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Just a little over a month after the tragic Pulse Night Club shooting in Orlando, Fla., another mass shooting has occurred in the sunshine state.
Around 12:30 a.m. on Monday, shots rang out in the parking lot of Club Blu in Fort Myers, Fla. On Sunday evening, the club hosted a teen Swimsuit Glow Party, which attracted partygoers between the ages of 12 and 17. The shooting occurred after the party had ended and the teens were being picked up by parents.
Afterward, the Fort Myers police department released a statement confirming that the shooting resulted in the death of two people, and at least 16 people remain injured. Local news outlets reported that one of the deceased victims was 18-year-old Stefan Strawder.
Strawder was a student and basketball player at Lehigh Senior High School. He died at Lee Memorial Hospital while being treated for his injuries. Shortly before the shooting took place, Strawder posted on his Facebook, “I'm thinking about going to this party, who all going?”
The other victims were also taken to Lee Memorial, which treated victims between the ages of 12 and 27.
Syreeta Gary is a parent of one of the surviving attendees of the party. She told reporters, “I just thank God that my daughter is OK because she could have been shot.” During the shooting, her daughter had to dodge bullets and hide behind parked cars.
After the shooting, the police detained three suspects; however, details about motive are still being investigated. Police are looking into whether the shooting is connected to two other shootings that occurred in the area.
Fort Myers police continue to search for any suspects who may still be at large.
(Photo: Kinfay Moroti/The News-Press via AP)
TRENDING IN NEWS


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In my opinion, books are the best accessory.
I never tire of reading poetry books. Just sharing a few special ones for my book list feature this week.
Ashley Ryan’s Puppets by Ashley Bryan, photographs edited by Rich Entel – Ashley Bryan is quite a creative, talented individual who uses found objects and recycled objects to make puppets. Each puppet is so creative and different from one another. The poems that accompany each puppet with an interesting back story for each puppet. I began thinking about how to create puppets and celebrating reusing objects as well. Goodreads Summary: “Beloved storyteller and creator Ashley Bryan reveals the vibrant spirit of found objects in this magnificent treasury of poetry and puppets.
Little Cranberry Island. It’s a small island, with fewer than a hundred inhabitants, but it’s got more than its share of treasures including the magnificent Ashley Bryan himself, a world-renowned storyteller and author of such classics as All Night, All Day and Beautiful Blackbird. Daily, for decades, Ashley has walked up and down the beach, stopping to pick up sea glass, weathered bones, a tangle of fishing net, an empty bottle, a doorknob. Treasure.
And then, with glue and thread and paint and a sprinkling of African folklore, Ashley breathes new life into these materials. Others might consider it beach junk, but Ashley sees worlds of possibilities.
Ashley Bryan’s two-foot-tall hand puppets swell with personality and beauty, and in this majestic collection they make their literary debut, each with a poem that tells of their creation and further enlivens their spirit.”
The Death of the Hat – A Brief History of Poetry in 50 Objects selected by Paul B. Janeczko, illustrated by Chris Raschka – Interesting to read each poem collected and illustrated… hadn’t thought about poetry connected to objects before. Although I was surprised that one of my favorite poets who wrote numerous object poems was not part of the collection- Valarie Brown. Goodreads Summary: “A book-eating moth in the early Middle Ages. A peach blossom during the Renaissance. A haunted palace in the Victorian era. A lament for the hat in contemporary times. Poetry has been a living form of artistic expression for thousands of years, and throughout that time poets have found inspiration in everything from swords to stamp albums, candles to cobwebs, manhole covers to the moon.”
Beastly Verse by Joohee Yoon – Fascinating to enjoy the selection of poems and really good illustrations as well. Goodreads Summary: “Poetry and children belong together, and for a long time, the music and playfulness of verse wove itself through children’s days and lives. Beastly Verse aims to help return the wonder of poetry to children’s lives through sixteen exquisitely illustrated poems, four of which have the surprise and pleasure of being foldouts. Consisting of playful as well as powerfully memorable poems, Beastly Verse transports the reader into a richly worded world of tigers, hummingbirds, owls, elephants, pelicans, yaks, snails, and even telephones! A playful romp through verse, rhyme, and gorgeous images, this book carries children into the poetic realm in a way that is not only fun and inviting, but inspiring as well! Representing poems from Anonymous, as well as some lesser well-known poets, this volume also includes poems from Lewis Carroll, William Blake, Robert Desnos, Hilaire Belloc, William Cowper, Christina Rossetti, and D.H. Lawrence. Both short and long, these poems can be read and reread, committed to memory and enjoyed all life long.”
Winter Bees and Other Poems of the Cold by Joyce Sidman and Rick Allen – Simply beautiful. Loved all the different poetry styles. Loved that I was brought back to my childhood in Alaska in the winter. Celebrated the gorgeous language paired with incredibly beautiful pictures. Goodreads Summary: “In this outstanding picture book collection of poems by Newbery Honor-winning poet, Joyce Sidman (Song of the Water Boatman, Dark Emperor and Other Poems of the Night), discover how animals stay alive in the wintertime and learn about their secret lives happening under the snow. Paired with stunning linoleum print illustrations by Rick Allen, that celebrate nature’s beauty and power.”
Want more book ideas and reviews? – Yes, I’m quite brief, but a prolific reader! Please visit me at Goodreads: http://www.goodreads.com/user/show/1941055-the-styling-librarian Also, please follow this blog through email updates – (do so to the right of this blog post), my Facebook page, comment, or meet up with me on Twitter. I appreciate all of the support, makes my day! Honored by all the wonderful followers.
FTC Required Disclosure: This site is an Amazon affiliate, and purchases made through Amazon links (including linked book covers) may result in my receiving a small commission (at no additional cost to you). Additionally this site is a Powells Books affiliate, and purchases made through the linked book covers may result in my receiving a small commission (at no additional cost to you).
© 2013 by Debbie Alvarez of The Styling Librarian. All rights reserved. You can also follow me @stylinlibrarian or at my Styling Librarian Page on Facebook.

