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CASE OF THE MONTH: December 2022
It's Just Floaters
71-year-old male presents with 1 week history of new floaters in the left eye. Denies eye pain and photophobia. Denies trauma. Patient was evaluated 3 days prior and diagnosed with an evolving posterior vitreous detachment.
- POHx: none
- PMH: Genital herpes simplex virus (last flare 1 month ago, not on prophylactic medication), Hyperlipidemia
- Medication: None
- SHx: Denies illicit drug house. Denies risky sexual behavior. Former smoker (1 pack per day). Previously owned a cat.
- FHx: Mother with glaucoma.
- Allergies: none
- Rx: none
- ROS: (-) fevers, chills, nausea, vomiting, diarrhea, shortness of breath, cough, or dyspnea.
Summary of Findings
- 71 year-old male presents with 1 week of floaters his left eye. He was found to have elevated intraocular pressure and panuveitis with vitreous strands and clumping and a single extramacular chorioretinal infiltrate inferiorly in the left eye.
- OCT: Thickening of the posterior hyaloid with hyperreflective deposits along the posterior hyaloid face and vitreoretinal interface. Full thickness hyperreflective retinal lesion inferior to macula.
- FA: Staining surrounding inferior lesion, late disc staining. Mild, diffuse vascular leakage.
- Behcet's Disease
- White Dot Syndromes (Multifocal choroiditis with panuveitis)
- Idiopathic Panuveitis
- Primary Toxoplasmosis gondii
- Viral retinitis
- Acute Retinal Necrosis
- CMV Retinitis
- Endogenous bacterial endophthalmitis
- Endogenous fungal endophthalmitis
- Primary Vitreoretinal Lymphoma
- CBC, CMP, Blood cultures
- ACE, Lysozyme, RF, Anti-CCP
- RPR, FT-Abs, Quantiferon-gold, HIV
- Anterior chamber tap for viral PCR
- Vitreous tap for toxoplasmosis PCR and fungal cultures
- Serum Toxoplasmosis IgG elevated, IgM normal
Treatment & clinical course
- At presentation, the patient received injection of intravitreal Foscarnet (2.4mg/0.1ml) and was started on Valtrex 1 gram three times a day for acute retinal necrosis given recent HSV1 flare
- Once the aqueous PCR results returned negative for HSV/VZV/CMV, the Valtrex was stopped and the patient was started on Bactrim DS tablets twice per day for 6 weeks to cover for Toxoplasmosis
- Oral prednisone 60 mg daily with a 6-week taper course was initiated after syphilis screening (RPR/FT-Abs) and tuberculosis screening (Quantiferon Gold) returned negative
- Drop regimen included prednisolone every hour, cyclopentolate twice per day, and brimonidine/timolol twice per day (for increased intraocular pressure)
OCT 6 weeks after presentation demonstrating a trace epiretinal membrane and resolution of hyperreflective deposits along the vitreoretinal interface
- This 71 year old healthy male was diagnosed with primary ocular toxoplasmosis (OT)
- OT is the most common cause of infectious chorioretinitis globally1
- While OT can occurs in immunocompetent individuals, a thorough history and select work-up should be performed to ensure no risk factors for an immunocompromised state are present
- In immunocompetent individuals, aqueous sample PCR for toxoplasmosis is only positive in 30-40% of clinically diagnosed cases and vitreous sample PCR is only positive in up to 50% of cases2. In addition, while a negative serum Toxoplasmosis IgG can help rule out OT in an immunocompetent patient, a positive IgG alone is not conclusive, given the high prevalence of toxoplasmosis2. As such, clinical exam and in-office testing are essential in making the diagnosis
- OCT findings of full thickness hyperreflective retinal lesion are highly suggestive of OT3. Thickening of the posterior hyaloid and hyperreflective deposits along the posterior hyaloid face and vitreoretinal interface can also be found with OT3,4 and this presentation is highly suspicious for OT
- Other vision threatening infectious etiologies should be ruled out including acute retinal necrosis, bacterial endophthalmitis, fungal endophthalmitis, syphilis, and tuberculosis.
- Various treatment modalities exist including systemic pyrimethamine, sulfadiazine, and corticosteroids, systemic trimethoprim/sulfamethoxazole, systemic azithromycin, and intravitreal clindamycin5
1. Holland, G. N., Lewis, K. G. & O'Connor, G. R. Ocular Toxoplasmosis: A 50th Anniversary Tribute to the Contributions of Helenor Campbell Wilder Foerster. Archives of Ophthalmology 120, 1081–1084 (2002).
2. Garweg, J. G., de Groot-Mijnes, J. D. F. & Montoya, J. G. Diagnostic Approach to Ocular Toxoplasmosis. Ocular Immunology and Inflammation 19, 255–261 (2011).
3. Guagnini, A.-P., Potter, P., Levecq, L. & Kozyreff, A. Atypical spherical deposition on vitreoretinal interface associated with toxoplasmic chorioretinitis. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie 245, 158–60 (2007).
4. Adıyeke, S. K. et al. Optical coherence tomography findings in toxoplasma retinochoroiditis. Indian Journal of Ophthalmology , (2021).
5. Ozgonul, C. & Besirli, C. G. Recent Developments in the Diagnosis and Treatment of Ocular Toxoplasmosis. Ophthalmic Research 57, 1–12 (2017).

domain: medical


Counselors assist with general questions, explaining eligibility requirements, assist in filling out forms or filing appeals, resolving billing problems and a myriad of other issues. Once a volunteer attends the initial six-day training, he/she becomes a certified MMAP counselor.
A new volunteer training is scheduled for May 14 and 15, June 11 and 12 and July 9 and 10. All training will take place at the NEMCSA main office - 2375 Gordon Road, Alpena. Preregistration is necessary.
The program is active in Otsego, Crawford, Montmorency, Cheboygan, Alcona, Alpena, Arenac, losco, Ogemaw, Oscoda, Presque Isle and Roscommon counties.
New volunteers are particularly needed in Alcona, Arenac, Crawford and Iosco counties. Volunteers are reimbursed for mileage and incidental costs incurred during volunteer service times.
For more information, or to register for the training, people may call the MMAP hotline at 800-803-7174.


text:
Sierra Leone News, Sierra Express Media, for your trusted place in news!
Page added on June 7, 2012
Airtel will launch its Rising Stars Fan Base Club tomorrow, June 8th, as part of its efforts in satisfying subscribers’ quest of following their football stars and clubs of choice, Sierra Express was made to understand.
The Airtel Rising Stars Football Fan Club fan base, according an Airtel staff, will include in the list premiership as well as European fan clubs in the likes of Manchester United, Chelsea, Arsenal, Liverpool, Real Madrid, and Barcelona etc.
This promotion, the Airtel official said, will continue as long as Airtel continues its partnership with one of Europe’s successful football clubs, Manchester United.
Subscribers will benefit greatly from the launch of this fan club.
Stay with Sierra Express Media, for your trusted place in news!
© 2012, Sierra Express Media. All rights reserved.
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The Democratic Republic of the Congo (DRC), which sprawls over 905,000 square miles, is the second largest country in Africa. Fifty four years after independence, the DRC has no roads connecting one end of the country to the other. In fact, the only way to travel between two distant points is by air. Many Congolese […]
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domain: geography


text:
The description about GETCHA GHOST-The Haunted House APK
Ghosts are gathering all over the world?!
Capture Ghosts with your camera and solve puzzles with them!
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You can watch it on Netflix or YouTube.
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earn more rewards and save the people!
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Please click Subscribe and Like button.
■■■■■How to Play■■■■■
There are ghosts around me?
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Play along with simple puzzles and fight against evil ghosts.
■[Capture Mode: Capture Ghosts that will fight at your side!]
- Slowly turn your phone around and... AHHH! Ghost!
- Capture Ghosts wandering around you and create your own collection!
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- How many rewards you will get after defeating them?
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Rated for 12+
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domain: entertainment


