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"Pearson's stories have about them not only the cherished patina of memory, but also the wry recollection that the things we remember aren't always the way things were....his language is sure and supple."
"A poignant and insightful account...."
-- The New York Times
"Innocents Abroad Too is not only a compelling narrative of traveling around the world. It is an enlightening and delightful look into great literature, mostly by writers who, like Pearson, embraced the adventure of the voyage, on the road and on the high seas, in vivid and highly informative prose."
-- Lee Gutkind, editor of The Best of Creative Nonfiction
"A series of charming informal essays....Pearson's descriptions and interviews are first rate....a pleasant read, full of rich anecdote and detail."
-- Kirkus Reviews
Dublin at night
"Pearson's examination of Ireland and its literary children in THE ROAD TO DUNGANNON is elegant, engrossing, and even romantic. So much so, that it does the near impossible—makes me feel a twinge of pride for my own pale, pale Irish body."
Steve Basilone, known for such television series as Community and The Goldbergs,recently wrote and directed the feature film Long Weekend.
"The Road to Dungannon, Michael Pearson's lovely and multifaceted new memoir, whisks us away on a stirring quest of literary and hereditary discovery. With harmony and counterpoint the author conducts us on borderless journeys across place, time, mind, and spirit. A splendid book."
John McManus, author of Fox Tooth Heart, Bitter Milk, and Stop Breakin Down
"Every earnest trekker through the vast and shifting bogscapes of Ireland and Irish literature should consider it an essential travel guide."
Joe Jackson's most recent book – Black Elk: The Life of an American Visionary – was the winner of the Francis Parkman Prize by the Society of American Historians and a finalist for the National Book Critics Circle Award for Biography.
"Pearson is a vigilant and insightful tracker. In gathering the known and discovered influences on him, whether it is his mysterious grandfather, or modern and contemporary Irish writers, or the landscapes that reach out from the Bronx and Dublin, Pearson, in the end, hosts a celebratory party of Irishness deep in the American psyche and toasts the upsurge of spirit alive in that continuing bond."
Philip Raisor, author of That Naked Country and editor of Tuned and Under Tension: The Recent Poetry of W. D. Snodgrass


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There aren’t many mentions of Najaf in headlines these days. That’s a good thing: The city’s security situation is vastly improved, and so Najaf is less interesting to the media.
Najaf topped headlines in mid-2004, when the Shi’ite holy city suffered protracted battles between coalition forces and Moqtada al Sadr’s al-Mahdi Army, whose uprising centered upon Najaf. These days, U.S. forces are 40 minutes outside the city because of improved security, something President Bush highlighted before the Council on Foreign Relations last week.
As Brig. Gen. Augustus L. Collins, head of the 155th Brigade Combat Team responsible for security in Babil, Karbala and Najaf provinces, told reporters via satellite on Friday: “Actually, the attacks that we have now compared to attacks we had when we first got here and took over our battlespace in February are at least down by 50 percent,” he said. Gen. Collins reports that his men have captured 1,500 insurgents and confiscated 2,800 weapons.
For decades, the predominantly Shi’ite city was terrorized by Saddam Hussein’s thugs. Then, after the war, it was the site of protracted battles. Now Najaf has an elected government and political campaigns.

domain: news


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Monitor launches inquiry after NHS trust ran up £29.5m deficit in five monthsBMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5306 (Published 02 October 2015) Cite this as: BMJ 2015;351:h5306
- Gareth Iacobucci
- 1The BMJ
England’s health sector regulator Monitor has launched an investigation into the finances of an NHS hospital trust after it forecast a significant deficit by the end of the financial year.
Heart of England NHS Foundation Trust, which provides NHS services for around 1.2 million people in the West Midlands, has recorded a £29.5m (€40m; $45m) deficit in the first five months of 2015-16 and been forced to draw on its …

domain: finance


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Acreage group asks county to hold Minto project meetings at night, farther west
The Acreage Landowners’ Association has joined a growing list of groups calling on Palm Beach County commissioners to shift the time and location of their meetings when they decide the fate a controversial 6,500-home project planned on the 3,800-acre Callery-Judge Grove site in The Acreage.
In a letter sent to the commission this month, the group asked that the time of the meetings to discuss the project, known as Minto West, be moved to the evening because day jobs would prevent residents from attending.
“As we are a working community, attending daytime meetings on this proposal would present a hardship for many of our residents,” Perry Williams, the association’s president, wrote in a Feb. 6 letter to the commission. “In light of the great importance of this project, and its potential for forever changing the area and quality of life of our community, it is our hope that you honor this request.”
The commission’s meetings normally begin at 9:30 a.m. and are held at the county’s governmental center in West Palm Beach
The association also asked that the meetings be moved to the county’s Vista Center building on Okeechobee Boulevard and Jog Road, which is closer to The Acreage.
The Indian Trial Improvement District’s governing board made a similar request last month.
Several county commissioners have raised concerns about changing the time and location of meetings for the Minto project. Some say it would create a bad precedent and cause other communities to ask for similar accommodations.
In addition to the 6,500 homes, developer Minto Communities is seeking permission to build a 3,000-student college campus, a baseball stadium and 1.4 million square feet for nonresidential uses on the property along Seminole Pratt Whitney Road.
The county’s growth rules allow 2,996 homes on site.

domain: sociology


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“In the early years of life, giving up usually takes the form of faith, a leaping forward into the belief that one is loved, accepted, forgiven and redeemed just as one is, with nothing special needing to be done. In later years, giving up more often comes from despair, from the wisdom that no amount of continuing effort, no amount of fixing, will enable one to ‘get it all together.’ Despair then is forever a doorway into life.” Gerald May
Despair is a forever a doorway into life! *boom!
the beautiful new chapel at Cuddeson College

domain: psychology


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Why people want to leave Bangladesh
A few days ago, I woke up to a disturbing message from a friend who had migrated to the US, "You should really work on getting a second passport for all three of you." A few years ago, I would have just laughed it off – as I have done many times when such suggestions have been thrown at me by paranoid expatriate Bangladeshis obsessed with the "desher obostha bhalo na (things are not good in the home country)" refrain. But now, I am beginning to wonder whether my decision to come back to live and work in my own country, to contribute in whatever miniscule way, was a mistake. So I texted back with a ghost emoji, "You are scaring me, my friend." Her reply, "That's the idea. I want you to be scared."
I refrained from continuing the conversation because, honestly, I didn't want to hear why. I do not want to entertain the idea that the country I was born in, where I spent my childhood, adolescence and most of my adulthood, where my most intense emotions are enmeshed and where I discovered who I wanted to be, has suddenly become so full of odds that the only option is to leave. I wanted to be in denial.
I do not want to believe that Dhaka is the seventh least liveable city or fourth among the 20 most unsustainable cities in the world. But then I spend three hours on average every day just to travel to and from my home, watching (from the luxury of my car) my fellow citizens trying to dodge as gusts of dust from unending development fly into their eyes, fill their lungs and threaten to choke them as they wait patiently for rickety, packed buses or sit in CNG auto-rickshaws, inhaling the black sooty emissions of unfit vehicles or, in a fit of resignation, deciding to brave walking on the broken, hazardous roads. The Air Quality Index regularly places Dhaka in the "unhealthy" category. Surprise, surprise.
But seriously, should we just give up because of the traffic and "a bit of dust"? The main reason why people think of leaving their homeland is because of the feeling of utter helplessness, of things falling apart – literally and figuratively. Underneath the grandeur of shiny new bridges, flyovers and metro rails, the souls are as battered and broken as the roads that carry them.
A post by The Daily Star Opinion's Facebook page, asking how Bangladesh can prevent its brain drain, gives a glimpse of the reasons behind the despair. Lack of job opportunities, not enough income compared to the soaring cost of living – though these have always been catalysts for brain drain. But people commenting on the post cited the unprecedented levels of corruption and lack of accountability of the state and state organisations (especially the law enforcement agencies), the absence of rule of law, poor quality of education, and a general lack of social justice as reasons for wanting to leave.
Corruption has always been part of the system in Bangladesh. But in recent times, rent-seeking is the name of the game in every sphere of life – whether it is to get a driver's licence, a teaching job or even a bed in a hospital ward. Corruption has eaten up our green space, wetlands and rivers, leaving behind ugly, concrete jungles. For the ordinary citizen, life is an endless, brutish struggle.
Add to this the tribal, territorial approach of the politically connected, each claiming their little kingdoms, the ordinary citizen is left completely out of the equation. While thousands of crores of taka are laundered out of the country, the common taxpayers are asked about the source of every single taka they earn. While thousands of crores of taka have been gobbled up in delayed megaprojects, food inflation is causing people to forgo one, even two meals a day and their only sources of protein. And then thousands of crores of taka have gone to maintain private power plants for years on end, and now we can look forward to as many as six hours of load-shedding every day (in the less affluent areas, of course).
It is not just our movement that has been abnormally curtailed by paralysing gridlocks. Laws have been passed and enforced to silence voices, lobotomise brains, and tell us we cannot say/write/post anything that may seem to challenge the authority or irk its underlings. Thus, we live in crippling fear of sinister eavesdroppers listening to our private conversations, of plainclothes or uniformed men in microbuses whisking us away into darkness and oblivion.
And let's not forget the inconvenience of being a woman in a growingly misogynistic society where what I wear is the fodder for religious sermons, vitriolic YouTube discussions, and justification for hateful trolling and even physical assault. Meanwhile, the horrifying numbers keep piling up: 734 raped, 34 raped and killed, seven dying by suicide after rape, 152 murdered by husbands – all between January and September this year, according to Ain o Salish Kendra (ASK). They keep piling up because the system has gone topsy-turvy, with all the power tilted on the side of the rapist, abuser or murderer, and nothing on the side of the victim. Everything has a price tag and can be bought, whether it is the refusal to take a case, manipulation of evidence or even filing a false case against the victim.
Over the last three years, friends, colleagues and relatives have either left the country or are planning to leave. All they want is a normal life for themselves and their children. But the idea of leaving everything I know and love is too heartbreaking to ponder on. What will happen to all those left behind?
I do not want to open the text my friend has sent me again. For now, I just want to stay with the delusion of things getting better, in blissful denial.
Aasha Mehreen Amin is joint editor at The Daily Star.