domain: library


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PUTRAJAYA: Nineteen investigation papers have started on Top Glove, which has been linked to the Teratai cluster in Selangor where infections have raged among workers at its dormitories.
PETALING JAYA: More than half of Malaysia’s new Covid-19 cases were detected in the Teratai cluster which is linked to rubber glove manufacturer Top Glove.
Labour Dept to take legal action against companies, including Top Glove, for violating workers’ housing law
PUTRAJAYA: The Labour Department will be taking several companies, including Top Glove to court for violations under the Workers’ Minimum Standards of Housing and Amenities Act.
PUTRAJAYA: For the second day in a row, the number of Covid-19 recoveries has outnumbered new infections in the country.
PETALING JAYA: The enhanced MCO at Top Glove’s workers' dormitories in Meru, Klang, will be extended by another 14 days, says Senior Minister Datuk Seri Ismail Sabri Yaakob.
There have been big swings in the domestic market as strong bullish sentiment over a recovery is held in check by equally strong profit-taking from investors wary of being overly optimistic amid the ongoing pandemic.
PETALING JAYA: The temporary closure of the world’s largest glove maker’s factories following a spike in Covid-19 cases among its workers will affect the production and supply of surgical gloves in the country and globally, said an industry group.
KUALA LUMPUR: While pharmaceutical companies are gaining momentum on positive COVID-19 vaccination news, Top Gloves Corporation Bhd expects demand for examination gloves to double when the vaccines are ready by year-end.
KUALA LUMPUR: Malaysia, the world's largest producer of rubber gloves, on Wednesday said it does not anticipate any disruption to supply after a top manufacturer shut some factories due to a coronavirus outbreak among its workers.
PETALING JAYA: The Labour Department has been told to completely focus on probing working and housing conditions at Top Glove factories to contain the outbreak of the nations’s most active Covid-19 cluster, said Human Resource Minister Datuk Seri M Saravanan.


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If you want to get rid of warts, moles, cysts or skin tags, the award-winning doctors at Manipal Hospitals can help. At this centre, all doctors performing your procedure are dermatologists with expertise in this field.
We offer prompt appointments six days a week, depending on availability, since we are a private clinic. Depending on your lesion type, you can choose between cryotherapy and minor surgery. Our clinic can treat any lesion, whether it is a wart, a skin tag, or a mole, no matter where it's located on your body, whether it's your face or your back. Consult with our experts by booking an appointment at Manipal Hospitals.
What are the benefits of removing them?
There are various reasons why you might want moles, warts, or cysts removed. You might feel self-conscious about their appearance if you have them on your face. You may find them uncomfortable sometimes, and their removal would relieve pain.
There is also a possibility that the new lump may be more severe than you think. Any lesion we excise that is cancerous may require histology testing if it is cancerous. We will usually recommend that any lesion undergo histology testing. A dermatological doctor at Manipal Hospitals can check your moles, cysts, and warts to determine if they are cancerous.
Nevi (or moles) are common! A mole is present on the skin of almost every adult. A mole is a growth on the skin that is usually brown or black. Anywhere on the skin, moles can appear alone or in groups. Even if you have always had moles, keeping a mental baseline in case any change occurs in your moles or other skin lesions is prudent.
These are the characteristics of normal moles:
Usually brown, but may also be black, tan, red, pink, blue, skin-toned, or colourless
It is round
Raised or flat
Monthly appearances are the same
Please seek medical attention immediately if you suspect a mole is changing or evolving. It saves lives to detect cancer early!
The human papillomavirus (HPV) causes small, rough, and grainy warts through skin-to-skin contact. People with weakened immune systems and children are more likely to get common warts. The most common place to find warts is on the hands, fingers, and occasionally on the arms. Common wart symptoms include:
A small, rough, grainy bump on the skin
A flesh colour, a pink colour, a white colour, or a tan colour
The wart has small black pinpoints (tiny clotted blood vessels).
When warts begin to spread or change in appearance, it is time to visit a dermatologist.
Treatment of Warts
In most cases, warts will disappear without treatment, but they may take a couple of years and spread to new areas. The goal of treatment is to eliminate the wart or stimulate the immune system to combat the virus by itself. You can use the following dermatological treatments to eliminate warts:
Salicylic acid is an effective topical wart treatment that removes the wart layer by layer.
Cryotherapy uses liquid nitrogen to kill warts. As well as removing warts, this method stimulates your immune system to fight the virus that causes them.
Bichloroacetic or trichloroacetic acid
You can use these acids instead of salicylic acid or freezing.
By applying heat to a pulsed dye laser, the wart loses its blood supply and dies. Therefore, it can result in scarring, which makes this method unpopular.
The epidermoid cyst is a small, noncancerous bump under the skin. Cysts of this type are standard on the face, neck, and trunk; they are painless and slowly grow. Treatment is rarely necessary for epidermoid cysts. There are, however, several ways to diagnose cysts:
Begins rapidly growing
Constantly irritated area
Becomes painful or ruptures
Is a cosmetic concern
Do not expect a treatment (prescribed or over-the-counter) to work overnight. Routine care will take approximately 4-8 weeks to show results. Visit our skin care hospital in Bangalore for the best treatment.
Epidermoid Cyst Treatment Options
Unless they cause discomfort or cosmetic concerns, skin cysts rarely require treatment. There are several ways to treat cysts, including:
Reduces inflammation and swelling.
Incision and drainage
Your doctor can drain the cyst through a small cut, but there is a risk of recurrence.
It is usually possible to remove the entire cyst using this treatment method, which prevents cysts from recurring.

