) and Robert Duvall (The Judge) were lovers in the 1979 mini-series IKE: THE WAR YEARS.

domain: artistic


text:
In Pakistan,the international football team has not been made yet and the game is underrated in terms of bringing it to international level but when it comes to passion for this game, the enthusiasm has reached almost to the same level found for cricket in Pakistani fans.
Whether we know about football or not,during football season,every one is found uploading status and seem to cheer for either Barca or Madrid.
Football and its players have massive and insane following in Pakistan now and when the new of renowned football stars coming to Pakistan despite the security issues broke,it was a dream come true for football enthusiasts in Pakistan!
Yes,the Brazilian football star Ronaldinho,Manchester United’s star Ryan Gigs and five other international football legends have arrived in Pakistan on Saturday!
The five international players accompanying Ronaldinho and Giggs are: Dutch star George Boateng, former England goalkeeper David James, former French players Robert Pires and Nicolas Anelka, and Portugal’s Luis Boa Morte.
All the stars when arrived at Benazir International airport Islamabad in a special splan were escorted in an extremely tight security to a private hotel. The full proof security was given by military of Pakistan and they protected throughout
They are expected to play two exhibition matches in Pakistan. It is a very important chance for the rising underrepresented football talent in Pakistan.COAS Gene Qamar Bajwa later in the evening met the playersand expressed his gratitude for their coming to Pakistan and gave them a heart warming welcome.
According to an ISPR statement the stars were reported to have expressed their views about Pakistan as, “Pakistan is a beautiful country and they look forward to enjoy the trip”.
People of Pakistan also looked forward to their arrival and the two exhibition matches.
The first match as expected to be played on Saturday in Karachi at 8:30pm at Abdul Sattar Edhi Nation Hockey Stadium and second the second exhibition match was to be played at Fortress Stadium Lahore on Sunday at 5pm.
It will be a sight to behold. The international football stars shining in the stadiums of the two for the largest es of Pakistan. One matches was expected be led be Ryan Giggs and the other match by Brazilian football legend Ronaldinho.
While the International football legends were in Pakistan, how could we miss golden opportunities and not take selfies.here are a few:
One with Pakistanis most beloved and selfie killer Zainab!
They were expected to visits many places in Punjab including Badshahi mosque,minar e Pakistan and a few other places in Lahore.
It was not clearly mentioned that the stay of the stars in Pakistan was how long and the details were not given becuase of the security reason but they departed on the 3rd day according to rumors and estimates.
Before leaving Ronaldinho tweeted about how Pakistan is one peaceful and loving country.
In another tweet,before bidding farewell to Pakistan,he said,Thankyou Pakistan”
These gestures of love only excite the passion of Pakistani football fans and also increase huge respect in the hearts of Pakistanis.
These tweets also show that the Brazilian football legend loved Pakistan and the enthusiasm in their hearts and also made clear becuase of the love they received from the fans here that Pakistan is one loving and peaceful country contradicting all the blames put on Pakistan by enemies washing the territorist label on Pakistan internationally.


Former USC assistant coach Tony Bland pleaded guilty to conspiracy to commit bribery in a New York federal court on Wednesday for his role in the corruption scandal that has rocked college basketball.
Bland admitted to accepting $4,100 to steer players to financial and business advisers, the Associated Press reports.
“On July 29, 2017, I met with others in Las Vegas, Nevada, to discuss my participation in the scheme and received a payment of $4,100,” Bland told Judge Edgardo Ramos Wednesday.
Bland busted on audio recording
Bland had been recorded making promises to business suitors about USC players
“I definitely can get the players. … And I can definitely mold the players and put them in the lap of you guys,” Bland said on the recording.
The plea was part of a negotiation Bland had with federal prosecutors. He will be sentenced on April 2 and is expected to spend little or no time in prison, according to AP. He agreed not to appeal any prison sentence of less than six months.
Sources told Yahoo Sports’ Dan Wetzel and Pete Thamel in December that Bland’s deal could result in his receiving only probation as punishment.
Three others facing trial
Bland is one of four former college assistants facing charges in the corruption scandal.
Former Auburn assistant coach Chuck Person is scheduled to face trial in February, while Former Arizona assistant Emanuel Richardson and former Oklahoma State assistant Lamont Evans are set to face trial in April.
Bland had been scheduled to face trial alongside Richardson and Evans prior to his plea agreement.
Adidas executives Jim Gatto and Merl Code and aspiring sports agent Christian Dawkins were found guilty in October of wire fraud and conspiracy to commit wire fraud after paying a recruit to attend Louisville. They will be sentenced in March.
Bland’s attorney Jeffrey Lichtman acknowledged to AP that college basketball has been operating on a ”very broken, antiquated system” while calling Wednesday “a tragic, tragic day” for Bland.
“If the NCAA is unwilling to police themselves … somebody’s got to do it,” he said. “This is a long and winding road that will ultimately lead to construction of new rules.”
