text:
|Year : 2021 | Volume
| Issue : 5 | Page : 1269-1274
Computed tomography-guided cryoablation for adrenal metastases secondary to lung cancer
Wen-Long Zhang1, Dong-Li Ruan2, Li-Jun Sun1, Tao Wang3, Wei Zhang4, Ya-Yong Huang3
1 Department of Radiology, Xijing Hospital of Fourth Military University, Xi'an, China
2 Department of Urinary Surgery, Xijing Hospital of Fourth Military University, Xi'an, China
3 Department of Radiology, Xuzhou Central Hospital, Xuzhou, China
4 Department of Infectious Disease, Xijing Hospital of Fourth Military University, Xi'an, China
|Date of Submission||15-Oct-2020|
|Date of Decision||04-Mar-2021|
|Date of Acceptance||13-Jul-2021|
|Date of Web Publication||27-Nov-2021|
Department of Infectious Disease, Xijing Hospital of Fourth Military University, 127 Changle Road, 710032 Xi'an
Department of Radiology, Xuzhou Central Hospital, 199 Jiefang Road, 221009 xuzhou
Source of Support: None, Conflict of Interest: None
Objectives: The objective of the study was to assess the clinical efficacy of computed tomography (CT)-guided cryoablation as a means to treat adrenal metastasis (AM) secondary to lung cancer.
Materials and Methods: This study was a single-center retrospective study that analyzed 39 consecutive patients with AM secondary to lung cancer who underwent CT-guided cryoablation in our center. The rates of complete ablation, local recurrence, local recurrence-free survival (RFS), and overall survival (OS) were analyzed.
Results: The rates of primary and secondary complete ablation were 94.9% and 100%, respectively, and none of the patients suffered from a hypertensive crisis associated with the treatment. Over the follow-up period, 20.5% of the patients experienced local recurrence, and the median RFS duration was 26 months. The cumulative 1-, 3-, and 5-year local RFS rates in this study were 84.6%, 51.3%, and 5.9%, respectively. Extra-adrenal gland metastases were detected in five patients. Over the course of follow-up, 26 patients died. The mean OS duration was 34 months with cumulative 1-, 3-, and 5-year OS rates of 89.7%, 53.4%, and 8.3%, respectively. Advanced age (P = 0.001), primary adenocarcinoma (P = 0.006), other primary lung cancers (P = 0.038), and primary Stage III lung cancers (P = 0.007) were all found to be independent predictive factors of poor OS in these patients.
Conclusion: CT-guided cryoablation can be safely and effectively used to control AM secondary to lung cancer, and patients with AM secondary to lung squamous cell carcinoma may be best suited for this form of treatment.
Keywords: Adrenal, cryoablation, lung cancer, metastasis, survival
|How to cite this article:|
Zhang WL, Ruan DL, Sun LJ, Wang T, Zhang W, Huang YY. Computed tomography-guided cryoablation for adrenal metastases secondary to lung cancer. J Can Res Ther 2021;17:1269-74
|How to cite this URL:|
Zhang WL, Ruan DL, Sun LJ, Wang T, Zhang W, Huang YY. Computed tomography-guided cryoablation for adrenal metastases secondary to lung cancer. J Can Res Ther [serial online] 2021 [cited 2023 Jan 27];17:1269-74. Available from: https://www.cancerjournal.net/text.asp?2021/17/5/1269/331304
| > Introduction|| |
Tumors often metastasize to the adrenal gland,,, ~27% of patients exhibited adrenal metastasis (AM) upon autopsy., No clinical trials have established beneficial local AM treatments, although surgical resection was proposed.,,, Adrenalectomy, however, may not be an option for patients with certain comorbidities, and it is associated with prolonged postoperative hospitalization.,, Alternative approaches to treating AM are thus essential.
AM treated with computed tomography (CT)-guided radiofrequency ablation, microwave ablation, or cryoablation,, achieved local 1-year recurrence-free survival (RFS) rates of 71%–82%., However, these prior studies have evaluated AM secondary to a range of primary tumor types including liver and lung cancers, potentially introducing selection bias into these results.,, Therefore, studies should evaluate AM secondary to specific cancers.
Consequently, this study assessed CT-guided cryoablation treatment of AM secondary to lung cancer.
| > Materials and Methods|| |
Our Institutional Review Board (No. XJYY20200709) approved the present retrospective single-center study and waived the requirement for written informed consent.
Consecutive patients with AM secondary to lung cancer who underwent CT-guided cryoablation in our hospital between July 2011 and August 2019 were included in this study.
Patients who were eligible for the following inclusion criteria were included (a) not eligible for surgery or declined to undergo surgical resection as a means of treating AM; (b) had undergone lung cancer surgical resection; (c) had a tumor ≤5 cm in size; and (d) did not exhibit any extra-adrenal tumors.
Patients were excluded from this study if they (a) exhibited adrenal vein invasion or (b) were suffering from infections, active bleeding, or significant coagulatory dysfunction.
AM was diagnosed based on patient history, abdominal CT findings, and percutaneous biopsy results. Patients were also evaluated for extra-adrenal tumors through chest CT, brain magnetic resonance imaging, and bone emission CT scans.
Patients were placed in the prone position, and all procedures were guided by CT (Philips, Amsterdam, The Netherlands).
Argon-helium cryoablation (Cryo-hit, Galil Medical, Israel) was conducted under local anesthesia. Each cryoprobe had a 1.5 cm × 3.5 cm freezing area. Abdominal CT scans were used to localize tumors in each patient and to assess the tumor size [Figure 1]a, cryoprobes were then distributed according to tumor shape and size [Figure 1]b. The edge of the freezing area had a temperature of 0°C, while a temperature < −40°C is necessary to kill cells. The overall freezing area was 0.5–1 cm beyond the tumor edge, with a ≤1.5 cm interval between pairs of cryoprobes.
|Figure 1: A 55-year-old male that developed left adrenal metastasis following lung cancer resection. (a) Contrast-enhanced computed tomography images of a left adrenal metastasis exhibiting significant enhancement (arrow). (b) Cryoablation procedures. (c) Contrast-enhanced computed tomography scan exhibiting a lack of visible tumor enhancement after treatment (arrow)|
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Following cryoprobe placement, tumors were subjected to two freeze-thaw cycles (10 min freezing, 3 min thawing). Freezing was achieved through rapid argon gas expansion within the sealed cryoprobes, which reached a minimum tip temperature of −140°C within a few seconds. Thawing was achieved by replacing argon with helium gas. Abdominal CT scans were repeated following treatment to confirm the dimensions of the frozen tissue produced using this cryoablation approach.
After cryoablation, patients were monitored for approximately 30 min and then were subsequently returned to the ward if no discomfort was observed. Patient vital signs were then monitored for 6 h.
Follow-up was routinely conducted from the time of treatment to death or last visit through June 2020. Once per month, patients underwent standard physical examination and laboratory testing including tests of blood cell counts and adrenal hormone levels. In addition, postoperative CT scanning was conducted at 1, 3, 6, and 12 months following treatment, and every 12 months thereafter.
Complete ablation was defined as a lack of any detectable tumor enhancement upon contrast-enhanced CT evaluation 5-day posttreatment [Figure 1]c, while residual enhancement was indicative of partial ablation.,, This treatment was repeated 1-week posttreatment in cases where tumor enhancement remained detectable. Tumor recurrence was defined as the presence of a new tumor enhancement within the ablated region.,, Local RFS was defined as the time between treatment and AM recurrence, death, or most recent follow-up. Overall survival (OS) was the time from treatment to death or most recent follow-up. Hypertension crisis was considered when the blood pressure exceed 180/120 mmHg.
SPSS 16.0 (SPSS Inc., IL, USA) was used for statistical analyses. Continuous data are given as means and were compared through the t-tests, while categorical and numerical data were compared through the Chi-square tests and Fisher's exact test. The Kaplan–Meier curves were used to assess patient survival, and predictive factors of survival were identified through Cox regression analysis. Covariates that yielded a P < 0.1 in the univariate analyses were retained for multivariate analysis. The significance threshold for this study was P < 0.05.
| > Results|| |
In total, 39 consecutive patients with AM secondary to lung cancer who underwent cryoablation were analyzed in the present study. Each enrolled patient had a single adrenal tumor. Corresponding baseline data are compiled in [Table 1]. No patient had bilateral AM. The primary lung cancer tumor types in these patients included squamous cell carcinoma (n = 16), adenocarcinoma (n = 16), and other tumor types (n = 7). No patient had previous small-cell-lung-cancer. At the time of tumor resection, tumor stages in these patients were Stage I (n = 14), II (n = 15), and III (n = 10). Of these patients, 19 underwent chemotherapy prior to AM detection.
Assessment of cryoablation efficacy
CT-guided cryoablation was successfully conducted in all 39 patients, with a mean operative duration of 60 min (range: 50–70 min). Primary complete ablation was achieved in 94.9% of patients (37/39), while the remaining residual tumor enhancement in the other two patients was successfully eliminated upon subsequent cryoablation, with a 100% rate of secondary complete ablation.
Mild blood pressure increases were observed in eight (20.5%) patients in this study cohort during cryoablation, and treatment was suspended. These patients were treated with alpha blockers, at which time their blood pressure values returned to normal levels, and cryoablation procedures were successfully completed. No patients in this study suffered from a hypertensive crisis, hematoma, hemorrhage, or damage to surrounding tissues following cryoablation.