domain: medical


From Cathy Garnaat, a Republican who attended a town hall meeting held by Rep. Justin Amash, who says the Mueller report contains enough evidence of wrongdoing to support the impeachment of President Trump:
I was surprised to hear there was anything negative in the Mueller report at all about President Trump. I hadn’t heard that before. I’ve mainly listened to conservative news and I hadn’t heard anything negative about that report and President Trump has been exonerated.
This is why Trump is so desperate to prevent anyone from testifying before Congress. Right now the Mueller report is just words on a page, and hardly anyone has read them. Congressional testimony, by contrast, is televised, and millions of people will watch. Trump knows well that the only thing that matters is television, and at all costs he wants to prevent people like Cathy Garnaat from ever watching people testify about the Mueller report on their TVs. The evidence it contains about Trump’s serial obstruction of justice is pretty obvious, after all.


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|Locked on 01/31/2013 9:36:26 AM PST by Admin Moderator, reason:|
Skip to comments.Dominican prostitute: Sen. Bob Menendez ‘likes the youngest and newest girls’
Posted on 01/31/2013 8:34:16 AM PST by jimbo123
In a little-noticed email published online Wednesday by Citizens for Responsibility and Ethics in Washington (CREW), a young Dominican woman wrote nine months ago that she slept with 59-year-old New Jersey Democratic Sen. Bob Menendez at a series of sex parties organized by Dr. Salomon Melgen, a longtime Menendez campaign donor.
That senator also likes the youngest and newest girls, the woman wrote on April 21, 2002, according to an English translation provided to The Daily Caller by a native Spanish speaker.
In the beginning he seemed so serious, because he never spoke to anyone, but he is just like the others and has just about the same tastes as the doctor, very refined. I think they were taking us more often to get us checked [medically] because of him.
TheDC is not disclosing the womans name because she may have been a minor when her alleged sexual encounters with Menendez occurred.
(Excerpt) Read more at dailycaller.com ...
No big deal. Just a resume enhancer for a Democrat.
Ministering to their spiritual needs, maybe helping them with their homework..
I firmly believe the FBI knew about all this prior to the election and didn’t release it. That said I think the investigation was witheld not to help his re-election chances but rather to prevent the rest of America from seeing New Jersey democrats re-elect a known pedophile.
Sounds like Menendez needs a prison husband to teach him a lesson.
But since it's a democrat, it a back page story with barely a yawn from the press.
The social failures on the left would crawl over broken glass to vote - over and over again - for this guy!
Well, the story is finally starting to get a little MSM traction. In today’s very left leaning Tucson “Arizona Daily Star” they actually picked up the AP article on the FBI raid yesterday on Menendez pal’s office. Yeah, it was on page 15 below the fold, but at least it was there. (Does anyone think it wouldn’t have been page 1 for a week now if Menendez had an R after his name?)
Menendez bangs underage hookers, then keeps sex offenders, illegals, too, in his office
Over and over and over, Liberal Dems get a pass from the lapdog media who, as you said, would crucify a Republican.
Mark Sanford. Scooter Libby. Abramoff. Duke Cunningham.
Holder can send our guns to Mexico and NBC and the Bob Beckel and Juan Williams still blame BUSH.
We have no media, just Left Wing lies and coverups.
And just think how popular Menendez would be be with the democrats and the liberal media if he had been having sex with underage MALE prostitutes in the Dominican Republic!
-——I’m sure there’s an innocent explanation.——
Of course. The Senator is always drunk while fornicating with underage girls.
On wonders though if there is actually an underage provision in Dominican law. If there is a Free Sex zone where the law is set aside for tourists, the Senator is guiltless.
The liberal media is already beginning the spin as “prostitution is legal in the Dominican Republic” and that he didn’t violate any laws.
Yep. The liberal bias is right out in the open. The stupid party should be using it as a campaign tool, but they're too "timid".
Unless they make media bias an issue and bring the nations attention to it, it's just going to get worse by the day. Had the media been honest and did the job it was intended to do, Oboma would have lost his affirmative action reelection in a landslide.
Bitme has found his running mate for 2016.
OK. All together now: “What difference does it make!!??”
The problem isn't Dominican law. It is the American federal PROTECT Act, which makes it a federal crime for an American to have sex with an underage child for money abroad, even in a nation where it is legal.
It's starting to sound like the Senator was taken advantage of by some scheming teenaged tarts.
No one cares if a Democratic Senator has been having sex with underage prostitutes in the Dominican Republic for the last ten years. It’s going to be covered up and ignored almost as much as that Ben Gazzi guy no one remembers.