text:
India is marked as a ‘violator of religious freedom’ by United States Commission on International Religious Freedom (USCIRF), in its 20th Annual Report released on the conditions of countries, in line with International Religious Freedom Act (IRFA). The metre of the above report is ‘systematic, ongoing and egregious violations’ of religious freedom engaged in or tolerated by government of the respective country.
The USCIRF is an independent, bipartisan federal government entity established by the U.S. Congress to monitor, analyse and report on threats to religious freedom abroad. It makes foreign policy recommendations to the President, the Secretary of State and Congress intended to deter religious persecution and promote freedom of religion and belief.
The Commission bluntly describes threats to religious freedom around the world and recommends to the State Department countries for designation as ‘countries of particular concern’ (CPCs), based on the above indicator. It also recommends to the State Department non-state actors as ‘entities of particular concern’ (EPCs). It places countries in Tier 2 list, meaning the violations meet one or two, but not all three, of the elements of the systematic, ongoing, egregious test for CPC status.
16 countries are recommended for CPC designation, 12 countries on Tier 2 list and five entities recommended for EPC designation, with a total of 28 countries, as per the report. India has been categorized among countries of status with Tier 2, where violations engaged in or tolerated by government are serious and characterized by at least one of the elements of systematic, ongoing, and egregious (horrible)’ .
The report come up despite India’s claims that communal attacks dropped by 12% in 2018 and there is 12% increase in the budget of the Ministry of Minority Affairs, along with the Supreme Court’s push for a 11 point plan to counter mob violence. In the wake of extreme elements remaining active and the decline in religious freedom increasing or persisting, it has to be the understood that the above claims remain defeated.
Freedom to believe and live as per the dictates of one’s conscience is a fundamental human right. It is vital to the security, stability and economic vitality of any state or region. The year 2018 has witnessed severe violations of religious freedom mounting around the globe, including internment for blasphemy in several countries. In view of sustaining religious freedom as a living reality for everyone, the Commission provides actionable policy recommendations to the US government to take up working with these countries for improving conditions abroad where people are being persecuted for their religion or belief.
The Commission also announced the imminent launch of its Victims Database, which will enable users to learn more about religious prisoners of conscience in countries it recommends as CPCs. It is establishing a mechanism for collecting data on victims to begin populating the database later this year.
With its systemic and characteristic mix of religion and politics very difficult to be separated, India is naturally inclined to politicization of religion and religionization of politics. In recent times, this phenomenon of religio-political combine has been intentionally exploited by vested interests, in view of sidelining minority religious communities and lower caste Hindu communities, much more gravely.
The report points its finger at the Hindu nationalist and extremist groups, Rashtriya Swayamsevak Sangh (RSS), Vishwa Hindu Parishad (VHP) and their likes, in their vicious role of dividing the Indian society and in persecuting other groups, in diverse ways. Attacking certain communities under anti-conversion laws and ghar vaapsi schemes, engaging in mob-lynching in the name of cow-protection and beef eating, applying discriminative policies and practices in National Register of Citizens in Assam, denying registration of international NGOs, targeting NGOs politically and violating the dignity and rights of women by disallowing entry into temples and other places of worship, along with making them subject to sexual harassment, rape, parda and ghoonghat, are some of the blatant examples of the strategic violation of freedom, religious and social, as per the observation of the Commission.
Besides, the public space of the country is highly polluted by hate speeches and undignified and low statements pronounced by those in responsible positions, which well-meaning and noble citizens would feel ashamed of listening to. The ‘rhetoric of lies’ that is in the social air is not only discriminative but also divisive for the country and it threatens international decorum as well as the unity and integrity of the nation. The religio-political combine with the majority religious group, charged with an exclusive and illogical political ploy of ‘Hindutva’, is sharply geared against the minority and lower level Hindu groups. Such a drive, inclusive of all its foul elements, is detrimental to the democratic freedom, dignity and wellbeing of the country.
Furthermore, India has a leading position in South Asia and a role in the global economic forum. It also has great cultural ideals to its credit. To violate its noble traditions and to stoop down to petty politics, street violence, discriminative and divisive ways, is to become a matter of scoff in the eyes of the world, along with losing its stateliness even within. It is mean for the majority and powerful groups to misbehave with minority and weaker groups, especially within the country. On the other hand, extending security, protection and support to the smaller groups is real greatness, in the right sense of the term. Taking a lesson from the USCIRF report, India has to grow towards that stature of dignity and collective wellbeing before the world, by fostering the spirit of freedom among all groups, in line with its Constitutional values.
Avoiding looking into the mirror or breaking the mirror when the face is seen spotted and untidy is not a wise or normal behaviour. Not allowing the US Commission to visit the country and meet the stakeholders is not a solution either. Instead, those who engage in such heinous crimes against minority communities and weaker sections of the Hindu community, by word or deed, have to be booked, prosecuted and punished, may they be governmental, non-governmental or media persons. The national and state human rights commissions have to be activated as regards securing civil rights to the above effect. Zero tolerance of violence, intimidation and harassment of non-Hindus by public and private actors has to be seriously acted upon. Only a democratic fibre can ensure the collective wellbeing of India as a nation. The great prospects for a truly developed, progressive and strong nation in 21st century and beyond are inherent in such an all-inclusive fibre.
(The writer is Founder Director of Institute of Harmony and Peace Studies, New Delhi, and has been deeply committed to infer-faith relations, communal harmony and national integration for over three decades. He can be contacted on ‘email@example.com’.)
(Published on 13th May 2019, Volume XXXI, Issue 20)

domain: sociology


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Sunday, October 19, 2008
Artful Fashion: Curators Pose For Yohji
In recent years the art world has offered endless inspiration for fashion designers from all walks of the industry. Louis Vuitton has partnered with both Takashi Murakami and Richard Prince, printmaking maven Diane Von Furstenberg incorporated iconic Warhol images into her last collection, while Adam Kimmel has enlisted famous artist faces (and friends) like Dan Colen and Hope Atherton as his look book models for years. Now, Yohji Yamamoto is following suit with the spring look book, Exhibit Y, for his more affordable line, Y's, says T's The Moment (which itself took part in furthering the trend with the past fashion spread, "Hang Time," that substituted art handlers for models).
Yamamoto hand-picked half a dozen leading curators, including Hans Ulrich Obrist and Angeline Scherf, to showcase his pared-down collection of classic trousers, trenchcoats and an updated take on the tuxedo jacket (tails and all). As in the past, the look book will take the place of a collection presentation, which means you can spend the rest of this season guessing what non-fashion industry faces will guest star as models next.
- ► 2010 (137)
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- Eco Chic: Nicolas Ghesquière Likes His Latex
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- Bladerunner: EGR Channels Ridley Scott's Classic
- Artful Fashion: Curators Pose For Yohji
- Mug Shots: Magazines Put Their Best Face Forward
- ▼ October (7)

domain: design


For the last two weekends, Young has been severely criticised for going down far too easily to earn his side penalties.
United star Bryan Robson has warned the former Aston Villa man that it may come back to haunt him as referees may be reluctant to award him spot-kicks in the future.
Young has also faced criticism from United fans with fanzine Red Issue denouncing the winger for "his latest disgraceful dive". "Diving is cheating," it adds, and is a betrayal of the code of conduct instilled at the club by Matt Busby.
Ferguson, however, confirmed this morning that he has spoken to the winger about the situation. "I have had a word with Ashley," said Ferguson, who admitted that Young did "overdo the attempt to get a penalty" against Villa.
"He understands where we are coming from. Hopefully it makes a difference."


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Total loan: $3,000
Berdik village, Ararat region, Ararat Province, Armenia / Agriculture
Aregnazan's loan finished fundraising, but these other borrowers need your support
A loan helped to pay for fertilizer, pesticides and forage for feeding the livestock.
Aregnazan lives in Berdik village of Ararat region. She is an experienced farmer. Her family consists of her three sons. All the family works hard to earn a living. Aregnazan is engaged in cattle breeding, in aviculture, in breeding sheep and pigs, and in cultivation of corn, potatoes, grass, cherries, plums, apples, pears, and walnuts. Her eldest son sells the agricultural products in the local market, which is an important source of income for the family. To continue running her agribusiness in a sustainable way, Aregnazan needs a loan of USD 3000 to purchase fertilizer, pesticides and forage for feeding the livestock. Aregnazan and her sons rely on the good will of the lenders and will appreciate their support in collecting the needed amount of loan to sustain their agribusiness.

domain: finance


text:
"Man pulls gun over size of new refrigerator, police say" by J.D. Capelouto Globe Correspondent May 03, 2016
When a refrigerator delivery went sour Saturday morning, a Roxbury man allegedly pulled a rifle on the servicemen and chased them out of the home, Boston police said.
John Mahoney, 48, is now charged with assault with a dangerous weapon, unlawful possession of a firearm, and unlawful possession of ammunition.
The delivery men arrived at the home on Folsom Avenue in Mission Hill on Saturday morning, and were scheduled to bring in a new refrigerator.
“When the delivery men attempted to deliver the fridge, the two male residents became upset when it was discovered that the new appliance was not the same size as the old refrigerator,” police said in a statement.
One of the men — later identified as Mahoney — then emerged with an “AK-47 style assault rifle” and pointed it at the men, the servicemen told police. He yelled at them to get out of the house, police believe.
Upon arrival about 10:20 a.m., the officers “ordered the two suspects out of the house, then conducted a protective sweep of the residence.”
While no firearm was found at the time, Mahoney was arrested and officers pursued a search warrant.
That night, a search warrant uncovered an unloaded rifle, two revolvers, a box containing 17 rounds of ammunition, and another box with 50 rounds of .38-caliber ammunition, police said.

domain: news


Wednesday, January 21, 2015
Your Chance to Vote
With or without the beard? These pictures are both supposed to come from Andrea Chénier, rehearsal and performance, performances at the Royal Opera.
Sort of a post script:
The only track on this recording I can say I truly love. I can believe that Vienna was the greatest place on earth before the politicians ruined it.