Over a mean 33-month follow-up period, 22 patients underwent postcryoablation chemotherapy. Local recurrence was observed in eight (20.5%) patients within 9–39 months (median: 18 months), and repeat cryoablation was performed in these patients. The median duration of local RFS in this study cohort was 26 months, with cumulative 1-, 3-, and 5-year local RFS rates of 84.6%, 51.3%, and 5.9%, respectively [Figure 2]. Univariate Cox-regression analyses did not identify any risk factors associated with local tumor recurrence.
|Figure 2: Kaplan–Meier curves pertaining to patient local recurrence-free survival|
Click here to view
Over the course of the follow-up period, 26 patients died because of tumor progression. Five of these patients experienced extra-adrenal metastases (liver: 3; bone: 1; and brain: 1). The mean OS in these patients was 34 months, with cumulative 1-, 3-, and 5-year OS rates of 89.7%, 53.4%, and 8.3%, respectively [Figure 3].
Cox regression analysis revealed that advanced age (hazard ratio: 1.103, 95% confidence interval [CI]: 1.040–1.170, P = 0.001), primary adenocarcinoma (hazard ratio: 4.983, 95% CI: 1.584–15.675, P = 0.006), other forms of primary lung cancer (hazard ratio: 3.771, 95% CI: 1.074–13.240, P = 0.038), and primary Stage III lung cancers (hazard ratio: 5.742, 95% CI: 1.615–20.412, P = 0.007) were independent predictive factors of poor OS [Table 2]. Chemotherapy following cryoablation was unrelated to patient survival in a multivariate Cox regression analysis (P = 0.054).
The mean OS durations were 56, 22, and 22 months in patients with primary squamous cell carcinoma, primary adenocarcinoma, and other forms of primary lung cancer in this study cohort, respectively [squamous cell carcinoma vs. adenocarcinoma, P = 0.041; squamous cell carcinoma vs. others, P = 0.008; adenocarcinoma vs. others, P = 0.725, [Figure 4]]. The mean OS durations were 45, 34, and 17 months in patients with primary Stage I, II, and III tumors, respectively [I vs. II, P = 0.403; I vs. III, P = 0.007; II vs. III, P = 0.120, [Figure 5]].
| > Discussion|| |
Adrenal metastases are commonly treated by CT-guided radiofrequency ablation and microwave ablation.,,, More recently, however, cryoablation approaches have been employed to treat these and other malignant tumors as such approaches cause less pain, allow for visualization of the treatment zone, and are conducive to improved healing properties., In a prior study of CT-guided AM ablation, survival of patients with AM secondary to lung cancer was significantly lower than that of patients with AM secondary to other cancer types.
Our data revealed that CT-guided cryoablation can be safely and effectively be used to treat AM secondary to lung cancer. In the present study cohort, the rates of primary and secondary complete ablation were 94.9% and 100%, respectively, and were comparable to those in other studies involving CT-guided radiofrequency, microwave, or cryoablation in patients with AM.,, As 94.9% of patients exhibited primary complete AM ablation, this suggests that cryoablation can effectively damage the tumor tissue. While two patients exhibited residual tumor activity following treatment, a subsequent round of cryoablation was sufficient to eliminate the remaining malignant tissue.
The local control rates were a primary end point for the present study. Local recurrence was observed in 8/39 patients in the present study cohort (20.5%), which is comparable to rates observed in a prior study of microwave/radiofrequency ablation treatment of AM secondary to lung cancer (22%). These rates were similar to those reported in prior studies of radiofrequency ablation of AM secondary to renal and liver cancers., Our local control rate (79.5%) was also very similar to that achieved in patients who underwent adrenalectomy (77%–83%).,
Cumulative 1- and 3-year local RFS rates in this study cohort were 84.6% and 51.3%, respectively, which indicated that CT-guided cryoablation can achieve satisfactory rates of local tumor control in patients suffering from AM secondary to lung cancer. As the cumulative 5-year local RFS rate was just 5.9%, however, this indicates that additional systemic treatments will likely be necessary for these patients.
The 1-, 3-, and 5 year OS rates in this study (89.7%, 53.4%, and 8.3%, respectively) were similar to those in prior analyses of AM treatment through radiofrequency/microwave ablation., Cox regression analysis led us to determine that advanced age, primary adenocarcinoma, other primary lung cancers, and Stage III primary lung tumors were all independent predictors of OS in this study cohort. Age was likely prognostic in part because older patients have a higher mortality risk due to causes other than tumor progression relative to younger patients. Lung cancer subtype is an important determinant of metastasis and patient survival. As many studies found that lung adenocarcinoma is more prone to lymph node metastasis relative to lung squamous cell carcinoma,, this may explain why patients with primary squamous cell carcinoma in our study exhibited longer OS (56 months) relative to other patient groups.
Chemotherapy is commonly applied to treat patients with lung cancer. However, in a multivariate Cox regression analysis, we did not detect any significant association between chemotherapy and patient survival (P = 0.054). This may be attributable to the limited sample size of this study or potential chemoresistance in some of the treated patients.
Following cryoablation, five of the patients in the present study developed extra-adrenal metastases. While cryoablation is an effective treatment intervention, imaging-based follow-up is essential in order to rapidly identify and treat extra-adrenal tumor progression in a timely fashion.
Previous studies found that ablation of adrenal tumors were found to be associated with the incidence of hypertensive crisis,, however, there were no cases of hypertensive crisis in the present study cohort. This suggests that cryoablation may decrease the incidence of hypertensive crisis incidence. Microwave ablation causes significant temperature increases in target tissues, which is known to be associated with higher hypertensive crisis rates than other forms of ablation. Cases of ablation-related hypertensive crisis are also most commonly observed in patients with pheochromocytoma but not in patients exhibiting other adrenal tumor types.
This study has several limitations. For one, this was a retrospective analysis and thus was susceptible to selection bias. Furthermore, this was a single-center study with a small sample size, as such caution should be taken when generalizing the results of this study to larger patient populations or over longer follow-up periods. Third, this study did not include a comparison group of patients undergoing surgical tumor resection or other forms of ablation. As such, additional multicenter randomized controlled trials are essential to validate and expand upon these findings.
| > conclusion|| |
In summary, CT-guided cryoablation can be safely and effectively used to control AM secondary to lung cancer, and patients with AM secondary to lung squamous cell carcinoma may be best suited for this treatment.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| > References|| |
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Unresectable adrenal metastases: Clinical outcomes of radiofrequency ablation. Radiology 2015;277:584-93.
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Gao Y, Zheng L, Liang P, Cheng Z, Han Z, Tan SL, et al.
Evaluating the efficacy and safety of ultrasound-guided percutaneous microwave ablation for the treatment of adrenal metastasis. J Cancer Res Ther 2020;16:1088-92.
Gunjur A, Duong C, Ball D, Siva S. Surgical and ablative therapies for the management of adrenal 'oligometastases:' A systematic review. Cancer Treat Rev 2014;40:838-46.
Muth A, Persson F, Jansson S, Johanson V, Ahlman H, Wängberg B. Prognostic factors for survival after surgery for adrenal metastasis. Eur J Surg Oncol 2010;36:699-704.
Howell GM, Carty SE, Armstrong MJ, Stang MT, McCoy KL, Bartlett DL, et al.
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Adrenalectomy improves outcomes of selected patients with metastatic carcinoma. World J Surg 2012;36:1400-5.
Zhang W, Shi YB, Zhuang ZX, Wang JP, Sun LJ, Fu YF. Computed tomography-guided cryoablation for adrenal pheochromocytoma: Safety and clinical effectiveness. Surg Laparosc Endosc Percutan Tech 2019;29:409-12.
Fu YF, Cao C, Shi YB, Zhang W, Huang YY. Computed tomography-guided cryoablation for functional adrenal aldosteronoma. Minim Invasive Ther Allied Technol 2021;30:169-73.
Adebayo O, Rogers RL. Hypertensive emergencies in the emergency department. Emerg Med Clin North Am 2015;33:539-51.
Botsa EI, Thanou IL, Papatheodoropoulou AT, Thanos LI. Thermal ablation in the management of adrenal metastasis originating from non-small cell lung cancer: A 5-year single-center experience. Chin Med J (Engl) 2017;130:2027-32.
Welch BT, Callstrom MR, Carpenter PC, Wass CT, Welch TL, Boorjian SA, et al
. A single-institution experience in image-guided thermal ablation of adrenal gland metastases. J Vasc Interv Radiol 2014;25:593-8.
Huang J, Xie X, Lin J, Wang W, Zhang X, Liu M, et al.
Percutaneous radiofrequency ablation of adrenal metastases from hepatocellular carcinoma: A single-center experience. Cancer Imaging 2019;19:44.
Mouracade P, Dettloff H, Schneider M, Debras B, Jung JL. Radio-frequency ablation of solitary adrenal gland metastasis from renal cell carcinoma. Urology 2009;74:1341-3.
Bao F, Yuan P, Yuan X, Lv X, Wang Z, Hu J. Predictive risk factors for lymph node metastasis in patients with small size non-small cell lung cancer. J Thorac Dis 2014;6:1697-703.
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[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]
[Table 1], [Table 2]


