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This recipe makes a flat sponge which is sandwiched together with whipped cream and fresh raspberries. I’ve used the recipe for my book Food Preparation Task
100 g caster sugar
100 g self raising flour
40 g raspberry jam
250 ml double cream whipped
200 g raspberries + 1 fresh fig
Sugar for dusting
- Preheat the oven to 200 °C/ Gas 6.
- Line a cake tin 20 x 30 cm with baking parchment paper.
- Whisk the eggs and sugar for about 10 minutes until the mixture is thick and creamy and you can leave a trail in the mixture. This forms a foam.
- Sieve in the flour and fold in gently with a metal spoon.
- Spoon into the tin and bake for 10-12 minutes until lightly browned and the cake springs back to touch.
- Leave the cake to cool on a wire rack. When cool, cut in half.
- Make the filling – whip the cream until it forms soft peaks and stir in 20g icing sugar.
- Mix the cream with a few raspberries.
- Fill the middle of the cake with some of the cream and raspberries.
- Warm the jam and brush over the top of the cake.
- Decorate the top of the cake with the rest of the cream, sliced fig and the raspberries. Sprinkle with icing sugar to serve.
The science bit – see my Food Science You Can Eat book
Eggs and sugar whisk to a foam. Albumen is the protein in the egg and this extends and traps the air bubbles.
On heating the air expands and pushes up the egg, sugar and flour mixture.
Flour contains gluten which is a protein which sets when heated.
The egg protein denatures, coagulates and sets with the gluten and forms the sponge structure.
The cake changes colour as the starch changes to dextrin and the Maillard reaction takes place.
Nutrition analysis – using Nutrition Program
Pizza is another invention that came after my 1970 classroom recipes so we never made it with a yeast dough.
Nowadays ready made pizza bases make life easy but here’s a home made recipe.
200g strong, white bread flour
1/2 tsp salt 3g
1 x 7 g sachet dried yeast
2 tsp sugar
150ml warm water.
Passata or tomato paste – about 100g
100g grated cheese or mozzarella
2 tbs olive oil
Ideas for topping – Slices of aubergine, onion, yellow and red pepper, black olives, mixed herbs, mushrooms
- Preheat the oven to 250C/ Gas 9. Prepare large baking trays for the 2 pizzas by lining them with non stick paper.
- Put the flour, salt, yeast and sugar in a mixing bowl or food processor and work in the water until the dough forms. Use the blades in the machine to work the dough.
- Turn the dough out onto a lightly floured surface and knead for 10 minutes by stretching, pulling and pushing the dough to make it smooth and springy. This kneading helps stretch the gluten which forms the structure when baked.
- Put the dough in a bowl, cover with a cloth or clingfilm and leave in a warm place until double in size 20-30 minutes.
- Prepare the ingredients for the topping – you can roast or fry the peppers, sliced onion and aubergine.
- Grate the cheese and slice the mushrooms.
- Divide the dough in half and rub with a little oil and pat and roll out to form a large pizza shape. Repeat for the second dough and place on the 2 baking trays.
- Spoon on a layer of passata or tomato paste to the edges of each pizza then drop on the vegetables, mixed herbs and top with grated cheese. Place some olives on top.
- Bake 7-10 minutes until the pizzas are golden and crispy.
High energy oat bar – Makes 16 squares
Adapt the recipe by adding seeds and fruit to add crunchiness and colour to the recipe.
Ingredients for basic recipe
2 tablespoons golden syrup (60g)
80g brown sugar
100g margarine or butter
200g rolled oats
- Preheat the oven to 180°C/Gas 4 and line a 22 cm square tin with baking parchment or non stick paper.
- Heat the tablespoon in a cup of hot water to help measure the tablespoons of golden syrup.
- In a saucepan melt the sugar, margarine or butter and golden syrup.
- Stir in the oats and pack down into a 22 cm square tin and smooth down.
- Bake for 30 minutes – a bit longer if you want it crunchy.
- Take out of the oven and mark into 16 squares. Leave to cool and take out of the tin.
200g white SR flour
3g baking powder
100g grated cheese
20g sesame seeds
30g pumpkin seeds
30g sunflower seeds
milk – approximately 130ml
Glaze – beaten egg mixed with small amounts of each seed
- Preheat the oven at 230°C/ Gas mark 9.
- Sieve the flour, baking powder and salt into a bowl and rub in the butter.
- Stir in some of the cheese, sesame seeds, pine nuts and sunflower seeds and mix to a stiff dough with the milk. Knead until smooth.
- Pat out onto a floured surface until roughly 16 cm in diameter. Place on a baking tray and mark into 6 equal segments. Brush over the glaze and sprinkle over some seeds.
- Bake for 16-20 minutes on the centre of the top shelf until the scone ring is firm underneath and thoroughly cooked. Test to see if a skewer comes out clean.
- Place on a wire rack to cool.
Makes 10 – 12 standard muffins.
Ingredients Basic recipe
250g plain flour
3 tsp baking powder
½ tsp salt
80g caster sugar
90ml corn oil – 3 tablespoons
- Prepare the tins with paper cake cases. Preheat oven 200°C/ Gas mark 5-6.
- Mix the dry ingredients – flour, baking powder, salt, sugar.
- Mix the wet ingredients – egg, milk and oil.
- Pour the wet ingredients into dry ingredients. Stir for 20 seconds. Do not beat. The muffin mixture should drop in globs off the spoon. If overstirred the gluten in the flour will develop and the muffins will be tough with holes. Fill the muffin cups.
- Bake 20-25 mins. Mini muffins take 15-20 minutes. Muffins are cooked when the tops are lightly browned and spring back when touched.
- Muffins are best when they are freshly baked and still warm. If not,they should be frozen.Flavours you can add
Raisins, currants, chopped dried fruit, chocolate chips, apricots, bananas, bran, cherries, cheese.Flours to use
Plain flour is best.
Strong flour has too much gluten and will make the muffins tough.
Self raising flour is OK but you need to know how much baking powder to add.
Wholemeal flour adds colour and fibre.
Sugar – granulated, finer caster sugar or brown sugar can be used.
Oils – you need to choose one that has a good flavour, but not too strong. Olive oil is too strong.
Milk – you can use semi-skimmed, skimmed to lower the fat as well as whole milk.
Eggs improve the texture, lightness and nutritional value of the muffin.
Extra nutrition and fibre – add some wheatgerm or bran
I think Lemon meringue pie is very hard to get right – the pastry, the filling and the meringue can all go wrong! High level skill to try.
175 g plain flour
20 g caster sugar
100 g butter or margarine
egg yolk and enough water to mix
2 lemons – zest and juice
25 g butter
75g caster sugar
2 egg yolks
2 egg whites
100 g caster sugar
- Rub the butter into the flour caster sugar until it looks like breadcrumbs. Or use a food processor. Stir in the egg you and add enough water to make a firm dough. Chill for 20 minutes.
- Preheat the oven to 200°C/Gas 6.
- Line a 20 cm diameter flan tin with pastry, fill with paper and baking beans and bake blind for 15 minutes.
- Remove beans and paper and bake a further 5 minutes until pastry is crisp. Make sure there are no holes in the pastry for the filling to leach out.
- Turn the oven down to 160°C/Gas 3.
- Mix lemon juice with enough water to make 300ml.
- Blend the cornflour with 2 tbs of the liquid, pour in a saucepan with zest, butter and sugar and cook and stir until thick – about 5-8 minutes. Remove from heat and cool slightly.
- Whisk egg whites until stiff and add the sugar slowly and carefully.
- Stir the egg yolks into the lemon sauce and spoon into the pastry case.
- Spoon over the meringue – you can lift into peaks with a fork.
- Bake in the oven until the meringue is crisp and slightly golden – about 30-40 minutes.
- Serve hot or cold.
Blancmange is made by mixing blancmange powder, which is made from cornflour and flavouring such as cocoa powder, with milk and sugar and heating it. It needs to set for several hours before it is turned upside down.
Ingredients Serves 4
Sachet of blancmange powder (36g)
- Mix blancmange powder, sugar and 3 tbs milk to make a smooth paste.
- Heat remaining milk in a jug in the microwave or in a saucepan.
- Add a little warm milk to the paste and stir.
- Return to a jug in a microwave or a saucepan and heat and stir until thick.
- Pour into a mould, cool then put in the fridge and leave to set for 3 hours.
- Turn upside down and serve chilled.
The science bit
Heating cornflour and liquid makes a thick sauce. The liquid enters the starch granules, they swell and a gel is formed. The blancmange thickens by gelatinisation.