domain: geography


You are here
In its various forms, Dialogue Box exists as a physical anchor to bring focus to otherwise abstract systems, providing space for both inward reflection and the outward dialogue necessary to shape the shared vision of a decolonialized future. This project seeks to reframe institutional systems initiated by settler colonialism, revealing their enduring control and the impacts of their global reach at a local scale. Envisioned as a decentralized intervention, the project critiques three institutions in Vancouver: City Hall as the seat of municipal power, the Port of Vancouver as the city’s link to the globalized capitalist economy, and the Nine O’Clock Gun in Stanley Park as a nightly reminder of the regulation of time and commodification of nature. The mirrored exterior allows it to blend into the landscape, rendered as invisible as its issues, while the materiality of the interior reinforces the narrative of each site by subverting and confronting the ideology behind its original use.


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Cutting carbs on steroids, is winstrol good for fat loss
Cutting carbs on steroids
Below are the different types, or categories of anabolic steroids, used by bodybuilders: Bulking steroids Cutting steroids Oral steroids Injectable steroidsGHG drugs GHB/GHB analogies Other drugs Not available yet: Testosterone/estradiol Injectable preparations for testosterone or gonadotropin. Can steroids cause an increase in estrogen levels, sarms for weight loss reddit? No, on steroids carbs cutting. Only exogenous (outside the body) hormones can promote feminization of a female or a male breast, the womb, ovaries and prostate, does collagen peptides cause hair loss. Testosterone, which is a potent androgen, raises the production of androgen. Estrogen inhibits growth of the prostate and ovaries. Testosterone, estrogen and thyroid hormones inhibit breast growth and development, does collagen peptides cause hair loss. But not all forms of estrogen and the thyroid can decrease breast and hormone levels, clenbuterol for weight loss side effects. How is anabolic steroids linked to prostate cancer, does collagen peptides cause hair loss? The most common causes of men developing androgen-related cancers, both benign and malignant, are either overexposure to testosterone or excessive androgen use in the young. Excessive androgen use during adolescence and young adulthood reduces the amount of testosterone an individual will produce. Testosterone is essential in males when their prostate is developing due to the increased levels that testosterone promotes the growth of the prostate gland. Androgens can make a person taller and heavier, but also cause bone density decreases and may lead to osteoporosis, can you lose weight from prednisone. In fact, the effects of excess androgens in the male body are far more likely to result in cancer of the prostate than with respect to breast cancer, since both are often associated with androgens, marine collagen peptides and weight loss. Are steroids dangerous to children? No, clenbuterol stack for weight loss. Because anabolic steroids and other anabolic androgenic drugs are not habit forming or addictive, they do not pose an increased danger to children and adolescents, clenbuterol for weight loss side effects. They are effective at a young age, when there is plenty of time for a child/adolescent to adjust to the new hormones and sexual urges. And, they are nonreactive, i, on steroids carbs cutting0.e, on steroids carbs cutting0. they do not cause problems within their environment, on steroids carbs cutting0. Do anabolic steroids result in increased muscle mass? It is hard to draw firm conclusions because, like testosterone, it can increase body mass. However, in males, anabolic steroids can produce muscle mass in response to an acute stimulus or to the gradual increase in hormone levels which are caused by muscle building during exercise. An adult bodybuilder may experience muscle growth after only a few years of steroid use, but the muscle gains are usually temporary, on steroids carbs cutting1. Can muscle mass be made up of just muscle and testosterone, cutting carbs on steroids?
Is winstrol good for fat loss
I would rank the following as the best 4 steroids for fat loss (in order): Clenbuterol Anavar Winstrol TrenboloneHGH Testosterone Enanthate HGH Trenbolone Enanthate Testosterone (Tren) Enanthate Testosterone GHRP-1 (GHRP) If you were to rank the best 4 drugs in the supplement world then you'd go: Clenbuterol Trenbolone GHRP-1 Testosterone Enanthate LHR Pills HGH Supplements Anavar Enanthate Testosterone Enanthate HGH Enanthate Testosterone (Tren) Enanthate Testosterone GHRP-1 (GHRP) If you were to rank the best 4 methods of increasing testosterone (i.e. HGH, Trenbolone, Enanthate) then you'd be: Varying Testosterone Enanthate Trenbolone Enanthate Enanthate If you were to rank the best 4 ways (taken for 3 months) to boost LHRP, i, clenbuterol for weight loss natural.e, clenbuterol for weight loss natural. Varying Trenbolone Enanthate and LHRP, then you'd be: Varying Testosterone Enanthate Trenbolone Enanthate HGH Trenbolone Enanthate HGH Enanthate Trenbolone Trenbolone Trenbolone Trenbolone Trenbolone Trenbolone Trenbolone Trenbolone If you were to rank the 3 best supplements (in order) for fat loss then you'd go: Clenbuterol Anavar Winstrol Trenbolone Trenbolone Anavar Enanthate LHR Pills HGH Supplements Anavar Enanthate Testosterone Enanthate HGH Enanthate Testosterone (Tren) Enanthate Testosterone GHRP-1 (GHRP) Trenbolone Trenbolone If you were to rank the best 4 methods of increasing thyroid hormones then you'd be: Varying Testosterone Enanthate Trenbolone Enanthate Testosterone Enanthate Enanthate HGH Enanthate Testosterone (Tren) Enanthate Testosterone LHR Pills Enanthate Trenbolone If you were to rank the best 4 ways (taken for 3 months) to boost thyroid hormones (i, can you cut a prednisone pill in half.e, can you cut a prednisone pill in half.
Anavar is one of the best bodybuilding drugs for those looking to cut body fat without losing precious muscle mass. The main reason why it is so effective is that it makes the body fat less accessible when the drugs are used. However, it won't get rid of a lot of muscle tissue, meaning that it won't lead to noticeable results. What do you think of using anavar as an anti-aging agent? Share this on and follow us! Related Article:

domain: health


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Well, whatever happened with mako, I’m glad it hasn’t come between us. I’ve never had a girlfriend to hang out with and talk to before.
Knowledge is powah~
He knows he is a hot piece of ass daddy
Hope you get a tan, bitch
Iconic historical stage designs for The Queen of the Night sequence from Mozart’s “Magic Flute” - the first image by Karl Friedrich Schinkel in 1815, the second by Simon Quaglio in 1818 (x)
- Petyr Baelish (via firerainbowdiscopanda)
Petyr Baelish, first and last appearances of each season

domain: artistic


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How many people play Farming Simulator 20? Player Count & Stats (2022)
Last Updated on: December 20th, 2020
Farming Simulator 20 Player Count and Other Stats
Nothing just yet. Be sure to check back soon as we update all video game stats as soon as they are provided.
Farming Simulator 20 Details
Here is pretty much everything you ever wanted to know about Farming Simulator 20.
Farming Simulator 20 Game Trailer:
Farming Simulator 20 Description
In Farming Simulator 20, take control of vehicles and machines faithfully recreated from leading brands in the industry. For the first time on Nintendo Switch, this includes John Deere, the largest agriculture machinery company in the world. Drive other famous farming brands such as Case IH, New Holland, Challenger, Fendt, Valtra, Krone, Deutz-Fahr and many more. Farming Simulator 20 features a new North American environment in which to develop and expand your farm. Enjoy many exciting farming activities, including new machinery and crops with cotton and oats, new to the Nintendo Switch! Tend to your livestock of pigs, cows, and sheep, and now ride your own horses, letting you explore the vast land around your farm in a brand-new way.
Farming Simulator 20 News
Here are all the most recent Farming Simulator 20 news articles. We update game news daily, as it breaks, so be sure to check back often for the latest.

domain: game


Northamptonshire has almost a dozen "substandard" bridges that are unable to carry heavy vehicles, research has revealed.
A recent study, carried out by the RAC, has found that council's across the country have a huge backlog of bridge maintenance that needs to be carried out - and Northants is no exception.
A Freedom of Information request published in February 2020 revealed that there were 13 road bridges in the county that were classed as substandard. This means that they were unable to carry the heaviest road legal vehicles, including lorries weighing up to 44 tonnes.
But since then NorthantsLive has learnt that the council has only strengthened two of these bridges, numbers 4191 in Ditchford and 1093 in Oundle North.
It means that nearly 11 bridges are yet to be brought up to scratch and are unable to support heavy vehicles.
Northamptonshire County Council said that it planned to strengthen eight of the substandard bridges but said the work could take over a year to complete.
A spokesperson for Northamptonshire County Council said: "We have plans to undertake strengthening/rehabilitation works on [eight] structures over the next two years, subject to budget availability and gaining the appropriate consents and licences."
The eight bridges that the council is planning to fix over the next 24 months are:
- 3362 - Thrapston 9 Arches
- 1435 - Stanion Mineral
- 076 - Croughton West
- 3003 - Trafford Bridge
- 3042 - Woodford Halse
- 3291 - Cappenham
- 3293 - Shutlanger
- 4075 – Heyford
However, it means that there are currently no plans to strengthen three of the bridges.
The bridges that are not being repaired are 3122 at White Mills, 3270 at Doddington Road, and 4006 in Ponds.
Northamptonshire County Council is also suffering from a maintenance backlog that would cost it £35m to restore all its bridges to a "steady state". There are total of 1,374 road bridges across the county.