More from Yahoo Sports:
• Sugar Bowl meeting of mascots goes sour
• Chippy 76ers-Clippers game results in ejections
• Why is female NBA assistant only making $10K?
• Purdue superfan Tyler Trent dies of cancer at age 20


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Ildar Khannanov — October 31, 2020 — 2:40 pm
This forum is a great place to exchange ideas related to European music theory. I suggest opening several threads. The idea of harmony seems to never leave the focus of the attention of theorists. I would like to invite the colleagues to start such a thread here.


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The Cartoon Leader is the latest from hard alt rock band Deja Who. Summoning grunge greats and an experimental alternative new sound, the record slowly but surely pushes the envelope with melodious singing and heavy guitars while the whole thing feels like a release of apprehension. “Rebirth” wavers between a light vocal and bellowing guitars while it navigates pleasantly to the ear. “Back Off” is an expansively relatable song driven by an anxious aggression and a hard push. “Let It Go” is far more riff oriented with pounding drums. The album itself seems like a concept record where songs make sense when put together. The Cartoon Leader holds nothing back in terms of emotion and that makes for good music in most cases.


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|Home page World|
Three members of a pro-government militia have been killed in a car bomb attack in northern Iraq, the military said Wednesday.
The attack came at a security checkpoint manned by Hashd al-Shaabi, a Shia militia, in eastern Saladin province late Tuesday, Capt. Saad Mohamed told Anadolu Agency. Three other fighters were injured in the attack, he added.
There was no claim of responsibility but the area has been the target of repeated attacks by Daesh militants from Shirqat town, which is still held by the terrorist group.
Earlier this month, Iraq formally declared victory over Daesh in Mosul, the terrorist group's last major stronghold in Iraq.
2017.07.26 / 12:48


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Terminal cancer vaccine is trialled
A trial has been launched to test a new state-of-the-art vaccine for terminal cancer.
The immunotherapy trial will examine whether a vaccine is effective in stimulating the body's immune system to destroy cancerous cells.
Two patients have already received the vaccine as part of the project, which is expected to run for up to two years.
Immunotherapy is generating great interest in cancer research. In February experts in the US announced they had seen "extraordinary" results in early trials involving terminally ill patients with blood cancer.
The trial is for people with solid tumours and is recruiting those for whom other types of treatment have not worked. All patients with any solid tumour, irrespective of their type of cancer, are believed to have the potential to benefit from immunotherapy.
Professor Hardev Pandha, who is leading the trial at the Surrey Cancer Research Institute, said: "We know that the immune system in patients with advanced cancer is suppressed, so it's unable to recognise and kill cancer calls.
"In this trial we are investigating a form of immunotherapy designed to activate the body's immune system by administration of a vaccine based on fragments of a key cancer protein."
The new trial involves a vaccine and an immunity stimulating cream applied to the injection site to help the vaccine work better. Patients will also take low-dose chemotherapy tablets.


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- Research article
- Open Access
A comparison of the real world effectiveness of catheter ablation and drug therapy in atrial fibrillation patients in a Chinese setting
BMC Cardiovascular Disorders volume 17, Article number: 204 (2017)
Studies have demonstrated that catheter ablation of atrial fibrillation is associated with better rhythm control than drug therapy. The present study aimed to assess the clinical outcomes and health-related quality of life of ablation therapy in a real world setting.
A prospective, non-randomized, single center study in a real-world clinical setting in China was conducted. Patients were followed up at 3, 6, and 9 months after baseline encounter. Propensity score matched patients receiving ablation or anti-arrhythmic drug therapy were compared. Incidence rate of atrial fibrillation recurrence and quality of life outcomes were measured and analyzed using log-rank test, multivariate logistic regression and mixed-effects linear regression respectively.
In this study, 151 atrial fibrillation patients treated by ablation therapy and 318 patients treated by anti-arrhythmic drugs were enrolled. During follow up, 82.0% in the ablation arm and 22.4% in the drug arm had no documented atrial fibrillation recurrence [HR for atrial fibrillation recurrence 0.07 (95%CI: 0.02–0.21, p < 0.0001)] among paroxysmal atrial fibrillation patients. The corresponding no recurrent rate were 66.7% and 18.5% [0.21 (0.05–0.95, p = 0.04)] respectively among persistent atrial fibrillation patients. Improvement in Short Form-36 physical component scores, Short Form-36 mental component scores and total Atrial Fibrillation Effect on Quality-of-life scores were 16.33 (14.05–18.61, p < 0.001), 8.10 (6.11–10.09, p < 0.001) and 18.28 (16.11–20.45, p < 0.001) respectively among paroxysmal AF patients and 6.32 (3.15–9.49, p < 0.001), 3.99 (1.82–6.16, p < 0.001) and 13.97 (10.89–17.05, p < 0.001) respectively among persistent AF patients. Improvements in total Atrial Fibrillation Effect on Quality-of-life score were also significant in ablation arm while no significant improvement of total Atrial Fibrillation Effect on Quality-of-life score in the drug arm.