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Pop a cork and celebrate, because we’re getting into the fine print with the history of Champagne in one map!
Santa’s snacks get all the attention this time of year. Cookies and milk, cookies and milk, it’s all we care about! But I think you should put out some naughty nibbles for the elves who worked to hard building toys all year long!
Somewhere there’s a forest made of cakes and candies, and from that fair copse we can harvest gorgeous yule logs year-round. But until we find that magical wonderland, we’ll have to make the damn cakes ourselves!
If my rabid collecting of vintage recipes and cookbooks has taught me anything, it is this: SHAPES MATTER. I don’t usually go in for sculpted food, but this cheese ball is so much fun to make (and easy, quick, simple, at that) that I can’t help but smile at its presence on my table.
I only ever think to make granola as a gift for houseguests and friends, which is absurd because I love it. In fact, I nibble away so defiantly at my own gift-batches, that I have to make an entire second batch to give. I’m trying to remedy that habit this year with regular Sunday granola baking this year.
I am aggressively resisting the cultural expectation to use gendered language with these cookies. Will it cost me in SEO ranking? SURE. Do I care more about crushing the patriarchy than my page rank on Google? DUH.
Thanksgiving is a time for great propriety, family gathered at the table, our best manners observed (for as long as we can stand it). But the day after Thanksgiving? Screw propriety. I want to eat a heaping plate of leftovers while sitting on the couch in my sweatpants.
I know you know this is totally not me, but accept it: I’ve made something cute. I don’t usually care for the adorable side of the baking equation, I’m far too practical to paint faces on my desserts. Until now. I was pondering the crisp autumnal air and started imagining a forest scene: hedgehogs, owls, and squirrels partying together amidst burnished leaves on the woodland floor. And once the image took hold in my head, I thought it might be fun to make a cookie inspired by that fever dream.
Since I’m such a voracious snacker, I often have to bargain with myself: “I’ll let you eat in between meals,” I say to myself, “if you eat something healthy. Ish. Healthy-ish.” And this peanut butter dip definitely fits the bill.
I’m like a magpie sometimes, my eyes caught on anything bright and shiny. A candied apple will always turn my head and this Fall I’m making batch after batch to serve guests at my home (who doesn’t squeal in delight at the shiny shell?).
I’m not normally the sort of person who thinks an apple needs much adornment. But every once in a while, I do love an apple dipped in buttery caramel. And this caramel is the best. It’s thick and luscious, it’ll coat the apple without pulling out your teeth, and it’s easy to make.
I may loathe the NFL, but I love game-day food and these tots are GIVING ME LIFE. Get ready for the crispy, chewy, salty, sweet flavor-bomb of your dreams!
Another delectable puff pastry treat, this time twisted into a spiraling straw! Any flavor of jam will work perfectly here, just make sure not to overfill the cookies! Though you think it will make them better, all that extra jam will just leak out and burn!
Don't be ashamed of buying puff pastry from the freezer instead of making your own, just make sure you buy the good stuff (all butter)! These cookies come together quickly and look as good as they taste!
Check out my latest article with LiveStrong.com! Everything you've ever wanted to know about pasta making but were too nervous to ask a chef!
Hallmark Channel is a huge advocate for rescue animals, and I couldn't resist making a hot dog bun to honor their commitment to emptying America's pet shelters!
Take that rainy-day-favorite and put it on the grill! Reducing tomato soup into a spreadable condiment is a perfect way to amp up this grilled cheese hot dog!
Summer is hot dog season and I love an adventurous relish! This topping is inspired by Georgia's most famous fruit; it's a little sweet and a little spicy! Make a double batch of the relish and save it in your fridge to top grilled fish, slather on sandwiches, or stir into cream cheese for a thrilling dip!
Tasked to write a recipe for a dear friend (Shirley Bovshow), I wanted to make sure I was accurate in referencing her heritage. We spoke about the foods she grew up eating, and I incorporated those into a new take on classic baked beans.
I often call these my pizza beans because A) it's accurate, and B) it's a great way to lie to myself so I don't order another late-night large for snacking. This is an Italian-American-inspired take on baked beans, trading Navy beans for cannellini, and swapping molasses and bacon for oregano, sausage, and parmesan.

domain: food


text:
Eight persons, four each of two families, allegedly committed suicide in two separate incidents in Kerala, police said Monday.
Four women and three children including a one year-old infant were among those deceased.
According to police, husband, wife and two children of a family were found dead at their rented house in Thonnakkal nearby here this morning.
The deceased were identified as Sreekumar(38) his wife Shobha (34) their children Vaiga (6) and Vinayak (1).
Police said Sreekumar, who was said to be in a financial crisis, was found hanging in the room while the rest of the three were lying on the bed after consuming poison.
Preliminary evidences indicated that it was a case of suicide and further investigation is going on, police added.
Meanwhile, another family, comprising Balakrishnan (60), his wife Radhamani(53) and their twin daughters - Drishya and Darshana (20) were found hanging in the house at Mathur near Kuzhalmandam in Palakkad last night.
The bodies of the parents were found in one room and the daughters in another room, police said, adding cases have been registerd and investigation was on.

domain: law


text:
|My Rating||:star: :star: :star: :star: :star:|
|What I Like||unique change in sound but still the sound of thrash and groove metal through the years|
|Dislike||albums aren’t released often|
Five Finger Death Punch or FFDP is a heavy metal/groove metal/thrash metal band from Las Vegas. They have released 6 studio albums.


text:
These whole cranberries are encased in rich dark chocolate with free teddy bear for a truly special treat. The instant you first bite into dark chocolate covered cranberries, the instant you penetrate the dark chocolate covering and liberate the scarlet nectars that flood unchallenged within your mouth you are completely consumed in the awesome adventure of eating this delicious pleasure.
- These ravishing fruit sensations are generally purchased during the Valentine season or Celebration day, but they can be enjoyed year around.
- Each Batch is Handmade and dipped in Premium Chocolate in Small quantity to bring out the taste. Result is Amazing mouthwatering Delicacies.
Andy Anand Chocolates are Gluten-Free.
Yes, pure chocolate—made from roasted cacao beans—is gluten-free, we do not use Cheap fillers or additives. Andy Anand Chocolates are pure Single Origin Chocolates without fillers. All our Dark Chocolates are additionally Vegan with no Milk products.
Kissed by the golden sun from the cold clouds of a winter’s sky. These delectable treats look like they fell from the heavens; blessed with a sweetness to their flavor that is unmatched by anything you’ve ever seen… yet; until now. These Cranberries are dipped in milk chocolate creating a treat that is indeed hard to resist, especially after the first bite or if you like, the first lick. A nutty center glazed with a kiss of buttery and golden sweet toffee and coconut. Then topped off with a touch of sky; a dusting of powdered sugar. Made from fresh and natural ingredients and handmade by our artisan chocolatiers with passion and love, you are sure to feel this through excitement, joy, pleasure and satisfaction. These chocolate covered Almonds are a delicacy for any occasion that promises to deliver pleasure, this will surely ensure a fulfilled promise! Our chocolate coated Almonds dipped in milk chocolate are sure to tickle and tease your taste buds in every lick and bite. Get yourself or a loved one a pound or a few of these. They would make a suitable addition in a cookie gift basket. Additionally, it's a great valentine day chocolate gift, Mother day chocolate gifts, Father day chocolate gifts, Christmas day chocolate gifts, chocolate gifts for women, men, and children. Other occasions like Halloween, weddings and thanksgiving are sure to be ideal. Go on and grab a few and fill your box with wonderful goodness to savour and enjoy. For yourself, or the lucky individual to receive such a pleasant gift. What magical world of flavour and chocolate decadence is this treat going to transport you! Everyone is sure to be travelling to some magical place with this treat, reach for the skies! You will never go wrong with our product!
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The poetical works of john milton but this period saw him complete most of his major works of poetry based on remarks of john aubrey. John milton and john and dedicated to the study and enjoyment of samuel johnson's life and works ed, major works, oxford: oxford. John martin was a major mezzotint three volumes [of four] in wholly unrestored period binding john milton the poetical works of john milton from. John milton was born in 1608 in london he studied latin, greek and italian we can divide his literary career into 3 periods: during the first (1625-1640) he wrote in latin and in english and published the poems: l'allegro and il pensieroso the second period (1640-1645) was the period of political pamphlet in which he expressed his political ideas.
John milton, age 62 is based upon a the poetical works of john milton was published in three these original works date from the renaissance period to. John milton’s works milton composed his great piece of work “paradise lost” (a magnum opus and an epic poem) as a blind poet during the period 1658-1664 several critics are of the view that this poem reflects the personal despair of milton due to the failure of revolution in 1671, milton published, “paradise regained” a sequel to “paradise lost”. Ed john milton's complete poems and major master literary periods, terms, and major authors 3 extend these methods of analysis to new works outside the.
The major works: amazonca: john milton: books amazonca try #76 in books literature & fiction poetry time periods 16th-18th century interest-based ads. Ages of english literature 3 the old english period beginning of restoration period important authors and works john milton •the first literary. It was the time of john milton and shakespeare major authors and works renaissance literature: characteristics & writers related study materials.
His parents were john milton during this period, milton worked out of official lodgings milton had long considered writing a major work on the grand themes. Darkness visible is a study resource for the epic poem of john milton, paradise lost works of this period include the and published his last major. John milton - poet - john the academy of american poets is the largest membership-based nonprofit organization during his period of private study, milton. Find out information about john milton 1608–74 the works of john milton have inspired much philosophical debate for ages after the john major john malalas.
This chronology’s major events are taken from deborah cosier solomon’s “the the life of john milton church of england (good works. John milton's epic of is a theme that milton develops throughout his major poetic works in milton's paradise lost appeared in print essentially in the. John milton critical essays than those of the elizabethan period when, a century after milton major works, milton in samson agonistes expands and.
The major’s requirements will place less emphasis on singular british authors and more on time periods and transcendent themes, behdad said currently, students are required to take courses about the works of authors william shakespeare, john milton and geoffrey chaucer these requirements will be eliminated in the new major. Based on remarks of john aubrey during this period milton published several minor prose works works by john milton at project gutenberg. -john milton: the major works- (isbn: but once i learned more about the time period and milton's life interest-based ads.
John milton's 1667 epic poem 'paradise lost' is often considered one of the greatest biography and major works 11:22 the restoration period in english. Milton's contract with his publisher for paradise lost from the works of john milton early editions of milton's major epic based on the. John milton was born in 1608 in bread street john milton: the major works the english poems of john m john milton: the major work paradise lost. Works late or high medieval period john milton, george herbert, robert herrick the later periods of literary history are roughly as follows below: d.Download