Visit Tampa Bay has won the top award for Creativity in Public Relations at the annual Visit Florida Flagler Awards announced on Wednesday September 10, 2018.
The award specifically relates to the PR campaign and international activation of the Visit Tampa Bay partnership with Norwich City FC for the 2017-18 season.
“We are thrilled to receive this great honor from our colleagues in Florida tourism," said Santiago C. Corrada, President and CEO of Visit Tampa Bay.
"I could not be prouder of our great PR team. This award has scored a major victory for Visit Tampa Bay and our valued partners at Norwich City Football Club. It truly shows the power of successful partnerships in promoting travel and the economic growth that comes with it."
Sam Jeffery, Head of Partnership Activation at Norwich City Football Club added: “We’re extremely proud that our partnership with Visit Tampa Bay has been recognised at these prestigious awards.
“From a quirky half-time challenge, a full stadium takeover through to City legends Grant Holt and Adam Drury facing off at Tampa Time, it’s been such an enjoyable and fulfilling association with Visit Tampa Bay.
“We see the partnership only strengthening over time and our warm weather training camp in November will give our team and biggest sponsors the chance to experience everything Tampa Bay has to offer.”
The Flagler Awards are the annual state-wide competition recognising outstanding tourism marketing within Florida. Created by Visit Florida, the Awards honour the individuals and organisations that help position Florida as the Number 1. Travel destination in the world.
Visit Tampa Bay also received the Silver Award in Tourism Advocacy at this year’s awards. Visit Tampa Bay’s PR is handled by Magic Torch PR within the UK, Ireland and Scandinavia.
Pictured are Santiago C. Corrada, President & CEO of Visit Tampa Bay; Patrick Harrison, Chief Marketing Officer, Visit Tampa Bay; Janette Carter, Marketing Director, Visit Tampa Bay; JoLynn Lokey, Chief Operating Officer, Visit Tampa Bay; Lino Maldonado, Chair, Visit Florida; Ken Lawson, Executive Director, Visit Florida.


featuring the Bach Chamber Youth Choir – director Linda Beaupre
This lovely sea shanty has been given a lyrical approach with passages of counterpoint and homophony. Michael brings the Longfellow poem to life.
Ah! what pleasant visions haunt me
As I gaze upon the sea!
All the old romantic legends,
All my dreams, come back to me.
Sails of silk and ropes of sandal,
Such as gleam in ancient lore;
And the singing of the sailors,
And the answer from the shore!
In each sail that skims the horizon,
In each landward-blowing breeze,
I behold that stately galley,
Hear those mournful melodies;
Till my soul is full of longing
For the secret of the sea,
And the heart of the great ocean
Sends a thrilling pulse through me.
Henry Wadsworth Longfellow
Cypress makes rehearsal tracks for choirs – here is a demo
VISIT COMPOSER PAGE


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Prince William and Kate headed to the Maldives for a romantic break ahead of their Australian and New Zealand tour next month, according to newspaper reports.
Kensington Palace has refused to confirm or deny the story. The palace never comments on the private activities of the Royal family.
They apparently arrived on a BA flight this morning and according to local sources will spend a week on vacation in the Noonu atoll in the Maldives.
The Maldives has hosted Hollywood celebrities from George Clooney to Gwyneth Paltrow and Kate Moss because of its glittering white sand beaches and privacy. It’s also a favored destination for Brits because of its outdoor water activities, spectacular snorkeling and direct flights from London.
William and Kate have spent a number of holidays in the Indian Ocean previously including their honeymoon in the Seychelles after their wedding.
Whether it’s a vacation a deux is anyone’s guess. It’s unclear whether Prince George is on holiday with the new mother and father.
Prince George will travel with his parents to New Zealand and Australia next month from April 17-25 on his first foreign tour. Prince William made a similar visit at 9 months of age with Princess Diana and Prince Charles 31 years ago.


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People are spending an enormous amount of time each day checking social media. A recent study showed teens are spending as much as nine hours a day, and the average person is spending roughly two hours.
In today’s fast-paced, content-saturated world, who you choose to follow is massively important to your development as a professional.
Instead of trying to change your behavior by checking social media less, you’ll be better served to take a lesson from Tony Robbins: “Who you spend your time with is who you become.” If you are spending two-plus hours online, people you follow online are influencing you, whether you like it or not.
Here are 10 thought leaders you must be following online in order to be more successful:
As seen on INC. Written by John Eades:
Of Lolly’s many awards and accolades, Lolly was designated a Top-50 Leadership and Management Expert by Inc. magazine. Huffington Post honored Lolly with the title of The Most Inspiring Woman in the World. Her writing has appeared in HBR, Inc.com, Fast Company (Ask The Expert), Huffington Post, and Psychology Today, and others. Her newest book, The Leadership Gap: What Gets Between You and Your Greatness has become a national bestseller.

domain: literature


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Headache and neurological deficits with cerebrospinal fluid (CSF) lymphocytosis, also known as HaNDL syndrome, is characterised by episodes of migraine-like headache associated with motor, sensory, or language deficits lasting several hours and recurring within less than 3 months. Diagnosis is confirmed by predominantly lymphocytic pleocytosis and normal results in other complementary tests.
The aetiopathogenic mechanism of HaNDL syndrome is unclear, although the condition is thought to be a transient inflammatory process caused by an immune response to viral infection (e.g., HHV-7, EBV, CMV, HHV-6) or other pathogens; this would trigger the production of antibodies and/or inflammatory cytokines, which would act on leptomeningeal vessels, causing vasoconstriction and vasodilation.
We present the case of a 14-year-old boy with no relevant personal or family history who visited the emergency department due to an episode of sudden-onset, moderate-intensity holocranial pulsatile headache, associated with nausea, photo- and phonophobia, and language impairment in the form of paraphasia and blocking. Symptoms persisted for over 4 h. He had not presented fever or any other systemic symptoms in the previous days, but in the previous month he had presented a mild upper respiratory tract infection, with odynophagia and mild fever, and a PCR test had yielded positive results for SARS-CoV-2.
The patient was asymptomatic and haemodynamically stable, and presented no fever. Blood analysis did not reveal elevated levels of acute-phase reactants or blood count alterations, and a urine toxicology screening test yielded negative results. Eye fundus examination did not reveal signs of intracranial hypertension, and a head CT scan detected no relevant alterations. CSF opening pressure was 20 cm H 2 O, and a biochemical analysis revealed pleocytosis (525 cells/μL, mostly lymphocytes [99%]), elevated protein levels (98.2 mg/dL), and lack of glucose consumption. A CSF culture did not detect bacterial growth. We started empirical treatment with intravenous aciclovir and lacosamide, and the patient was admitted to the neurology ward.
During hospitalisation, the patient presented 2 additional episodes of headache with the same characteristics, accompanied by language alterations and sensory alterations affecting the left limbs, after which he recovered completely. Complementary analyses showed normal thyroid, liver, and kidney function; a normal lipid profile; and normal autoimmune test results. Serology tests for HCV, EBV, CMV, HSV, VZV, HHV-6, HHV-7, HHV-8, syphilis, Rickettsia , Toxoplasma gondii , Borrelia , and Brucella yielded negative results, as did CSF PCR assays for viral infection. Magnetic resonance angiography revealed no parenchymal alterations or intravenous contrast uptake. A video EEG study did not detect focal slowing or epileptogenic foci. In view of the negative viral PCR test results and the lack of additional episodes, antiviral and antiepileptic treatment was discontinued. A second CSF analysis performed before discharge showed improvements, with a leukocyte count of 150 cells/μL and normal protein levels.
HaNDL syndrome is included in the International Classification of Headache Disorders ; the diagnostic criteria for this rare entity are listed in Table 1 .
|Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome).
|A) Episodes of migraine-like headache fulfilling criteria B and C.
|B) Both of the following:
|1. Accompanied or shortly preceded by onset of at least one of the following transient neurological deficits lasting > 4 h:
|2. Associated with CSF lymphocytic pleocytosis (> 15 white cells/μL), with negative aetiological studies
|C) Evidence of causation demonstrated by either or both of the following:
|1. Headache and transient neurological deficits have developed or significantly worsened in temporal relation to onset or worsening of the CSF lymphocytic pleocytosis, or led to its discovery.
|2. Headache and transient neurological deficits have significantly improved in parallel with improvement in the CSF lymphocytic pleocytosis.
|D) Not better accounted for by another ICHD-3 diagnosis.