Compared with drug therapy, catheter ablation is associated with significant lower AF recurrence and improved overall quality of life.
The present study has been registered on clinicaltrials.gov. The ClinicalTrials.gov ID is NCT01878981. The registration date is May 29, 2013.
Atrial fibrillation (AF) is independently associated with increased risk of all-cause mortality in women (two times) and in men [1, 2] and increased morbidity (heart failure and stroke) and cardiovascular mortality. It also causes significant adverse impact on patients’ quality of life . Rhythm control, rate control and anticoagulation therapy are the three most important pillars of treatment. In recent years, catheter ablation has been widely used for AF patients as a strategy of rhythm control. This is known to be associated with significantly better effectiveness compared with antiarrhythmic drugs in lowering rate of recurrent atrial tachyarrhythmias while the results are conflict with whether ablation therapy can improvement patient’s quality of life [4,5,6]. The evidence for cardiovascular outcome improvement is still lacking. There are substantial geographical variations in the management of AF and experience are growing in refining clinical indications for ablation therapy .
Catheter ablation for AF has been widely applied in China. However, available studies on the clinical outcome and quality of life (QoL) of catheter ablation compared with drug therapy in real world setting are sparse in this population. This study aimed to report the real world comparative effectiveness of these two treatment strategies.
The design is a prospective, non-randomized, single center study in a real-world clinical setting in Anzhen Hospital, a referral hospital in Beijing, China. The study was approved by the Ethics Committee of Anzhen Hospital and informed consent was obtained from the patients included. Medical practices in the hospital are representative of hospitals in the same class in China. Participating physicians were given the discretion to decide whether a patient should receive ablation procedures or anti-arrhythmia therapy provided they followed local and international guidelines.
Patients were enrolled over approximately 2 years beginning in the second quarter of 2011. Inclusion criteria in the study were paroxysmal or persistent AF patients eligible for catheter ablation, age 18 to 80 years, willing to comply with all face to face follow-up visiting and requirements, and sign the informed consent form.
Candidates with any of the following conditions were excluded from the study: terminal illness with a life expectancy <1 year, patients with symptomatic heart failure (New York Heart Association Class III or IV), previous recipient of catheter ablation therapy for AF, bradycardia (heart rate < 60 beat per minutes) and previous recipient of pacemaker therapy, uncontrolled hypertension (blood pressure > 140/90 mmHg despite three different full dosage anti-hypertensive therapy), recent cardiac events including myocardial infarction, percutaneous coronary intervention or valve or bypass surgery in the preceding 3 months, serious hepatic disease (hepatic biomarkers higher than 5 times upper normal limits) and renal dysfunction (estimated GFR ≤ 60 ml/min), pregnant or preparing to be pregnant within one year. In addition, patients who could not be contacted via phone (despite 3 documented attempts to contact the subject). Patients that were enrolled but never underwent ablation or took any AAD were also excluded.
Patients who met the inclusion criteria and signed the patient informed consent form were given a 30-day window (±7 days) to make a final decision regarding participation in the study.
Data of demographic characteristics, social economic variables and clinically related comorbidities were collected based on the patient reported information.
Ablation procedures or anti-arrhythmia therapy
The ablation procedures include pulmonary vein (PV) isolation for paroxysmal AF, and three additional linear ablations at the left atrial roof, mitral isthmus between the mitral annulus and left inferior PV and cavotricuspid isthmus for persistent AF. Antiarrhythmic agents were not allowed to be used after ablation procedure. Patients were asked to check their ECG if they felt palpitation or any symptom of AF episode. Otherwise, 24 h ECG monitoring will be employed every month. For patients without evidence for AF recurrence, oral anticoagulants can be withdrawn 3 months after the procedure, regardless their baseline risk of stroke according to CHA2DS2-VASc score.
Medical therapy was at the discretion of responsible physician. Anti-arrhythmia medicines include sotalol 80 mg every 8 h, with a maximum dosage of 320 mg/day, propafenone 150 mg every 8 h, and amiodarone 600 mg/day for the first week, 400 mg/day for the next week, and 200 mg a day after that. Usage of cardioversion was also at the discretion of the physician. Any cardioversion received during study period was recorded. Anticoagulation therapy will be provided according to guideline recommendation.
Face to face follow-up occurred at 3, 6, and 9 months, after the 3 months blanking period in the ablation group and after baseline enrollment in the drug arm.
The primary clinical endpoint was the incidence rate of AF recurrence within the 9-month follow-up period starting immediately after the blanking period for the ablation arm or after baseline enrollment for the drug arm. The “AF recurrence episode” was defined as an episode of atrial fibrillation/atrial flutter/atrial tachycardia ≥30 s in duration as documented by ECG, Holter monitor, or telemetry recording. Three failure modes of the primary endpoint were considered: first, acute ablation procedural failure; second, a new AAD for AF during the 9-month follow-up period; and third, a repeat ablation during the 9-month follow-up period post-blanking.