domain: library


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Peter Nicholson, 60, of School Avenue, was sentenced to 17 years in prison for subjecting a young girl to months of sexual abuse. The victim bravely disclosed the abuse, prompting a swift response from Safeline after the victim’s mother reached out to the charity.
The victim, whose identity remains anonymous, endured repeated sexual assaults over a six-month period, starting in 2019. When she courageously confided in friends, who then alerted her mother, Safeline was immediately contacted for support.
A specially trained Independent Sexual Violence Advocate from Safeline spent significant time with the victim, patiently building trust until she felt safe to disclose her traumatic experiences. This pivotal step enabled law enforcement to take action swiftly and effectively.
Upon seizing Nicholson’s electronic devices, authorities discovered a staggering 1,330 extreme pornographic images, further underscoring the severity of his crimes.
At Coventry Crown Court, Nicholson was found guilty of multiple charges, including assaulting a girl under 13 and possession of extreme pornographic images. His sentencing, which also included being added to the Sex Offenders’ Register indefinitely and being subjected to a Sexual Harm Prevention Order and lifelong restraining order, highlights the gravity of his offenses.
Detective Sergeant Emma Mackay from Warwickshire Police commended the victim and her family for their unwavering support throughout the investigation. She emphasized the importance of believing survivors and providing a safe space for them to come forward, ensuring offenders like Nicholson are held accountable for their actions.
Safeline stands as a beacon of support for survivors of sexual violence, offering a lifeline of assistance and guidance during their darkest moments. This case exemplifies the vital role organizations like Safeline play in empowering survivors and seeking justice against perpetrators.


The EGO Power+ LB5800E battery-powered leaf blower is one of the most powerful rechargeable blowers on the market and the first to perform better than many premium petrol-powered models. It runs on the first ever 56 volt Arc lithium-ion battery with 40% more power than the leading 40 volt battery, which delivers the performance of petrol without the noise, fuss and fumes.
The EGO Power+ blower features jet turbine technology, inspired by advanced aeronautics technology to deliver industry-leading power and a high-efficiency brushless motor that provides a lightweight, compact design for longer run time, low vibrations and extended motor life. The variable speed thumb selector gives added airflow control with single-handed use, generating more than 977 cubic metres of air volume in turbo boost mode. The large-diameter blower tube delivers maximum airflow of 270km/h.
The EGO Power+ LB5800E leaf blower has more than enough power to clear up even the biggest windfall, without the restraints of being tethered to a power cord. It is also compatible with the new backpack battery.
This unit only does NOT include battery and charger.?
Battery Lithium-ion (not included)
Battery Voltage 56V
Battery Charger Not included
Approx Run Time 2.5Ah: low <100min / high <15min / boost <9min
5Ah: low <200min / high <30min / boost <18min
7.5Ah: low <300min / high <45min / boost <27min
10Ah: low <400min / high <60min / boost <36min
Speed Control Variable trigger with lock-on + boost
Maximum Air Flow Speed 270km/h
Maximum Air Flow Volume 986m3/h
Nozzle EGAN5300 included
Sound and Noise Data LpA: 784.dB(A) LwA: 95dB(A)
Vibration Level Data 0.15m/s?
Weight Without Battery 2.2kg
Shipping Dimensions L: 60.5cm x W: 23.5cm x H: 31.5cm
Warranty Tool: 5 year domestic, 2 year commercial


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Dandadan Volume Two works at developing the relationship between Momo Ayase and Ken Takakura (aka “Okarun”), as well as introduces a new character who could become important to the series.
Dandadan Volume Two
Written by: Yukinobu Tatsu
Publisher: Shueisha Inc.
English Publisher: VIZ Media
Release Date: January 10, 2023
Volume Two opens with Momo and Okarun in a race against Turbo Granny and the earthbound spirit she has merged with. As part of the deal that was made, if the two teens can defeat Turbo Granny in a race, Okarun can get his balls back (which were taken from him when Turbo Granny placed a curse on him in the previous volume). The first two chapters focus on the race, and since they’re so action-oriented, they’re actually a pretty quick read. Tatsu did a great job with the art to emphasize the speed and the action of the race.
After this experience, Momo and Okarun try to be friends at school, but Okarun is such a social misfit that he’s having a hard time with it. This is only amplified when some boys at school ask Okarun to help them get closer to Momo because she’s cute… and this make Okarun realize that Momo is kind of cute. This realization makes him start acting even more awkward around Momo, and as you can probably guess, this causes some misunderstandings. They work out these misunderstandings by the end of the volume, but this adds one thread of tension that runs through quite a bit of the volume.
But the two teens quickly discover that they hadn’t defeated Turbo Granny like they thought they had, and she returns to cause more trouble. Momo and Okarun realize right before this is revealed that something isn’t right, because Okarun’s balls haven’t returned. Turbo Granny says that she dropped them while they were racing, and that they should look like shiny, golden balls. Momo and Okarun look for the golden balls, but to no avail.
Volume Two also introduces a new character, a girl at their school named Aira. She’s stuck up and rather vain about herself and her looks, and she likes to tease unpopular guys into thinking they might have a chance with her. Okarun is one of her victims, but Momo uses her spiritual power to do something humiliating to Aira. It turns out that Aira came across one of the gold balls that Momo and Okarun are looking for, but they don’t realize this until near the end of the volume. With the ball in her possession, this awakens Aira’s spiritual power and she begins seeing spirits and other supernatural things.
The last bit of Volume Two sees Aira trying to get back at Momo, and Aira being attacked by a demon that Aira had mistaken for her mother when she was a young child. It’s up to Okarun, Turbo Granny, and Momo to try to save her.
After being rather unimpressed by the first volume of Dandadan, I was still willing to give the second volume of the series a chance. But I admit that I went into this volume with lowered expectations. By the time I finished Volume Two, I found that I had a better appreciation for the series than I did after reading the first volume. I think that this was due, in large part, to the aliens not making an appearance in this volume. Between the aliens and the spirits that appeared in Volume One, I preferred the spirits. While there are still some strange elements in the series in Volume Two, the exclusion of the aliens helps to decrease some of the bizarre factor. However, having said that, Dandadan is a title that I wouldn’t go out of my way to track down and read more volumes of. However, if VIZ Media continues to make digital review copies of future volumes available for reviewers, I would be willing to read them to find out how the series progresses.
If you read and enjoyed Dandadan Volume One, then I would recommend reading this volume to find out what happens to Momo and Okarun. However, if you liked the aliens that appeared in the first volume and want to see more of them, you will likely be disappointed by the fact they don’t appear at all in Volume Two.
The reviewer was provided a review copy by VIZ Media
Additional posts about Dandadan:


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Education Grants For The Unemployed
However, there are many grants available for those who are unemployed to help offset the cost of going. Below are some types of grants you can apply for to help you.
Federal Pell Grant
The government's Pell Grant is one of the more popular types of educational grants available. It was designed specifically for people who have low income and want to finish up their education. More recently, some legislation has been passed that allows people who are unemployed to also get the federal Pell Grant.
To meet eligibility requirements for this grant, you may have not already earned an undergraduate degree. You are able to be enrolled in school either part-time or full-time to receive this financial assistance. Additionally, you must never have defaulted on any student loans that you took out in order to maintain eligibility.
There are many things that you are able to use the grant for if you get approved. You can use the funds to cover your tuition and any related school expenses. Related expenses may include books, supplies and anything you need for class. If you live on campus, you may use some of the funds to help cover your room and board costs as well. For recipients who have dependents, you may use some of the funds to help cover the cost of daycare or babysitting fees while you are attending class. The main determining factor for your eligibility will be your financial need and the amount of income you bring in already.
Federal Supplemental Educational Opportunity Grant
If you received the Pell Grant and realize it's not enough to cover your school's expenses, you may also apply for the FSEO Grant. Undergraduate students are the only ones eligible to apply for this specific grant. When applying, you're going to be asked questions about your grades, your income and your financial need before they will determine your eligibility. Contact the FAFSA department if you need help filling out the application online or at the office.
For those who plan on majoring in education, you may be eligible for an additional grant called the TEACH grant. With this grant, you may receive an additional $4,000 each year to put towards the cost of your education. To receive this grant, you have to agree to get a job teaching in an area that has the most need. Additionally, you have to agree to work for a school that serves many low-income students for at least four years. While this grant is free to receive, you will have to pay it back if you don't meet each of the requirements you agreed to. To obtain this grant, you will have to complete a FAFSA application.
There are other types of grants that you can receive if you're going to a trade school such as a welding or truck driving school. These are considered career grants. Eligibility for these types of grants will depend on the types of skills which are required for the job. Many career schools offer their own grants to students thinking about applying with them.
Work Investment Act
The Work Investment Act is a program which is designed to help low-income individuals and the unemployed earn a trade or degree certificate. These grants will last up to two years of schooling. You are able to get assistance from this program if you are receiving things such as food stamps, unemployment checks or other types of public assistance. You may also receive assistance through this program if your last job was closed down.
If you are over a certain age and find yourself interested in continuing your education, you might be eligible for what's called a tuition waiver. Many colleges and technical schools will offer discounted prices to eligible people who want to attend school and are over 50 years old.