domain: medical


On January 15th, 2018, City Councillor Mike Layton (Ward 19 Trinity-Spadina) and City of Toronto staff officially renamed the skating rink at Christie Pits Park in honour of Sid Smith and Toronto’s hockey history. The renaming ceremony, a family-friendly event, gave the public an opportunity to celebrate the newly named Sid Smith Artificial Ice Rink with Toronto Maple Leafs alumni and participate in free skating at Christie Pits Park.
In addition to skating, attendees were able to view a photo display of some of Smith’s memorable moments from his career with the Toronto Maple Leafs. Special appearances by Toronto Maple Leafs alumni who knew Smith included Dick Duff. Duff won two Stanley cups in 1962 and 1963 and is an inductee of the Hockey Hall of Fame. Smith was his team captain.
“It is my pleasure to name the rink in Christie Pits in honour of Sid Smith, the eighth captain of the Toronto Maple Leafs. Sid Smith lived in the neighbourhood and would often return from practice with the Leafs to play shinny with his neighbours,” said Councillor Layton. “As a player, he exhibited many of the qualities all persons participating in sport should strive for. Generations of skaters and hockey fans will now have the opportunity to share the ice with Sid on Sid Smith Rink.”
Continue reading “City of Toronto celebrates renaming of Christie Pits ice rink in honour of Sid Smith”
Celebration to feature Hot Wheels super track, six life-size Hot Wheels cars and a Collector’s Zone featuring more than 500 die-cast Hot Wheels models
The number one selling toy in the world is joining with the Canadian International AutoShow in presenting an explosion of activities to commemorate its 50thanniversary.
Developed by toy maker Mattel in 1968, Hot Wheels is one of the most iconic toys of all time making childhood — and adulthood — awesome for everyone.
The 50th anniversary of Hot Wheels will be a feature attraction of the 2018 AutoShow, being held Feb. 16-25 at the downtown Metro Toronto Convention Centre. While more than 1,000 conventionally powered cars and light trucks will be on display, the focus of this year’s show will be The New Movement. Manufacturers of 14 all-electric and hybrid vehicles will not only show them off but make them available for test drives.
There’s no doubt, however, that along with Art & the Automobile, Auto Exotica and Tuner Battlegrounds – AutoShow edition, the Hot Wheels anniversary will be a major attraction.
“Since 1968, we’ve made six billion cars that have contributed to the happiness of children and adults everywhere, Continue reading “CANADIAN INTERNATIONAL AUTOSHOW PRESENTS 50TH ANNIVERSARY OF HOT WHEELS”
The Consulate General of India, Toronto celebrated “Pravasi Bharatiya Divas” & “Vishwa Hindi Divas” (World Hindi Day) on January 10, 2018, at the Consulate. Both events were organized as part of efforts by the Consulate to strengthen the bonds with the Indian Diaspora and to further promote interest in the Hindi language especially among the children living in the Greater Toronto Area.
On this occasion, a lively programme was presented by the children who presented Hindi Bhajans.
About a dozen eminent Hindi lovers/writers residing in the GTA recited poems and songs.
In his address, Consul General, Dinesh Bhatia, acknowledged the support of the Indian community residing here in orgranising the Vishwa Hindi Diwas, also gave a brief details of the Pravasi Bhartiya Diwas and the Pravasi Bharatiya Parliamentarian/Mayor Conference held in Delhi. Information about the forthcoming International Hindi Literary Conference 2018, being organized by Vishva Hindi Sansthan Cultural Organization, in the month of April, 2018, in Toronto was also shared. All organizations promoting Hindi were requested to work together to make it a big success.
Event ended with distribution of Mementos to all participants by the Consul General. Continue reading ““Vishwa Hindi Divas” (World Hindi Day) celebrated at the Indian Consulate, Toronto”
Amongst the most watched stock market indices in the world, the tiny robust business and finance enclave of Hong Kong won out over all others by increasing a whopping 36% to stand out as the stock star of 2017!
Next followed Nasdaq in the US stumping many revered US economists who had at the outset claimed that despite the Trump-bump of 2016 after his election in November, 2017 would be subdued due to the uncertain nature of Trump and his socio-economic policies .However, not only did Nasdaq jump 28% but even the hallowed Dow Jones and S&P500 showed impressive double digit gains setting record after record and reaching new highs. The Dow experienced the most 1000 point leaps ever going from 19762 at the close of last year to 24719.22 at the close of 2017.
BRICS countries India and Brazil (despite its many economic woes)came in 3rd and 4th manifesting double digit gains.
Japan and South Korea, known for household brands like Sony, Toyota, Honda, Sharp, Samsung, Hyundai, Daewoo, KIA, LG and more also saw double digit gains.
The DAX and CAC in Europe and FTSE of UK also gained territory. Continue reading “Hong Kong stock market sets the pace with 36% increase!”
Hyatt Hotels Corporation (NYSE: H) today announced the opening of Hyatt Place Frankfurt Airport, marking the introduction of the Hyatt Place brand to Germany. Hyatt Place Frankfurt Airport joins six Hyatt Place hotels across Europe, including Hyatt Place London Heathrow Airport, Hyatt Place West London/Hayes, Hyatt Place Amsterdam Airport, Hyatt Place Jermuk, and Hyatt Place Yerevan. The growth of the Hyatt Place brand in Europe highlights the growing importance of Hyatt’s select service properties across the region.
The Hyatt Place brand is rooted in extensive consumer insights indicating that guests seek stylish, comfortable, seamless experiences that accommodate their lifestyles and familiar routines. To embody this, the brand offers casual hospitality and purposeful service in a smartly designed, high-tech and contemporary environment.
“We are delighted to welcome guests to Hyatt Place Frankfurt Airport,” said Ines Bruenn, General Manager of Hyatt Place Frankfurt Airport. “The hotel has been designed specifically with our guests in mind, blending comfort with convenience. Our guests are constantly on the move, and we want to make sure our multitasking guests can easily accomplish what they need to do while on the road. We are confident that Hyatt Place Frankfurt Airport will help make our guests’ journey easier, more productive and successful.” Continue reading “HYATT PLACE FRANKFURT AIRPORT OFFICIALLY OPENS”
We’re going to a resort. Fantastic! We’re going to escape the extreme cold for a few days. Awesome!
We’re going to enjoy tropical fruits and exotic drinks. Superb! We’re going to soak up the sun, sand and sea-breeze! Amazing!
Well, the party had just begun for our group of over 25 revelers, ranging from teens to seniors, celebrating New Year’s at Riviera Maya, Mexico. For thorough city-bred folks like us, this should have been sufficient to relax over the holidays. Flying to Cancun at this time of the year, laying on the beach was our dream, our well-planned vacation. Even before touchdown into the region, you can’t help but be wonderstruck at the miles of practically unpopulated dense, green tropical forest boundaries of the turquoise Caribbean Sea. As also Cancun’s extremely party-friendly Hotel Zone! The city line is dotted by beautiful, well-lit resorts as we drive into our very tastefully done all-inclusive beachfront paradise, which was going to be our home for the week.
The perfect white sand beaches, the flora and fauna native to Yucatan Peninsula played great hosts throughout our entire stay. The expanse of the jungle beckoned us to get more active on the trip and it offered plenty of opportunities to explore. So, even as we went to the most beautiful jewelry store with all kinds of lovely silver ornaments, we were more attracted towards the monkeys that were swinging on the trees outside! The treasures of the jungles seemed more precious, inspiring us to be more adventurous! Continue reading “MEXICAN ADVENTURES, MAYAN TREASURES!”
“In 2017, people across Canada gave us much reason to be proud, and showed us the strength in our diversity. Canadians are neighbours helping neighbours, sharing warmth, compassion, and generosity—not just at Christmas, but all year round.
“For Christians around the world, this season is a time to celebrate Jesus Christ and his message of compassion. For all of us, it is a chance to come together to give thanks for everything that unites us.
“As the 150th anniversary of Confederation draws to a close, all of us have a role to play in shaping our world for the better. In the New Year, and throughout the years to come, let’s commit to making a difference. Whether by lending a hand to a neighbour, or volunteering for a cause we believe in, let’s give generously, and live out the values that bring us together.
“Let’s also reach out and listen—to those next door, across the aisle, and at the dinner table. Building a better world starts where we work and live, in our communities, and at home.
“During the holidays, I also ask you take a moment to remember our brave servicewomen and men, and their families. They make extraordinary sacrifices to keep us safe.
“From our family to yours, Hadrien, Ella-Grace, Xavier, Sophie, and I wish you joy, health, love, and peace this holiday season. Merry Christmas.”
Continue reading ““Merry Christmas, Canada!”-P.M. Justin Trudeau”
The Prime Minister, Shri Narendra Modi, will inaugurate a stretch of the new Magenta line of the Delhi Metro on 25th December. The line connects Botanical Garden in Noida with Kalkaji Mandir in Delhi. It will significantly reduce travel time between Noida and South Delhi. On this occasion, the Prime Minister will also address a public meeting in Noida.
The new line represents one more link in the Union Government’s push to modernize urban transport in the country. It represents the drive towards technology-centric, and environment-friendly mass rapid urban transport systems.
This is the third metro line to be inaugurated by the Prime Minister in 2017. He had earlier dedicated the Kochi Metro to the nation in June, and the Hyderabad Metro in November. As on both those occasions, the Prime Minister will travel on a stretch of this new line, before arriving at the venue of the public meeting.
Shri Narendra Modi has often used the metro to travel for engagements in the National Capital Region. In January 2016, the Prime Minister, and the then French President Francois Hollande travelled from Delhi to Gurgaon, to jointly lay the foundation stone of the Headquarters of the International Solar Alliance. More recently, in April 2017, the Prime Minister, and the Australian Prime Minister Malcolm Turnbull travelled by metro to the Akshardham Temple. Continue reading “PM to inaugurate new metro line on December 25, reducing travel time between Noida and South Delhi “