Patients’ QoL was measured using both a generic instrument, Short Form-36 (SF-36), and a disease-specific instrument, Atrial Fibrillation Effect on Quality-of-life (AFEQT). SF-36 is a validated instrument that measures an individual’s physical and mental health . The Physical Component Summary (PCS) and Mental Component Summary (MCS) were calculated using norm-based scoring according to the guideline from Quality Metric Incorporated. The absolute changes from baseline of PCS and MCS at each follow-up visit (at 3, 6, 9 and 12- month) were summarized and plotted for each treatment group. A minimum 3-point improvement in SF-36 subscales is deemed to be clinically important in patients with chronic diseases. The proportion of subjects with greater than or equal to a 3-point improvement in MCS and PCS was also reported at baseline and follow-up visits. The analysis population was propensity score matched.
The AFEQT is another validated AF-specific QoL instrument utilized in the study, which is comprised of 20 questions . Patients answered the questionnaire based on their memory or feeling of the previous four weeks. The total score and three subscale scores of symptoms, daily activities and treatment concern were summarized by treatment group at each follow-up visit (at 3, 6, 9 and 12- month). The absolute changes from baseline of the overall and subscale scores at each follow-up visit were summarized and plotted for each treatment group. The overall or subscale scores range from 0 to 100. A score of 0 corresponds to complete disability (or responding “extremely” limited, difficult or bothersome to all questions answered), while a score of 100 corresponds to no disability (or responding “not at all” limited, difficult or bothersome to all questions answered).
A priori power analysis was conducted based upon survival log-rank test, accounting for the varying follow-up times that the ablation patients may have. The assumptions include a length of enrollment of 1.5 years, maximum length of follow-up of 2.5 years, a 10% drop-out rate and 30% success rate for drug therapy among both paroxysmal and persistent patients. It was further assumed that ablation success rate was 60% for paroxysmal patients and 45% for persistent patients, which were calculated based upon success rate, drop-out rate, and maximum follow-up time . It was assumed that there would be a 10% crossover rate for each AF type. Based upon the calculation, at least 53 pairs were needed to compare ablation versus AAD treatment for the paroxysmal patients and at least 200 pairs were needed for persistent patients to ensure 80% power (alpha = 0.05, two-tailed).
The primary clinical endpoint is the frequency of recurrence of atrial fibrillation/atrial flutter/atrial tachycardia within the 9 months follow up period starting immediately after the blanking period for ablation arm or baseline enrollment for drug arm. To examine the corresponding relative risk, we used time to event analysis (e.g. crude Kaplan-Meier analysis, Cox model stratified by matched pairs with partial likelihood estimation [11, 12]. The analysis population was the propensity score (PS)-matched population.
Optimal pair matching based on logit of the PS created with a matching ratio of 1:1, stratified by AF type was used in this study. Optimal matching identifies matched sets in such a way that the process aims to optimize the total distance rather than distance of an individual pair. A big advantage of optimal matching over more traditional greedy matching is that the former approach could generate more desirable matched pairs. Candidate covariates considered for the PS analysis included patients’ demographic characteristics and social economic variables as well as certain clinically related comorbidities, most of which are presented in Table 1. Catheter ablation patients were matched with AAD patients by a 1:1 ratio to ensure the comparability of patients enrolled in each arm at baseline. PS matching was performed for each AF type separately and the analysis was stratified by the two AF types. Based upon the PS-matched patients, log-rank test and multivariate logistic regression were conducted to compare the effects on AF recurrence. Mixed-effects linear regression with interaction between time and treatment grouping variables was utilized to examine potential difference in QoL trends over time between the treatment groups. The mix-effects model can account for the dependency inherent in the data due to repeated measurements and allow respondents with missing observations at different time points . A p value ≤0.05 is deemed statistically significant.
Characteristics of patients
In total, 469 patients were enrolled into the study: 151 in the ablation group (75 subjects had paroxysmal AF and 76 subjects had persistent AF) and 318 in the drug group (162 subjects had paroxysmal AF and 156 subjects had persistent AF). In the AAD arm, 6 patients did not take any AAD drug and were therefore excluded from the study, 26 subjects withdrew within one month of the study and 3 additional patients withdrew before the 9-month visit. In the ablation arm, 9 patients had the catheter inserted but did not receive any RF delivery and 3 patients withdrew early. Patients enrolled in the ablation arm and AAD arm had similar echocardiographic data before matching (left ventricular ejection fraction: 64.38 ± 7.27 vs 64.00 ± 4.58). Propensity score matching resulted in 75 pairs of paroxysmal AF subjects and 57 pairs of persistent AF subjects (Fig. 1). Table 1 compares the ablation and drug arms before and after the PS matching. After matching, all the characteristics in the two treatment arms were similar except proportion of patients with chronic bronchitis or obstructive pulmonary diseases remained significantly different among paroxysmal AF patients.