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Exceptional Chiropractors Near You To Help Treat Your Injuries Fast
If you reside in Sophia, North Carolina, and experience pain symptoms due to a car accident, such as neck pain or back pain, Cobb Chiropractic Clinic is the perfect location for you.
Our team of excellent medical professionals
Once this goal has been accomplished, you will be able to return to your happy and pain-free lifestyle.
Pretty great yeah!
So how do we accomplish this?
How Does Chiropractic Care Work?
Cobb Chiropractors apply gentle, yet swift, adjustments to the spine with the intention of restoring the body's optimal functioning range and ability by realigning the spine.
Your spine is significantly connected to your nervous system. It only takes small accidents, such as overextension and overexertion, to have detrimental effects on your spine, and subsequently the rest of your body.
Thankfully, it has been proven that after several chiropractic adjustments your body is able to realign and be rid of discomfort and prevailing ailments.
Contact your local Sophia Chiropractic Clinic to discover how you can start having your pain alleviating today.
Discover More About Dr. Cobb
Cobb Chiropractic Clinic began treating injured Sophia residents in 1977. For over 40 years Cobb Chiropractic has been proudly serving and treating North Carolina communities.
Dr. Shane A. Cobb has followed in his father's footsteps and became a Doctor of Chiropractic.
His specialties include whiplash, back pain, neck pain, sports injuries, slip and fall accidents, sciatica, carpal tunnel syndrome, and more.
How Cobb Chiropractors Create Their Diagnoses
The doctors at Cobb Chiropractic Clinic take their time to evaluate each patient and their pain symptoms carefully.
It is crucial to understand that Cobb Chiropractic does not provide "cookie-cutter and standardized" treatments to Sophia patients. They make sure to personalize their treatment plans to the particular patient and devise it in a way that offers the best possible chance for successful results.
The ultimate goal is to relieve pain, return proper physical function, and allow each Sophia patient to return to a pain-free lifestyle. All of this is to be carried out in a healthy, noninvasive, and natural manner.
Conditions that Cobb Chiropractic Clinic Treats
While some individuals believe that chiropractic care is only helpful for a "good back cracking," it is actually incredibly beneficial for soft-tissue injuries and injuries to the musculoskeletal system.
Expensive surgeries are not the only go-to options for serious and severe injury conditions. Even injuries such as herniated discs and carpal tunnel syndrome can be assisted by chiropractic care.
The most important thing to remember is that ignoring pain symptoms is never a good idea. Injuries typically do not just go away; you must take action against them. The longer an injury goes untreated, the higher risk of it becoming chronic and long-lasting.
Contact your local Sophia Chiropractic Clinic to alleviate your pain now.
The Medical Doctors at Cobb Chiropractic are experts at treating the following injuries:
- Back and Neck strains/sprains
- Sports Injuries
- Slip and Fall Accidents
- Carpal Tunnel Syndrome
- Degenerative Disc Disease
- Herniated Discs
- Nerve Damage
- Spinal Arthritis
- Soft-tissue injuries
Among these primary conditions, Cobb Chiropractic is also efficient in assisting with anxiety, irritability, insomnia, fatigue, ringing in the ears, and dizziness.
Chiropractic Care is always a healthy option; however, for Sophia patients involved in a severe accident, we highly recommend seeking immediate medical care.
For Sophia, NC residents injured in critical car accidents, please visit Randolph Health.
Chiropractic Techniques Performed at Cobb Chiropractic Clinic
Treatment methods and techniques that are used at Cobb Chiropractic Clinic include, but are not limited to, the following:
- Spinal adjustment/manipulation
- Spinal Decompression
- Ice pack/Heating Therapy
- Flexion-Distraction Technique
- Instrument-Assisted Manipulation
- Activator Method
- Electrical Muscle Stimulation Therapy
Contact Successful Chiropractic Doctors in Sophia, NC
No matter what injury you have suffered, it is always a good idea to get medically checked out. Trust us, having an injury worsen from lack of action is nothing anyone wants.
Consider this, too: if you receive chiropractic care after your accident injury, you will have the necessary medical documentation should your situation transition into a legal case.
Furthermore, Cobb Chiropractic will even refer you to a trusted Personal Injury Attorney.
This will guarantee that you don't have to add wondering whether or not your legal rights are protected to your mounting stress due to an accident.
All of these are significant reasons by Sophia, NC residents who have been injured need to contact Cobb Chiropractic Clinic. Our clinic has been serving patients for over 40 years and plans on continuing for many, many more.
Click the button below to schedule a same-day appointment with our trusted Chiropractors today.

domain: medical


The information on the variation of the Keanu Reeves co-created comedian ebook BRZRKR has been comparatively quiet. However now, in an interview with Collider, Reeves himself says he would possibly find yourself directing the film model.
The script, by Mattson Tomlin has simply hit its newest draft, and whereas Reeves hasn’t had an opportunity to learn it but, he is considering of changing into much more concerned than he already is – saying there’s an opportunity he’ll direct.
“I understand how it is loads of work, however the movie that I directed, Man Of Tai Chi, was born, I grew to become the director as a result of I used to be a part of the writing course of, and I did not need to hand it over,” he says. “I used to be like, ‘Oh, okay. I’ve to direct this.’ I am not fairly there but on BRZRKR. I’ve to learn the script, however I am additionally serious about having a collaborator and what they may carry to it.”
BRZRKR, primarily based on an authentic thought by Reeves, additionally options the skills of illustrator Ron Garney, colorist Invoice Crabtree, letterer Clem Robins, and character/cowl designer Rafael Grampá. The story chronicles an immortal warrior’s 80,000-year struggle by way of the ages. The person recognized solely as “B” is half-mortal and half-god, cursed and compelled to violence, even on the sacrifice of his sanity. However after wandering the earth for hundreds of years, B might have lastly discovered a refuge – working for the US authorities to struggle the battles too violent and too harmful for anybody else. In change, B shall be granted the one factor he wishes – the reality about his infinite blood-soaked existence… and tips on how to finish it.
We’ll see whether or not this finally ends up occurring, however it’s definitely an thrilling thought. There isn’t any phrase but on when the film or anime variations would possibly arrive.
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Astronomers simply discovered the quickest recognized radio pulses from outdoors our galaxy hiding in half-hour’ value of radio telescope knowledge. The findings, revealed Oct. 19 within the journal Nature Astronomy, might assist researchers uncover the place these mysterious blips come from.
Quick radio bursts (FRBs) are extraordinarily brief, high-energy pulses of electromagnetic radiation that normally originate outdoors our galaxy. Most final for between one-thousandth of a second and three seconds, throughout which they emit as a lot vitality as the solar throws out in a day.
The primary FRB was detected in 2007, and since then, tons of extra have been found. Astronomers aren’t totally positive what causes FRBs. There’s proof that a minimum of among the radio pulses come from magnetars, a sort of dense neutron star with an especially highly effective magnetic area. Different researchers have proposed that FRBs may be the results of merging neutron stars, energetic supernovas, gamma-ray bursts or probably even technosignatures from alien civilizations.
However astronomers had lengthy suspected that there may be even shorter, faster FRBs that have been going undetected. “Throughout our group conferences, we regularly talked about it,” Mark Snelders, an astronomer on the College of Amsterdam and first creator of the research, stated in a assertion. “By coincidence, I discovered that there was a public dataset that we might use for this.”
By analyzing half-hour of radio knowledge from the Inexperienced Financial institution Telescope in West Virginia, Snelders and his co-authors found eight ultrafast FRBs originating from a supply 3 billion light-years away. Every energetic pulse lasted simply 10 millionths of a second or much less — the quickest bursts ever detected by far.
Now that scientists have proof that these ultrafast FRBs exist, they will seek for extra. Sadly, these blips could show tough to search out with this technique. To identify the eight pulses, the researchers needed to break down every second of the telescope’s radio-based photographs into half 1,000,000 frames. Many different radio telescopes’ knowledge information merely aren’t detailed sufficient to slice into such tiny items.
Nonetheless, figuring out the place and methods to discover ultrafast FRBs is a giant step towards unraveling the puzzle of how they got here to be.