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8 hrs ago
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domain: entertainment


text:
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Saturday May 18, 2013 10:14 PM PT
3:32 pm, Thursday, February 28, 2013 -- [...] on behalf of defenseless animals destined to become Swedish meatballs, whoa, Nellie, how come no one cares about the cows?
-- Ashton Kutcher and Mila Kunis had lunch at Cindy's Backstreet Kitchen in St. Helena on Friday.
[...] Brandy was in the Redwood Room at the Clift Hotel on Sunday,...
Read Full Story
San Jose bounces back from a tough loss to beat Kings 2-1. L.A. leads series 2-1.
Nam Y. Huh
Long odds aren't deterring ticket buyers for $600M jackpot.
In honor of this joyous/stressful time, look back at some famous athlete weddings.
© 2013 Hearst Communications Inc.

domain: news


text:
Believe it or not, 2018 was an unprecedented year for famous love. Celebrities got engaged within months of dating, cried together on Citi bikes, and had secret weddings at City Hall. All right, we're talking about just one couple — Justin Bieber and Hailey Baldwin — but you get the point: It's been eventful.
Amid the flurry of reporting about Pariana and Jailey, you might've missed some other formations. We're here to catch you up on the new couplings in Hollywood.


text:
In the previous issue of the International Journal of Transgenderism, I reviewed the history of the development of the Standards of Care (SOC) of the World Professional Association for Transgender Health (WPATH), formerly the Harry Benjamin International Gender Dysphoria Association (Coleman, 2009). In considering the next revision of the SOC, a number of articles were commissioned to examine various parts of the current WPATH SOC and to review the literature pertaining to those sections. These papers were designed to (1) review the evidence (and provide us with references), (2) point out where research is lacking and needed, and (3) make possible recommendations (significant and cosmetic) to the SOC based upon new evidence. This article introduces the second set of articles pertaining to psychological assessment and approaches to treatment.
- Gender identity disorder
- Standards of care

domain: library


Taco has released the Hot-Link system for hot water recirculation, ideally suited as a retrofit solution for homes without a dedicated return line. The Hot-Link system includes a composite bypass valve and a stainless steel circulator with a timer and line cord. The one-pump, one-valve combo is easily installed and does away with the need to run a dedicated return line back to the water heater.
The Hot Link technology eliminates the wait for hot water, and the wasting of thousands of gallons of water down the drain while waiting for hot water to arrive. The system provides greater convenience and comfort, delivering hot water in an instant. Hot-Link conserves water, energy and cash.
The timer on the pump enhances its energy efficiency during evening and mid-day downtime. Hot-Link begins working when the timer-activated pump, which can be conveniently installed at the water heater, pushes hot water toward a one-way Hot-Link bypass valve beneath the furthest fixture in the house. The Hot-Link valve acts as a sort of a draw bridge between the hot and cold water supply lines. As long as the water in the hot line remains cold, the valve stays open and the cold water is sent back to the water heater through the cold water line. But when incoming water reaches approximately 100°F, the Hot-Link valve closes. Hot water is delivered immediately when any tap is turned on in the house.
Without hot water recirculation, waiting for hot water to reach faucets or showerheads could take 2 to 3 minutes and can easily waste 15,000 gallons a year per household in the U.S.
Taco is committed to technology and products which reduce waste, save energy, conserve water and have an overall beneficial impact to the environment. The Hot-Link system is just one of the many products Taco offers to make this world a little greener.


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I have fallen in love with the combination of pink, blue, and Chinoiserie, as you have seen in my Chinoiserie Chic kitchen in the One Room Challenge. This stunning pink and blue Chinoiserie dining room is by Ashley Whittaker. Remember that you can always review all my One Room Challenge posts by clicking on the ORC button in my sidebar.
I grew up in Europe and Lake Forest, Illinois. After graduating from The Ferry Hall School, Bryn Mawr College, and George Washington University Law School, I practiced law in Washington, D.C. Now I am devoting my time to three of my great passions - interior design, blogging, and Chinoiserie.
Please visit me at my other blog Style Redux-a blog about great style in fashion, interior design, and a bit of everything else. It may be vintage or new, budget or designer. It's all about living a life of style.
Contact me for your next decorating project in person in the Washington, DC metropolitan area
or for online eDecorating anywhere.

domain: design


HARRISBURG -- State lawmakers received more than $2 million for their lodging and meals during fiscal 2012-13, with the bulk of the taxpayer-funded reimbursements not requiring any receipts.
The Scranton Times-Tribune reported Sunday that lawmakers spent about $1.8 million for per diems -- the daily allowances for lodging and meals that are tax-free and require no receipts -- and nearly $200,000 more for lodging and meals which require receipts.
The paper reported senators received reimbursements of about $5,700 on average, while House members averaged about $8,500.
Senate Chief Clerk Russell Faber said a number of lawmakers are putting brief notations in records explaining what expenses are for on days the Legislature is not in session, to show how they relate to legislative activity.
Police: Child was in car in high-speed chase
ALTOONA -- Police said a Pennsylvania man who crashed after a high-speed chase had a 3-year-old and a pregnant woman in the car.
Authorities said 24-year-old Toryan L. White, of Altoona, allegedly fled a traffic stop at about 3 a.m. Friday.
The Altoona Mirror reported that White allegedly accelerated the SUV and later almost struck one of the officers' vehicles. Police said he ultimately struck a bridge and came to rest, then allegedly ran into the woods, leaving a pregnant woman and her 3-year-old son in the vehicle.
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JOHNSTOWN -- Auditor General Eugene DePasquale said the Greater Johnstown School District can't properly document $8.7 million in state funds.
The Tribune-Democrat reported that DePasquale made the comments Friday. DePasquale said the district has not provided documents to support the accuracy of $8.7 million in transportation reimbursements since the 2002-03 school year.
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-- from wire reports


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One despairful truth: Any girl could have saved you. Not one did.
You are one person. Saving one person with love is easier than drinking a glass of water. You've met countless human beings, of which countless are women who consciously decided that your suffering deserves no empathy and collectively decided that you don't deserve being saved. A high percentage of those then proceeded to reward causes of your suffering, with bullies being spoiled with sixty tons of love every endless year of your life. They went on to marry chronical abusers, get hit and spanked, and yet convince the media that the violent men are ones like you, because the ones abusing them "can be changed", while you can't.
I have been trying for so long to not be a misogynist. Yeah, no individual woman ever targeted me, but contemporary feminine culture have. How am I supposed to inhibit hate? How am I supposed to love and respect the system that stares at the abyss of my heart and ignores it because my kind is supposed to play a villain?
They killed me. Devils in dresses have mutilated my soul and I am, for all intents and purposes, dead. I have no objectives, I have no dreams, I have no aspirations, I have no ideas, I have no person I want to see smiling, I have no life. All I have is a moving body doing the will of my family.
It's a closed and dark empty room with nothing but a cabinet. On top of the cabinet, hate is in display. There's no door in this room, no window through which to leave, just hate on display on top of a cabinet. Should I stay forever in the corner of the room, proud that at least I'm not embracing that red-hot hate? Even though this representation of hate is filling the room with heat and a red smoke, luring me to have one single emotion?
It is over, and I don't mean it like the meme. This is actually the end.
Thank you, "queens".

domain: psychology


text:
Good behaviour is based on good relations between parents/guardians, child and school.
In St Bernadette’s we hope to foster this ideal in co-operation with our parents/guardians. We have adopted a positive code of behaviour with emphasis on encouragement and reward so that good behaviour can prevail in our school.
Our ethos is that as our pupils have individual requirements they should be treated with positive support, dignity and respect in trying to meet their needs as regards behaviour management.
The Board of Management of the school has ultimate responsibility for behaviour in the school. Within the school, the overall day to day responsibility for behaviour rests with the Principal. Each teacher has the responsibility for the maintenance of good behaviour and good order within his/her classroom while sharing a common responsibility for good behaviour within the school premises.
Every effort will be made by all members of staff to adopt a positive proactive approach to the issue of behaviour in the school. Our code offers a framework within which positive techniques of motivation and encouragement are utilised by all staff towards the children. The school therefore places greater emphasis on encouraging and rewarding good behaviour than on sanctions in the belief that this will, in the longer term, produce the best results.
The school recognises the variety of differences that exist between the children and the need to accommodate these differences in so far as this is practical.
All efforts are made to match the curriculum to the abilities, aptitudes and interests of each pupil. IEP’s are in place for all pupils and these are developed alongside input from teachers, pupils (if applicable), parents and other external personnel, if available, for this process.
Parents/guardians can support the school by encouraging their children to understand the need for school rules, and by communicating any relevant concerns to the school.
Click the link below to download our full Code of Behaviour policy:


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(Member of Boom Festival / Being Gathering / Good Mood Lda / IdanhaCulta)
Born in Lisboa, Portugal. He is one of the current co-managers of Boom Festival and the Being Gathering, 2 transformational and changemaking festivals. University degree in Social and Organisational Psychology (ISCTE – University of Lisboa), later started a MA in Culture Management. Learning new things is a passion: Permaculture, Bio Villages Design, Bio Agriculture, studies at THNK School of Creative Leadership, sports, meditation, or copywriting are part of his education.
His love for music led him to be active on the electronic music scene in Portugal since the mid 90s: involved with Boom since the early days as party goer and production staff; organised and curated events of several genres; worked on communications and media; wrote and produced documentaries and books, or curated music releases.
Representing Boom, he has been a guest speaker in events such as ADE, Nuits Sonores, Green Events and Innovations, ADE Mumbai, CTM, Talk Fest, Green Operations, BIME, to name just a few. His purpose as a Boom team member is to positively affect people through initiatives that transform people and regenerate the land to awaken the subversive self of the Boomers so they can transform their communities when going back home.