Among patients with paroxysmal AF, incidence rate of recurrence was 18.0% (95%CI: 10.0–28.9%) in the ablation arm and 77.6% (95%CI: 67.0–87.9%) in the drug arm (Fig. 2a). For matched paroxysmal AF subjects, the ablation arm had significantly higher success rate than the drug arm (78.5% vs 18.0%, log-rank test p-value < 0.001) (Figs. 2b and 3a). In post-matching conditional logistic regression analyses stratified by paroxysmal or persistent AF and controlling for clinically important covariates, the hazard ratio of AF recurrence in the ablation arm compared to the drug arm was 0.070 (95%CI: 0.023–0.214)(p < 0.0001).
Among patients with persistent AF, incidence rate of recurrence was 33.3% (95%CI: 21.1–47.5%) in the ablation arm and 81.5% (95%CI: 68.6–90.7%) in the drug arm (Fig. 2a). For matched persistent AF subjects, the ablation arm had significantly higher success rate of than the drug arm (80.9% vs 35.1%, log-rank test p-value < 0.0001) (Figs. 2b and 3b). In post-matching conditional logistic regression analyses stratified by paroxysmal or persistent AF, and controlling for clinically important covariates, the hazard ratio of AF recurrence in the ablation arm compared to the drug arm was 0.209 (95%CI:0.046–0.952) (p = 0.04).
QoL: SF-36 scores among AF patients
Among matched patients with paroxysmal AF, the ablation subjects showed significant improvement in their QoL physical component scores (PCSs) measured by SF-36 at all 3-, 6- and 9-month visits post blanking (p < 0.001) (Fig. 4). The score at baseline was at 58.31 while improved to 75.92 at 9-month visit, a 30.2% increase. On the contrary, the PCSs of the subjects in the drug arm only increased from 62.05 to 64.31 at the 9-month visit, which was not statistically significant. Significant improvement to 71.72 (21.7%) in QoL mental component scores (MCS) measured by SF-36 was also observed in the ablation arm (p < 0.01) during the study period. In contrast, the MCS of the subjects in the drug arm increased only from 60.98 to 63.30 at 9-month visit (p = 0.03).
Among matched patients with persistent AF, the ablation arm showed significant improvement in their QoL PCSs at all 3-, 6- and 9-month visits post blanking (p < 0.001). The scores changed by 17.8%, from 59.67 at baseline to 70.28 at 9-month visit. On the contrary, the PCSs of the subjects in the drug arm increased only slightly from 59.72 to 62.06 during same study, which was not significant. The QoL MCSs score was improved by 12.1% from 60.66 at baseline to 68.01 at 9-month visit in the ablation arm (p < 0.05), while the MCSs of the subjects in the drug arm remained unchanged (from 59.2 to 61.84, p = 0.14).
For both the paroxysmal and persistent AF patients, the mixed-effects linear regression showed that the changes of PCS and MCS over time in the ablation arm were significantly different from those in the drug arm (p all <0.05, Fig. 4).
QoL: AFEQT scores among AF patients
Among patients with paroxysmal AF, total AFEQT scores in the ablation arm improved from 54.4 at baseline to 79.19 at 9-month visit showing a 45.6% increase (p < 0.001). In the AAD arm, the total AFEQT scores changed slightly from 63 at baseline to 64.89 at 9 months visit (p = 0.17). The improvement in the AFEQT subscale scores of symptoms in ablation arm was much larger than in the drug arm (48.2% vs 4.9% change from baseline) (p < 0.001). Changes of AFEQT subscale scores of daily activities and treatment concerns over time in the ablation arm were also significantly different from those in the drug arm (p < 0.001).
Among patients with persistent AF, total AFEQT scores of the ablation arm increased by34.5%, from 55.4 at baseline to 74.5 at 9-month visit (p < 0.001) while remained stable in the drug arm (from 61.0 at baseline to 64.4 at 9-month visit, p = 0.07). The AFEQT subscale scores of symptoms, daily activity and treatment concerns all increased significantly in the ablation arm; In contrast, neither of the AFEQT subscale symptom score nor daily activities score showed significant change in the drug arm. Only the subscale scores of treatment concerns improved by 9.1% in the drug arm during the same time period (p = 0.01).
Among both paroxysmal and persistent AF patients, based on the mixed-effects linear regression the changes of total AFEQT scores and subscale scores over time in the ablation arm were significantly different from those in the drug arm (p < 0.001, Fig. 5).
In this study, we found that patients treated with catheter ablation had lower risk of AF recurrence than those treated with AADs for both paroxysmal and persistent AF patients. The difference was statistically significant and clinical meaningful.