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Dr. Shruti Naik originally wanted to become an actress or standup comic, a far cry from her current role as Assistant Professor at the NYU Langone Medical Center. While watching a PBS documentary featuring prominent molecular biologist Dr. Bonnie Bassler, Naik became so enamored by her research about bacterial communication that she enrolled in a microbiology class. Fast forwarding a few years, Naik now leads her own laboratory and has already positioned herself as a pioneer in the fields of immunology and stem cell research.
Naik moved to the United States from India at the age of twelve, and later graduated from the University of Maryland, College Park with a bachelor’s degree in Cell and Molecular Biology. During her time as an undergraduate, she spent time conducting hands-on research in the Food and Drug Administration laboratory on her campus. Naik then spent two years after graduation as a research assistant at the Naval Medical Research Center in Silver Spring, Maryland. There, she studied how the immune system responds to traumatic brain injury, and developed an interest in immunology. This led her to pursue a PhD in Immunology through the University of Pennsylvania-National Institutes of Health Graduate Partnership Program. She conducted her doctoral studies under the mentorship of Dr. Yasmine Belkaid, who strongly supported Naik’s decision to focus on how skin bacteria, also known as commensals, educates our immune system to better protect us against pathogens.
Naik’s doctoral work would explore how immune cells in the skin cooperate with microbes to prevent disease. This positioned her for a postdoctoral position as a Damon Runyon Cancer Research Fellow in the laboratory of Dr. Elaine Fuchs at the Rockefeller University. During her time at the Rockefeller University, Naik would continue to publish influential papers focusing on how inflammation can imprint tissue with a memory of past injuries. Similar to how our adaptive immune system retains a memory of previous infections, Naik revealed that other cell types, specifically stem cells, can remember these past experiences by altering their DNA. These genetic changes better poise stem cells to respond to future injury by influencing their regenerative capacity. Thus, Naik’s discoveries have become relevant for improving therapeutic strategies for several epithelial diseases, including psioriasis, eczema, and skin cancer.
Aside from conducted groundbreaking research, Naik is also a staunch advocate for gender and racial equality in science, a cause which directly mpacts her as a female scientist of color. She was involved in the Women in Science at Rockefeller (WISER) organization during her postdoctoral studies. And she continues to emphasize the importance of not only increasing representation of women in the biological sciences, but also the necessity for making strides in improving retention of women in these fields.
Her growing list of awards and honors include the 2016 L’Oréal-UNESCO For Women in Science Award, the 2018 Blavatnik Award for Young Scientists, Takeda’s 2019 Innovators in Science Award, and the 2020 Pew-Stewart Scholars for Cancer Research Award.
Photo Source: https://med.nyu.edu/faculty/shruti-naik
- Turning point: Microbe detective. Nature. 2017. https://www.nature.com/articles/nj7639-129a


Mike Zunino crushed his first homer of the spring, but it wasn't enough in a 3-2 loss to the Rockies.
Rockies 3, Mariners 2 at Peoria Stadium
Seattle starter Mike Leake pitched four innings, giving up three runs on five hits with two strikeouts. Leake threw 48 pitches and worked at his usual brisk pace. He gave up two runs in the third inning. Following a leadoff single from Daniel Castro, Rockies rightfielder Mike Tauchman pulled a ball into the right field corner. Mariners rightfielder Cameron Perkins picked up the ball and tried to fire it home. But the ball slipped in Perkins’ fingers and he spiked it straight into the warning track with such fury that it bounced high into the air and into the stands. Tauchman was awarded home.
“That was a five-story spike,” joked Leake.
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Leake also allowed a solo homer in the fourth inning on a 2-0 pitch to Tom Murphy that proved to be the difference.
Art Warren, one of the Mariners’ top relief pitching prospects, made his Cactus League debut after dealing with some issues. Warren worked a scoreless frame, allowing two singles but striking out three batters. His fastball was clocked at 95-97 mph.
Fellow relievers James Pazos, Chasen Bradford, Dan Altavilla and Casey Lawrence also pitched scoreless innings. Mariners relievers struck out 12 batters in the game.
Player of the game
Mike Zunino smashed his first homer of the spring in the fourth inning. Zunino hammered a ball over the grass berm in left field for a solo shot.
“Zunino squared one up,” manager Scott Servais said. “That ball got out of here in a hurry. Mike’s timing has gotten a lot better in his last five or six at-bats.”
“Pitching was not the issue tonight, we just couldn’t get much going offensively. We had a lot of good signs on the mound.” — Servais on the game.
The Mariners will play their second of three consecutive night games at Peoria Stadium on Tuesday against the Oakland A’s. Lefty Marco Gonzales will get the start on the mound. Also scheduled to pitch are right-handers Chase De Jong and David Phelps and lefty Marc Rzepczynski. Oakland will start right-hander Jharel Cotton. First pitch is set for 5:40 p.m. PT. The game will be televised live on Root Sports and broadcast live on ESPN 710 and mariners.com


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Actor Harold Ramis didn't only play Dr. Egon Spengler in Ghost Busters, he co-wrote the script. The now rotund Ramis has also penned movies like Groundhog Day and Analyze This.
Add to his impressive resume, "kinda helping on changing Ghostbusters game dialogue." For the upcoming video game, Ramis told MTV, "Dan [Aykroyd]consulted a lot on the story. I just kind of helped him change the dialogue."
That's not all, Ramis also lent his voice to the multi-platform Ghostbusters game, which is out this June. "Fortunately the voice still fits," he quipped. "The uniform unfortunately doesn't it."
Ramis, who's not a gamer, seemed surprised that the game script clocked in a 250 pages (compared to the typical 120 page film script). "You need all these alternatives so it took forever," he added. "A lot of it is just yelling, 'Look out! Throw that trap, rookie!' Stuff like that." Watch out Shakespeare!