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Please read the following Practice Updates which are published monthly in the East Bergholt Parish Magazine. These monthly updates enable the Practice to let our patients know what has been going on across our two sites.
Constable Country Medical Practice – Practice Update August 2017
Dementia is a condition that can have a devastating impact on patients, their family and friends. However, the earlier it is identified, the more likely it is that the patient will retain a good quality of life and their dignity.
The practice has one of the lowest levels of dementia diagnosis across Suffolk. Although we would like to think this really is that case, we suspect the truth is that many patients suffering from dementia have not been formally diagnosed and are therefore are not receiving the support and care they need. If you suspect a friend or family member may be suffering from dementia, please persuade them to make an appointment with a GP. A quick assessment at the practice may suggest dementia, in which case they will be referred to the Hospital for a comprehensive assessment, or their symptoms may be attributable to another cause.
For more information on dementia, visit www.dementiauk.org or www.alzheimers.org.uk
Dr Fayez Ayache
After over 30 years as a GP at the practice Dr Ayache, our senior GP Partner, has decided to retire. He has been a steadying influence on the practice and been crucial in steering us through difficult times over the last few years. Dr Ayache has earned the respect of not just patients and staff, but the health community in general across Suffolk and further afield. As an ENT specialist GP he has worked in the community at Hadleigh as well as at Ipswich Hospital. However, his biggest challenge has been supporting those in desperate need as a result of conflict in his country of birth, Syria. He has been frequently interviewed by the media and has been a key supporter of a charity set up to help Syrian refugees. He will continue this work when he leaves the practice at the end of December. Dr Ayache has endeavoured to give all his patients the best care possible and would like to thank them all for their kindness and support over the years.
Annual Flu Clinics
We are starting to prepare for our annual flu clinics. This year we will be administering a quadrivalent influenza vaccine to patients over 18. Previously, the majority of seasonal influenza vaccines were trivalent meaning that they protect against three of the four main flu virus strains. If the strain not covered turns out to be predominant then the vaccine is less effective. The new quadrivalent vaccine protects against all four strains and so will be effective irrespective of which strains are predominant in any one year. The vaccine is administered exactly the same as in previous years so patients will not experience any difference. The practice sources the quadrivalent vaccine from Sanofi Pasteur, one of the largest and most respected vaccine manufacturers in the world.
Our aim is to vaccinate as many patients as possible and start the vaccination programme as soon as we take delivery of the vaccines. This year we will be holding additional flu clinics at the end of October, though we urge all eligible patients to attend our main flu clinics on the following dates.
East Bergholt Medical Centre:
Tuesday 26th September, 2.00pm to 7.00pm (Patients aged 18 year and over)
Capel St Mary Surgery:
Thursday 5th October, 2.00pm to 7.00pm (Children and Adults)
Additional flu clinics will be held on the following dates:
East Bergholt Medical Centre:
Thursday 26th October, 3.00pm to 6.00pm (Children and Adults)
Capel St Mary Surgery:
Tuesday 31st October, 3.00pm to 6.00pm (Children and Adults)
The clinics will run on the same basis as previously: all eligible patients will receive a letter by mid-September inviting them to attend on one of the above days. Patients may attend any clinic, irrespective of where they live, and no appointment is needed.
Just a reminder that the practice will be closed from 1pm on the following dates for staff training:
7th September 2017 (Thurs)
4th October 2017 (Wed)
16th November 2017 (Thurs)
On these afternoons the doors will be closed so please ensure any prescriptions are picked up well beforehand. If you phone the practice the recorded message will ask you to ring 111 for medical assistance if your problem cannot wait until the next day.
Constable Country Medical Practice – Practice Update July 2017
The practice takes patient confidentiality very seriously but our staff are often faced with situations where they are asked to compromise this confidentiality. I thought it would be useful remind patients of a few guidelines.
Unless it is clearly in the patient’s best interest to do otherwise, we can only discuss patient information with someone other than the patient themselves if we have written consent from the patient. Even the fact that a patient has an appointment at the practice is confidential, as they may not wish family or friends to know. We therefore cannot confirm that a patient has an appointment, discuss their medication or any other aspect of their care without their permission. It is acceptable for a patient to give verbal consent on the phone, and then pass the phone to a friend or relative to discuss their problem. It is also acceptable for someone to book an appointment for a patient, or cancel it, as this does not require us to divulge any information.
We may leave a general message on a landline answer phone to contact us, but will not be specific about the reason. Where we have a mobile number of a patient we will assume they have consented for us to send text messages confirming appointments or conveying test results or other information, unless they have informed us otherwise. Please ensure we have an up to date mobile number.
Two specific problem situations are often encountered. First, elderly or disabled patients may have difficulty in communicating or lack mobility and need someone to act on their behalf. A letter of consent enabling practice staff to discuss issues on their behalf really helps. The letter could specify, for example, that just appointments and medication should be discussed, rather than specific details about conditions.
The other situation is parents discussing their children’s records. This is not a straightforward area. When parents are separated or divorced they may still have parental responsibility and so be entitled to fully discuss their child’s health. For children under 16, parents do not have an automatic right to access their child’s record and discuss their medical issues. Here, “Gillick competency” applies.
Lord Scarman, in his judgment of the Gillick case in the House of Lords (Gillick v West Norfolk, 1985) commented generally on parents’ versus children’s rights as follows: "parental right yields to the child’s right to make his own decisions when he reaches a sufficient understanding and intelligence to be capable of making up his own mind on the matter requiring decision."
This means that we may decline to share children’s medical information with their parents if it is judged by a practice healthcare professional that it is not in their best interest to do so. Teenagers should also confirm that we have their own mobile number, rather than one of their parents, recorded for them.
Constable Country Medical Practice – Practice Update June 2017
Phone System Upgrade
We will be further upgrading our telephone system over the summer. Patients will no longer experience a busy tone when all lines are engaged but will be informed of their position in a queue. This information will be updated as you progress through the queue. At peak times we have up to 7 receptionist answering calls, so even if there are a number of patients already in the queue, your waiting time should not be too long.
Whatever time you ring during day you will be able to speak to a doctor if you need to, unless demand is exceptionally high. If all our face-to-face appointments have already been booked, a doctor will phone you back to discuss your problem and if you need to be seen in person they will arrange for you to be seen that same day.
Patient Information Screens
We have purchased new computers to run the patient information screens at East Bergholt and Capel which should now be more reliable. They convey useful information provided by the NHS and also details of how we operate the practice and how best to access the services we offer.
Our medical receptionist can help with a wide range of issues. Increasingly, we are training them to ensure they are equipped to help patients and signpost to a variety of support services. If you have a medical problem, it helps if you disclose it to them so they can ensure you are seen by the right practice clinician (GP, Nurse Practitioner, Practice Nurse or Health Care Assistant). Pharmacists and osteopaths can help for many conditions, and there are many support services available which offer expert advice to help patients with issues such as bereavement, dementia etc. Our reception team can provide information on these services.
National Diabetes Audit
The practice is participating in the National Diabetes Audit. This is an NHS initiative which aims to determine how the Clinical Commissioning Group and practices across Suffolk can improve the effectiveness of treatment for patients with diabetes. This involves sharing patient information with NHS England, though strict confidentiality and security rules will apply. Please inform the practice if you do not want your information to be shared for this purpose.
Constable Country Medical Practice – Practice Update April 2017
Suffolk GP Federation provides out-of-hours services on behalf of the majority of practices in Suffolk. It operates from a number of sites, the nearest to the practice being Stowmarket (Stow Health), Ipswich (Riverside) and Felixstowe (Felixstowe General Hospital). Typically, services are offered from 18:30 to 21:00 during the week and through the day on Saturday and Sunday. 15 minute GP and Nurse Practitioner appointments are available but can only be booked by the practice or other healthcare organisations. At the time of booking, patients will need to provide their consent to share their medical notes with the clinician they see. This service is proving to be very popular as it relieves pressure on the practice on busy days and also provides patients with alternative options for addressing a medical problem. You may be offered an appointment with GP+ or you can ask the receptionist for current availability.
I’m delighted to announce that we have an additional Nurse Practitioner joining the practice. June will be joining us at the end of April. She is an experienced Nurse Practitioner who also specialises in the treatment of diabetes. Our two Nurse Practitioners, June and Sarah, are able to address a wide range of medical conditions. On contacting the practice our reception team can advise patients whether it is appropriate for them to be seen a Nurse Practitioners or if they need to see a GP.
Please note that it may take the practice up to 72 hours to process a repeat prescription. When issued they can be sent immediately to the patient’s nominated pharmacy but it may take up to 72 hours for the pharmacy to have your medication ready for collection, depending on workload and the availability of the items required. In the majority of cases your prescription will be processed and ready for collection much sooner, but please allow ample time by ensuring the practice receives repeat prescription slips a week in advance of when the items are required.
The Practice has wheelchairs available at both Capel and East Bergholt to assist patients with mobility problems getting in and out of the practice. Unfortunately, one of the chairs at East Bergholt has broken and is not repairable. If you have a wheelchair you no longer need, and it is not on loan from the NHS, the practice could make very good use of it.
Constable Country Medical Practice – Practice Update March 2017
Demand Over Public Holidays
Demand over Christmas and New Year was very high and we experienced a backlog in processing prescriptions for a couple of days immediately after the New Year. Pharmacies are also very busy over public holidays. We are sorry if patients experienced delays in receiving their medication.
In order to minimise delays over the Easter period, please submit requests for repeat medication well in advance. Repeat medication can be requested online if you have a SystmOne online account. Please contact the reception team if you would like to register for an account.
High Demand and Storm Doris
Storm Doris caused major disruption across Suffolk on Thursday 23rd February. The East Bergholt surgery lost power for over 4 hours. We relocated clinicians to Capel and diverted or rearranged patients who had appointments at East Bergholt. The loss of power meant that we lost access to patient records, our phone system for both sites went down, vaccines in our fridges went over their permissible temperature range, and we had to close the East Bergholt premises at about 16:45 as it was too dark to work safely.
Many patients were affected by the disruption, not only on the day but also for the following week or so when appointments were rescheduled and whilst vaccines were unavailable due to the loss of power to our fridges. Thank you to all patients affected for your understanding.
The last significant power loss at East Bergholt was in 2013, though outages do occur on a regular basis, usually for just a few minutes. Following a full review of events we have decided to purchase an emergency generator and necessary cabling to ensure that in the event of future significant power failures at the East Bergholt or Capel premises, we are able to continue to keep our phone system operational and attend to patients who need urgent care. Hopefully these events will be few and far between.
Constable Country Medical Practice – Practice Update January 2017
Managing Demand over the Winter Period
Demand on the NHS as a whole is at its highest during the winter months. This puts pressure on all our staff and so it is even more important at this time of the year that we deal with patient problems as efficiently as possible. Please help us by following the guidelines below:
- Tell the receptionist the nature of your problem. They can ensure you see the right clinician (GP, Nurse Practitioner, Practice Nurse) and you may not need to come into the practice if it can be dealt with over the telephone. If you need to see a GP, they will be aware of your problem before you see them which helps them prepare for you consultation. Of course, if your problem is personal and you would rather not disclose it, then that is fine.
- If you need a home visit, please let us know as soon as possible. The doctor will phone you before leaving the practice to ensure they need to see you and they can help with the problem. Home visits can take up to an hour in total so if you can attend to practice please do so.
- Order repeat medication well in advance and nominate a pharmacy. Many prescriptions can be sent electronically to a pharmacy of your choice. However, it can take up to 3 days for the practice to process you prescription as the doctor will need check that it is safe to issue it.
- The clinicians at the practice are not equipped to deal with every problem. If you have a serious acute problem you should attend A&E or dial 999 for emergency assistance as contacting the surgery may delay treatment being provided to you. Serious problems include broken bones, severe allergic reactions, breathing difficulties, severe chest pain, severe burns, seizures, very ill children, severe bleeding, poisoning, foreign body in your eye/ear. This list is not exhaustive and the practice may advise you to attend A&E if it is in your best interest to do so.
Constable Country Medical Practice – Practice Update December 2016
Happy New Year!
On behalf of all practice staff, I hope you had an enjoyable Christmas break and wish you a very happy 2017!
With the New Year we must expect cold and icy weather. Please be careful on icy paths as a simple fall may mean a trip to A&E. Please also make full use of your pharmacy. Your local pharmacist can offer advice on a range of minor problems and often provide effective over-the-counter medication. They will tell you if they believe you should be seen by a GP.
Please also look out for your neighbours. The elderly can be particularly vulnerable at this time of year. As well as slips in icy conditions, they may be cold or suffering from coughs and colds. Please keep an eye on them.
Allied Health Professional Suffolk
I’m pleased to announce that Allied Health Professionals Suffolk (AHPS) will hold clinics at the East Bergholt Medical Centre on Thursday’s from 12th January 2017. AHPS hold a number of musculoskeletal outpatient physiotherapy clinics around Suffolk. They see patients with a wide variety of conditions including those affecting muscles, bones and joints. The physiotherapist will assess each condition and agree with patients the most appropriate management of that condition which may include manual therapy, electrotherapy, acupuncture, work related ergonomics advice, and posture advice. Patients can self-refer to this NHS service. For more details please visit the AHP website at www.ahpsuffolk.co.uk or ring 03330 433966.
Flu, Pneumococcal and Shingles Vaccinations
We still have plenty of flu and pneumococcal vaccinations available. All eligible patients should have received a letter at the end of September. If you wish to make an appointment for a vaccination, or are uncertain whether you are eligible, our reception team can advise you.
We have also written to patients who are eligible for a shingles vaccination. Patients are eligible if they are aged 70, 71, 72, 73 or 79 on 1st September 2016. This is a one-off vaccination and can be booked with one of our practices nurses.
Electronic Prescription Service (EPS)
The practice switched over to the Electronic Prescription Service (EPS) on 22nd November. We are now able to send electronic prescriptions for most (but not all) medication to the majority of pharmacies. You must have nominated a pharmacy for your prescription to be processed electronically. You can inform either the pharmacy or the practice, and change your nominated pharmacy at any time.
Constable Country Medical Practice – Practice Update November 2016
Flu, Pneumococcal and Shingles Vaccinations
We held Flu clinics at East Bergholt on 11th October and Capel on 20th October. We vaccinated over 2,137 patients over the two days which was higher than last year. Representatives from the Patient Participation Group helped to direct patients and generally both days went well with a steady flow through each afternoon. Thank you to all patients for making the day so successful and for your kind donations to Age UK and EACH.
Patients who are eligible for free NHS flu or pneumococcal vaccinations but were unable to attend one of our flu days can now book an appointment at one of our weekly mini clinics.
Due to supply issues we were not able to vaccinate patients eligible for the pneumococcal vaccination at our first flu day, though we did have supplies for the second one at Capel. We have now have ample supplies. Note that patients were informed by letter if they are eligible the pneumococcal vaccination.
In November the practice will be writing to patients who are eligible for shingles vaccinations. These can then be booked with one of our nurses.
Constable Country Medical Practice – Practice Update September 2016
Helping the Practice to Help You
Pressures on the NHS are reported on daily in the media; overspend, hospital closures, A&E waiting times etc. Your GP practice is a critical component of the NHS and increasing demand and pressure on funding affects us as well. We have finite resources so therefore need to work as efficiently as possible. As we head into autumn we know that demand will increase. We continually work to improve the efficiency the practice and you can help us by bearing in mind following guidelines:
- If you require repeat medication, let us know well in advance and allow 3 working days before collection.
- Nominate a pharmacy so that from November your prescriptions can be sent quickly and electronically to a pharmacy of your choice.
- Use your pharmacist. They can offer excellent advice and provide over-the-counter medication which your GP cannot prescribe. If your pharmacist believes you need to see a GP they will tell you.
- Use NHS Choices. The website contains extensive help on a wide range of medical conditions and offers advice on what you can do to help yourself and when you need to seek help from a GP.
- Tell our receptionist the nature of you problem. They may be able to resolve it without you having to come to the practice (e.g. medication issues) and they can advise on the most appropriate clinician to see (GP, Nurse Practitioner, Nurse, Pharmacist etc.). Remember that we will never turn a patient away who needs to speak to a doctor. If our on-the-day appointments are fully booked, one of our doctors will phone you back to discuss your problem and see you in person if necessary.
- Phone later in the day if you need test results. If a result is abnormal and or action is required then you will be contacted by the practice. We don’t contact patients when no further action is required.
- Please bear with us! Some days are very busy, especially Mondays and Fridays. If you can’t get through on the phone then try later. You will always be able to speak to a doctor if necessary.
Constable Country Medical Practice – Practice Update August 2016
Repeat Prescription Requests
The practice processes hundreds of prescriptions every week. To ensure patients are safely prescribed the medication they need, every item needs to be checked by a doctor before it is authorised. Please allow up to 72 working hours (3 working days) for prescriptions to be processed by the surgery before collection. Your chosen pharmacy may then take 24 hours or more to dispense the items, depending on availability. You can drop repeat slips into the practice or to your nominated pharmacy if it is close to the practice, though pharmacies in Essex are unable to accept repeat slips. You can also request repeat medication via SystmOnline Web access or phone app if you have registered for an account. However, requests cannot be accepted over the phone.
Medication Following Hospital Discharge
When a Hospital discharges a patient they should be given a minimum of 14 days medication if any is required. The consultant will send the practice a letter requesting our doctors prescribe any further medication. However, the patient will need to contact the practice if they need a prescription to be issued. Patients’ circumstances can change and this system ensures that medication is not dispensed unnecessarily.
Electronic Prescription Service (EPS)
In November the practice will be implementing the Electronic Prescription Service (EPS). This is a national system which is now being rolled-out across Suffolk. The aim of the EPS is to reduce reliance on printed prescriptions. With the exception of prescriptions for some special types medication, the majority of prescriptions will be signed and sent electronically to a pharmacy of the patient’s choice. This will speed up the process and provide a clear audit trail of where the prescription is at any point in time.
In order for the system to work, patients should nominate a pharmacy for their prescription to be sent to. You can inform either the pharmacy of your choice or the practice. You can change your nominated pharmacy at any time and if you need to pick up a paper prescription you can still do so. However, patients who are on repeat medication will benefit the most as potential delays will be minimised. Note that you will still have to submit your repeat slip, which will be issued by the pharmacy, with the items you require ticked and the practice will still require up to 72 hours to process your request.
There are many other benefits to EPS including nominating a pharmacy elsewhere in the UK when you are on holiday, or a pharmacy near where you work. Prescriptions are sent as soon as the doctor has authorised them, minimising delay for urgent medication needs.
Breast Feeding Facilities
If mothers would like somewhere private to feed their baby, please ask a receptionist who will be happy to find a suitable room.
Constable Country Medical Practice – Practice Update July 2016
Patient Participation Group and Patient Feedback
Over the last year there have been many changes at the practice. In addition to changes in the partnership and other staff, we have also changed our appointment system. Some changes take a while to have an impact on how the practice is perceived as some patients only occasionally have a need to visit the practice. However, we hope that our policy of always offering a same day face-to-face or telephone appointment is reassuring and patients understand they can contact us at any time of the day if they need access to a clinician.
We want to continue to improve the service we offer and our interaction with patients is key to helping us understand what works well and where we can improve. I thought it may be useful to summarise how you can improve your interaction with the practice:
Most importantly, please ensure we have up to date contact details for you, including home and mobile telephone numbers and email address. You can update these via our website (click on ‘update contact details’ on the home page) or by filling in a form available from reception. This will enable us to send appointment confirmations, notifications of test results and other important information we feel you should be aware of. Note that your details are strictly confidential and will only be used for practice purposes.
We are further developing our website to ensure that information you need is available. It contains PPG minutes and contact details, news items including regular practice updates, information on our appointment system, and the facilities to register as a new patient and provide feedback. Our aim is to improve the website over the coming months to ensure it contains up to date and useful information. We will also be introducing a twitter feed to inform patients of incidents, such as power cuts, or events such as flu clinics.
The PPG has been operating for over a year now and we are lucky to have such an active PPG. We meet monthly and discuss the day to day operation of the practice, new developments and any problems which come to their attention. The PPG are also proactive in helping the practice address wider health issues. They recently organised a very successful presentation on diabetes by Dr Gerry Rayman, and will be organising further events in the year ahead. Their contact details can be found on the website and they welcome feedback on how the practice is performing.
The PPG have provided feedback cards for patient use and collection boxes at Capel and EB, and these are reviewed regularly. We also have Friends and Family Test feedback cards available, and patients can provide feedback via our website and on NHS Choices. We welcome all feedback, though we hope patients will tell us when they have had a good experience, not just when they have experienced a problem.
Constable Country Medical Practice – Practice Update June 2016
I’m delighted to announce that Dr Ewa El Graoui will be joining the practice on 13th June as a GP Partner. We will then have four GP Partners and are advertising to fill our outstanding vacancies for an additional doctor and a Nurse Practitioner. Many practices are struggling to recruit doctors, as there is a national shortage of GPs, and our practice is no exception. In the meantime, we will continue to use a number of excellent doctors on a locum basis, including Dr Johal, Dr Le Roux, and Dr Kunche. Dr Ewa’s arrival will help us to improve continuity of care to patients. Dr Omar left the practice at the end of March and will be moving to a different part of the UK. Until that time he will continue to oversee our four GP registrars.
Practice workload and operations
We operate a very busy practice with demand steadily increasing in line with national trends. In order to cope with demand, and work within NHS funding constraints, the practice needs to operate in a way which offers the best service possible, with the finite resources at our disposal. I thought it worthwhile clarifying a few issues which patients have bought to my attention.
We feel that our new appointment system offers excellent access for patients. Some practices insist that all appointments are initially via telephone with a doctor, and others refuse to offer appointments when they are full. We do neither. We have some pre-bookable appointments, the majority are then available for booking on the day, and when they are full we operate an overflow list where we will never turn a patient away. Patients on the overflow list will initially speak with a doctor over the phone and then be seen in person if necessary. Although this does not work for everyone we feel this is an excellent compromise; patients will always be able to speak to a doctor whenever they contact us.
As long as we have your mobile number, the practice will send you a text message confirming your appointment. Please note that Constable Country Medical Practice refers to the East Bergholt site and Capel St Mary to the Capel site. For technical reasons we are unable to change ‘Constable Country Medical Practice’ for ‘East Bergholt’ but are exploring the possibility of doing this.
Our doctors have 10 minutes for a face-to-face appointment, as specified by NHS England. However, when patients attend with serious or multiple problems, consultations can take longer. Doctors may also have to see additional urgent cases or make an urgent visit to a patient’s home. Please be patient, but if the doctor is overrunning and you cannot wait then let the receptionist know.
Along with all other practices in Suffolk, we are working with the Clinical Commissioning Group (CCG) to reduce NHS prescribing costs. A pharmacist from the CCG helps us to identify patients who could be switched to identical, but non-branded medication which is often considerably cheaper. The pharmacist will then write to the patient informing them of the change. All medication changes are approved by our doctors before they are made, and if the patient experiences any problems, e.g. because of a different coating, the doctors are happy to discuss with the patient and switch back if necessary.
Finally, just a word about test results and medication. Our doctors review hundreds of test results and letters every week (often hundreds a day!). If a patient has been referred for a test the practice will inform them if further action is required. We will not contact patients if no action is required though patients can contact the practice to find out their result. With regard to medication, when medication is requested by a consultant following discharge from hospital, the doctors will enter the medication on to the patients record. However, the prescription will generally only be printed out, signed and ready for collected when requested by the patient. This is because the hospital is obliged to provide 14 days medication following discharge and the patient may not require further medication depending on the nature of their problem and speed of recovery.
Constable Country Medical Practice – Practice Update February 2016
Managing Winter Demand and Prescribing
This is one of the busiest times of the year for the practice and on some days demand can be extremely high. Since last September we have operated a triage system. When all our doctor appointments are full, and you feel you need to speak with a doctor, you will be placed on a list for the doctor to phone you back and either address your problem over the phone or ask you to attend an appointment later in the day. Each day, one doctor has responsibility for contacting patients added to the list.
Some days, this list has extended to over 40 patients and the nominated doctor for that day will contact them all in addition to their morning surgery and dealing with the clinical administration work (test results and letters from the hospital relating to patients they have referred).
Many of the problems patients present with can be addressed by our excellent Nurse Practitioners and our Minor Illness Nurse. Many of their appointments are pre-bookable as well. These include problems such as cough/colds, rashes, headache, earache, minor injuries, conjunctivitis etc. Our reception team can advise on whether our nurses can treat you.
Also, pharmacists can provide sound advice on many conditions and treatments are often available over the counter without prescription. Please note that the Clinical Commissioning Group (CCG) have issued guidelines for our clinicians not to prescribe treatments which are available over the counter. Paracetamol, for example, is available very cheaply in supermarkets but cost the NHS is significantly greater if it is prescribed.
The CCG have recently issued guidelines on prescribing gluten free products. These can no longer be prescribed for patients over 18 years old, and only in limited quantities for patients under 18.
Our clinicians have also been asked to reduce antibiotic prescribing. This is because many viruses are becoming more resistant to antibiotics and very few new antibiotics have been discovered over the last 20 year or so. This means that if they continue to be prescribed at high rates then there is a very real danger that the antibiotics currently available cease to become effective. Our clinicians will, of course, prescribe the medication they believe is most appropriate to treat a problem.
Thank you to all patients who handed presents to the practice over the Christmas period. All these gifts were distributed to all doctors and other members of staff. Last year was very challenging for us and we were all very grateful, and moved, to receive so many gifts of appreciation.
Constable Country Medical Practice – Practice Update January 2016
Practice Rated as ‘Good’ by Care Quality Commission (CQC)
The Practice was inspected by the CQC on 2nd November 2015. This was a follow-up to their last inspection on 10th March 2015. Six inspectors spent the day at both East Bergholt and Capel St Mary sites. They spoke to patients, staff and members of the new Patient Participation Group (PPG). They also requested evidence that the practice was meeting its contractual and regulatory obligations, including infection control, staff training, prescribing, patient confidentiality etc.
After the inspection in March, the practice quickly put in place an improvement plan, which it agreed with the CQC and Clinical Commissioning Group (CCG). Over the following 8 months, all staff have worked exceptionally hard to implement the plan. We have made many internal changes which aren’t immediately evident to patients, such as the way we review and learn from events that happen. We have also made changes which have had a direct impact on patients, including the formation of our new PPG, and a fundamental change to our appointment system. Judging by comments left on the NHS Choices website and comment cards in our waiting areas, the changes we have made have had a very positive impact on the quality of care we provide to patients.
This was recognised by the CQC and we are delighted that they have rated the practice as ‘Good’ overall, and ‘Good’ for every area they assessed. The report is very positive and all issues highlighted in the March 2015 report have been addressed. The CQC were particularly impressed with how we had engaged with our patients to understand how they wanted us to improve the service we offer. This includes the open evening we held in June 2015, which ultimately resulted in the formation of our new PPG, and the engagement with Healthwatch to survey patients and understand their needs.
Being rated as a ‘Good’ practice is a great achievement which we are all very proud of, and we would like to thank all patients who have supported us through the last 8 months. The environment in which we operate remains challenging and with increasing pressure on the NHS we cannot be complacent. We intend to continue to work with patients and other organisations to understand how we can deliver high-quality primary care health services as efficiently and effectively as possible.
The full CQC report can be viewed at www.cqc.org.uk/location/1-557474454. We issued a press release on 24th December which can be viewed on our website at www.constablecountrymedicalpractice.co.uk. We also welcome comments on the service we offer including any ideas on how we can improve it further. Feedback can be left via our website or using the Friends and Family Test or PPG comment cards available in the waiting areas.
We have been monitoring patient feedback over the last few months since we started to address the concerns highlighted by the CQC in April. We are delighted to have received generally positive feedback on the changes we have made so far. On 7th September we launched a new appointment system and this appears to be working well. We have committed to never turn a patient away, though they may need to speak to a doctor or nurse practitioner on the phone and then be seen if person if necessary.
We have taken notices down from doctors’ doors stating that only one problem is to be discussed per 10 minute consultation and our doctors will aim to spend the time necessary to fully address a patient problem. Of course they do operate under time constraints and appointments are nominally 10 minutes long, so if you think you need longer then please let the receptionist know and they can book a double appointment. However, feedback is positive and suggests patients feel they are being listened to and treated appropriately. We have also been working with all staff to ensure that the overall experience when patients need to contact the practice is professional and helpful, and again your feedback is generally very positive.
We value feedback, both positive and negative, so please complete either the Friends and Family Test or PPG comment cards available in waiting areas, or leave a comment on the NHS Choices website. Clearly we should be alerted when problems arise but we also want to hear about positive experiences as this provides confirmation that the changes we are making are having the desired effect.
Please don’t use the ring back facility as this will not work with our phone system. When all our phone lines are engaged you may get a ‘press 5 for ring back’ message from your phone provider. This will only work if you are calling a residential number and will generally not work if you are calling a business number. The BT network cannot differentiate between residential and business numbers so may still offer you a ring back option even if it is not available. This isn’t a fault with our phone system.
Restricted Prescribing list
Last year in Ipswich and East Suffolk, over £1m was spent on prescribing paracetamol, which can readily be obtained from pharmacies without prescription. The Clinical Commissioning Group is advising all practices to limit prescribing medication which can be obtained without prescription, often at low cost, from pharmacies and supermarkets. Such medicines include analgesics, emollients and antihistamines. There are always exceptions but please don’t be offended if your GP or nurse asks you to purchase medication yourself.