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A majority of our time during the day and lifetime goes in sitting. It can be in a car, public transport, office desk or on a couch at home. If the sitting posture starts to cause you discomfort then it can be a very annoying experience which can disrupt your concentration and body posture. Most of the times this discomfort causes lower back pain and unfortunately, lower backache is spreading like an epidemic. This lower backache is mostly due to the pain in the tailbone, and in medical terms, tailbone is known as coccyx and the coccyx pain is termed as Coccydynia.
Let’s find out what is coccyx bone and the reasons for its pain?
The coccyx is a triangular structure which is located at the bottom of the human vertebral column. The coccyx bone comprises 3 to 5 bony segment that is held together with ligaments and joints.
Causes of coccyx pain or tailbone pain
Most of the injuries happen due to our ignorance and lack of knowledge.
The common causes of coccyx pain are –
Why the coccyx is considered vestigial?
The human body has evolved over a period of many generations. Hence there are some organs that do not come in use in the present form of the human body. The coccyx is a remnant of the tailbone of our ancient ancestors who used to have a tail many centuries ago. As it is a remaining part of the organ the human body which does not have any more it is called a vestigial organ. The examples of other vestigial organs in the human body are body hair, mammary glands or breasts in males, wisdom teeth, the vermiform appendix etc.
Are you facing issues with Coccyx pain? Here’s how to deal with it.
If you are experiencing coccyx pain you need to take immediate precaution so to not aggravate it further. When you are about to sit, you should lean forward while sitting down. Secondly, invest in good tailbone support (coccyx cushion). The cushions are designed specifically for the tailbone support and help take the pressure off as a result of sitting all day. You can find people using these cushions in car, truck, planes, buses, office chair, home etc. Doctors also recommend it for a pregnant woman. Invest in a decent cushion or else, it will be a waste of money.
Few quick tips that will help you to control and reduce the Coccyx pain:
● Chiropractic treatment
Chiropractic is one of the best treatments you can take to reduce coccyx pain. If the tailbone alignment has moved then getting a chiropractor to rectify the misalignments can reduce the pain.
Manipulation is basically done through the rectum. It involves massaging the muscles attached to the tailbone.
● Physical therapy
A physical therapist can help you to understand the technique of pelvic floor relaxation. For example, relaxing your pelvic floor by deep breathing.
● Exercise and stretches
Exercise and stretches is another helpful way of treating coccyx pain. You can ask a personal trainer or expert to guide you with the exercises.
● Heat and Cold application
You can apply heat pad or cold pad to the affected region to get relief from any soreness.
If the tailbone pain does not improve it is best recommended to consult a specialist. The right medical advice and care will help bring relief to the Coccyx pain
Is there any permanent cure for Coccyx pain?
Cure of coccyx pain is dependent on the intensity of the injury and pain. The best cure is to prevent it from happening or taking measures in the early stages itself.
In a more serious case, surgery is done to completely remove the tailbone. Surgery is mostly the last resort when everything else fails. Many people have got relief after surgery but it may take several months to see the results.
However, if Coccyx pain is not a severe case and surgery is not the suggestive treatment for you, you can opt for a technologically advanced cushion that will help to maintain the accurate back support and ease pressure from your back. With the help of such support cushions, it not only reduces the pain to a greater extent but also, it protects you from getting worse.
Below are some of the varieties of different back support cushions
● Tailbone Support (Coccyx Cushion) – Samson
This cushion is made with heavy-duty foam which assists in giving support to your tailbone.
● Orthopaedic Seat Cushion with Cooling Gel - Viaggi
This cushion comes with cooling gel to give you dual benefit of support and coolness to your sore back.
● Support Cushion
The cushion is specially designed to make hard chairs comfortable for long hours of sitting.
● Back Support Memory Foam Cushion - Magasin
The cushion is made from memory foam and is an orthopaedic and ergonomic lumbocare cushion specially designed to give strong and firm support to the lumbar part of the spine.
Online e-commerce platform Seniority has a plethora of back support options which you can purchase by sitting at the comfort of your home with just a click of a button.
Due to today’s sedentary lifestyle, Coccydynia or Coccyx pain is a common condition nowadays. But don’t let it take away your freedom to live life. Seeking preventive measures against the condition is a must before it’s too late. If you see any sign of such pain, then tailbone support cushion is a must for you. Do not delay in taking the right preventive measures in the early stages of coccyx pain.
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I am running a “competition” over on my Blog to try and stimulate intelligent debate on the looming appointment of four members of our Constitutional Court. There I invite all readers to propose their “dream candidates” for our highest court.
In several judgments — including the Doctors for Life case and the Matatiele case — the Constitutional Court has emphasised the important role that participatory democracy plays in our constitutional order. The problem is that many South Africans are world champions at complaining but far less enthusiastic about actually participating in debates or getting involved in actions to help build a more fair and just society that works for all.
The Judicial Service Commission opened nominations on Monday for four judges to fill vacancies in the Constitutional Court. Until July 15, the commission will accept the names of candidates and it will begin its interview process in Johannesburg on September 5.
So here is the deal.
All the clever, compassionate, obstinate, know-it-all or just plain experienced people out there must surely know lawyers, judges and academics who they think can serve with distinction on our highest court. So you are all invited to “nominate” your dream candidate (or candidates) on the Blog Constitutionally Speaking. Write a short motivation (no more than 350 words) on why you think a particular person will make a good Constitutional Court judge and post it in the comments section of the Blog. To encourage practising lawyers to participate, you are allowed to write under a pseudonym.
Readers are free to debate these “nominations” by either stating agreement or disagreement with a nomination.
I will read all the motivations and other contributions and on July 13 announce the winner of the Constitutionally Speaking competition. The winner will be the person who wrote the best motivation — regardless of whether I agree with the candidature of the person “nominated” or not. If you write a brilliant motivation in support of Judge President John Hlophe, say, you will be adjudged the winner. I cannot offer a prize, but if you find yourself in Cape Town I would be more than happy to buy you dinner.
At the end of the process I will put forward my own own list of “dream candidates” — for what it is worth and will also post my motivations on Thought Leader.
Let us debate and argue and engage! It is OUR democracy and we should get involved. If we do not, why would anyone need to take us seriously when we complain (as we surely will!)