domain: entertainment


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When you were in school and growing up, did your teachers ever give you "challenge" work? This is work that was one or two grades higher than where you were at the time. Of course, the purpose of this was to stretch your ability and skills to cause you to grow and reach higher.
This has happened to me, but it was self-imposed. When I married my wife Janis, she had a pretty good library, and I have benefited from this. One of the books she had was titled, "A Year with C.S. Lewis -- Daily Readings from His Classic Works." While I had heard of C.S. Lewis, I didn't know anything about and had never read any of his work.
Well, I am here to tell you that C.S. Lewis was an intellectual giant and way above anything I have ever done. Here is what is written on the dust jacket developed by the publisher, Clive Staples. "(C.S.) Lewis (1898-1963) was one of the intellectual giants of the twentieth century and arguably the most influential Christian writer of his day.
He was a Fellow and Tutor in English Literature at Oxford University until 1954, when he was unanimously elected to the chair of Medieval and Renaissance English at Cambridge University. He wrote more than 30 books, allowing him to reach a vast audience, and his works continue to attract thousands of readers each year. His most distinguished and popular accomplishments include: 'The Chronicles of Narnia', 'Out of the Silent Planet', 'The Four Loves', 'The Screwtape Letters' and 'Mere Christianity'."
The book I referenced earlier was produced by the publisher by taking from all of his works to produce a daily devotional with 365 entries. The first time through it was difficult for me to understand much of what he wrote. This time through I am understanding more and am looking forward to the years ahead.
On March 2, the article is titled, "The Moral Dilemma," and I will share a portion of the work of the late C.S. Lewis. "Morality then, seems to be concerned with three things. Firstly, with fair play and harmony between individuals. Secondly, with what might be called tidying up or harmonizing the things inside each individual. Thirdly, with the general purpose of human life as a whole, what man was made for: what course the whole fleet ought to be on: what tune the conductor of the band wants it to play.
"Almost all people at all times have agreed (in theory) that human beings ought to be honest and kind and helpful to one another. But though it is natural to begin with all that, if our thinking about morality stops there, we might as well not have thought at all. Unless we go on to the second thing –the tidying up inside each human being – we are only deceiving ourselves."
And skipping down to the last paragraph: "You cannot make good men by law: and without good men you cannot have a good."
And that, my friends, is our moral dilemma. So, what does it take to have good men?

domain: literature


Absolutely no one.. none.. know what is coming over the border. We do not control it.. we do not know via aircraft or boots on the ground. The number of illegal aliens crossing? The Border Patrol tells us they catch about one in three. They are not fully.. fully funded and they work eight hours a day just like human beings. The Administration uses computers to determine how many are crossing, and that clearly means they are counting about 1/3rd of the actual number which make the administration and their counters.. very dangerous fellows.
Do they create jobs? Who knows. Prominent journalists are calling the Congressional Budget Office non-partisan and I don't believe that at all.


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“Jasmine’s Story”: Jasmine was born into a family living in extreme poverty, with no access to education or healthcare. Through the support of our NGO, Jasmine was able to attend school and receive medical care
“The Power of Education”: Our NGO provided scholarships for underprivileged children in rural communities, including one young girl named Maya. Maya excelled in school and wants on to become a doctor, using her skills to help others in her community.
“Empowering Women”: Our NGO provided vocational training and job opportunities for women in a male-dominated industry. One woman named Fatima started her own business and is now a leader in her community.