TYLER, Texas (LifeSiteNews) — Bishop Joseph Strickland of the Tyler, Texas spoke out Wednesday in response to news that the FBI is plotting surveillance of so-called “radical traditionalist Catholics” in Virginia, saying that “[d]eeply committed Catholics are the last people the authorities should be concerned about.”
On Wednesday, former FBI agent turned whistleblower Kyle Seraphin released an eight-page document indicating the federal law enforcement agency plans to conduct surveillance to intercept “racially or ethnically motivated violent extremists” who have allegedly found common ground with “radical-traditionalist Catholic (RTC) ideology,” LifeSiteNews reported.
— Stephen Kokx (@StephenKokx) February 8, 2023
In a February 8 email statement shared with LifeSite, Bishop Strickland said that while it’s true that “committed traditional Catholics will defend the unborn and others who are helpless,” any “attacks of violent aggression are antithetical to what it means to be a radically committed traditional Catholic.”
“Sadly, the experience of Mark Houck provides evidence that this type of surveillance is not beyond the realm of possibility,” he told LifeSite, referring to the pro-life sidewalk counselor and Catholic husband and father of seven who was subjected to a dawn raid by dozens of heavily armed FBI agents last year.
Houck was charged with two FACE Act [Freedom of Access to Clinic Entrances] violations over a minor sidewalk altercation with a Planned Parenthood escort and could have faced 11 years in prison if found guilty. The pro-life advocate was acquitted of both charges by a jury on January 30.
In comments to LifeSiteNews, Bishop Strickland added that the FBI plan to surveil traditional Catholics “underscores our [society’s] deep ignorance of what it means to be a true disciple of Jesus Christ or as presently stated ‘radical traditional Catholic.’”
According to the leaked FBI document, federal law enforcement is reportedly concerned that “white nationalist” groups are finding solidarity with “radical” Latin Mass-going Catholics who they say may share certain ‘“anti-Semitic, anti-immigrant, anti-LGBT, and white supremacy” perspectives.
The document made a distinction between what it called a “small minority” of “radical-traditionalist Catholics” who might hold such views compared with those “traditionalist Catholics” who the FBI said “prefer the Latin Mass and pre-Vatican II teachings and traditions, but without the more extremist ideological beliefs and violent rhetoric.”
In a piece explicating the contents of the leaked FBI memo, Seraphin pointed out that its writer also frequently references abortion as a central political issue. Seraphin said this federal law enforcement emphasis on “alleged ‘hostility towards the abortion-rights advocates’ has been “used to justify significant enforcement actions tied to the FACE Act,” including the raid, arrest, and indictment of Houck.
In his Wednesday remarks, Bishop Strickland emphasized the need for prayer in the face of persecution.
“Our Lord tells us to love our enemies and to pray for those who persecute us. Deeply committed Catholics are the last people the authorities should be concerned about,” he said. “Let us pray for all in positions of authority and especially those in law enforcement.”