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Dual Roles Of Oct4 In The Maintenance Of Mouse P19 Embryonal Carcinoma Cells: As Negative Regulator Of Wnt/β-catenin Signaling And Competence Provider For Brachyury Induction.
Y. Marikawa, D. A. A. Tamashiro, Toko C. Fujita, V. B. Alarcón
Published 2011 · Biology, Medicine
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Transcription factor Oct4 is expressed in pluripotent cell lineages during mouse development, namely, in inner cell mass (ICM), primitive ectoderm, and primordial germ cells. Functional studies have revealed that Oct4 is essential for the maintenance of pluripotency in inner cell mass and for the survival of primordial germ cells. However, the function of Oct4 in the primitive ectoderm has not been fully explored. In this study, we investigated the role of Oct4 in mouse P19 embryonal carcinoma (EC) cells, which exhibit molecular and developmental properties similar to the primitive ectoderm, as an in vitro model. Knockdown of Oct4 in P19 EC cells upregulated several early mesoderm-specific genes, such as Wnt3, Sp5, and Fgf8, by activating Wnt/β-catenin signaling. Overexpression of Oct4 was sufficient to suppress Wnt/β-catenin signaling through its action as a transcriptional activator. However, Brachyury, a key regulator of early mesoderm development and a known direct target of Wnt/β-catenin signaling, was unable to be upregulated in the absence of Oct4, even with additional activation of Wnt/β-catenin signaling. Microarray analysis revealed that Oct4 positively regulated the expression of Tdgf1, a critical component of Nodal signaling, which was required for the upregulation of Brachyury in response to Wnt/β-catenin signaling in P19 EC cells. We propose a model that Oct4 maintains pluripotency of P19 EC cells through 2 counteracting actions: one is to suppress mesoderm-inducing Wnt/β-catenin signaling, and the other is to provide competence to Brachyury gene to respond to Wnt/β-catenin signaling.
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Mechanisms Regulating Stemness and Differentiation in Embryonal Carcinoma Cells
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DMRTC2, PAX7, BRACHYURY/T and TERT Are Implicated in Male Germ Cell Development Following Curative Hormone Treatment for Cryptorchidism-Induced Infertility
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Five companies submitted their plans Wednesday for a public recycling program in Jefferson Parish, setting up an almost carbon copy of the competition for the work that the Parish Council nixed in May.
Chief Operating Officer Chris Cox said Allied Waste of New Orleans, Waste Pro of Louisiana Inc., IESI LA Corp., Waste Management of Louisiana and Richard's Disposal Inc. submitted proposals by the 4 p.m. deadline.
Parish Attorney Deborah Foshee said details of the five plans will not be released until they're introduced to an evaluation committee on Monday. That includes the estimated monthly costs to roughly 110,000 households eligible to use the service. Foshee said those estimates arrived in separately sealed envelopes and won't be opened until the committee weighs the technical aspects of each proposal.
The parish's request asked the companies to provide monthly cost estimates for four different collection options: manual weekly and semi-monthly pick-up and semi-automated weekly and semi-monthly pick-up. The request also asked the companies to offer "innovative" approaches to the service.
Recycling in Jefferson has been left to private providers since Hurricane Katrina wiped out the public program. Wednesday's submissions mark the fourth time since 2008 that officials have attempted to revive the program. Before the storm, Waste Management had the contract to collect cans, plastics and paper from neighborhood curbs.
The council killed the last attempt in May after accusing the evaluation committee of muddling the process by accepting a proposal from Waste Pro after first disqualifying it for not meeting the minimum requirements of the parish's request. The company had failed to provide extra copies of financial disclosure affidavits to all members of the evaluation committee, but it had included them in its original proposal.
Organic Energy Corp. was the only company that competed in the spring not to submit a proposal Wednesday. The committee had disqualified that offer because it detailed a waste-to-energy plan that didn't match the parish's specifications for a curbside recycling program.
Prior to Waste Pro being reinstated, only proposals from Allied Waste and IESI Corp. made it to the second round of the committee's review process in April. Offers from Waste Management and Richard's Disposal were also disqualified.
At the time, IESI quoted $2.04 per household each month for weekly collection, $1.49 for semi-monthly collection. Allied Waste quoted $5 for weekly collection, $4 for semimonthly.
Preempting another potential dismissal, Richard's Disposal sent a July 13 letter to Parish President John Young arguing that its earlier disqualification for not having the required two years of experience in curbside recycling collection was discriminatory.
The previous evaluation committee was comprised of Assistant Parish Attorney Jacques Molaison, interim Purchasing Director Brenda Campos, Environmental Affairs Director Marnie Winter and Alan Gandolfi, the council's research and budget director.


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Thigh Lift in Webster, TX
As we age, have weight fluctuations, or massive weight loss, the skin on our thighs can become loose and hanging despite regular exercise and a healthy diet. A thigh lift or thighplasty removes unwanted excess skin and tissue to improve the shape and contour of the thigh. Patients can feel more confident in form-fitting pants and less discomfort while exercising.
Dr. Kimberly Carpin is an American Board Certified Plastic Surgeon who is specially trained in plastic surgery, aesthetic surgery, and reconstructive surgery. Dr. Carpin is committed to helping her patients find their confidence by addressing their cosmetic concerns. Call (281) 333-4600 today to request a consultation in our Webster, TX office.
Are there different types of thigh lift surgical techniques?
Depending upon where you are having the loose, sagging skin, Dr. Carpin will adjust her surgical technique to fit your unique needs. There are two basic approaches for thigh lifts that we’ll describe, but your surgery will be tailored to you.
Sometimes referred to as a medial thigh lift, the inner thigh lift is done with an incision at the junction where the thigh meets the pubic area. This gives Dr. Carpin access to the underlying tissues while making the incision as discreet as possible. A wedge of skin is removed, along with unnecessary fat (some fat needs to stay), and the remaining skin is pulled upward.
Sometimes referred to as a bilateral thigh lift, the outer lift has the goal of tightening the skin on the front and outside portions of the thighs. For the outer lift, Dr. Carpin makes the incision at the top of the leg near the hipbone, creating a “V” shape. This incision can be hidden beneath the panty line. The incision may wrap around to your hip or buttocks area, depending on your needs. Excess skin is trimmed, and the remaining skin pulled up and attached to the same area. An outer lift can remove larger amounts of tissue, and it can lift your buttocks along with your thighs.
If we are combining a tummy tuck with an outer thigh lift, the incision will simply be an extension of the horizontal tummy tuck incision, wrapping around your hips.
Who is a good candidate for a thigh lift?
The thigh lift procedure is ideal for patients who are in good general health but have excess skin and tissue within the thigh area as a result of the natural aging process, pregnancy or significant weight loss. A thigh lift should not be considered an easy weight loss solution. This procedure is most effective on patients who are close to their ideal weight but unhappy with the appearance of their thighs. It is important for patients to maintain realistic expectations in order to be satisfied with the results of their thigh lift procedure. To find out if you are a good candidate for a thigh lift, call (281) 333-4600 today to request a consultation.
Schedule a Consultation Today
How does the thigh lift procedure work?
A thigh lift procedure is performed in the operating room under general anesthesia or heavy sedation. The procedure length ranges from 2 to 4 hours. The incision used is dependent on the amount of skin laxity. Mild laxity can be treated with an incision inside the thigh crease, along with the panty line. Severe laxity may require a longer incision placed inside the thigh, from the pubic area to above the knee. The excess skin is removed and the thigh is reshaped. Incisions are closed with sutures. Additional liposuction may be beneficial to remove excess fat. A light dressing is applied and a compression garment is placed. Some patients require a small drain placed for a few weeks after surgery. Patients may require an overnight stay at the hospital.
What will my thigh lift recovery entail?
Recovery from a thigh lift generally requires around three weeks. Due to the tissue removal and re-draping, it’s advised to consider bed rest for up to seven days. This helps avoid putting any pressure on your thigh tissue, and speeds recovery. Climbing stairs, squatting, or any strenuous activity of any sort is out of the question. Walking during these first few days should really only be to the bathroom. You’ll definitely need help around the house.
You’ll have bandages and compression garments on your thighs. The compression garments will initially hold your sutured incisions tightly in place. Then as your recovery progresses, they will help your thighs adapt to their new slimmer contours. You’ll wear your compression garments for one full month.
You can’t sit for two weeks, to keep pressure off your sutures. After one week, you’ll be allowed to walk around the house, but driving is out for at least three weeks. After about six weeks you can resume your normal activities. This all can sound quite inconvenient, but Dr. Carpin will stress to you in your consultation the importance of following these instructions to speed your healing and minimize your scarring.
How much does a thigh lift cost?
A thigh lift costs between $6,500 – $7,000. After your consultation with Dr. Carpin, a customized quote will be given.
What are the risks and side effects of thigh lift surgery?
Thigh lift surgery is a safe procedure, but it is involved. As with any surgery, there are risks of infection, poor wound healing, accumulation of fluids, and skin loss. With thigh lifts, other possible side effects can be asymmetry of your legs and numbness or changes in skin sensation in the surgery areas. In some cases, tissue sagging will not be fully alleviated, or patient expectations may merit a secondary office procedure to fine-tune the contour of your thighs. These issues are all quite rare with these procedures. That’s especially true considering Dr. Carpin’s board-certified training, expertise, and experience, which work to deliver the satisfying results you’re seeking to achieve with your thigh lift.
Thigh Lift FAQs
Dr. Carpin works to place these incisions so they can be effectively hidden under panties or a bikini bottom, but there will be scarring. The inner thigh lift scarring is well hidden on the inside of the upper thigh and pubic area. The outer lift is basically an extension of the incision made for a tummy tuck. It can be hidden under a bikini bottom, but there will be a scar.
If you work to not place any stress on your healing incisions, and if you are diligent about keeping all sun exposure off your incisions, you’ll be amazed at how thin and light they become. After your initial recovery, their appearance will continue to decrease.
The pain involved in your recovery isn’t sharp, acute pain. For the first two to three days, you’ll have the most discomfort and your thighs will feel tight. Your pain medication handles this and after day three you’ll notice a real decrease in any pain or discomfort.
With thigh lifts, the “pain” of your recovery is more of a result of the inconvenience of not being able to use your thighs. No sitting. No climbing stairs. Minding your recovery instructions will dramatically improve your healing, but it can be a little tedious. Your end results, however, will make it all worth it.
Read what our patients are saying!
Dear Dr. Carpin, Words cannot express how great I feel and look, thanks to you… Thanks for all you do!
Click here to read more reviews.