domain: sociology


text:
|Year : 2017 | Volume
| Issue : 3 | Page : 190-194
The relationship between metabolic acidosis and nutritional parameters in patients on hemodialysis
AD Sajgure, TA Dighe, JS Korpe, CB Bale, AO Sharma, NS Shinde, AA Goel, AV Mulay
Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
|Date of Web Publication||3-May-2017|
A D Sajgure
Department of Nephrology, Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune - 411 018, Maharashtra
Source of Support: None, Conflict of Interest: None
The progressive loss of kidney function is accompanied by metabolic acidosis. The relationship between metabolic acidosis, nutritional status, and oral bicarbonate supplementation has not been assessed in the Indian chronic kidney disease (CKD) population who are on maintenance hemodialysis (MHD). This is a single-center prospective study conducted in the Western part of India. Thirty-five patients, who were receiving MHD were assessed for metabolic acidosis along with various nutritional parameters at the baseline and at the follow-up after 3 months, postcorrection of acidosis with oral sodium bicarbonate supplements. The relationship between the correction of metabolic acidosis with oral bicarbonate supplements and changes in dietary and various nutritional parameters were evaluated. Metabolic acidosis at the baseline evaluation was found in 62.86% cases of the cohort with a mean serum bicarbonate value of 20.18 ± 4.93 mmol/L. The correction of acidosis with increment in the mean dosage of oral sodium bicarbonate supplements from 0.69 ± 0.410 mmol/kg/day at baseline to 1.04 ± 0.612 mmol/kg/day, significantly reduced the prevalence of metabolic acidosis to 23.33% cases at the follow-up. Improvement in serum bicarbonate level showed significant dietary, anthropometric, and nutritional improvements in these patients. Hence, we conclude that correction of metabolic acidosis with optimal oral bicarbonate supplementation plays a pivotal role in the treatment of malnourished CKD patients on MHD.
Keywords: Hemodialysis, malnutrition, metabolic acidosis
|How to cite this article:|
Sajgure A D, Dighe T A, Korpe J S, Bale C B, Sharma A O, Shinde N S, Goel A A, Mulay A V. The relationship between metabolic acidosis and nutritional parameters in patients on hemodialysis. Indian J Nephrol 2017;27:190-4
|How to cite this URL:|
Sajgure A D, Dighe T A, Korpe J S, Bale C B, Sharma A O, Shinde N S, Goel A A, Mulay A V. The relationship between metabolic acidosis and nutritional parameters in patients on hemodialysis. Indian J Nephrol [serial online] 2017 [cited 2022 Sep 30];27:190-4. Available from: https://www.indianjnephrol.org/text.asp?2017/27/3/190/202404
| Introduction|| |
In health, protein and amino acids remain in equilibrium, however in the chronic kidney disease (CKD) patients, this balance is disturbed. The progressive loss of kidney function is accompanied by metabolic acidosis because of the reduced capacity of the kidney to synthesize ammonia and excrete hydrogen ions. Metabolic acidosis, if uncorrected, has been considered to have further deleterious effects on bone health and protein balance., It is known to cause negative nitrogen balance, increased protein degradation, increased essential aminoacid oxidation, reduced albumin synthesis, and low appetite., This eventually leads to decreased protein intake, protein energy malnutrition, loss of lean body mass, and muscle weakness. Malnutrition is a frequently (5–70%) encountered problem in the hemodialysis (HD) patients. With the advent of various clinical trials and guidelines, it has been widely agreed that the correction of metabolic acidosis should be an important goal of both the conservative management of CKD as well as dialysis therapy., Oral bicarbonate supplementation is often required to correct acidosis. The correction of metabolic acidosis may have an impact on nutrition as measured by albumin and other markers of nutrition. The relationship between correction of metabolic acidosis and nutritional status, as well as the optimal dosage of oral bicarbonate required to maintain serum bicarbonate level within the physiological range has not been studied in the Indian CKD population who are on maintenance HD (MHD).
| Methods|| |
This is a single-center prospective study conducted on 35 patients on MHD with a follow-up of 3 months at Dr. D.Y. Patil Medical College, Pune, in the Western part of India. Patients, receiving outpatient MHD for more than 1 month, were included and those with any acute illness were excluded. The Fresenius machine (4008 B and 4008 S) with the standard dialysate bicarbonate concentration of 35 mmol/L was used for HD. Each session was of 4 h with a blood flow rate of 300–400 ml/min and the dialysate flow rate of 500 ml/min. 29 out of 35 (82.9%) patients received twice weekly dialysis. The prerecruitment MHD schedule was kept unchanged during the entire study period.
After obtaining the written consent for their participation, the data on demographics, HD schedule, and the ongoing medications were noted. A detailed clinical and anthropometric examination including the height, weight, body mass index (BMI), waist hip ratio (WHR), mid arm circumference (MAC), triceps skin fold thickness (TSFT), and mid arm muscle thickness (MAMT) was carried out along with the laboratory investigations including hemogram, venous blood gas (VBG), urea, creatinine, serum electrolytes, serum total protein, and albumin at the baseline and at the follow-up after 3 months. The dietary assessment was done for consecutive 7 days with the diet diary at the baseline and at the follow-up. Metabolic acidosis and malnutrition in these patients were defined as a mid-week predialysis serum bicarbonate level <22 mmol/L and a BMI of <20 kg/m 2, in accordance with the Kidney Disease Improving Global Outcomes (KDIGO) 2012 and the EBPG (2007) guidelines, respectively. The oral sodium bicarbonate dosage was increased in those patients whose baseline serum bicarbonate level was <22 mmol/L. The correlation between the change in oral sodium bicarbonate supplementation and the change in serum bicarbonate level, albumin level, and dietary parameters was assessed using the Pearson's correlation coefficient equation.
| Results|| |