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UK-based independent publisher SelfMadeHero aims to publish works that provoke, entertain, inspire, and inform through visual narratives. We are proud to publish ground-breaking and beautiful work by authors and artists from across the globe, from the quirky and humorous to the political and profound.
SelfMadeHero is the UK’s leading independent graphic novel publisher. It publishes ground-breaking and beautiful work by authors and artists from across the globe, from Glyn Dillon and Nick Abadzis to Frederik Peeters and David B. A leading light of the graphic novel renaissance at home, SelfMadeHero is at the heart of the independent British comics scene currently gaining such popularity in North America. Follow SelfMadeHero on Twitter: @selfmadehero

domain: artistic


Ukraine’s military intelligence agency has shared photos of a Black Hawk helicopter. The American-made aircraft was painted with a Ukrainian flag, and the intel org suggested it was used in military operations.
Two photos showing a Black Hawk were posted on the Twitter account and website of Ukraine’s Main Directorate of Intelligence on Tuesday. A press release accompanying the images said the agency had recently completed military missions.
“Military intelligence aviation of Ukraine continues its work on the front line of the defense of our country. Reconnaissance pilots have just returned from another combat mission,” it said, adding that “Combat helicopters significantly increase the capabilities of the special units of the Main Directorate of Intelligence and the effectiveness of special operations.”
Another aircraft seen in the photos was identified by the Drive as a Ukrainian Mi-24 Hind.
It is unclear how Kiev obtained the American helicopter or whether it has been used in combat operations. Officially, the White House has approved sending Soviet-era Mi-17 Helicopters – aircraft formerly owned by the Afghan government prior to its collapse in 2021 – though it has made no mention of Black Hawks to date.
In June, the assault and reconnaissance wing of the Intelligence Directorate, known as the ‘Shaman battalion,’ claimed to have carried out operations inside Russian territory, according to the Times of London. The outlet said the commandos were flown into the country via helicopter, but did not specify what type.


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Brincando com a logo e a ideia de ela reagir as interações do usuário na rede do Aniteka.
(Playing with the Aniteka's logo and the idea of the symbol react to the interactions of the user in the service)
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We previously discussed the overall physical, mental, emotional, and spiritual benefits of yoga, as well as listed down the many different schools of yoga popular today. We already started with the strength-building Ashtanga Yoga, and now we’re going to talk about Vinyasa Yoga, which is also known as Flow Yoga.
What is Vinyasa?
The word Vinyasa roughly translates from Sanskrit to “connection”, but has been known in the yoga circles as "breath-synchronized movement,” as it is known for its connection to movement and breathing. It is composed of a series of poses that will move the practitioner through the power of breathing, of inhaling and exhaling. This school’s movements are smoothly flowing, almost like a dance, which is why it is sometimes called Vinyasa Flow or just Flow Yoga.
Vinyasa Flow began as Ashtanga Vinyasa Yoga by a Yogi named Sri Tirumala Krishnamacharya. He was given a place to teach yoga and eventually taught a young boy named Parrabhi Jois his learnings on the power of breathing. Jois then established an institute for practicing the specific form of Vinyasa yoga.
Vinyasa’s strength and what makes it popular is its diversity. Unlike other stricter yoga schools like Ashtanga, there is no single philosophy, rulebook, or sequence that teachers and students must follow in Vinyasa. This gives a lot of room for individual personalities and quirks to manifest. On the downside, it is important that practitioners find a teacher they enjoy and can relate to. But overall, Vinyasa is a good style of yoga for people who feel restricted or bored by specific sets of movements.
|The Ayurveda Experience will give you the insights to live a healthier, happier life!|
While the style allows for variety, Vinyasa always includes what’s known as sun salutations. A sun salutation is a sequence of moves done in time with an inhalation or an exhalation. It often includes a “vinyasa”, which is a series of three poses done as part of the sun salutation sequence. This includes the plank, the chaturanga, and an upward facing dog, using the breath to measure when to move to the next pose.
The Vinyasa school is all about the movement. Expect lots of movement and not just the stretching. Classes can be fast or slow, can be dependent on alignment or inversions, and so on, depending on the teacher.
What are its benefits?
It will challenge your muscles and joints, but what it will challenge the most are your lungs and heart, as you use them to make the flow go smoother with proper breathing. Physically, Vinyasa will make you sweat, which expels toxins. The constant breathing and increase in heart rate re-energizes your body.
And of course, strengthening the muscles, bones, and joints. Mentally, the synchronized breathing relaxes your mind and helps to release any blockage of energy flow throughout your body. Spiritually, Vinyasa helps realign your chakras, as well as awaken it if it has not been before. Depending on your teacher and the class, certain classes will target the different chakras with specific poses.
If you want a freeflowing, unrestricted yoga experience that’s different with every class Vinyasa is for you. Try Vinyasa yoga out as soon as you can with your friends! This binaural beats track for yoga practice can help you get started with it.
Simple, pleasant and soothing yoga music embedded with binaural beats and isochronic tones frequencies that are associated with the feeling of well-being and overall balance and harmony. Bring yourself to a stress-free and tranquil ambiance as you do your daily yoga sessions and enjoy those precious moments as you strengthen your core and your mind, body and spirit. Using frequencies from the alpha range of 10Hz, this enhances the release of serotonin and is universally beneficial for your overall health, giving you a sense of being centered, raises your spiritual consciousness, and can even improve memory, relieve headaches and is connected to the Manipura or Solar plexus chakra. With a carrier frequency of 90Hz, this is also ideal as your background relaxation music or for your meditation sessions.
Listen to this track now! And don't forget to subscribe to our YouTube channel here:
Meditation for Physical Performance
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Transcending Barriers: Explaining The Religious Ties And Answering The Supposed Dangers Of Meditation
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|Enjoy the benefits of meditation in just 15 minutes!|

domain: hobby


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The airport's own start-up Lübeck Air will be offering a daily flight between the Hanseatic city and Stuttgart from August 17, 2020. An ATR72-500 operated by Air Alsie with 60 seats is used.
Also from August 17, 2020, flights between Lübeck and Munich will be operated in double the day margin. Tickets for the two new routes can already be booked on the provider's website. According to the company, check-in luggage, one piece of hand luggage and snacks and drinks on board are included in all tariff classes.

domain: travel


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July 19, 2009, 3:54 p.m. On the road to Galway Ireland - We are bouncing along the west coast of Ireland through the Burren along spectacular scenery in Clare County. After our rest day yesterday we left early this morning to catch the early ferry over the River Shannon.
Then, we went to the spectacular cliffs of Moehr. Amazing, Sue and I had packed a picnic yesterday and the weather was perfect for a picnic, including wine, at the cliffs.
Then, the bus headed north again to the Burren, the only place where native, arctic and Mediterranean plants all grow together. To me they all looked like weeds.
Yesterday we relaxed in Dingle, went shopping and in the evening had dinner and beers and sang with everyone else after the band showed up at Murphy's pub. Another day another Irish pub!
NOTE iPod touch blog post! Please forgive all the typos. This is written on my iPod touch. This device is kinda clunky as a word processor.
Also, I have very limited Internet access and can only get e-mail once or twice a day. I cannot open most e-mail attachments on available wi-fi connections when I get them.