domain: artistic


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I LOVE HARRY POTTER, MAN!!!!!!!!!!
Evelyn Grace had dated George Weasley when she was in school. But that was years ago. Her heart was broken by George Weasley, but that was before she could tell him about her pregnancy. Seven years after her heart break in 1998, Evelyn is living in the Leaky Cauldron with her two children. In those seven years, Evelyn had never seen George. Not once. Join Evelyn and George on their journey to reconnection and lov
Genres: Humor, Romance Era: Post-Hogwarts Characters: George, Ginny, Molly, OC Pairings: Other Pairing
Advisory: Mild Language, Scenes of a Mild Sexual Nature, Contains Spoilers
Published: 2012.02.06 Latest Chapter: 2012.02.20 Updated: 2012.02.20 Status: WIP (1433 words)

domain: literature


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The Baywatch star, 55, claims she asked him to campaign for the release of jailed Wikileaks founder Julian Assange, but was left unimpressed by his response ... The Baywatch star, 55, claims she asked then-Prime Minister ScoMo (pictured) to campaign for the release of jailed Wikileaks founder Julian Assange, but was left unimpressed by his response.
Especially the empathy of that segment of the public more sensitive to the WikiLeaks ... In advising the Swedes not to question Assange in the United Kingdom, the Crown Prosecution Service helped create the legal paralysis trapping the WikiLeaks founder in Britain from 2010 onwards.
Dey StreetBooks. “I didn’t realize how much anger I was holding in Pandora’s box,” Pamela Anderson writes in her new memoir, Love, Pamela. And she’s not holding it in anymore ... She says she was actually a tomboy growing up ... and involvement with WikiLeaks founder Julian Assange all started because of a belief in leveraging fame for the greater good ... .
Show additional share options ...Pamela Anderson’s unlikely relationship with Julian Assange isn’t just surface level, with the actress and author expressing a profound connection with the WikiLeaks founder built on mutual respect in her memoir Love, Pamela ... She sees Assange and WikiLeaks as the extreme version of speaking truth to power.
The last part of the documentary also feels a bit scattered, venturing into areas like Anderson’s animal-rights activism through PETA, her advocacy for WikiLeaks founder Julian Assange and, finally, her Broadway debut in “Chicago.” At its best, “Pamela, a love story” strips away ...
Pam is always a VIP to us!. In the '90s, few female celebs were bigger than Pamela Anderson... I’m happy it’s still playing all over the world. The character is me ... Prior to her marriage to Hayhurst, Anderson was rumored to be dating Julian Assange, the founder of WikiLeaks who's been charged with various crimes for leaking classified military documents.
WikiLeaks founder Julian Assange spent almost seven years in the EcuadorianEmbassy in London. During that time, many celebrities visited him to show their support. Among them was also TV star Pamela Anderson - a firm Assange supporter, who recently decided to reveal details of their rendezvous ....
government, under both Republican and Democratic presidents, has been the whistleblower website Wikileaks. Wikileaks gained international attention in 2010 after publishing a trove of classified documents leaked from the U.S ... This brought increased attention to the founder and editor-in-chief of Wikileaks, Julian Assange.


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Old Testament: Lev 16.32–34
To read the Bible in a year, read Leviticus 15–17 on February 13, In the year of our Lord Christ 2022
By Don Ruhl
Once a year, the Lord wanted the high priest to make atonement for the entire tabernacle and for the people. He stated why this was necessary:
“And the priest, who is anointed and consecrated to minister as priest in his father’s place, shall make atonement, and put on the linen clothes, the holy garments; then he shall make atonement for the Holy Sanctuary, and he shall make atonement for the tabernacle of meeting and for the altar, and he shall make atonement for the priests and for all the people of the assembly. This shall be an everlasting statute for you, to make atonement for the children of Israel, for all their sins, once a year.” And he did as the LORD commanded Moses.
– Leviticus 16.32–34
Sin ruins everything. Therefore, once a year, the priest needed to have this special service that everything might be cleansed of man’s sin.
The children of Israel sinned, and the rest of humanity sinned, and ultimately an atonement for all time had to be made, and that is where the ministry, culminating in the death of the Lord Jesus Christ, comes into play. He provided the true atonement that removes our sin forever.
- What did the priest wear for this ceremony?
- Has Jesus forgiven you of your sins?
To subscribe go to EmailDevotionals.com and click “Follow”


“Despite being in the prime of their youth during the 1960s, and against all odds, my parents did not own a single record that anyone with mildly discerning taste in popular music at the time might have considered cool—save for perhaps Simon & Garfunkel’s Bridge Over Troubled Water. Though to be fair, someone undoubtedly must have given it to them as a gift, or more likely left it by accident. To this day if the title track from said album comes on the radio my father mistakes it for Bette Midler’s “The Wind Beneath My Wings.” The point is, while I’d like to at least believe I have good taste now, we’re certainly not all born with it.”
“Don’t get me wrong, we had plenty of records neatly alphabetized in the old console, a handsome rectangular wooden box, replete with built-in radio to the left, and a bulky metal turntable on the right. But we’re talking Lawrence Welk, Perry Como, An Andy Williams Christmas, lots of musicals and soundtracks, and one particularly square gospel record autographed by a friend of my mother named Dottie.
There were a few other odds and ends, but it all added up to a perfect storm of sinister musical fuckery! This may all sound rather judgmental in 2017, but the truth is, I actually adored and devoured these records. I must have listened to How The West Was Won a hundred times over. And to this day, John Denver is most certainly not a “guilty pleasure.” Still, not to own the most obvious Stones or Beatles album at the time seemed a deliberate act.
Eventually, my sister procured the Grease soundtrack and Debby Boone’s You Light Up My Life. I can’t say I didn’t listen to it, as I still know all of the songs. Plausible deniability aside, I knew something was very wrong. Though how do you know that something better is out there if you haven’t heard it yet? At any rate, it wasn’t until I stumbled upon a radio broadcast about the secret death of Paul McCartney and his subsequent imposter that I finally discovered The Beatles. That discovery may seem rather vanilla and ubiquitous now, but it wasn’t far removed from their heyday at the time. I was hooked.
I remember feeling somewhat excited and nervous when I realized I should be buying my own records. So I walked up to Clark Music on the square in Decatur, GA and bought Meet The Beatles. After wearing it out, I wanted more. The problem was that Clark Music, on the whole, looked a lot like my parents record collection. They didn’t have any other Beatles records. And I didn’t need any Mac Davis albums. Surely there was somewhere else.
And behold, there it was! The magical Wuxtry Records, only a short bike ride away in the opposite direction. The guys in this store looked a lot different than straight-laced old Harry Clark. They had long hair, and bad attitudes, and there was a big poster that said The Sex Pistols in the window.
It took me a while to work up the nerve to go in. I think his name was Chuck. He had glasses, a mop of curly black hair, and if a friend of mine is to be trusted at this late date, a severe case of dandruff. Nonetheless, he carefully guided me along as I bought album after Beatle album, starting with the earlier loveable stuff. Maybe he was trying to ease me into the drug-fueled psychedelic period, as I was still just a little boy on a bike from the neighborhood. Let’s just say I owe him a debt of gratitude, as I soon graduated to R.E.M., The dbs, Let’s Active, The Church, The Chameleons…and the list goes on.
Miraculously, Wuxtry is going strong today. It’s still in the same storefront, and dare I say, perhaps some of the same staff may work there? I’ll visit on the rare occasion I find myself in Atlanta. Though its very existence brings me back to the same question, how do you know that something better is out there if you haven’t heard it yet?
I’m not one to rail against the new paradigm in music consumption. That train has left the station. I do, however, lament the endless choice offered by a nameless blank search screen. The Internet is not the great equalizer after all. And that’s why vinyl has assumed so much importance in recent years. Sometimes we need someone in the know to curate our burgeoning musical curiosity; or to take a chance on that band with the cool album cover while flipping through a stack of records.
I can attest to the intensive work it takes to produce an LP, having recently released a posthumous double album on clear vinyl from my old Athens, GA band Seven Simons. For a year, it was like a second job. But to me, it was all worth the effort. Maybe to someone out there it will mean something as well.
And by the way, Post by Seven Simons is available at Wuxtry Records!”
Published by The Vinyl District: http://www.thevinyldistrict.com/storefront/2017/05/les-biches-the-tvd-first-date/


Your tire pressure must meet the requirements of the vehicle and tire manufacturer. Under normal circumstances, the vehicle's load and conditions of use are different, and the inflation pressure of the tire is also different.
The specified air pressure usually refers to the air pressure of the cold tire and cannot be lower than this value. The hot tire will have a higher air pressure due to the heat generated during driving. Do not lower the tire pressure when hot tires, because when the tire cools, its air pressure will be lower than the minimum allowable tire pressure.
Tire pressure should be checked and adjusted every 14 days (including spare tires, if equipped). It is necessary to check and adjust the tire pressure before making a long trip or vacation. According to the instructions, additional loads may result in the need for higher tire pressure.