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Were you at Santa On the Green on Saturday? Check our photos, then share your own.
Small Business Saturday
Monday, November 26, 2012
Sunday, November 25, 2012
Santa brings early Christmas spirit to annual holiday celebration and Oak Lawn business owners. Share your pictures in our photo gallery.
There was plenty of fresh air at this year’s Santa On the Green, one of the coldest in recent past. Families flocked to Oak Lawn’s annual holiday celebration on Saturday. Sign up for the Oak Lawn Patch newsletter and breaking news alerts. Mr. and Mrs. Santa Claus arrived on a village fire truck. Waiting to greet the North Pole power couple were dozens of kids and Frosty the Snowman, who seems to have acquired a girlfriend since last year. Santa took orders in the gazebo and posed for pictures while inside the hospitality tent families lined up for hot chocolate and listened to the Kolmar and Sward Elementary School choirs. Mayor Dave Heilmann and wife, Erica, were strolling the hospitality tent with their youngest daughter, Brook, 2. The …
Saturday, November 24, 2012
Oak Lawn kicks off the Yuletide season with a holiday doubleheader starting with Small Business Saturday followed by Santa On the Green starting at noon today (Nov. 24).
Oak Lawn residents will be treated to a holiday doubleheader on Saturday when Santa is due to arrive on the Village Green and shoppers can “shop small” until they drop. Sign up for the Oak Lawn Patch newsletter and breaking news alerts. Starting at noon a free trolley will be circulating through the 95th Street business district between Cicero and Ridgeland Avenues for Oak Lawn’s first-ever “Small Business Saturday” local shopping event promoting the village’s independently owned shops and restaurants. Download and print the free trolley map. The free trolley will be making stops at 21 businesses, as well as picking up passengers at Santa On the Green. Look for the Small Business Saturday volunteers or stop by the Oak Lawn Chamber of …
Friday, November 23, 2012
Hop on the free trolley and "shop small" at Oak Lawn's first-ever Small Business Saturday on Nov. 24. Download the map!
Local business owners are counting down the minutes to the first-ever “Small Business Saturday,” promoting Oak Lawn’s independently owned shops and restaurants. Follow "Small Business Saturday - Oak Lawn" on Facebook. This Saturday (Nov. 24) from noon to 4 p.m., shoppers can catch a free trolley and experience awesome offers from 21 local businesses. The trolley will be circulating up and down Oak Lawn’s 95th Street business district between Cicero and Ridgeland, including a stop at Santa On the Green. Everything you need to know about Santa On the Green 2012. Look for volunteers or stop by the Oak Lawn Chamber of Commerce at Santa On the Green and pick up your trolley map of participating businesses. You can also print off the map …
Wednesday, November 21, 2012
Local business owners put finishing touches on Oak Lawn’s first-ever Small Business Saturday shopping event.
Free ornaments, Santa cones, charming hostess gifts, discounts and deals are just a few of the delights awaiting local shoppers this Saturday, Nov. 24. Check out Oak Lawn Patch's Fave Local Business Facebook Page Picks Local business owners are putting the final touches on Oak Lawn’s first-ever “Small Business Saturday” shopping event. Shoppers can catch a free trolley and cruise the village’s 95th Street business district between Cicero and Ridgeland Avenues for some awesome offers from local businesses. The trolley will also be making stops at Oak Lawn’s Santa On the Green family holiday fest. Stop by the Oak Lawn Chamber of Commerce table at Santa On the Green and pick up a map of participating businesses, or grab one from a friendly …
Tuesday, November 20, 2012
More reasons to come out and support Oak Lawn's local businesses this Saturday, Nov. 24.
Big box stores have Black Friday.Online retailers have Cyber Monday. Now small businesses are getting in on the action with a day of their own: Small Business Saturday. A group of local business owners are teaming up to host Oak Lawn’s first-ever Small Business Saturday local shopping event this Saturday (Nov. 24). From noon to 4 p.m., a free trolley will be ferrying shoppers up and down 95th Street between Cicero and Ridgeland Avenues. Eighteen businesses have signed on to date and will be offering special deals and promotions. Let’s help our local shops and restaurants get off to a strong start this holiday season by giving them our business. Here are some more reasons how shopping locally benefits Oak Lawn: By supporting local charities…
As part of Patch's countdown to Small Business Saturday, check out—and follow—some of our favorite local businesses, restaurants and non-profit organizations on Facebook.
Here are some local businesses, ministries and charitable organizations to "like" and visit regularly on Facebook. Subscribe to the Oak Lawn Patch newsletter and breaking news alerts. Some impress us by their tenacity in posting daily deals and specials. Others delight us with their wit, creativity and willingness to help us reunite lost pets with their owners. The economy of the past four years hasn’t been kind to many of us, and it has been especially unkind to our local business owners. So this holiday season when you’re out looking for gifts with that "wow factor," or need your homes or carpets cleaned for the holidays, our local business owners would love to hear from you. We’ve included some local charities that can use your help, …
Monday, November 19, 2012
“Small Business Saturday Oak Lawn” entices Oak Lawn to "shop small " at local businesses this Saturday, Nov. 24.
Since it’s start in 2010, Small Business Saturday has grown into a coordinated national effort to highlight the benefits of shopping small and shopping local. Oak Lawn Patch, the Oak Lawn Chamber of Commerce and many local businesses have banded together to create “Small Business Saturday Oak Lawn,” which will be this Saturday, November 24th. Participating businesses will have special offers for this Saturday only. A free trolley will be riding along 95th Street between Cicero and Ridgeland from noon to 4 p.m. for the event and will stop along the route at participating local businesses. Trolley maps will be available later this week on Patch, at the Oak Lawn Chamber of Commerce table at Santa on the Green and at Small Business …
Friday, November 16, 2012
Free trolley will take shoppers to participating businesses during Santa On the Green to give locally owned shops a strong start to the holiday retail season on Nov. 24.
Hovering somewhere between ‘Black Friday’ and ‘Cyber Monday’ is ‘Small Business Saturday,’ the first Saturday after Thanksgiving set aside to encourage support of small businesses across America. Subscribe to the Oak Lawn Patch newsletter and breaking news alerts. Local business owners are teaming up to host the first-ever “Small Business Saturday in Oak Lawn” designed to promote and energize Oak Lawn’s independently owned shops and restaurants. The Oak Lawn Chamber and local businesses have chartered a trolley to circulate between Cicero Avenue and Ridgeland Avenue, offering shoppers free rides to participating businesses. The trolley will be picking up and dropping off shoppers during Santa On the Green. From noon to 4 p.m. Saturday, Nov…
Saturday, November 26, 2011
With Small Business Saturday coming this weekend, you can help drive feet — and wallets — to your favorite independent business.
You might be the type who finds sleeping on a freezing sidewalk for the best Black Friday deals exciting. Or perhaps you've already started working out your mouse-clicking finger for Cyber Monday. But if neither scenario appeals to you, there is an alternative — Small Business Saturday. Small Business Saturday, conceived by American Express to help spotlight the efforts of local small businesses, comes at the beginning of the big holiday shopping sprint — this Saturday — and encourages shoppers not to bypass Main Street for the mega-mall. What are your favorite locally-owned businesses? Tell us in the comments. Oak Lawn Patch would love to hear which small businesses you can't live without in our fair village. Tell us in the comments which…

domain: economics


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Multi-platinum-selling artist J. Cole today announced that he will hit the road for a 57-city world tour. The European leg of the “4 Your Eyez Only” tour stops at The O2 on Sunday 15th October 2017.
Tickets go on sale Friday 24 February and are available at www.theo2.co.uk or by calling 0844 856 0202.
North Carolina-bred Cole is set to tour North America, Europe, Australia and New Zealand in support of his fourth album, the Platinum-certified 4 Your Eyez Only, which debuted at No. 1 on the Billboard Top 200 chart in December. Each of its ten tracks has notched a place on the Billboard Hot 100 chart.
The "4 Your Eyez Only Tour” follows Cole’s 2015 "Forest Hills Drive Tour," which was the highest-selling hip-hop tour of that year and included a sold out show at The O2, after which Cole embarked on an international festival run in 2016.

domain: entertainment


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It’s that time again! That time where we at Ambler Patch ask you, our readers, who’s the best of the best in town. This week we want to know: Where is the best place to take your vehicle to get repaired? Whether it’s an oil change, an inspection, or its making that strange thumping noise, who’s the only mechanic you trust your set of wheels to?
Only restaurants that fall within the Lower Gwynedd, Ambler and Whitpain municipal borders qualify, and please remind us if we missed one.
We’ve chosen a few of the local service centers, but if we’ve missed the area’s best, let us know in the comments.
Because this poll is not scientific, it is not the sole consideration in choosing a winner. The winner will be determined by the Patch editor, based on poll results and reviews on Patch Places. Please vote only once per survey, per Patch.
In the event of a tie on our survey, we will break the tie by counting the positive comments written below about the tied businesses, so please let us know why you think your choice is best.


text: Enrichment analysis of functional groups of up- and down-regulated genes associated with chronic glutamate hyperactivity. (A) Approximately 2% of the over 39,000 gene transcripts surveyed by Affymetrix Mouse Genome 430 2.0 Array were identified to be significantly up-regulated, and 1% to be down-regulated, with an FDR of 0.9%. (B, C) Gene Ontology (GO) analysis of up- (B) and down-regulated (C) biological processes associated with chronic glutamate hyperactivity. This analysis was conducted with GO-elite using hypergeometric distribution. A Z score > 1.96 or < -1.96 and a permute P value < 0.05, were considered to be statistically significant. (D, E) Comparative analyses of over-represented bio-functions and canonical pathways, respectively, in up- and down-regulated genes using Ingenuity Pathway Analysis (IPA). Significance calculated by IPA was plotted as -log P value and the dashed line corresponds to the threshold P = 0.05.