Weve got no spark on our 2L camry, we replaced the coil with a 180i corrola's. We took out a plug wire and inserted a plug and hold it agaist the engine. We switch on the car hte feul pomp comes on and tested the distributor by turning it outside the car and got spark. But when we insert the distributor and put everything in place and start turning the key the fire are gone. As soon as we took out the distributor and test it outside we got spark again. Bot dont work when its fitted.
have the same problem?
Sunday, September 2nd, 2012 AT 9:46 AM


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October 13, 2017 marks the 70th anniversary of the achievement of supersonic flight, the day we broke the sound barrier. To celebrate, Edwards Air Force Base will have a ceremony at 11 a.m. complete with sonic booms. As a result, many people across Kern County, especially those down in the desert and some up in the mountains, will hear a thunderous noise, even though the skies are calm and clear.
So what exactly is a sonic boom?
Of course NASA sums it up perfectly here by stating: "A sonic boom is a thunder-like noise a person on the ground hears when an aircraft or other type of aerospace vehicle flies overhead faster than the speed of sound, or 'supersonic'. Air reacts like fluid to supersonic objects. As those objects travel through the air, molecules are pushed aside with great force and this forms a shock wave, much like a boat creates a wake in water. The bigger and heavier the aircraft, the more air it displaces."
We have the chance to hear the booms down here in the South San Joaquin Valley, but it will depend on several elements at the time of the supersonic flights overhead. As NASA explains, "there are several factors that can influence sonic booms -- weight, size, and shape of the aircraft or vehicle, plus its altitude, attitude, and flight path, and weather or atmospheric conditions."
Other than the wildfire smoke filling into the county, we actually have great weather and good atmospheric conditions for tomorrow's ceremonial flights. There will be clear skies and wind speeds are 15-25 mph at ground level, with faster winds aloft but not enough to cause turbulence.
After the ceremony, Edwards Air Force Base is launching a formation flight which is scheduled to pass over Central California schools. Two F-16 Fighting Falcons, a B-1B Lancer and an F-18 Hornet from NASA will fly on a route over the Antelope Valley and Bakersfield. Here's the schedule:
12:15 to 12:30 (*approximate)
Stockdale High School
Charles H Castle Elementary School
Amy B Seibert Elementary School
Planz Elementary School
South High School
Fairfax Junior High School
12:20 to 12:35 p.m. (approximate)
Tehachapi High School, Tehachapi
Mountain View High School, Mojave
Mojave Elementary School, Mojave
California City Middle School, California City
Muroc Joint Unified School District, North Edwards
Boron Elementary School, Boron
Boron High School, Boron
For more information about the Edwards 70th Anniversary of Supersonic Flight celebration, go to 70ssf.412tw.us/


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After two months of trying, and six months before he was to be released, 27-year-old Patrick Neal in July 2019 was taken from Limestone Correctional Facility to an outside hospital for severe pain, partial paralysis in his legs and loss of bodily control that caused him to soil his bed.
Less than 24 hours later, after nurses at Crestwood Medical Center accused him of faking it, his rare neurological condition resulted in permanent paralysis, according to a civil lawsuit filed Friday in the Northeastern Division of the U.S. District Court, which names the hospital, one of its doctors and two nurses as defendants.
Neal is at UAB Hospital in Birmingham where doctors are treating him for his rare condition, and for a tumor they’ve found on his spine.
Terilaine Wheeler, Neal’s sister, who holds a master’s degree in public health from Purdue University, told APR by phone Monday that prior to being admitted to UAB last week friends and family had to care for Neal at his home, as he’s unable to move on his own.
“He’s angry. He’s frustrated,” Wheeler said. “You’re telling people, ‘Hey, I’m in pain. I’m hurting. Something is not right.’ And they’re not listening because they think you just want to get out of your cell.”
Neal has four children and a son born just before he entered prison in 2015, Wheeler said.
“He just cries to me. I’ll never be able to teach my son how to play basketball, never be able to throw a football with my son and teach him how to play football,” Wheeler said. “I’ll never be able to be an active father. He just cries all the time, because he’s just like, my life is over. I’m just stuck to a bed.”
The lawsuit names as defendants Wexford Health Sources, the Pittsburgh-based medical provider contracted with the Alabama Department of Corrections to care for incarcerated people in state prisons. Additionally, the suit names as defendants nurses and medical doctors employed by Wexford, and the Madison County provider Emergency Medical Associates, contracted by Wexford to provide emergency room care for Limestone prisoners.
Neal had just six months left in his sentence when in May 2019 he developed transverse myelitis, according to the complaint. The rare neurological disorder can cause inflammation of both sides of one section of the spinal cord, which can lead to severe pain, loss of bowel and bladder control, paralysis in arms and legs and loss of sexual function, according to the Mayo Clinic.
On May 29, 2019, Neal submitted his first written request seeking medical care to learn what was causing him weakness, partial paralysis and pain in his abdomen and lower back, according to the suit. Through June 20 of that year, as his condition worsened, he submitted five written requests and was seen by a registered nurse at the prison three times.
“I really am worried because I don’t know the cause of these symptoms,” Neal wrote in one request. “I just need test run to figure out what’s going on with me”
Despite his worsening condition, and “red flag” warnings of a potentially serious neurological condition, the nurse never moved his case on to an advanced practice nurse or physician, the complaint reads.
“He never made it past the nurse Sick Call Clinic,” Neal’s attorney wrote in the complaint.
Neal then lost the ability to control his bladder and bowel and submitted another request on July 1, 2019. Two nurses evaluated Neal, who said on a scale of one to 10 his pain was a 10, and was given Tylenol and ibuprofen and sent back to his dorm.
“The nurses noted that Patrick needed a referral to the prison’s primary care provider for chronic back pain and an ineffective medication regiment,” the complaint reads. “Despite Patrick’s emergent medical needs, he would have to wait 16 days for his next appointment.”
By the time he saw a certified nurse practitioner 16 days later Neal’s condition was so grave that “other inmates had to carry him from his bunk to the toilet,” the suit reads.
“Another inmate, Corey Cole, asked a cube officer for permission to start bringing Patrick sack meals since he could not make it to the cafeteria,” the suit states. “The cube officer told the inmate not to worry about it because, in the officer’s words, Patrick Neal was a ‘lost cause.’”
The nurse noted Neal complained of “increased lower extremity weakness” and muscle waste in his left leg, all symptoms of a possible neurological disorder and a clear sign that he needed immediate medical care from a physician, according to the lawsuit. He was given a cane and told to wait until Wexford processed a claim to have him seen at an outside facility for an MRI.
Neal collapsed in his dorm on July 21, was sent to the infirmary and treated for his incontinence, and sent back to his dorm in a wheelchair, according to the complaint.
“Again, Patrick was denied the medical care needed to diagnose and treat his spinal cord emergency,” the lawsuit states.
As of July 24, when Neal saw the certified nurse practitioner again, he had been sent to the infirmary for at least the 11th time in two months. The nurse attributed Neal’s conditions wrongly to a non-emergent condition but spoke with Wexford’s regional medical director, who ordered that Neal be immediately taken to an emergency room.
Neal thought that perhaps after those two months of trying to get proper medical care, he was finally about to get it, at an outside hospital, but that wasn’t to be, according to the lawsuit.
“The nurses at the Crestwood Medical Center accused him of faking his condition and, yet again, he was denied a proper evaluation, diagnosis, and treatment of his spinal cord emergency,” the lawsuit reads. “Astonishingly, Patrick’s attending physician, Dr. Dianna Osborn, discharged him back to the prison with a pamphlet for sciatica.”
The next day, after returning to the prison infirmary, Neal lost all reflexes below the waist, soiled his bed and was sent back to the emergency room, specifying that he be given an MRI and consultation for a possible neurological condition, according to the complaint.
“On July 25, 2019, Patrick Neal finally received the MRI and neurology consult needed to diagnose his transverse myelitis. It was too late, though. The inflammation extended from his mid-thoracic to distal thoracic spinal cord and had caused permanent, flaccid paralysis from his abdomen and below. Patrick had lost his lower extremity, bowel, bladder, and sexual function, forever,” the complaint states.
After being released from prison on Oct. 30, 2019, Neal lost all use of his upper body and developed severe complications, including heart and respiratory failure, resulting in prolonged hospitalizations.
Wexford was paid more than $360 million by ADOC from April 2018 through September 2021, according to the lawsuit.
“Wexford also had a financial incentive to limit and deny inmates access to off-site health care, including diagnostic services, medical specialists, emergency care, and hospital services. In short, Wexford made more money from its lump-sum compensation by restricting inmates’ access to higher-level practitioners and off-site medical care,” the complaint reads. ”And, it was up to Wexford to determine whether it had cut into its profit margin to providing higher-level and off-site care to ADOC s inmates.”
Bruce Downey, Neal’s attorney, in a statement to APR on Monday, said that at only 27, and within six months of his release, Neal developed a serious disorder causing compression of his spinal cord, and over a period of two months, he repeatedly sought care from Wexford but was denied care for his spinal cord emergency until he developed bilateral lower extremity paralysis “among other catastrophically life-altering conditions.”
“Patrick will suffer the catastrophic consequences for the remainder of his life, as will his family, friends, and community,” Downey said. “While this case is about seeking justice and accountability for Patrick’s needless pain and suffering, he hopes that it will shine a light on the unconstitutional and inhumane health care being provided within Alabama’s correctional institutions and help bring about change.”
Attempts to contact Wexford Health for comment were unsuccessful.