As shown in [Table 1], the baseline demographic data, the mean age of the study population was 47.54 ± 13.71 years. Twenty seven out of 35 (77.1%) cases were male and the rest were female, with a male:female ratio of 3.3. The mean duration of MHD was 18 ± 16.68 months. Chronic tubulo-interstitial disease in 13 out of 35 (37.1%) cases followed by diabetic nephropathy in 9 (25.7%) cases were among the most common causes of CKD in this cohort. Twenty nine out of 35 (82.9%) were on twice a week dialysis schedule, four (11.4%) cases were on once a week, and two (5.7%) cases were on thrice a week dialysis schedule. The study population had a mean pre- and post-HD serum creatinine of 8.21 ± 2.79 and 3.90 ± 2.14 mg%, respectively, whereas the mean pre- and post-HD blood urea was 101.94 ± 27.04 and 37.23 ± 18.50 mg%, respectively, at the baseline. The mean calculated urea reduction ratio (URR) and estimated Kt/V was 62.85 ± 15.74 and 1.17 ± 0.40, respectively, as shown in [Table 1].
A total of 5 out of 35 patients were considered as dropouts, since three (8.6%) patients died and two (5.7%) patients were lost to follow-up during the study period. [Table 2] shows the comparative parameters for the assessment of metabolic acidosis in this cohort, wherein the mean value of serum pH and HCO3 at the baseline evaluation was 7.32 ± 0.08 and 20.18 ± 4.93 mmol/L, respectively. Metabolic acidosis in accordance with KDIGO, 2012, was found in 22 out of 35 (62.86%) patients in this cohort. The increments in the dosage of oral sodium bicarbonate supplements from 0.69 ± 0.410 to 1.04 ± 0.612 mmol/kg/day significantly reduced the prevalence of metabolic acidosis at the follow up, which was noted in only 7 out of 30 (23.33%) cases versus 22 of 35 (62.86%) cases at baseline.
|Table 2: Comparison of parameters to assess metabolic acidosis at baseline and at 3rd month (n=30)|
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As shown in the nutritional assessment [Table 3], significant dietary improvements were noted in the daily mean calorie intake which increased from 20.68 ± 6.49 to 21.06 ± 6.47 kcal/kg/day (P < 0.005) whereas the daily mean protein intake increased from 0.37 ± 0.13 to 0.41 ± 0.13 g/kg/day (P < 0.005). Furthermore, improvements were also noted in BMI from 18.81 ± 2.98 at baseline to 19.12 ± 2.96 kg/m 2 (P < 0.001) at the follow-up.
|Table 3: Comparison of nutritional parameters at baseline and at 3rd month (n=30)|
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[Figure 1]a,[Figure 1]b,[Figure 1]c,[Figure 1]d show the co-relationship between changes in biochemical and dietary parameters. There was a moderate positive correlation noted between the change in oral bicarbonate supplementation and the rise in serum bicarbonate level (r = 0.56, P< 0.001). The change in dietary protein intake has a moderate positive correlation with the change in serum albumin levels (r = 0.41, P< 0.03).
|Figure 1: (a) Scatter diagram showing change in dose of oral bicarbonate versus change in serum bicarbonate. (b) Scatter diagram showing change in serum bicarbonate versus change in calorie intake. (c) Scatter diagram showing change in calorie Intake versus change in protein intake. (d) Scatter diagram showing change in dietary protein intake versus change in serum albumin level|
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| Discussion|| |
Although the effects of metabolic acidosis on the human physiology were studied as early as in 1966 by Lemann et al., it was only in the mid-1980s that the detailed studies on metabolic acidosis in CKD patients gained momentum. Shortly thereafter in 1993, Oettinger and Oliver  noted that metabolic acidosis is common in patients with CKD because of the inability of the kidneys to excrete the nonvolatile acid load. Among the many goals of dialysis, the role in the correction of uremic acidosis was recognized. It was noted that despite adequate hours of HD, metabolic acidosis remains common and is reported in up to 75% of patients.
Out of 35 study subjects at the baseline evaluation, metabolic acidosis was found in 22 (62.86%) cases, in accordance with the KDIGO, 2012, guidelines. As shown in [Table 2], the mean value of serum HCO3 being 20.18 ± 4.93 mmol/L. We also noted that these patients were already receiving 2.77 ± 1.609 g/day, equivalent to 0.69 ± 0.410 mmol/kg/day, of oral sodium bicarbonate supplementation prior to their recruitment in this study. This signifies the prevalence of metabolic acidosis in this cohort. In the baseline dietary assessment, as shown in [Table 3], the daily mean calorie and protein intake was 20.68 ± 6.49 kcal/kg/day and 0.37 ± 0.13 g/kg/day, respectively. This cohort had a mean calculated URR and estimated Kt/V of 62.85 ± 15.74 and 1.17 ± 0.40, respectively.
We tried to assess the possible reasons for low levels of serum bicarbonate in these patients. It could either be due to inadequate dialysis, poor nutrition, and/or inadequate oral bicarbonate supplementation. With the reference to EBPG (2007), the patients from our center had a very low calorie and protein intake. Low-serum bicarbonate level in the presence of low protein intake indicates either inadequate dialysis or inadequate dose of oral sodium bicarbonate supplementation. Due to the financial constraints, low socioeconomic status, lack of education, and nonavailability of MHD center near the residence along with logistic problems, very few people in the Indian population receive adequate hours of HD, that is, 12 h/week or 4 h × 3 sessions of HD/week. At our center, most of the patients received 4 h × 2 sessions of HD/week as shown in [Table 1]. Hence, we continued the same (prerecruitment) schedule of HD of all the patients during this study, but changed the dosage of oral sodium bicarbonate on an individual basis.
After 3 months of modified dosage of oral sodium bicarbonate supplementation, we found that the levels of serum bicarbonate were significantly improved. The mean dose of oral sodium bicarbonate supplements as shown in [Table 2], at baseline 0.69 ± 0.410, was increased to 1.04 ± 0.612 mmol/kg/day. These modifications significantly reduced the prevalence as well as severity of metabolic acidosis in the study population, metabolic acidosis was found only in 7 out of 30 (23.33%) cases at the follow-up as against 22 of 35 (62.86%) cases at baseline. The VBG revealed a significant improvement in the mean pH and mean bicarbonate from 7.32 ± 0.08 to 7.40 ± 0.09 (P < 0.001) and 20.18 ± 4.93 to 24.62 ± 3.51 mmol/L (P < 0.0001), respectively. Hence, we conclude that the adequate dosage of oral sodium bicarbonate supplementation improves serum bicarbonate level.