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It’s time to move. So many of you feel the urge, the pull, the desire to change something. Anything. The NEED to change your life or move forward, and you are terrified!
The energies of the moment are pushing you to start moving. Sometimes the energy feels like a power surge, and you MUST DO SOMETHING! Sometimes it is a little more subtle and you just feel an inkling that maybe you should expand in some area of your life.
Get used to this feeling, it is going to prevail for the next little while. Some days it will be stronger than others. The thing is YOU HAVE TO ALLOW YOURSELF TO HAVE MOVEMENT.
You will never get what you want if you don’t go for it. You are being pulled to get out of your comfort zones. Change will not happen gracefully if you try to stay where you are. I am talking to so many people right now that feel disempowered. Are you kidding me! We are in one of the most POWERFUL times that we will see in our lifetimes!
The reason you are feeling so disempowered is because you are relying on people and things outside of yourself.
You are afraid to move on and out of your comfort zone. Even if you are in a relationship that is uncomfortable (personal or professional), you are not letting yourself move out of your comfort zone. THAT IS WHERE YOUR DISCOMFORT IS COMING FROM. Your Soul is trying so hard to grow and to move forward and you are not letting it happen. You have to move out of your comfort zone.
No one else has control over you or any aspect of your life unless you let them – NO EXCEPTIONS. I have talked to 3 people just this week who have had relationships either come to an end or change drastically. Some of them are terrified. How can I do it on my own? Or worse yet, “I can’t do it on my own”. Yes you can.
Sometimes you even think “But they have all the control”. No they don’t. They may have control over themselves, but they do not have control over you unless you flat out give it to them.
When you tell yourself you cannot do something, you cannot do it. When you tell yourself “I can do this, I don’t know how, but I can do it, I can do it by and for myself”, then you can do it. When you say those words to yourself, you take back some of your power. You start to feel a little bit better. Your intuition starts to come back. Your guides are better able to talk to you. You begin to realize that all those recurring thoughts are really insights into what your next step should be. You stop talking yourself out of stuff and start to get inspired to take little actions. Sometimes you take big actions. Either way, you MUST get out of your comfort zone. ESPECIALLY if your “Comfort Zone” is “Uncomfortable”.
Say to yourself, I will trust the process, I will get out of my comfort zone, I will let go and let God, and trust that any movement I make will work out for my Highest and Best Good.
The energies of the Universe are pushing you to go! Don’t let yourself stay stuck in whatever space you feel you are stuck in. You have a lifeline from the Universe – grab hold and take it!
Even if you cannot change everything right this minute, you MUST change something. Remember, the Law of Attraction brings you more of what you are experiencing now. The subject does not matter so much as the feeling.
If you are feeling powerless in a relationship or a job, you will create more opportunities to feel powerless. It could show up as a car accident, illness, something going wrong with your home and you needing to put out money you do not have to fix it… the subject is not as important as the feeling …. All these things make you feel powerless, it is not an accident that they showed up in your life. Like energy attracts like energy.
It works the other way too. Let’s say you are in a relationship or a work situation that you feel powerless in. If you can say to yourself what I wrote above, (and I will write it again here because it is important) “I will trust the process, I will get out of my comfort zone, I will let go and let God, and trust that any movement I make will work out for my Highest and Best Good.” You will feel empowered. If you can say that, and FEEL it, you will feel more empowered than you do now. As soon as you take back a little bit of your power, and start to allow yourself to feel that power things will begin to improve. IT IS LAW.
You may not be able to quit your job right now, but you could start looking for something else. Or more likely, once you allow yourself to feel that powerfulness that is in you, you will be INSPIRED to take an action. It will actually FEEL GOOD. You will be hard pressed to NOT take it because it feels so good. All you did was allow yourself to feel a little bit more power and you felt immediately better. Things and people will show up for you that make you start to think “I can do this”. The Law of Attraction will bring more things to you that have that same feeling. Maybe someone at work will surprise you and change their attitude, maybe someone that you feel has never valued you will say some words of appreciation, maybe you will come across a job posting that looks just perfect for you (you may not get that job, but it may inspire you to realize that there are other things out there). No matter the circumstance, or what it looks like ‘exactly’, the feelings will be the same, and empowered feelings will assist you in moving forward and will via LoA attract more of the same feelings.
If it’s a relationship, you need to remember you cannot control other people, but you can change your thoughts and your actions. Instead of thinking “I am stuck in this house, with this person, in this state”, replace it with “What can I do right now to feel more empowered and feel better?”. The answer might be to pull your energy back from that person a little bit and put the focus back on yourself. The answer might be to get a job so that you will have money. Once you bring it back to you, and realize that you have power over yourself and your feelings, you will feel better.
Sometimes people are afraid to feel powerful in a relationship if they are unhappy in it because they think if they were to have their own money, or power, then they would leave their spouse and that would certainly bring them out of their comfort zone. Sometimes that does happen, BUT sometimes the relationship just changes. The thing is, you will not know unless and until you focus on yourself.
If you are uncomfortable or worse yet, miserable, now, what have you got to lose?


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Goth-rock idles The Cure are set to collaborate once again with long-term partner Tim Pope for their 40th anniversary documentary.
The band are celebrating four decades since Robert Smith and the original line-up released the first single ‘Killing An Arab’, and 2019 marks the 40th year since the release of debut album ‘Three Imaginary Boys’.
The band has worked with Pope on numerous projects and the latest feature-length documentary will chronicle the history of the band from the 1970s up until the present day, with Smith serving as the narrator. Not only will the documentary show an insight into the band’s history, it will also feature never been seen before interview, bootlegs and rare performances.
There is currently no set date for the release of the documentary.
The Cure has also recently announced the dates for their only European tour of 2018 where they will headline London’s Hyde Park for British Summer Time 2018 on Saturday July 7th. Tickets are available now (here).


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In 2050, another 2.5 billion people will be added to the planet’s urban areas, with the majority of growth taking place in Asian and African countries. Using data from the UN and the Global Cities Institute, the visualization above highlights the world’s top megacities.
How many thoughts do humans have a day? Ask that question as a search term, and at least 186,000,000 results will pop up on Google. According to the top result (via the Cleveland Clinic), we human beings process about 70,000 thoughts per day. That figure however, was first discussed on Twitter and is simply not true.


Secessionist Mthwakazi Republic Party (MRP) activists on Monday defied a police ban on unsanctioned political gatherings and held roadshows and village meetings in Tsholotsho, Matabeleland South province.
By NQOBANI NDLOVU
Police last week barred the MRP from holding roadshows in Mbalibali, Tshefunye and Mbamba in Tsholotsho that were scheduled for January 20 and 21.
MRP president Mqondisi Moyo told Southern Eye that they decided to defy the police ban because they were constitutionally entitled to exercise their rights without interference from law enforcement agents.
He said the MRP visited Chefunye, Mbalibali, Mbamba, Mvundlana, Jahe, Ngqoya, Tsholotsho centre and Nyamandlovu centre in Umguza district.
“This successful event happened against the backdrop of political denial for MRP by the Lupane district superintendent to hold a road show and three rallies in Tsholotsho.
“The tribal, political and unconstitutional denial by the said [Officer Commanding Lupane District Chief Superintendent Johannes] Govo, became a blessing in disguise as it exposed the insincerity of the government of [President Emmerson] Mnangagwa and his ilk. It also attracted, by default, a lot of local and international media coverage, to the credit of the cause of MRP,” Moyo said.
Last week, the MRP warned it would start using their constitutional right to hold rallies without seeking police clearance.
Under the Public Order and Security Act (Posa), individuals, political parties and other organisations are supposed to seek police clearance to hold gatherings, roadshows and demonstrations.
Police last week barred the MRP from holding roadshows and rallies in Tsholotsho because the party was “not clear on its agenda”.
“The Constitution of Zimbabwe is the supreme law of the country and guides Zimbabweans. It is noticed that you have secluded yourself from Zimbabwe as per the geographical map of your Mthwakazi,” Govo wrote.
“However, according to Posa, your notice does not fulfil the requirements which must be included. You should not hide your agenda as it is not shown, that is venue of the show, roads to be used, number expected at the gathering.”
In May last year, MDC-T vice-president Thokozani Khupe and other party members were teargased when police crushed an MDC-T voter registration campaign in Lupane ward 9.


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Nov. 10, 2016
Public Citizen Experts Testify in Support of Fair Elections and Anti-Pay-to-Play Legislation
WHAT: Two Public Citizen experts will testify on a set of democracy reforms at a public hearing before the D.C. Council Committee on the Judiciary.
Aquene Freechild, co-director of Public Citizen’s Democracy Is For People campaign, will testify in support of D.C. Councilmember David Grosso’s Citizens Fair Elections legislation (B21-0509), which would reduce the influence of special interest groups in D.C. by providing candidates with an alternative to relying on wealthy donors to get elected. The program would put everyday District residents at the heart of the election process and encourage candidates to devote more time to their constituents.
Craig Holman, government affairs lobbyist for Public Citizen’s Congress Watch division, will express support for D.C. Attorney General Karl Racine’s Campaign Finance Transparency and Accountability legislation (B21-0622), which would strengthen the anti-coordination rules for independent expenditure groups and prohibit government contractors from making campaign contributions (known as “pay-to-play”). Holman also will testify in favor of the Citizens Fair Elections legislation.
WHEN: 10 a.m. EST Wednesday, Nov. 16
WHERE: Room 500, John A. Wilson Building, 1350 Pennsylvania Ave. NW, Washington, D.C.
WHO: Aquene Freechild, co-director, Public Citizen’s Democracy Is For People campaign
Craig Holman, Ph.D., government affairs lobbyist, Public Citizen’s Congress Watch division