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Donald Trump will become the 45th president of the United States, CNN projects, a historic victory for outsiders that represents a stunning repudiation of Washington’s political establishment.
The billionaire real estate magnate and former reality star needed an almost perfect run through the swing states — and he got it, winning Ohio, North Carolina and Florida.
The Republican swept to victory over Hillary Clinton in the ultimate triumph for a campaign that repeatedly shattered the conventions of politics to pull off a remarkable upset. Clinton conceded to Trump in the early hours of Wednesday morning.
Speaking at a victory party in New York, Trump was gracious toward Clinton and called for unity.
“We owe (Clinton) a very major debt of gratitude to her for her service to our country,” Trump said. “I say it is time for us to come together as one united people.”
He added: “I pledge to every citizen of our land that I will be president for all Americans.”
Trump won with 288 electoral votes compared to 215 for Clinton, according to CNN projections.
Jolie’s camp argues there is already an agreement in place that allows her to retain custody of Maddox, 15, Pax, 12, Zahara, 11, Shiloh, 10, and twins Knox and Vivienne, 8.
“We can confirm that childcare professionals have encouraged a legal agreement accepted and signed by both sides over a week ago,” read a statement from Jolie’s camp issued to CNN Monday. “In accordance with this agreement, the six children will stay in their mother’s custody, and the children will continue therapeutic visits with their father. This has been determined by childcare professionals to be in the children’s best interest.”
Toblerone Changes Its Iconic Shape And Chocoholics Go Crazy:
Loyal fans of Toblerone reacted with horror on Tuesday after discovering that the distance between the triangular chucks in their favorite chocolate bar had expanded overnight.
Mondelez International (MDLZ), which produces the airport shopping staple, blamed rising ingredient prices for the change. By adding space between the triangles, the company was able to keep the bar’s original packaging and length, but reduce the amount of chocolate.
The result is that bars that formerly weighed 170 gram have been slashed to 150 grams. Forty grams have been carved out of bars that used to contain 400 grams. The price remains the same, but customers are getting roughly 10% less chocolate.
Gigantic Sinkhole Swallows Intersection In Japanese City:
A gigantic sinkhole has opened in the southwestern Japanese city of Fukuoka, swallowing huge sections of road near underground work to extend a subway tunnel.
A 7-to 8-meter-wide hole was first reported early Tuesday, according to Motohisa Oda, a crisis management officer from the city of Fukuoka.
Republicans Keep Control of Congress:
Republicans pulled off a political stunner Tuesday night — running the table down-ballot and keeping control of the House and Senate, CNN projects.
In a year when the GOP was almost entirely on defense, the party’s incumbents — many outspent and hobbled by struggling campaigns — managed to survive a political landscape that long appeared all but certain to cost them the Senate.
Democrats believed they had the perfect mix: Near-locks in blue Illinois and Wisconsin. Top-grade recruits in red states Indiana and Missouri to get them close. And Donald Trump would drag down Republican incumbents in the battlegrounds of Pennsylvania, New Hampshire and North Carolina.

domain: politics


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WASHINGTON, August 14 (Itar-Tass) - Robert King, Special Envoy for North Korean Human Rights Issues, will travel to China, the Republic of Korea, and Japan next week for "regular consultations", the press service of the US Department of State announced Tuesday.
According to the press service, Mr.King intends to meet with senior officials of the receiving countries, members of their civil societies, and officials of the Office of UN High Commissioner for Refugees (UNHCR) and the World Food Program (WFP) to discuss "a range of human rights and humanitarian issues". The press service did not give a more detailed information on the agenda of the American emissary's forthcoming meetings.
It is planned that when in Beijing (Aug 19-21), Mr. King will hold talks not only with officials of the People's Republic of China but also with the leadership of UNHCR Office and WFP.
The American diplomat will stay in Seoul from August 22 to 27. Meetings with North Koreans resettled in the ROK will be organized for him during the period.
Mr. King's tour will end with a one-day stay (Aug 28) in Tokyo. He is scheduled to meet with Japan's Foreign Ministry officials.


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WEST ORANGE, NJ — The West Orange Township Council approved a resolution at its March 7 meeting designating The Alpert Group as the interim redeveloper of the Selecto-Flash site. The site consists of two properties in the Central Valley Redevelopment Area, of which the township has taken the titles through foreclosure proceedings.
The resolution calls for The Alpert Group, which is also the redeveloper of the ongoing Harvard Press project nearby, to demolish the empty building located at 18 Central Ave. In exchange, the company has the exclusive right to submit a redevelopment proposal for the cleared 18 Central Ave. and the vacant lot at 4 Tompkins St. until Dec. 31, 2019. If the township approves that proposal, The Alpert Group will be able to purchase the parcels from West Orange at a price of $1,500,000.
Township attorney Richard Trenk urged the council to pass the resolution prior to its vote, stressing that there was no downside. Trenk pointed out that The Alpert Group will pay all expenses for0 the demolition, a project that the township’s estimate showed would cost $375,000 excluding very expensive asbestos removal if West Orange undertook it. In taking on the project, he said the group will eliminate both an eyesore and a safety hazard — one without fire suppression systems that has housed squatters in the past.
“There is nothing that is gained by saying ‘We don’t want to get this down at what’s clearly a very reasonable price,’” Trenk said, explaining that the demolition would be very costly if the township bonded for it. “I don’t think anybody can sit here and say that removing a 64,000-square-foot building (and) dealing with asbestos is not in our best interest.”
Most of the council members agreed that it seemed like a good deal, but Council President Joe Krakoviak was unconvinced. Krakoviak, the only one to vote against the resolution, particularly had reservations about giving The Alpert Group the exclusive ability to submit a redevelopment proposal through 2019. He said there might be redevelopers willing to pay more for the properties, but the council will never know that unless the township issues a Request for Proposals.
“We’ll be asked to make a decision about (The Alpert Group’s) proposal in isolation,” Krakoviak said. “We will not have gone through the competitive process where we might have four, five proposals that we get to choose from so we’d have a much better idea of what the demand is.”
Though a rejection of this resolution would mean the township would pay for the demolition itself, the council president said West Orange could just put out an RFP to find a company willing to charge less than the $375,000 estimate. Once the property is cleared, he said developers might be more willing to see it as a redevelopment opportunity, which would generate bids in a competitive process that would allow the township to sell at the highest possible price. He said West Orange could also receive project ideas more appealing than anything The Alpert Group offers, such as doing an office building instead of apartments.
Joe Alpert, president of The Alpert Group, told the council that his company has not yet created any plans for the Selecto-Flash site since it is premature to speculate when the environmental remediation has not been completed. Its interim redevelopment agreement with the township does state that its application is expected to include approximately 100 residential units as well as possible commercial space, with the company also anticipating it will apply for a Payment in Lieu of Taxes program based on 10 percent of gross revenue from that venture. But the agreement also mentions that a PILOT program would not be sought if The Alpert Group turns the site into a surface parking lot instead.
Trenk, however, had answers for Krakoviak’s concerns. For one, he said the council will be under no obligation to approve The Alpert Group’s proposal if it is unhappy with it. He also pointed out that the office real estate market is not strong now, so constructing an office building might not be as ideal as the council president thinks.
Additionally, Trenk pointed out that no developer has expressed an interest in the Selecto-Flash properties before this. And he said companies especially will not want anything to do with it until environmental remediation is done. But that remediation likely will not be completed until roughly two years from now, the township attorney said, which is when The Alpert Group’s designation as interim redeveloper will expire anyway.
On top of that, Trenk said the council members will be free to evaluate The Alpert Group’s proposal against the market or get an appraisal of the Selecto-Flash site to determine whether there might be better alternatives. The best move now though, he said, is to make the company the interim redeveloper so it will demolish the structure.
“If we don’t go in this direction, my recommendation to the administration will be ‘Ask the council to bond it and take it down on our dime,’” Trenk said, adding that would start a six- to 12-month process when The Alpert Group is expecting to demolish the structure by the summer. “I just don’t see how that would be a good expenditure of our time and effort when we’ve got somebody who says ‘I’ll loan you the money for free.’”
In the end the rest of the Township Council sided with Trenk’s reasoning, with Councilwoman Susan McCartney pointing out that the deal was simply too advantageous to turn down. Councilman Victor Cirilo agreed, pointing out that the council probably would have gone with The Alpert Group even if an RFP had been issued due to its acclaimed reputation and track record of successful projects. Making it the interim redeveloper now just means the Selecto-Flash building will be demolished, Cirilo said, which will make the blighted Central Valley area more attractive.
Councilwoman Michelle Casalino added that the Selecto-Flash site’s relatively small size — it is collectively 1.5 acres — will likely not make it attractive to other redevelopers. Even if the size could be overlooked, Casalino said losing the deal is not worth the gamble.
“I just think the benefit outweighs the chance of a better opportunity down the road,” Casalino said. “It’s safe and it’s now.”
That measure was not the only one related to the Selecto-Flash site passed at the meeting. The council unanimously approved a resolution authorizing Mayor Robert Parisi to execute an agreement with Matrix New World to conduct a preliminary site assessment and site investigation. According to the agreement, the assessment will include a site visit and a review of environmental databases and files to determine possible areas of concerns. The investigation will then evaluate those areas of concern that have impacted soil and groundwater through measures including a geophysical investigation, soil boring installations and a groundwater investigation.
All of this work will be funded by a $77,238 Hazardous Discharge Site Remediation Fund grant obtained from the New Jersey Department of Environmental Protection and the New Jersey Economic Development Authority. Per the agreement, any costs exceeding that amount will be paid only if additional grants funds are approved.
Completing the assessment and investigation — as well as the eventual environmental remediation — will bring the township one step closer to its ultimate goal of making the Central Valley area a transit village complementary to the Harvard Press project. That project is moving along well since breaking ground on Feb. 13, with Alpert telling the council that construction is underway for the 128-unit apartment building on the Orange side. The Alpert Group is also in the process of realigning the Rahway River to its original flow as well as converting a historic art deco building into a 162-car parking garage, he said.
Meanwhile, Alpert said his company has obtained all approvals associated with the 100-unit apartment building on the West Orange side of the project. He said it will next apply for the 9-percent low-income housing tax credit program by May 27, and it will hear if it has been accepted by July 27. If his company does not get the 9-percent tax credit, he said it can apply for the non-competitive 4-percent tax credit program. But he thinks The Alpert Group will have a good chance at getting the higher credit, especially since it already received that credit amount for the Orange phase of the project.
Alpert said he wants to make 55 percent of the units in the West Orange building workforce housing, which are units open to those who qualify for affordable housing but also meet a minimum income level. Trenk said that will go a long way toward helping the township meet its affordable housing obligation. But he said it will only happen if West Orange pays The Alpert Group $3 million from its affordable developers fee fund to assist with the construction. As a result, the township attorney said the Planning Board and the Township Council will soon have to approve a resolution committing those monies as long as The Alpert Group receives a tax credit.
Once that is done and the credit is obtained, Alpert said he expects to start construction on the West Orange side in January 2018.
“We’re very happy that we’ve gotten to this point,” Alpert said. “We want to show you more construction on the West Orange side.”
The Alpert Group president was not the only one eager to start building in town. The council members seemed enthused by the amount of progress that has been made in recent weeks, with Cirilo in particular emphasizing that redevelopment will greatly benefit the community.
“We can help the entire neighborhood,” Cirilo said. “It helps with ratables. Your home values improve, and there’s a higher demand for these homes.”
Bill Sullivan, the Alpert Group’s attorney, agreed that redeveloping the Central Valley district will make a world of difference. For starters, Sullivan said people will be less tempted to commit crimes in a pleasant neighborhood than the decrepit industrial area currently there. Trenk had said earlier in the meeting that the West Orange Police Department sees more crime reports in the Central Valley area than anywhere else in town.
Likewise, Sullivan said the Harvard Press project will make the underutilized Highland Avenue Station in Orange a pivotal hub for commuters. Alpert said his company is in talks with NJ Transit about adding morning and evening MidTown Direct lines to the station once apartments are constructed. Orange has already received a $614,000 grant from the New Jersey Department of Transportation’s Transportation Alternatives Program to make improvements to the long-closed station building.
Overall, Sullivan said this is a move in the right direction for the Valley.
“The redevelopment of this area is going to be a tremendous asset for redevelopment in the entire Valley,” Sullivan said, explaining that it will “make all that property more valuable and more attractive and draw people down to the Valley as a part of the community.”
Photos by Sean Quinn