Among paroxysmal or persistent patients, the ablation arm had significantly better quality of life improvement than the AAD arm as measured with SF-36 and AFEQT. Specifically, the ablation arm had consistent and significant improvement in physical and mental scores measured with SF-36, while the AAD arm showed only a small improvement during the follow-up time periods. Similar patterns were observed in the change in AFEQT total and subscale scores. It should be noted that improvement in different dimensions varied when measured by both instruments, among both paroxysmal and persistent patients.
It is consistently reported that catheter ablation was more effective than AADs in reducing the risk of AF recurrence [3,4,5, 14]. However, the majority of studies only included patients with paroxysmal AF and study examining the impact of treatment on patients’ quality of life is scarce. The present study supports the superiority of catheter ablation to AAD using real-world data from China. It showed that catheter ablation was more effective than drug therapy in reducing recurrence of AF and improving patients’ quality of life.
The evidence generated by this real-world study is expected to help inform medical decision makers about the effectiveness of two important treatments for AF patients. Given the demonstrated superior efficacy in maintaining sinus rhythm and important improvement in QoL with ablation, our results support using of catheter ablation in patients similar to those enrolled in this study.
Several study limitations should be noted. First, the effectiveness of the ablation treatment at the 9-month visit seemed to be higher than normally observed. Possible reasons include (i) this study was carried out in a single center with more experience in providing ablation therapy; (ii) under report of recurrences due to lack of rigorous monitoring and under-reporting from the patients. Second, not all of the subjects in the drug therapy arm persistent to AADs therapy during the 12-month follow-up period. However, it is less likely to achieve a higher rate of treatment success in patients who have AF recurrent on AADs treatment. Third, the follow-up time period of 9 months was relatively short. The long-term effectiveness and persistence of QoL improvement cannot be captured in this study.
The present study found that catheter ablation resulted in significantly better effectiveness for both paroxysmal and persistent AF patients during the 9-month follow-up period. The ablation treatment has also shown considerably improved quality of life outcomes compared with drug therapy. Slightly more adverse events were observed in patients with ablation therapy and the complete benefit and cost evaluation are important area for further study.
Atrial Fibrillation Effect on Quality-of-life
(SF-36) Mental Component Summary
(SF-36) Physical Component Summary
Quality of life
Benjamin EJ, Wolf PA, D’Agostino RB, Silbershatz H, Kannel WB, Levy D. Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation. 1998;98:946–52.
Andersson T, Magnuson A, Bryngelsson IL, Frobert O, Henriksson KM, Edvardsson N, Poci D. All-cause mortality in 272,186 patients hospitalized with incident atrial fibrillation 1995–2008: a Swedish nationwide long-term case control study. Eur Heart J. 2013;34:1061–7.
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Mont L, Bisbal F, Hernández-Madrid A, Pérez-Castellano N, Viñolas X, Arenal A, et al. SARA investigators. Catheter ablation vs. antiarrhythmic drug treatment of persistent atrial fibrillation: a multicentre, randomized, controlled trial (SARA study). Eur Heart J. 2014;35:501–7.
Morillo CA, Verma A, Connolly SJ, Kuck KH, Nair GM, Champagne J, Sterns LD, Beresh H, Healey JS, Natale A. RAAFT-2 Investigators.Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation (RAAFT-2): a randomized trial. JAMA. 2014;311:692–700.
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The work was supported by an unrestricted grant from Johnson & Johnson Medical (China) The sponsors of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.
Availability of data and materials
The datasets generated and/or analysed during the current study are not publicly available due to the protection of patients’ privacy but are available from the corresponding author on reasonable request.
Atrial fibrillation, Catheter ablation, Quality and OUtcomes.
Ethics approval and consent to participate
The study was approved by the Ethics Committee of Anzhen Hospital and informed consent was obtained in writing from the patients included.
Consent for publication
All authors listed have given consent for publication of the manuscript. By signing the consent form, patients have given consent for publication of aggredate data, which do not include individual data or image.
Changsheng Ma has support from Johnson & Johnson, Bristol-Myers Squibb, Pfizer, Boehringer-ingelheim for the submitted work; (2) Yu Jia is an employee of Johnson & Johnson Medical (China). No author has non-financial interests that may be relevant to the submitted work.
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Cite this article
Du, X., Guo, L., He, X. et al. A comparison of the real world effectiveness of catheter ablation and drug therapy in atrial fibrillation patients in a Chinese setting. BMC Cardiovasc Disord 17, 204 (2017). https://doi.org/10.1186/s12872-017-0634-y
- Catheter ablation
- Atrial fibrillation
- Anti-arrhythmic drugs
- Quality of life


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Recuerdo Tango ClubNorwood Park
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In the venue formerly known as Tango Nada Mas, this Jefferson Park dance space has preserved most of the decor of its predecessor (red walls, cocktail tables, black ceiling) and all of its passion for tango. Argentinian-born Carlos Favre and partner Michelle Costello are experts of the dance and regularly teach lessons and workshops. The space also hosts swing dance lessons and parties.