text:
NASHVILLE, Tenn.—As the Proposition 8 federal court case begins today in San Francisco, Dr. Richard Land commented on the “friend-of-the-court brief”:https://erlc.com/article/erlc-files-friend-of-court-brief-on-marriage/ filed by the Ethics & Religious Liberty Commission in support of the 2008 California constitutional ballot initiative which defined marriage as only between a man and a woman.
“The support for traditional marriage is not motivated by animus toward homosexuals but by deeply held religious convictions of many faiths, including tens of millions of people over several millennia,” said Land, president of the Ethics & Religious Liberty Commission of the Southern Baptist Commission.
“If the court were to rule that opposition to same-sex marriage is _de facto_ animus toward homosexuals, it would in effect seek to negate and nullify the First Amendment, free-exercise religious rights of all Americans of faith guaranteed under the U.S. Constitution.
“This case is now not just about same-sex marriage but about whether or not Americans are free to bring their deeply held religious convictions to discussions of public policy in the public square. All Americans of religious faith and those of no religious faith should have a profound interest in this case’s outcome, which will undoubtedly end up in front of the nine justices of the U.S. Supreme Court whichever way it is decided in California.
“I think that our friend-of-the-court brief in this case states clearly why Americans have the right to defend traditional, heterosexual marriage as the only relationship defined as marriage and why it is wise and prudent of them to do so.”
The Southern Baptist Convention is America’s largest non-Catholic denomination with more than 16.2 million members in over 44,000 churches nationwide. The Ethics & Religious Liberty Commission is the SBC’s ethics, religious liberty and public policy agency with offices in Nashville, Tenn., and Washington, D.C.