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Vegan Frozen Strawberry Pie is for those of us in want of healthy fruits and nuts, a hint of sweetness, frozen into a creamy vegan dessert!
Strawberry Desserts To Welcome Spring and Summer
A beautiful spring morning in a field of strawberries, a cool mist settled over the leaves, reminded me of the crystals that form over the top of a frozen summer dessert.
I knew exactly what dessert would be made of my morning basket of strawberries.
After a long cold winter, a strawberry plant beginning to show fruit, gives me hope that spring is close.
For this reason, I keep a few strawberry plants indoors that usually bare fruit a month before the outside patch is in bloom.
When strawberry season arrives, we are suddenly overwhelmed with this scrumptious sweet fruit, and so this frozen strawberry pie was created to enjoy long after strawberry season is over.
Individual Frozen Strawberry Pies
While making a 9-inch pie is what we often do, since I have a large family, I have come to enjoy individual pies instead.
Especially since a large family has varied tastes and diet choices, it is easy to mix and match in small portion size pies.
For a luncheon or tea time size treat, I will usually use the 4-inch springform pans, making for the perfect size to wow a guest.
However, for lots of smaller pies, I have a huge collection of Mason jar lids I use for a smaller size of about 3-inches across and less than an inch high.
Here is how you use them, for both frozen or baked recipes.
It’s A Vegan Dessert But Shhhhh Don’t Tell
It’s vegan. Okay, so what? Well, since this luscious frozen pie doesn’t have dairy or eggs, or even gluten ingredients, it is idea for everyone!
Nuts, dates and hemp seeds make up the crust, while coconut milk and lots of strawberries make up the creamy filling.
Honey or agave is really not needed in this dessert unless your strawberries are not very sweet, or your approach to vegan recipes removes honey.
With each bite, remember those sweet dates are in the crust, so taste the strawberry cream once it’s pureed and see if your strawberries need a little kiss of sweetness.
Healthy Frozen Summertime Desserts
Many decadent swaps can be made from this Frozen Strawberry Dessert. However since spring is ‘pre-bathing suit’ season, I opted for my healthiest strawberry version.
However, this gluten-free, dairy-free, very-little-sugar dessert that satisfies each and every time I make it, can also be made with a variety of other fruits as well!
While a Strawberry Shortcake is certainly the desired dessert around Mother’s Day, since the strawberries just arrived, I am in want of less calories and a healthier option for the rest of the summer.
- Frozen Strawberry Daiquiri – With or without rum this Frozen Strawberry Daiquiri Mocktail with lime, is the most refreshing icy drink you will sip, all summer long!
- Strawberry Lemonade Popsicle – with fresh strawberries in homemade lemonade because isn’t THIS Summertime!
- Strawberry Rhubarb Ice Cream – Creamy sweet strawberry ice cream with the slightly tart addition of rhubarb and ginger makes for a most refreshing ice cream treat!
- Thyme Strawberry Jam – an herbal and strawberry fruit jam, just sweet enough to make it versatile for a variety of sweet or savory uses.
- Farm Fresh Strawberry Tarts – of buttery pastry, cream or coconut milk custard and lots of fresh strawberries, are a delicious way to welcome spring!
Freeze Now Enjoy Frozen Desserts Anytime
I often keep a batch of Mason Jar Lids, already prepared with my date, nut and hemp seed crust so all I need do is take them out and fill them.
They are small and just enough for a sweet tooth.
For a luncheon size dessert I will opt to fill a few individual size spring-form pans with the same crust for an impressive dessert.
As for the easy strawberry filling, slightly sweetened with a very ripe banana, you have a fabulous frozen pie or even just a ‘Nice Cream’ with strawberry.
Freeze a batch now and enjoy all summer.
- Pitted Dates
- Hemp seeds
- Coconut milk
- Agave, honey or date syrup – if you’ve never tried date syrup, it is naturally sweet and deliciousl.
- Food processor or blender
- Removable bottom pans or Mason jar lids – I’ve used these for both cold and baked goods and love them.
- Measuring cup
- Measuring spoons
- Cutting board
- Chopping knife
Vegan Frozen Strawberry Pie
- 4 individual removable bottom pans
- Food processor or blender
- 1 cup Dates pitted and chopped
- 1 cup Walnuts or cashews
- 1/4 cup Hemp seeds
- 1 tbsp Cinnamon
- 1/2 tsp Salt
- Strawberry Filling
- 2 cups Strawberries sliced
- 1 Banana very ripe
- 12 oz Coconut Milk
- 1/4 cup Date syrup, Agave, or Honey optional
- Place the crust ingredients in a processor and grind to a chunky paste. Divide crust-paste among the dishes or removable bottom pans. Press firmly on bottom, and about a half-inch up the sides. Place in the fridge to firm while working on the filling.
- Place the strawberries (saving a few for garnish), banana, coconut milk and sweetener (if needed), into a blender or food processor and whirl until creamy and no lumps remain.
- Pour the creamy batter into prepared dishes/pans, lined with crust.
- Place in the freezer for about four hours, or until you are ready to serve. A drizzle of date syrup across the tops, and few slices of fresh fruit on top as a colorful and delicious garnish!

domain: food


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Notification of a person in need of guardianship
You can submit a notification on another person being in need of guardianship, if they are unable to manage their own affairs due to illness, deteriorated state of health or another similar reason, and their affairs cannot be managed in an appropriate manner otherwise. You can submit the notification regardless of confidentiality provisions. Complete the form for a notification of a person in need of guardianship (in Finnish).
Upon receiving the notification, the guardianship authority will investigate whether the individual the notification refers to is in need of guardianship. If a person is incapable of managing their affairs due to an illness and these will not be otherwise appropriately handled, the person is in need of guardianship. In this case, the guardianship authority submits an application to the court for the appointment of a guardian.
What duties can be assigned to the guardian?
A guardian may be appointed to manage the property and financial matters of another person (client). A guardian may also be appointed to perform an individual task, such as the sale of a property or the distribution of inheritance. A guardian may be appointed to manage financial matters for a fixed period (e.g. two years) or the appointment may remain in force until further notice. A guardian’s position can be terminated if the need for guardianship ends. In certain cases, it is possible to also appoint a guardian to represent their client in a matter concerning the client’s person, such as when deciding on the place of care, if the client is no longer able to understand such matters.
If the appointment of a guardian is not alone sufficient to secure the management of the affairs of the person to whom the notification relates, the functional capacity of the client may be restricted with a court-issued decision. For example, functional capacity can be restricted so a person (the client) can only borrow together with their guardian.
Who can be appointed as guardian?
A private person (e.g. a relative or another person who is close to the subject of guardianship) may be assigned to the task of guardian, if they give their consent to taking on the task and are suitable for the task. A public guardian may also be appointed to act as a guardian of several persons. A public guardian’s full-time job is to is manage the financial affairs of several different people.
A guardian responsible for the management of financial affairs is accountable to the guardianship authority. A guardian has the right to receive a reasonable fee for the performance of their duties and compensation for necessary expenses. A guardian may not disclose information on the client to others without the client’s consent.

domain: law


2020 Skoda Octavia vRS spy shots and sketches - pictures
2020 Skoda Octavia vRS in spy pictures and official sketches
Full 2020 Skoda Octavia vRS engine range detailed
Skoda’s engine range for the Octavia vRS topped by a 242bhp turbo petrol
'Top speed may ultimately be pointless, but it’s still fun chasing that childhood rush'
Doing the best part of 230mph in a Skoda Octavia vRS was strangely undramatic
New 2020 Skoda Octavia revealed – value-driven hatch and estate head upmarket
Skoda sharpens up the stalwart of its range, but without deviating too far from the established Octavia script
Ferrari Omologata revealed – latest bespoke commission a V12 super coupe
One-off Ferrari Omologata revealed with bespoke body 789bhp V12 engine
Porsche Panamera Turbo S 2020 review
Monster straight-line pace and impressive handling, but the Panamera sweet spot is found elsewhere
All-new BMW M3 Competition revealed – an icon reborn
This is the all-new BMW M3 Competition saloon which will join the M4 Competition coupe in BMW M’s new M3/4 family
Lamborghini boss Stefano Domenicali named new F1 CEO
Lamborghini’s CEO to take charge of F1 from 2021.


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Djibouti dispatches fact-finding team to Somalia-Kenyan border amid tension
DJIBOUTI - Djibouti has sent a fact-finding committee to the Kenya-Somalia border to assess the situation following claims by Mogadishu that KDF is mobilizing and arming militia to attack the Somali army bases in the Gedo region.
Djibouti's Foreign Affairs Minister Mahmud Ali Yusuf told reporters that the team included diplomats and senior military officials left for Mandera and Beled-Hawo on Friday to find the reality on the ground.
During the visit, the committee will meet with officials and the local communities in both border towns in efforts aimed to assess the overall situation and record the latest events and the current developments.
“The fact-finding commission from Djibouti will assess the situation along the Somali-Kenyan border, particularly in Beled Hawo and Mandera, where tensions have been high these days,” said Yusuf.
The move has come as a result of the 38th Extra-Ordinary Summit of the Assembly of Heads of State and Government of the Intergovernmental Authority on Development (IGAD) held in Djibouti last week.
The summit which was held after FGS sent a protest letter against Kenya to Abdalla Hamdok, Sudanese PM who is the current Chair of the IGAD Assembly, focused on the conflict in Ethiopia and the diplomatic spat between Somalia and Kenya.
In his address, African Union Commission Chairperson Moussa Faki Mahamat said the diplomatic tension between Kenya and Somalia was a concern for the AU and called to end the row within the IGAD bloc.
IGAD asked both countries to open dialogue and de-escalate the tension. Somalia and Kenya have been trading accusations for the last weeks as the relations soared after Mogadishu cut off ties with Nairobi.
Somali Government has summoned its ambassador and all diplomats in Nairobi and asked Kenya’s envoy to leave the country within seven days in protest of frequent interference in its internal politics.
Kenya is one of the five East African nations that contributed troops to the African Union Mission in Somalia (AMISOM) and it has been hosting a large population of Somali refugees in Dadaab camps since 1991.