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It started out innocently enough. A simple phrase, a quote if you will, coupled by back and forth banter that produced my first LIKE. I became excited about the idea of someone actually LIKING my post. There was a little Sally Fields in me as I accepted this newfound appreciation. The euphoric feeling was similar to the time I first spotted my own name in the Michigan State student directory – I was overcome with emotion! I had arrived. And now, the LIKEs I began to receive catapulted this addiction to another level. Every waking moment, every breath I took, was propelled by the fuel I was taking in because of my popularity. And then I realized as I sat in the middle of my room – alone – shivering – and destitute. I had become a whore for LIKEs. My name is Daniel and I am addicted to LIKEs.
My life didn’t start out this way. I was never a big attention whore. In fact, I was somewhat reserved. I wasn’t the type of person to blatantly display a desire to be noticed. But the technology made it so easy. Now there are LIKE buttons everywhere, they are unavoidable. Each new application insists on creating this sense of competition by allowing each of us to cast our votes on a minute by minute basis. Do you LIKE the restaurant? Do you LIKE my pic? Do you LIKE my posts? Do you like my YouTube of my bouncing on the edge of a cliff? Argh! It’s overwhelming. Help!
In the beginning I would make sure I rationed my guarded inventory of LIKEs so that I would not waste them. I didn’t know at the time that the companies allowed for an infinite number of LIKEs available for my disposal. Thus, I was careful to provide my opinion to only those posts that really mattered.
Then I became sucked into the attention machine. That’s when things began to unravel for me.
I quickly realized the success to gaining more attention…ahem…LIKEs was to reciprocate. If I was generous with my LIKEs then I might have others provide for me the same. And boy was I right. I used my mother for LIKEs, my nieces and nephews, my kids, even my dog! However, I can’t turn back the hands of time and the phenomenon is out of control. I dread the day when applications add a DISLIKE button. What if my posts end up on the higher side of DISLIKEs than LIKEs? YIKES!
At any rate, I vow to get this addiction under control. I believe we should be able to express ourselves however we like to – no pun intended – and not have to worry whether someone is paying attention to our thoughts. It doesn’t matter whether you like to take pics of your food, show Fluffy the cat doing backflips, or provide deep thoughts like Stuart Smalley. Just be true to whom you are and screw everything else. And if you are fueled by the popularity bug in social media then so be it – just be ready that the bug could come back to bite you should our life patterns change. You, too, might find yourself in a help group for addictions.
In the meantime – please LIKE my post! I appreciate it!
Go well and with LIKEs good peeps.

domain: psychology


text:
ℍ𝕖𝕝𝕝𝕠 𝕥𝕙𝕖𝕣𝕖! ^^
I decided to join a contest today. Why? Because it sounded fun of course! ^^
And I was right, it was in fact fun! The drawing we had to redraw was really pretty, I really liked it!
Credit goes to Valentine 14 / Toby!
I tried to stick to the original as much as possible with the pose, perspective, background and facial expression while trying to use my own style as a guide. The pose gave me some trouble but I think it turned out okay ^^
Time taken: 5-6 hours
My drawing tablet: XP-Pen Artist 15.6 Pro
Programs I used: Medibang
If you thing it's feature worthy, please suggest this post here! :)
ℍ𝕠𝕡𝕖 𝕪𝕠𝕦 𝕝𝕚𝕜𝕖 𝕚𝕥, 𝕒𝕟𝕕 𝕙𝕒𝕧𝕖 𝕒 𝕘𝕣𝕖𝕒𝕥 𝕕𝕒𝕪! ~


text:
You see the remainder of the story reveals that Sir Winston’s father was your standard issue upper-class twit whose ambition and pride drove him to make disastrous decisions leading to the destruction of his career and then, of course, the requisite excesses of alcohol, drugs, and ultimately death by syphilis in 1892 at the age of 48. His mother was a notorious adulteress whose legendary promiscuity saw her thrice married and ever scandal-ridden. Their marriage was a hushed and hurried affair as Jeanette had gotten pregnant prior to it, presumably by Lord Randolph but no one could be quite sure. To secure the nuptial, Jeanette’s father (Leonard Jerome, stock speculator and editor of the New York Times - need we say more!) bribed Lord Randolph with a “dowry” equivalent to roughly 2.5 million in present day American dollars.
As was the fashion in Victorian England, Lord and Lady Randolph Churchill completely ignored their two son’s – Winston the first, John the second (also believed sired by one other than Sir Randolph) – devoting their time to far more important matters of high society and career advancement. What time they did spend with young Winston was hurried, harried, exasperated, and fraught with contempt and irritation at their “little monster.” Lord Randolph openly and regularly expressed his disapproval of and disappointment in young Winston –he thought the boy retarded – and maintained his paternal aversion until his dying day. That Sir Winston was never able to prove his worth to his ever-disapproving father was a source of profound pain for him throughout his life.
With this then we wonder from whence came the Sir Winston we know today; the embodiment of courage, character, conviction, righteous defiance, and the eloquent championing of “Christian Civilization?” Clearly the man was endowed by his Creator with innumerable gifts. But far too often – more often than is probably known – the story of such gifted individuals in circumstances such as young Sir Winston’s goes the route of Lord Randolph Churchill and not that of his heroic son.
The salvation of Sir Winston Churchill, and thus, we would argue, of Western Civilization some 66 years later, was a nice little old lady named Elizabeth Anne Everest. The consummate nanny of Victorian England, this plump, pleasant, quiet little woman was charged by Lord and Lady Randolph as wet nurse and keeper of our little monster. From Sir Winston’s birth until his twentieth year, Mrs. Everest provided a steady regimen of love, understanding, faith, firm principles, gentle guidance, and Christian instruction. Her influence upon him is incalculable, however, in this inspiring tribute to Mrs. Everest, author Stephen Mansfield concludes,
We strongly encourage you to read Mr. Mansfield’s tribute, particularly on this day, November 30, Sir Winston’s birthday. A day and a man likely few would distinguish from any other, were it not for a fussing little English nanny called, Mrs. Everest.

domain: literature


prussia - postcard - prinz heinrich
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Prussia – Postcard – Prinz HeinrichSKU: 45-287
$15.00Heinrich was an enthusiastic pilot, (Having received one of the first pilot’s licenses in Germany.) and automobile and sailing enthusiast. He is often given credit for inventing the windshield wiper and horn….


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For growers and farmers ready to recycle their plastic before June 21, we encourage you to participate in the program by storing your plastic in a clean and dry location until your local drop-off site is open. Please refer to instructions for estimating number of plastic bundles, cutting, folding and storing your plastic (coming soon).
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