domain: politics


text:
The bags keep your belongs handy and secure while driving motorcycle.
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1. Due to the difference between different monitors, the picture may not reflect the actual color of the item. We guarantee the style is the same as shown in the pictures.
2. Due to different personal measuring techniques, there might be 1-3cm error of the physical. Thank you!

domain: hobby


text:
Date Joined: October 21, 2011
Last Online: January 30, 2019
Birthday: November 28
Country: United States
Hi! I'm Rosalie, a 60-something-year-old wife, mother, grandmother, homemaker, and artist. My passions are family, home, and art. I believe handwritten letters are love wrapped in paper, a handmade life is an artful life, and art is the voice of the soul.
I am active in our local art association where I take classes, show my work, and volunteer in a variety of ways. I enjoy doing graphite drawings, watercolors, and oil paintings on canvas. I'm a point-and-shoot, amateur digital photographer and use the photos as resource material for my art and to print postcards, greeting cards, and photo books.
An avid journal keeper for more than 20 years, I have recently begun to explore contemplative and poetry writing, art journal keeping, and altered books.
Reading is also one of my great loves and there is virtually no genre I don't enjoy. I always have a book open and at least ten on the shelf awaiting its turn. There's nothing better than curling up with a cup of coffee or cocoa and getting lost in a book.
Postcards have been a great love of mine ever since I was a girl and I have always enjoyed both sending and receiving them. I get excited about all sorts of postcards, even vintage and free/ad cards, and I don't collect any particular kind or category. In fact, although I save each and every postcard that finds its way to my mailbox, I'm not really a "collector" in the traditional sense at all. For me, the joy is in the sending and receiving.
My favorite postcards to receive are ones that come written, stamped with interesting real stamps, and naked (even if they get a little ragged around the edges in their travels). These are the postcards that go into my permanent collection. So, please write a little personal note, stick a stamp on it, and drop it in the mail!
Although I don't save blank postcards, I also join PCs-in-Envie swaps because they increase the possibilities for participating in interesting naked postcard swaps in the future.
It is always a special treat to receive a card from someone's hometown or travels that gives me a peek at a place I've never been. I enjoy "traveling" the world via the postcard express. So, show me your town/city, state/province, or country.
Also, I am as interested in the person who sends the card as I am in the card itself and appreciate being able to read a little handwritten note, poem, quote, quirky fact, or piece of trivia. Writing something more than what is required by the swap captures my heart every time!

domain: artistic


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World Bank Group President Jim Yong Kim said during the 2014 IMF-World Bank Spring Meetings that the World Bank is “happy to continue disbursement” to Egypt, but that it is following the political situation “very carefully”.
“There was a time when we had stopped our disbursements, but we have continued them, and we watch with great concern as the political situation unfolds; but the vast majority of our work is focused on helping the poorest, on helping to provide basic services,” Kim said.
“We hope it goes to a good resolution, perhaps even something closer to what Tunisia has been able to do,” he added.
Earlier this month, the board of executive directors at the World Bank agreed to loan Egypt $300m to finance micro and small enterprises (MSEs). The loan will finance the promotion of the Innovation for Inclusive Financial Access Project, which aims to reach more than 130,000 enterprises.
In November, Egypt signed a $584.4m agreement with the World Bank to finance Egypt’s Helwan South Plant Project, a new gas-fired power plant that will contribute up to 10% of new electricity generation nationwide.
The World Bank will also finance the construction of the Suez-Samalot 280 kilometre electricity line. In December, then Minister of Energy and Electricity Ahmed Imam announced that the cost of the project will total around EGP700m.

domain: news


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IGPSPORT M80 31.8mm bike handlebar mount compatible with Garmin GPS, iGPSPORT and more brands and models with 1/4 connection.
Put yourself first with this new front bike mount.
This mount allows you to take full advantage of all the important data that your GPS cycle computer provides and not compromise the safety of your bike.
The M80 is compatible with the M80 headlamp and camera accessory.
With it you can place sports cameras and headlights using the same structure of the M80 support to have everything in 1 and save space in the jersey.
The support is placed frontally in front of the handlebar to facilitate a perfect and safe vision.
In addition, its construction provides excellent durability, rigidity and low air resistance.
Ideal for use on road, mountain and MTB, hybrid or commuter bikes.
– Garmin GPS cycle computers.
– iGPSPORT GPS bike computers.
Compatible with standard handlebars (using the included rubber reducer) or oversize handlebars.
Size:126 x 55 x 45mm.
Installation Tool:2.5mm Allen Key.
Igpsport M80 Support has the Igpsport official manufacturer warranty. As an Igpsport official retailer, all our offered bike items are covered by a 2 years manufacturer´s warranty. In bikeinn, we are dedicated to select high quality Electronics products which will make your activity more comfortable. We have a variety of Supports items to suit your needs and to make you feel inspired to do more sport in your daily routine.