ECNL Recap: Opening the floodgates
PDA put together a strong weekend against local rivals. Amelia Paternoster scored twice on the way to a 4-0 victory over Match Fit Academy – Jillian Wachira notching a pair of assists as well – while Jessica Schildkraut scored twice and assisted in a 3-0 victory against Continental FC Delco on Sunday.
A goal and an assist from Kayla Lanza proved decisive as Connecticut FC topped East Meadow SC 2-1. On Sunday, CFC secured an unbeaten weekend, matching Albertson SC in a 2-2 draw.
A hat trick from Michigan Hawks forward Alexa Spaanstra provided the bulk of the scoring as the Hawks beat Eclipse Select 5-1 on Sunday. This came after the Michigan side opened the weekend with a 0-0 draw on Saturday against Sockers FC.
FC Stars of Massachusetts took on the FC Bucks and came away with a 3-1 win in the rain on Saturday. Kiley Larocque and Jenna Barnes scored for the Stars in the first half, but a tally by Danielle Meenan of the Bucks closed the gap early in the second. Late in the game, Stars forward Gabrielle Brummett found the back of the net to secure the result. Sunday’s match against Penn Fusion saw Stars attacker Hannah Reiter put them up 1-0 on a strike from 25 yards out. Cashlin Copley countered shortly thereafter for Penn Fusion to tie things up. Brummett scored for the Stars to put them back ahead, and with the rain picking up and time winding down, Stars keeper Amanda Fay stuffed a Penn Fusion breakaway. Not to be denied though, Copley scored her second goal in stoppage time to give Penn Fusion a 2-2 tie.
Catarina Macario, Taylor Kornieck and Jordyn DiCintio each scored in the San Diego Surf’s 3-1 win against Real So Cal on Saturday. Macario and Kornieck also found the back of the net in the team’s 4-1 victory the following day.
Reigning ECNL champions De Anza Force maintained its high-scoring form playing for the first time since November, grabbing two 7-0 wins against Utah Avalanche and FC Nova respectively. Forward Kayla Fong bagged a hat trick in the first win, and followed that up with a four-goal performance on Sunday.
Natalee Heiser netted the game’s only goal, guiding FC Dallas to a 1-0 win against local rivals Solar Chelsea SC. FCD sits in first place in the U16 Texas Conference.
It was a solid showing from Mustang SC, which scored seven unanswered goals from its two games over the weekend. Morgan McGarra, Madison McNamara and Rachel Speros scored in a 3-0 defeat of FC Nova. On Sunday, Brooke Cilley score twice and assisted in a 4-0 victory against Utah Avalanche.
Erin Gilroy’s hat trick was all the scoring East Meadow Soccer Club would need, as the New Jersey side defeated Connecticut FC 3-1 on Saturday. Gilroy also netted a brace as East Meadow made it two wins from two games, a 2-1 victory against SoccerPlus Elite.
Thanks to goals from Zoe Boocock and Tess Sapone – setup by Emily Fox – FC Virginia edged Virginia Rush 2-0.
Matchfit Academy beat rivals PDA 3-0 Saturday in the first ever ECNL meeting between the two New Jersey powers. The pace of Virginia commit Hana Kerner helped open the scoring, as she finished from close range to open up a 1-0 lead. Kayla Jennings (Maryland) and Holly Confalone (Boston College) scored the other two Matchfit goals on the day.
Alex Mesropyan from World Class ECNL scored an early goal that helped World Class to a 1-1 tie against Matchfit on Sunday afternoon. Hana Kerner scored her team leading, 6th ECNL goal to salvage tie for unbeaten Matchfit. PDA bounced back on Sunday, beating Continental FC Delco 3-0.
Two goals from Haleigh Echard played a big part in Penn Fusion’s 5-2 victory against Scorpions SC. Marissa Sheva, Charlotte Williams and Deirdre Bradley also scored in the win. Sunday also saw the Fusion win 3-1 against FC Stars of Massachusetts – Echard notched a goal and two assists, while Sheva bagged a brace.
PDA midfield Rachel Corboz was in the thick of a pair of PDA victories once again. The Georgetown-bound midfielder scored and assisted in a 3-0 win against Match Fit Academy – Colby Ciarrocca and Katelyn Walters also getting in on the scoring action. Lauren Jankowski and Lauren Dimes then both scored in a 2-0 defeat of Continental FC Delco.
U.S. U18 WNT’s Emily Ogle played a significant role in a 4-0 win for Internationals SC. Ogle scored twice in a win against Bethesda SC, while Logan Harvey and Victoria Martinis also scored.
Pilar Torres, Jessica Morales and Kyra Carusa all got in on the goals as San Diego Surf held on for a 3-2 win against Real So Cal. Torres scored a hat trick in Sunday’s 5-1 win against Strikers FC, with Jessica Morales and Carusa also scoring.
- SIMA Recruiting Roundup: October 18-24
- How Do I Get Scouted by TopDrawerSoccer?
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- Soccer Masters TeamRank Update - Boys
- Conquering Resistance to Change
- Women’s Player of the Year: Clear fave?
- DPL National Club Rankings for September
- Commitments: USL Academy star picks
- Women’s Weekend Preview: Pac-12 clash
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Club Rankings HQ
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- Soccer Masters TeamRank Top 25


Since Democratic leaders in Washington are famously incapable of showing any backbone, they're obviously not responsible for President Bush's tumbling fortunes.
The president's problem is Republicans.
Several polls showing 57 percent of Americans don't believe President Bush is honest or ethical (and 60 percent disapprove of his competence) are the upshot of decisions made by his own White House brain trust: the dead-on-arrival Social Security reform sham; phony grounds for the bloody, costly Iraq war; the shameful "culture of life" political exploitation of brain-dead Terri Schiavo; draining the national treasury of its surplus; the indictable leak of a CIA operative's name for political revenge; nominating a deplorably unfit political hanger-on for the Supreme Court, to name but a few blunders.
Wary Republicans now run from the president: his campaign appeals for Republican gubernatorial candidates in Virginia and New Jersey turned into kisses of political defeat. Ultra conservative Arizona Congressman J.D. Hayworth said on "Imus in the Morning" radio show he doesn't want Bush campaigning for him. Sen. Rick Santorum, the exemplary Republican poster boy for Christian politics, fled to the opposite end of Pennsylvania when the president spoke in Wilkes-Barre.
The most gaping fissure among Republicans, however, involves what could be called "values," a quality the Bush-Cheney team embraced as its paramount virtue and its commanding dictum.
On one side is the frantic Vice President Dick Cheney, bullying Congress to exempt Central Intelligence Agency black bag operations from humane treatment of prisoners.
Opposing him is Arizona Republican Sen. John McCain, arguing that abandoning civilized standards would debase American values, jeopardize captured U.S. troops, forever blacken the U.S. reputation as a nation of thugs, and yield no useful intelligence.
Now whom do most Republicans trust in this showdown—Cheney, who dodged Vietnam War military service five times with deferments until he was too old to be drafted because he claimed "other priorities" than serving his country? Or McCain, the former Navy fighter pilot who endured more than five years of torture as a POW in Vietnam?
When senators voted, 90 rejected Cheney's plan and approved McCain's amendment to a defense bill. Nine senators supported winking at abusive treatment.
Now President Bush threatens a veto of the ban on CIA interrogators using "aggressive" treatment of prisoners.
Imagine global headlines:
"Bush endorses torture."
If the CIA doesn't torture, as the president insists, then why are he and Cheney so adamant about needing a waiver on Geneva Convention standards? And why are CIA prisoners interrogated in secret foreign prisons beyond congressional oversight?


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The Art History, Visual Studies and the Critical Museum Studies programs are committed to exploring the visual arts (painting, sculpture, performance art, graphic arts, architecture, photography and decorative arts) and today’s broad and immersive visual world as tools for exploring and decoding culture.
The Art Research Library within the Department of Art contains a slide collection of approximately
The ARL includes common images used in Art History curricula across the country, and unique, highly valuable images such as
The ARL also houses:
Buffalo and Western NY are fortunate to have a number of large institutional museums and galleries along with private commercial showcases for art.