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Demystifying the EU’s eCommerce 2021 VAT reforms: Practical steps to compliance
The EU E-Commerce VAT package that came into force saw sweeping changes to the VAT treatment of B2C trade across the EU. While the industry is grappling to interpret the new legal principles and associated compliance mechanisms, have businesses in the B2C ecosystem really grasped the practical and operational implications of these changes? And how have they impacted organizations? In this webinar our expert presenters will cut through the complexity and uncertainty surrounding the legislative changes. They'll provide clear, crisp and simple illustrative examples to guide and offer you practical and operational steps to avoid business disruption and remain compliant. Hear from retailer Schwarz what steps they have taken, and their approach moving forward. What will be covered:
- Who and what will be affected by the 2021 EU VAT e-commerce change?
- Overview of the schemes including OSS (One Stop Shop) and IOSS (Import One Stop Shop)
- Changes to VAT liabilities for marketplace sellers
- Leveraging technology to comply with VAT regulations
- Practical and operational steps to avoid business disruptions

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Kyriad La Roche sur Yon is set in La Roche-sur-Yon, 1 km from the train station and the historic centre. This 24-hour reception hotel offers a French restaurant and a shaded terrace.Kyriad La Roche-sur-Yon has 65 double rooms all fitted with showers and flat-screen TVs. 3 of them have been especially designed to welcome disabled guests. All guest rooms come with a telephone and free Wi-Fi Internet access.A full breakfast buffet is served each morning for a tasty and energizing start to the day, and begins at 06:30. A courtesy tray with with tea/coffee facilities and biscuits is also provided in every room.Additional facilities include a business centre. The hotel is situated a 25-minute drive from Les Sables d'Olonne and a 45-minute drive from Puy du Fou Amusement Park.
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I want to know where you can buy a mailbox like the one in The Lake House. Surely they don’t exist, but how nice it would be if they did. Put a letter in it and someone from another time gets it. Just think of the possibilities. This particular mailbox sits in front of a beautiful glass lakeside house, built on stilts and possessing a million dollar view. The home is owned, at different times, by a doctor named Kate (Sandra Bullock) and an architect named Alex (Keanu Reeves). He lives in 2004; she lives in 2006. Their correspondence begins after she moves out and leaves a note for the new tenant. He gets the note, reads it, and, perplexed by some of her statements, writes back. How exactly someone can write a note in the present day and have it read by someone from two years ago is left unexplained, but explanations would only get in the way of the fun.
Both of the main characters are lonely souls. Alex deals with rejection from his father (Christopher Plummer), the famous architect who built the lake house. The old man is a disapproving, condescending sort who thinks that no one is as brilliant as he. Kate, meanwhile, has had a long on-again/off-again relationship with a lawyer (Dylan Walsh) that has never quite fulfilled her. At times, she thinks that being with him is better than being alone. Other times, she thinks she’s compromising by being with someone for whom her affections are not genuine. When an accident victim dies in her arms, she retreats to her former home, and that’s when the correspondence with Alex begins.
My suspicion is that if I told you too much about how they begin communicating, part of the film’s charm would be lost. All you need to know is that when one of them puts a letter in the box, the other receives it. There’s something about the time warp that intrigues both of them, but they also start to form a strange kind of connection. Alex has an unusual idea: he maps out a walking tour of Chicago for Kate to take in 2006, while he takes the exact same trip on the same day in 2004. The idea works, as both of them feel like they’re together although they technically are not. If it is possible to fall in love with someone you’ve never met who lives in another time, then that is exactly what happens. But how to meet, especially when the 2004 version of Kate doesn’t know about the mailbox and would therefore be creeped out by any advance Alex were to make?
The neat thing about The Lake House is that it is relatively ingenious with its premise. The movie creates a sense that fate is somehow intervening in the characters’ lives. Midway through, we discover that Alex and Kate have met before. Or did they? It’s entirely possible that knowledge of the time warp is what caused them to meet. Alex does something that affects Kate in the future, but if they hadn’t met through the lake house, would that event still have taken place? To some degree, time travel movies (for lack of a better term) always make your head spin. You either get a rush from it – as I do – or your brain starts overanalyzing the impossibilities and you lose interest. Perhaps a movie like this is a metaphor for love: it’s tough to quantify and you can’t exactly define it, but when it works, it makes you offer a complete surrender.
I liked how screenwriter David Auburn (adapting a South Korean film called Il Mare) devises a way for the characters to interact. We often hear their voices on the soundtrack, talking as if having a conversation in the same room. If the film played by its own rules, they’d have to be standing in front of that mailbox, furiously scribbling letters to one another. Not very cinematic (at least not for long). The idea of having them converse naturally helps us feel the connection between them more strongly.