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uhm for second hand or returned or liquidated stock in Australia. I know a good live auction in NSW if you want to know just pm me. I just found it out last week while I was searching through for liquidated stocks in Australia.
I'm Sandra and totally new to Salehoo. I have however been dropshipping since March and it is almost not worthwhile. I've come across the same problem listed by many of you and the salehoo team also. Sellers are competing with each other to sell the exact same items and since the marketing material comes straight from the supplier, even the photos are identical, this leaves a buyer with only price, feedback and seller conditions to base their choice of seller on. Unfortunately, lowest price always seem to win and there are some sellers, that for reasons that only they understand, persisit in starting their listings at 99c and more often than not end up selling for below cost. So if you are considering dropshipping, I agree with salehoo members who suggest finding a supplier and making a deal yourself. I'm certainly going to try!!! After all that, I do have a question hehehe. Is there a way to search only for suppliers from Australia? There seems to be very few!!!! Thanks Sandra
It is about time we posted to the forum,been going to for awhile but never seem to get around to it.
Ron here, both the wife (Eileen) and I have been members for about 12 mths now so you can see that is about time we joined in.....
We looked into Dropshipping to see if there was anyway to make some extra money (income) but found the same problems as other members have stated here. With limited capital what could we do,what to sell, where to start?
Well we did start with selling off items from around our home that was not being used and just gathering dust, so we sold them on e/Bay, raised a bit of cash not a lot, but it was a start and got the e/Bay bug.
Anyway I was wanting to buy a pair of harness boots (Motorcycle), so went and had alook on e/Bay AU to buy a pair, but there was not much on offer, if I remember correctly, only about two sellers.
One selling Harley Davidson brand, but only had a couple of pairs and some one selling thomas cook boots who also had only a few pair available. Had a look in the USA through e/Bay and found plenty of sellers, all selling just what I needed, but then just as I was going to buy them, I thought hell, if I dont get the size right I will be stuck with them. Shipping was expensive and only some sellers offered exchange on International sales.
So this is how EJ's (EJ's Biker & Western Apparel) was born.
We searched the internet for wholesales of boots to start, many hours was spent on the cp, finally finding a supplier and bought 8 pairs of boots to start things off.
These were listed on e/Bay and sold, the money from these bought more boots, and we kept on reinvesting the money from our sales into more stock, plus added Western Apparel to our range of items.
This all started with me looking for a item I wanted but could not get it on e/Bay.au and with limited capital which we raised by selling off items from around the home.
Maybe this was just plain luck, it was a bit of a gamble to start with, but the money we used was from stuff we did not use around home $1500, that's what we started off with.
So I guess what I want to say is, start by looking around the home, get the feel of e/Bay, and when you find something to sell, (I am still learning about e/Bay) try it on e/Bay raise a bit of capital while you are learning and searching for products to sell.
All the very best.

domain: economics


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O’LEARY, P.E.I. - The only Prince Edward Island New Democrat ever elected to the provincial legislature says he wants to represent the people of District 25 again.
Dr. Herb Dickieson took the party’s District 25, O’Leary-Inverness, nomination by acclamation Wednesday night.
The retired family physician says he's encouraged the party already has 100 members signed up in the district, more than it had when he was elected to the legislature in 1996.
Attracting more doctors and nurses to the region so residents can feel their health care needs are being met, creating more employment opportunities for area residents and improving conditions for the district’s indigenous population are some of the objectives Dickieson says he will be working towards.


Vehicle backup camera technology has come a long way since it was first introduced on the Buick Centarion concept car in the late ’50s. During that era, the rear camera concept was simple. The Buick was equipped using a rear mounted video camera that sent an images to a TV screen mounted on the dashboard.
By today’s standards, most if not all newer vehicles come equipped with a rear vision camera and by 2018, federal law will mandate manufacturers to equip a large percentage of their vehicles with “backup assist” cameras.
If you’ve considered upgrading your factory head unit with an aftermarket head unit but are hesitant because you are worried about not being able to retain your OEM backup camera- don’t fret. There is a plethora of easy to wiring harnesses available on the market today that allow you to use your factory wiring to connect to your aftermarket head unit. You will be able to upgrade stereo and keep your factory back up camera with nothing more than a few tools and less than an hour of your time.
The Wiring Harness and Install
Metra GMLAN29Backup harnesses are readily available through manufacturers such as Metra. These simple to install harnesses allow you to maintain many of the features of your stock unit, including connecting your stock backup camera to your new aftermarket head unit. The Metra BackupCam cable lets you keep your factory-installed backup camera when you install an aftermarket stereo in select ’06-up GM vehicles.
Using the 13-inch cable gives you a GMLAN29 connector on one end along with a composite video connector on the other. Once installed, you’ll see images from your GM rear-view camera on your new receiver’s screen. The backup camera interface will provide 6 vdc to your backup camera for power and will also provide the video signal to the aftermarket head unit. The Metra BackupCam made specifically for GM vehicles is just one example of many vehicle specific harnesses available. Metra also offers their BackupCam-3 Camera Adapter that allows you to keep the backup camera in your Chevrolet or GMC vehicle when you install a new head unit. One end of the cable features a 12-pin harness that connects to the video plug in your vehicle, while the yellow RCA connector on the other end plugs into the rear-view camera input on your new head unit. Installing these harness kits require no splicing of the stock wiring harness and does not disturb the stock appearance.
Using these simple to install harness kits allows you to enjoy many audio features your factory head unit lacks while maintaining the added feature of keeping your factory backup camera as soon as the vehicle is in reverse.


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WEIGHT: 63 kg
Services: Dinner Dates, Extreme, Tie & Tease, Extreme, TOY PLAY
Zambia is a source, transit, and destination country for men, women, and children subjected to forced labor and sex trafficking. Zambian children may be forced by jerabo gangs, who work in the illegal mining sector, to load stolen copper ore onto trucks in the Copperbelt Province. Children are also recruited and transported from villages, brought to cities, and made to serve as guides for groups of blind beggars.
While orphans and street children are the most vulnerable, children of affluent village families are also vulnerable to trafficking because sending children to the city for work is perceived to confer status. Zambian boys and girls are recruited into prostitution by women formerly engaged in prostitution and subsequently exploited by truck drivers in towns along the Zimbabwean and Tanzanian borders and by miners in the growing mining town of Solwezi.
Zambian boys are taken to Zimbabwe for prostitution and women and girls are exploited in forced prostitution in South Africa. Zambia is a transit and destination country for victims of many nationalities. Women and children from Zimbabwe, Malawi, and Mozambique are forced into labor or prostitution after arriving in Zambia.
Chinese, Indian, and Lebanese nationals are exploited in forced labor in textile factories and bakeries. Chinese traffickers brought in a growing number of Chinese women and underage girls for sexual exploitation in brothels and massage parlors in Lusaka that cater to local Chinese clientele; traffickers used front companies that posed as travel agencies to lure Chinese victims and coordinated this exploitation with Zambian facilitators and middle men.
The transnational labor trafficking of Indians, Pakistanis, and Bangladeshis through Zambia for use in construction in South Africa continued and was linked to criminal groups based there. During the year, an increasing number of Ethiopians, Somalis, and Egyptians arrived in Zambia for unknown purposes.