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Miss Saigon flies into the Alhambra
The musical Miss Saigon literally explodes on to the Alhambra stage and from that moment ‘The Heat Is On’
First staged in 1989 and the second offering of Claude-Michel Schonbert and Alain Boublil after their success with Les Miserables, it is a story about love, separation and hope through hardship and sacrifice.
The plot was inspired by Puccini’s opera Madame Butterfly, where a Japanese geisha is abandoned by her American naval officer husband who later returns for their son. In Miss Saigon the location is changed to war-torn Vietnam and Pinkerton becomes U.S.Marine Chris.
Typical of musicals of that period it has a strong storyline. Kim is working in a seedy bar owned by The Engineer. On her first night she meets Chris and they fall in love. But their love is short-lived when Kim’s betrothed Thuy arrives on the scene, only to be rejected and leaves broken hearted.
Chris promises to take Kim with him when he leaves Vietnam but that never happens and we meet Kim three years later living with her young son in a run-down shanty town, whilst Chris has returned to America and married his sweetheart. What follows is a heart breaking conclusion laced with high drama and emotion.
Touring a production such as this is no mean task and the creatives have achieved a production that borders on brilliance. The set design, lighting and sound are some of the best that I have seen in any touring production for a very long time whilst Stephen Brooker’s musical supervision keeps the plot moving as it trips from military and gyrating melodies to sentimental and emotionally haunting ballads.
Benjamin Osborne’s choreography is totally amazing as are the whole cast, who with turbo charged energy slip seamlessly from sleezy, overly sexy routines to flag twirling military march precision.
But its Christian Rey Marbella as the sleezy Engineer who drives the show with his brilliant mastery of a difficult role that encompasses pathos and self-preservation one moment and flips to comedy the next.
Ashley Gilmour’s Chris is everything it should be strong in both voice, character and looks and blends beautifully Sooha Kim’s virtuous, sweet and moving Kim.
As the tough marine Sergeant, Rob Herron’s John was totally convincing whilst Gerald Santos’s, Thuy successfully handled the character whose love eventually turned to hate
Runs until 20 October. To book call 01924 43000 or click here.
Liz Coggins is a member of The Critics Circle.


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As an institution focused on research and education, the Harvard Art Museums are committed to training the next generation of museum professionals. We highly value our fellows—scholars who hold or are pursuing advanced degrees in specific areas of art history, museum studies, conservation, or related fields. Still at the start of promising careers, these professionals pursue individualized projects during their short-term tenures (normally one or two years) at the museums, receiving experience in their chosen fields but also making important contributions to them.
Over the past year (and as they do every year), our fellows have helped us in innumerable ways, from researching objects in the collections to leading gallery talks and organizing art installations. For instance, Ming Tu, the 2014–16 technology fellow in the Division of Digital Infrastructure and Emerging Technology, was a part of the collaboration, design, and implementation of more than 50 Lightbox Gallery projects.
“[The] projects have been incredibly varied,” Tu wrote in the February 2016 Index article “Out of the Box,” about the Lightbox Gallery. “[A] grid of nine screens has been used for slideshows and videos to accompany talks by staff, collaborators, and artists; the video wall has let visitors overlay conservation images to see works from the collections in different light wavelengths; the wall has also served as an interactive interface to showcase Harvard students’ research; and it has been a site to present visualizations that offer new ways of thinking about the museums’ collections data.”
New perspectives on objects in the museums’ collections are among the gifts departing fellows leave behind. Fellows in the Straus Center for Conservation and Technical Studies research, conduct scientific analyses of, or even conserve objects in the collections. Claire Grech, the Australian Conservation Science Fellow, worked on a range of projects, for instance, from examining paint samples in a Donald Judd sculpture and a Lilla Cabot Perry oil painting, to analyzing pigments in Islamic lacquer. Grech’s fellowship, which was funded by the Harvard Committee on Australian Studies, was closely connected to the research for the special exhibition Everywhen: The Eternal Present in Indigenous Art from Australia.
Curatorial fellows consult existing research—and conduct their own—to help shape installations and programming. Stephanie Rozman, the 2014–16 Calderwood Curatorial Fellow in the Division of Asian and Mediterranean Art, curated a series of informative and imaginative installations for the gallery of South Asian art; one featured works on paper from the early 19th-century album Fishes of India and another displayed paintings by Indian artist Nandalal Bose (1883–1966). Rozman also played a key role in researching and proposing new acquisitions, such as Adrift (On Dvaipayana), a video projection by contemporary artist Atul Bhalla, and an important early 18th-century painting from a royal Kota-Jaipur album, among others.
Lola Sanchez-Jauregui, the 2014–16 Maher Curatorial Fellow in American Art, designed the collections gallery installation The Painter on Display, which incorporated artists’ materials from the Forbes Pigment Collection and works from the museums’ collections. The installation, displayed in the rococo and neoclassicism gallery, gave visitors a more holistic view of the practice of art making. Sanchez-Jauregui also has assisted in the organization of an upcoming exhibition about Harvard’s 18th-century Philosophy Chamber.
Quintana Heathman, the 2014–16 curatorial fellow in Japanese art in the Division of Asian and Mediterranean Art, worked with the Feinberg collection of Japanese art, an assemblage of dazzling works from the Edo (1615–1868) and the Meiji (1868–1912) periods. Heathman organized several installations of Feinberg works in the Japanese and East Asian galleries, including hanging scrolls and ukiyo-e paintings. For another installation, she curated a series of ukiyo-e prints that were displayed in the impressionist gallery, providing a fascinating glimpse into the cross-cultural artistic exchanges of the late 19th century.
Fellows are familiar faces in the museums’ Art Study Center, where they often lead seminars open to the public about their individual fields of study, or host weekly open hours to welcome visitors to the Art Study Center on a drop-in basis. In one of many articles Heathman wrote for Index, she introduced visitors to a type of object ideal for close study in the intimate setting: Japanese surimono prints. “These small works on paper, many about eight inches square, are like small jewels, shimmering in the hand when turned in the light, revealing their various meanings and secrets only after extended contemplation,” Heathman wrote.
Gallery talks about individual objects on permanent display or in collections gallery installations are another facet of the fellows’ experience. Robert Wiesenberger, the 2014–16 Stefan Engelhorn Curatorial Fellow in the Busch-Reisinger Museum, gave a number of popular talks. A particular crowd favorite was his presentation and activation of László Moholy-Nagy’s Light Prop for an Electric Stage. In addition, Wiesenberger organized and gave a talk on a two-part installation about The Ring, an international group of artists and architects who laid the foundation for contemporary graphic design with their focus on the New Typography.
The primary aim of Wiesenberger’s fellowship was to develop an online special collection called The Bauhaus, which allows viewers to access rich information about the more than 32,000 Bauhaus-related objects in the museums’ collections and archives. “We want this to appeal to all levels,” Wiesenberger told Index. “If you’ve never heard of the Bauhaus, you can use it. If you’re writing your dissertation on the Bauhaus, you will hopefully find new and rich material.”
The work of helping visitors of all ages and backgrounds connect with the museums, while balancing responsibilities as integral members of the museums’ team (and, simultaneously, growing and learning as professionals), is no easy feat. And yet, our fellows past and present have done so with great success. As we bid farewell to a number of our fellows at the end of this summer, we are looking forward to keeping a close eye on their careers. And this fall, we welcome a fresh cohort of fellows, sure to bring new energy and unique perspectives to our always evolving team.


This is the show that is getting us through quarantine. Director Eric Goode stumbles on a story that is well-known in weirdo Americana true crime circles, but there are more than 7 hours worth of conflicting stories in this feud between big cat lovers. So many mysteries remain. Who do you trust, and who can play Joe Exotic in the eventual biopic version?
Hosts Paco and George delve into all theories, play Cast This Doc and follow up with updated news!
Here's the Carole Baskin essay refuting the claims of the docuseries.
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Join the conversation every other Monday even if you haven’t seen the documentary, as we go beyond the conventional podcast recap format. Documentaries, games, comedy and analysis![This section is from the podcast author. PodMust is not responsible for its content.]
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Mob vs Mob is a "segment/spin-off" of Nova's single player Minecraft series. Despite only lasting a short amount of time, it is a popular fan favorite, even 6 years after its conception.
Episodes usually follow the same pattern, starting out with Nova flying around a giant arena he made, describing about what is going to be fighting, and how he got the idea for those creatures to fight. He spawns in the mobs that will fight in large quantities, usually 50-200, and finally breaks down the wall that separates them to watch them fight. Some episodes include special things such as more than just two mobs, and Nova himself fighting alongside one of the teams.
- Nova Spleefing w/ Monkeys & Blue Dragons vs Bears
- Nova vs. Ogres
- Creepers vs Wolves
- Zombies vs. Wolves
- Floobs vs. Guinea Pigs


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UP Willing To Give Hangmen Any Time For The Execution Of 2012 Delhi Gang Rape Convicts
Tihar Jail authorities have sought the services of two hangmen from Uttar Pradesh amid growing speculations over the possible execution of the four men sentenced to death for the rape and murder of a 23-year-old in 2012.
Tihar Jail authorities had sought the service of the hangmen from UP as they do not have any hangmen. Confirming the development, Director General (DG) of UP Prisons Administration and Reform Services, Anand Kumar said he received the letter from the Tihar jail superintendent and added that the executioners will be provided to the as and when required.
The development came shortly after Pawan Gupta, one of the convicts was shifted to Tihar Jail from Mandoli jail where the other three other Akshay Thakur, Mukesh Singh, and Vinay Sharma are lodged.
There are also reports that the four convicts who had been on death row since 2013 have been given counselling at the jail. They have also been kept on an increased vigil and are under CCTV surveillance.
Earlier, following the reports that Tihar Jail had no hangmen, several people including a serving cop from Tamil Nadu had volunteered to be the executioners of the four men who committed one of the most shocking crimes in recent times in the country. However, the Tihar authorities are likely to reject them.
One of the four death row convicts, Akshay had on Tuesday moved the Supreme Court seeking a review of its 2017 judgement which confirmed the death penalty to all of them in the case.
Akshay had not filed a review of the SC order so far. There are also reports that Vinay, Pawan Kumar Gupta, and Mukesh Singh will file a curative petition if the review filed by Akshay is rejected. Earlier Vinay Sharma had said that he is withdrawing his mercy plea to the president.
Meanwhile, Heera Lal Gupta, the father of Pawan, one of the convicts has moved a Delhi court Wednesday seeking an FIR against the sole witness in the case for allegedly giving interviews to various news channels after charging money, claiming it affected the case by "resulting into a media trial.
The witness is the male friend of the rape victim who was with her on the bus and was assaulted by the accused before he was thrown out.
The four men on death row along with minor and one Ram Singh were arrested by the Delhi Police for the gang rape and which took place on a moving bus on the night of December 16, 2012.
The victim who had suffered severe injuries died on December 29, 2012, at Mount Elizabeth Hospital in Singapore where she was shifted for treatment.
Ram Singh was found hanging in his jail cell in 2013, even before the trial had begun.
The trial court had sentenced the four convicts to death in 2013, but the execution has prolonged for nearly six years now as they challenged the order in HC and later SC.