Finding two actors who have romantic chemistry together is tough; finding two actors who can have that chemistry despite limited screen time together is almost impossible. Tom Hanks and Meg Ryan had it in Sleepless in Seattle. Keanu Reeves and Sandra Bullock have it here. Because they demonstrated such good chemistry in 1994’s Speed, the actors are able to bring some good baggage to the project. We totally believe that they could be in love in the movies because they successfully have been before. Reeves and Bullock also bring the right balance of emotions to their respective roles. They give The Lake House its humor, its drama, and its undeniable romantic spirit.
The only real hitch is a plot twist that is set up early in the film. It was immediately obvious to me what was going on, and I’m willing to bet it will be obvious to 99% of other moviegoers as well. Given that we figure this out so early, there are only two possible options for the ending. Granted, there’s some tension in waiting to see which ending the story will take, but I nevertheless felt like I was couple steps ahead of the movie. Oddly, the mystery could have been kept if a single shot had been eliminated.
This is not exactly a criticism, though. The Lake House is so beautifully written, directed, and acted that it easily overcomes that slight misstep. What counts is that the movie is an entertaining and ultimately moving look at the miracle of finding the one you love.
( out of four)
The Lake House is rated PG for some language and a disturbing image. The running time is 1 hour and 40 minutes.
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Kalyton Schaufler , Ken Hoang - Kalyton Schaufler and Ken Hoang - London, United Kingdom - Thursday 3rd September 2015 (1 Picture)
Kalyton Schaufler and Ken Hoang
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The singer was discovered dead on Thursday morning.
It’s only taken 53 years, but veteran Mary Poppins star Dick Van Dyke has at last offered an apology for what he called “the most atrocious...


MEMPHIS, Tenn.—Hundreds of union members and their supporters marched in Memphis on the 45th anniversary of Martin Luther King Jr.’s murder, calling for a new commitment to the human rights causes he died for.
With the march and a dedication ceremony Thursday, they honored King and the sanitation workers strike that brought him to Memphis, where he was assassinated in 1968.
In a light drizzle, more than 1,000 marchers wore T-shirts with union logos and held signs saying “We are Memphis” or bearing the slogan for the 1968 strike: “I am a man.” Participants came from as far as Louisiana, California and New York.
Surviving Memphis strikers Baxter Leach, Alvin Turner and the Rev. Leslie Moore joined the marchers when they arrived at a rally at the National Civil Rights Museum, built on the site of the old Lorraine Motel where King was shot down.
Moore, 66, was in his early 20s at the time of the strike. He still drives a truck for the Memphis sanitation department.
“Something lifted off of us when Dr. King came to Memphis,” Moore said in an interview days ahead of the march. “Before he came, we had a hard time. When he came, it looked like everything brightened up, a light began to shine out.”
Speakers at the rally included Martin Luther King III and Lee Saunders, president of the American Federation of State, County and Municipal Employees.
City officials had begun the day by dedicating a section of historic Beale Street to the 1,300 sanitation workers who walked off their jobs in February 1968 after two garbage collectors were crushed to death in a malfunctioning truck. The strikers demanded—and eventually received—higher pay and safer working conditions.
The street, named “1968 Strikers Lane,” runs in front of the headquarters of AFSCME Local 1733. Martin Luther King Jr. supported the union when he came to Memphis to make speeches and march with the workers.
The civil rights leader was standing on the balcony of the Lorraine Motel when he was killed by a rifle bullet on April 4, 1968. James Earl Ray pleaded guilty to the killing and was sentenced to 99 years in prison. He died in prison in 1998.
Speaking at the street dedication, King’s son said workers still face challenges like the ones they fought to overcome in 1968. He said his father’s campaign for racial and social equality through nonviolent means still has meaning.
“He was talking about real issues that uplift the quality of life of all people,” he said.
During the march, members of the local firefighters union chanted “Four point six, four point six” for the 4.6 percent pay cut they were forced to take in a cost-cutting move by the city. They are demanding an end to the pay cut, which has also affected police officers.
The city and workers unions are negotiating. A central issue is the 2011 pay cut. AFSCME also plans to meet with the city to discuss the possible privatization of the sanitation department.
Candis Collins came from Wynne, Ark. to support her fellow AFSCME members. Collins was a 17-year-old mother, sitting at home in a rocking chair with her young child, when she heard on the news that King was dead.
“I was just devastated, you know, when he was assassinated,” said Collins, 62. “I’m here today because unions make a difference in the lives of workers.”


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September 29, 2009 – Francis Pare, 65 years old from Malden, Massachusetts, has died due to serious personal injuries sustained when he lost control of his motorcycle while traveling north on Route 1 in Saugus at around 12:45 p.m. on Saturday. Joanne Vasel, 49 from Revere, was a passenger on the bike and was seriously injured.
According to police, Pare was driving 2000 Harley Davidson and when he lost control the bike left the roadway and eventually collided with a utility pole. Pare was transported by ambulance to Melrose-Wakefield Hospital, where he was later pronounced dead. Vasel was taken to Massachusetts General Hospital.
The accident remains under investigation by the Massachusetts State Police.