domain: sociology


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Petition to the Honourable Minister of Health and the Legislative Assembly of the Province of British Columbia
[ Updated March 18, 2017 ]
Recently, Vancouver Coastal Health announced the closure of Totem Lodge and Shorncliffe Senior’s Care Homes in Sechelt, B.C. In addition, a contract had been awarded to Trellis Group to build and manage a private for-profit care facility to replace the two public facilities.
As a result, a group of concerned citizens on the Sunshine Coast of B.C. have formed a grassroots coalition, of which we call “Protect Public Health Care – Sunshine Coast”. We are opposed to the plan by Vancouver Coastal Health to contract with a private for-profit contractor to build and operate a residential long term Senior’s care facility.
In order to appeal to the Minister of Health to stop this action, a petition was developed, which requested the Minister to direct Vancouver Coastal Health to “NOT privatize residential care on the Sunshine Coast, and any replacement care home to be publicly funded, owned and operated”.
Before the petition could be presented to the Legislature, we require 10,000 signatures. Citizens from across the coast signed the petition, and volunteers from PPHC spent many hours at public events and Malls, meeting the public and talking to people, with the petition on hand.
On March 1 of 2017, a delegation of PPHC members went to the Legislature in Victoria, and handed over the petition containg over 10,000 signatures against private for-profit seniors’ care on the Sunshine Coast. The official opposition received the petition, and Powell River/Sunshine Coast MLA Nicholas Simons presented it in the legislature that afternoon. Click the links below to read the Coast Reporter article, and view the video:


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Unpatriotic in York
I am absolutely appalled that York County schools refused to air a speech by the president of the United States encouraging children to stay in school and graduate. The district is sending a clear message that, in York County, petty partisan sniping trumps basic civics. Lest we forget, President Barack Obama is the leader of our nation, chosen by a majority of Americans in a democratic election.
York's actions demean not only the office of the president, but our very system of government - in a time of war, no less. Just as astounding is what apparently passes for critical thinking in the York administration. The district spokeswoman said she hadn't received a single call lauding the airing of the presidential address. She apparently didn't consider the sheer absurdity of expecting parents to even think they would need to call and encourage a school to show the president's speech. No right-thinking parent would hear that the president is going to speak to his or her child about the importance of education and say, "Gee, I should call the school and tell them how wonderful this is, just in case some of my unpatriotic neighbors decide to try and interfere with this opportunity."
I read with interest a few weeks back a small announcement in the education column that the York County School Board office was going paperless. The reason this peaked my interest is that parents of students in York County schools are the only ones on the Peninsula who cannot follow their children's progress online.
As a parent of a child who sometimes struggled in school, it would have been a great advantage to be able to see his progress and what assignments he has been missing. I have discussed this with administrators in his schools for years now. I was always assured that, "It was coming." He has now graduated, and yet York County still does not have the system in place to allow parents to support their children and the teachers in their work.
As a teacher myself in another school system, I know how important parent communication and support can be. So when I read that the York County schools' central offices were going "paperless," I couldn't help but wonder why parents still cannot access student grades and progress from home.
There is an alarming irony in the scandal involving Phil Hamilton. Many are stating that his actions are minor in comparison to what he has done while being a delegate. Is this not elite socialism? The majority of individuals engaged in private business would probably have been terminated for this form of conduct.
Hamilton is choosing to run again. An elected official has a tremendous responsibility to maintain the public trust at all times. The very Republican Party that he represents has taken the stance of supporting legislation that favors private enterprise while doing everything to oppose government programs.
Many have used the term socialism in describing some of the views of their opposition. Is not Hamilton benefiting from some form of elite socialism where he can not be fired for inappropriate conduct?
While it may be true that Hamilton has accomplished many good things as a delegate, we cannot discount the fact that he violated the first priority as an elected official - serving and maintaining the public trust.
Elected officials are and should be held to a higher standard. This is the tradeoff for the privilege of being elected.


Two Owen Springs employees recently had the opportunity to ride the Flying Scotsman from Pickering to Grosmont.
The trip, arranged by Riley and Son (Engineering) Ltd, was to thank the companies involved in the restorat
During final checks to the Flying Scotsman before its inaugural run one of the leaf springs was found to be broken.
Riley and Son (Engineering) Ltd contacted Owen Springs Technical Sales John Whittaker, who left the pla
Owen Springs have the great honour of repairing and replacing the spare leaf springs for the Flying Scotsman while it does its tour of the country.
The springs can be seen below shortly after being received into our Rot


US: Department of Education confirms anti-trans discrimination is illegal
The US Department of Education has confirmed that discrimination against transgender students is prohibited under an existing policy from the 1970s.
The department today clarified its interpretation of Title IX – which was adopted in 1972 – as prohibiting discrimination against trans people.
The policy states: “No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving federal financial assistance.”
A statement from the Department’s Office for Civil Rights said: “Title IX’s sex discrimination prohibition extends to claims of discrimination based on gender identity or failure to conform to stereotypical notions of masculinity or femininity and OCR accepts such complaints for investigation.”
Harper Jean Tobin, Policy Director for the National Center for Transgender Equality, said: “This announcement is a breakthrough for transgender students, who too often face hostility at school and refusal by school officials to accept them for who they truly are.
“It is now clearer than ever that schools nationwide are responsible for ensuring that transgender students are respected and safe, and students can seek protection from the Department of Education and the courts if schools fail to do so.
In the past year, trans students have been banned from college dorm rooms, banned from using women’s toilets, and refused admission by a college on the ground they were ‘concealing’ their identity.
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BET is filling out the cast for upcoming original series “The Real Husbands of Hollywood.”
Formerly titled “House Husbands,” show skewers the “Real Housewives” franchise from a male perspective. Series combines scripted and improvised dialogue, similar to the production style of HBO’s “Curb Your Enthusiasm.”
Kevin Hart, Nelly and Nick Cannon star, while Robin Thicke, J.B. Smoove, Boris Kodjoe, Duane Martin and Faizon Love have recently been added.
Showrunner Ralph Farquhar will exec produce with Hart, Chris Spencer, Tim Gibbons, Dave Becky, Stan Lathan and Jesse Collins.
In today’s TV news roundup, Inbar Lavi has been cast in a recurring guest role on ABC’s “Stumptown” and CBS has announced two holiday primetime specials for “The Price is Right.” CASTINGS Inbar Lavi has been cast in a recurring guest role on ABC’s “Stumptown.” Last seen on Netflix’s “Lucifer” as Eve, this new role [...]
First the first time in a while, “This Is Us” managed to top “The Masked Singer” in the Live+3 TV ratings. The NBC drama was the biggest grower of the week, jumping 80% from a 1.4 to a 2.5 after three days of delayed viewing, benefiting from a series low performance from the Fox singing [...]
Louie Anderson may have found the purr-fect role. Variety has learned exclusively that Anderson is set to star in and executive produce the multi-camera comedy “Tigsley” at Fox. The project has received a script commitment with a penalty attached. “Tigsley” is described as an adult comedy about a family dealing with life, love, the pursuit [...]
(SPOILER ALERT: Do not read on if you have not watched the first three episodes of Disney Plus’ “Star Wars” spinoff series “The Mandalorian.”) Everything kicked off in episode 3 of “The Mandalorian.” “The Sin” ended in a massive shootout between the Mandalorian and the bounty hunter guild, led by the gruff Greef Carga. Pedro [...]
For most of the “When They See Us” shoot, director Ava DuVernay worked with two or three cameras, but when it came to shooting the tense courtroom seen where Antron McCray, Kevin Richardson, Yusef Salaam, Raymond Santana and Korey Wise are put on trial, DuVernay shot with four cameras. Editor Spencer Averick says, “We needed [...]
Eliot Goldberg, AMC Networks’ executive vice president of nonfiction and alternative programming for AMC, Sundance TV and BBC America, is departing the company after six years. Marco Bresaz, senior vice president of nonfiction and alternative programming, will lead the nonfiction programming group going forward. Kelly Nash, who was recently promoted to vice president of nonfiction [...]
Lilly Singh lampooned Disney Plus’ disclaimer that certain older movies include “outdated cultural depictions” on her NBC show. The YouTube and late-night TV comedian took issue with Disney’s euphemistic phrasing — pointing out that the warning is really about the “racist” tropes in decades-old movies that were made for kids. Disney Plus includes “a bunch [...]


June 9 might be a great date for those who are nostalgic! Motorola is rumored to introduce a new generation of Moto devices. There have been more and more rumors lately regarding the new generation they will launch, called Moto G 2016.
When the Lenovo company released the ZUK Z2 Pro smartphone, the CEO announced that on June 9 they will release a new handset. Recently, the company talked about planning to release Moto G 2016, Moto E 2016 and Moto X 2016. However, they did not make public the name of the device they are releasing in June. Leaks and rumors make us think that we will get to enjoy the Moto G 2016, a new mid-range phone we can test out.
There have been previous rumors that initially suggested that Motorola will actually be releasing Moto G 2016 in two variants. One of them, which supposedly is called Moto G4, will “carry on the legacy” of the previous version. The second version, Moto G4 Plus, is supposedly bigger. People also talk about it having a fingerprint scanner found in the Home button, pretty much like Apple did. There are also tipsters who have already uploaded photos of how the future phones will look like, but this is still not an official source.
Speaking about photos, apparently there is a leaked photo of a prototype for this, which shows a handset with the Moto logo on the left corner. Moreover, we can also see the fingerprint scanner we were talking about earlier.
Moreover, it is said that the Moto X 2016 will have a 5.0-inch display and a USB connector (Type C). With that comes a front-facing flash, which is a welcomed addition. All in all, everybody is curious to find out what the new phone will be like!