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My Study Abroad Experience Essay
rnSynopsis (Belinda) In The Photograph of Dorian Gray, the very handsome protagonist Dorian Gray was just a naive and innocent boy until finally a charismatic nobleman named Henry Wotton arrives along and influences him. Basil Hallward, a painter who idolizes Dorian tremendously, paints a ideal portrait of Dorian and offers it to him.
Due to the fact of Henrys words about natural beauty, Dorian trades his soul for the everlasting magnificence of this portrait. From there, the gorgeous Dorian will become far more sinful and hedonistic, and with every sin he commits, his portrait variations even though he stays wonderful.
At initial, he was glad that he could do nearly anything he desired and nonetheless glimpse beautiful but in the vicinity of the conclude, the painting drove him to the edge. He tried to alter his approaches but it was as well late. rnSo the principal character in the novel is Dorian. Dorian Grey is a handsome and wealthy young person who serves as a muse to Basil Hallward.
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A dynamic character simply because he turns into a monster by the close of the e-book. He is the archetype of splendor, representing the major concept about soul corruption and natural beauty.
Apa Citation Dissertation
rnNext we have the devil, Lord Henry Wotton. He is the cynical just one and often arguing very controversial suggestions which is almost certainly why the novel was censored during that time. Many professors believe he was the illustration of the devil for the reason that he incited Dorian to commit sinful acts and then would go and have a cup of tea in the afternoon. rnThere is also, Basil Hallward with his puppy dog like. He is the artist and the just one who how to write high school english essays paints Dorians portrait.
Hes so in like with Dorian that is scared of portraying his love in his painting. He tries and fails to help save Dorian from the impact of Lord Henry and it will close up costing him considerably.
rnrnThe Excellent Gatsby written by F. Scott Fitzgerald is a novel that aims to categorical a critic relating to the American dream in the twenties which turned into an age of serious prosperity and materialism. The author portrays this period as a time where social and moral values decayed into cynicism, greed, and empty pursuit of satisfaction a period of time the place easy cash and relaxed social values reigned.
rnDon’t waste time! Our writers will produce an unique “The Phenomenon Of American Dream” essay for you whith a 15% price reduction. rnThe corruption of the American desire, the place the want for enjoyment and dollars became greater than the far more noble objectives, is what led the character of Jay Gatsby to host exuberant events every Saturday night time in his mansion. Prior to the twenties women’s principal part in their lives was to get treatment of their husbands and little ones, but in the novel we can see that they develop into additional interested in by themselves and their area in modern society becoming unfaithful in direction of their family members. Girls in the novel are portrayed in a damaging mild to represent the corruption of the American aspiration. The two major feminine figures, Daisy Buchanan and Myrtle Wilson, are represented as unfaithful, materialistic, dependent on guys and, at the exact same time, objects of need for them.
rnBoth depicted as unfaithful and materialistic. Daisy Buchanan, spouse to Tom Buchanan, is the girl Gatsby has generally been in really like with. The two experienced a romantic relationship when they were being youthful, but, the war compelled Gatsby to different from her. Despite this, Daisy promised him that at the time he returned, they would be collectively, nevertheless, she won’t maintain her motivation and will get included with a different man.


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Covid-19: For updates and resources, head to UT's Protect Texas Together site.
The Constitution of 1876 remains in force. Unlike the 1869 constitution, the 1876 constitution generally reflected public opinion in Texas at its time of drafting. While still in force, the 1876 constitution has been amended hundreds of times. Since 1876, 216 new sections have been added to the constitution, while 66 of the original sections and 51 of the added sections have been removed. The Texas Legislative Council’s Amendments to the Texas Constitution Since 1876 (http://www.tlc.state.tx.us/docs/amendments/Constamend1876.pdf) details the changes to the 1876 constitution over the past almost 150 years.
Constitution of the State of Texas, Adopted by the Constitutional Convention, Begun and Held at the City of Austin, on the Sixth Day of September, 1875. Official. Galveston: Printed at the "News" Steam Book and Job Establishment. [1875.] Winkler-Friend 3638.


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By Clay Horning
The Norman Transcript
NORMAN — Oklahoma women’s basketball coach Sherri Coale is not one to let an opportunity go to waste.
That’s why her team left Norman very early Monday morning, though it would not tip off against Arkansas until 6 tonight at the Rainbow Wahine Classic in Honolulu.
By arriving early, the Sooners would have more time to adjust to the four-hour time difference, do some sightseeing — already they’ve spent a day at Pearl Harbor — but also get ready for three important games.
After Arkansas, it’s Oregon at 6 p.m. Saturday and Hawaii at 6:30 p.m. Sunday.
OU (2-1) fell two spots to No. 13 in the latest polls and is still smarting from a home-court loss UCLA dealt it Nov. 14. The Sooners have since topped St. Louis, more than doubling up the Billikens 68-33, but a lackluster second half still left them with plenty to prove.
Of the three teams standing in OU’s way this weekend, the Hogs are the prize. Arkansas is coming off consecutive 20-win seasons and went as far as the Sooners, the second round, at last season’s NCAA tournament.
This year’s Razorbacks are 3-0 with blowout victories over Jackson State and at Oral Roberts. At Tulsa, in between, they prevailed over former Norman High coach Matilda Mossman’s Golden Hurricane 64-56 in overtime.
Oregon has yet to win in two tries, enduring a pair of home-court losses to St. Mary’s and Portland State. Hawaii enters 1-3, the lone victory over Tennessee-Martin, 73-69. Hawaii may be the only team in the nation to have already played two No. 1 teams, losing to Stanford 69-42 and Baylor 77-42 on back-to-back days last week.
If the Sooners can run their Hawaii table, they’ll stand a great chance to go on a long winning streak.
Upon returning home, their next seven games will be at Lloyd Noble Center. They’ll meet Northwestern (La.) State, Marist and North Texas before taking on No. 17 Vanderbilt Dec. 16.
Today could be the start of something.
Clay HorningFollow me @email@example.com
For local news and more, subscribe to The Norman Transcript Smart Edition, or our print edition.


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Brooks Womens Run Happy Smile Tee
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Sometimes, traditional financing isn’t an option. That’s when you need to put the expertise of Northway business bankers to work for you. Northway is a preferred SBA lender, with years of experience helping local New Hampshire businesses access the specialized lending programs available through the Small Business Administration. These loans offer especially favorable and flexible terms for eligible borrowers, often startups or businesses whose financial profile is a bit out of the ordinary. And because Northway Bank is a preferred lender, you benefit from faster turnaround and a streamlined application process and the guidance of Northway’s experienced professionals.
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domain: economics


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Basics of Caring for Your Kids’ Teeth
Jenna Schulten, DMD, and owner of Dupont Pediatric Dentistry, teaches children how to brush.
Being proactive about your child’s dental hygiene at an early age is the key to preventing cavities, says Jenna Schulten, DMD and owner of Dupont Pediatric Dentistry. Based on guidelines from The American Academy of Pediatrics, children should start going to the dentist after their first birthday or first tooth eruption. Afterward, a child should visit the dentist every six months.
“We’ve had parents who bring their kids in for their first dental check-up at age 5 or 6. When we take X-rays of their teeth, we find a lot of decay, and the parents are shocked,” she says. Dr. Schulten also says parents should limit their child’s snacking to protect their teeth. “Now that everyone is home, it is important to watch for frequent snacking because it can keep food on the teeth longer and makes your child’s caries risk high.” Dr. Schulten gives all patients a caries risk assessment, which determines their likelihood for developing cavities.
In between dental visits, she suggests using fluoridated toothpaste. “You don’t need to use a lot of toothpaste. Children between the ages of 1 and 2 need a rice-sized amount of toothpaste, and children between the ages of 2 and 5 only need a pea-sized amount,” she says.
When selecting a toothbrush for your child, Dr. Schulten suggests choosing whatever works best for your child — whether it is a mechanical or manual toothbrush. “For younger kids, the head of the toothbrush needs to be smaller to fit in the back of the mouth. You should always use soft bristles to protect the gums.” Do not use mouthwash until your child learns how to spit.

domain: medical


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Sagres departed from the first Portuguese caravels that gave "new worlds to the world 'and this is a beautiful site, 1 km from the beach. With good commercial support services and friendly atmosphere, it has residential caravans and bicycles for rent.
The surroundings invite many quiet and full rides blue sea and endless beaches to discover.
Nearby, the castles of Silves, Aljezur and Alcoutim call on the Arab presence in the area and beautiful examples abound of gilded carvings and tiles in the baroque churches.
Cape S. Vicente full of history, great natural beauty, yet Sagres premium for good food, plenty of fresh fish. grilled bream recommended and do not forget barnacles, served hot.

domain: geography