The dietary protein and calorie intake in this cohort at follow-up showed a statistically significant improvement. As shown in [Table 3], the daily mean calorie intake increased from baseline 20.68 ± 6.49 to 21.06 ± 6.47 kcal/kg/day (P < 0.005) at follow up, and the daily mean protein intake increased from 0.37 ± 0.13 to 0.41 ± 0.13 g/kg/day (P < 0.005), respectively. Further, there was a statistically significant improvement in the mean dry weight from 49.37 ± 9.45 Kg at baseline to 50.17 ± 9.56 kg (P < 0.0001) at 3rd month. The BMI also improved from 18.81 ± 2.98 kg/m 2 at baseline to 19.12 ± 2.96 kg/m 2 at 3rd month (P < 0.001). Similarly, significant improvement was also noted in the anthropometric parameters such as mean MAC, which increased from 22.57 ± 4.75 cm at baseline to 23.90 ± 3.79 cm at follow-up (P < 0.01). The mean TSFT decreased from 1.08 ± 0.38 to 0.88 ± 0.31 cm (P < 0.05). The changes in the mean WHR from 0.94 ± 0.09 to 0.94 ± 0.08 (P > 0.05) and MAMT from 25.57 ± 5.15 cm to 26.27 ± 4.33 cm (P > 0.05) were not statistically significant.
The laboratory assessment at the follow-up after 3 months showed significant improvement in the serum albumin level, which is a marker of nutritional status in accordance with the EBPG, as well as the KDIGO, 2012, guidelines. As shown in [Table 3], though the mean serum total protein did not show any statistically significant improvement, the mean serum albumin significantly improved from the baseline value of 3.87 ± 0.45 to 4.17 ± 0.36 g% (P < 0.0001) at the follow-up.
We further tried to assess and correlate the change in serum bicarbonate levels with the change in oral bicarbonate supplementation to determine the optimal dosage required to increase the serum bicarbonate levels near the physiological range. As shown in [Figure 1]a, we found that there was a moderate positive correlation between the change in the dosage of oral sodium bicarbonate and the rise in serum bicarbonate level (r = 0.56, P< 0.001). We also noted that increments in serum bicarbonate levels improved dietary calorie intake with a moderate positive correlation between the two (r = 0.37, P< 0.04), and that the change in dietary calorie intake correlated with the change in dietary protein intake, which again was significant statistically (r = 0.48, P< 0.008) as shown in [Figure 1]b and [Figure 1]c. Furthermore, the change in dietary protein intake showed a statistically significant positive correlation with the change in serum albumin levels (r = 0.41, P< 0.03), as shown in [Figure 1]d. Thus, increasing the dosage of oral sodium bicarbonate supplementation not only improved metabolic acidosis, but also the nutrition of this cohort.
The present study is comparable to the study conducted by Movilli et al., since both are prospective cohort studies undertaken on chronic stable HD patients with the aim to study the role of oral sodium bicarbonate supplementation in MHD population. Movilli et al. had concluded that correction of metabolic acidosis in HD patients improved serum albumin levels and further that in the presence of moderate to severe acidosis, nPCR does not reflect the real dietary protein intake of these patients, probably due to increased catabolism of endogenous proteins. The findings of the present study match the findings of the previous study in terms of improvement in serum bicarbonate and serum albumin levels, even though there were variations in the methodologies of the two studies. In their study, they had defined metabolic acidosis as serum bicarbonate values <20 mmol/L and also had studied the role of nPCR. The differences were also noted in the schedule of HD, which was three times a week for all the patients in the previous study, whereas in the present study, most of the patients were on twice a week schedule, barring the exception of two cases on thrice weekly and four cases on once weekly MHD. In spite of these differences, the results and conclusions of both the studies are similar showing significant improvements in serum bicarbonate and albumin levels after treatment with adequate dosage of oral sodium bicarbonate supplementation.
Soleymanian and Ghods  in Iran studied the deleterious effects of metabolic acidosis on nutrition of 47 anuric HD patients. They noted a statistically significant direct correlation between serum albumin and BMI. In the present study, we could not establish such a correlation between serum albumin and BMI. However, a significant positive correlation was noted between the change in bicarbonate dose and the calorie and protein intake. Increased protein intake was found to have a statistically significant positive correlation (r = 0.41, P< 0.03) with serum albumin levels.
In both these studies, the patients received more dialysis than our study population. This highlights the importance of optimal oral bicarbonate supplementation in the inadequately dialyzed and poorly nourished Indian HD patients. With a 52.3% increase in the mean oral bicarbonate dose, the percentage of patients with metabolic acidosis reduced from 62% to 22%. This dose was 4.22 g/day (19.3 mmol/day, 1.04 mmol/kg/day).
| Conclusion|| |
Therefore, we conclude that there is a significant prevalence of metabolic acidosis and malnutrition in the Indian patients of CKD on MHD. Optimal dosage of oral bicarbonate supplementation is of paramount importance in correcting metabolic acidosis in the HD patients. Most probably, the dose of 1 mmol/kg/day of oral bicarbonate would keep almost 78% patients free from metabolic acidosis. The improvement in metabolic acidosis is also associated with improvement in nutrition and the clinical and biochemical markers of nutrition.
Financial support and sponsorship
Dr. D. Y. Patil Medical College, Hospital and Research Centre (DPU), Pune - 411 018.
Conflicts of interest
There are no conflicts of interest.
| References|| |
Price SR, Mitch WE. Metabolic acidosis and uremic toxicity: Protein and amino acid metabolism. Semin Nephrol 1994;14:232-7.
Roderick PJ, Willis NS, Blakeley S, Jones C, Tomson C. Correction of chronic metabolic acidosis for chronic kidney disease patients. Cochrane Libr 2009;3:1-32.
Oettinger CW, Oliver JC. Normalization of uremic acidosis in hemodialysis patients with a high bicarbonate dialysate. J Am Soc Nephrol 1993;3:1804-7.
Mehrotra R, Kopple JD, Wolfson M. Metabolic acidosis in maintenance dialysis patients: Clinical considerations. Kidney Int Suppl 2003;88 S13-25.
Kopple JD, Kalantar-Zadeh K, Mehrotra R. Risks of chronic metabolic acidosis in patients with chronic kidney disease. Kidney Int Suppl 2005;95:S21-7.
Bergström J. Factors causing catabolism in maintenance hemodialysis patients. Miner Electrolyte Metab 1992;18:280-3.
Chiu YW, Kopple JD, Mehrotra R. Correction of metabolic acidosis to ameliorate wasting in chronic kidney disease: Goals and strategies. Semin Nephrol 2009;29:67-74.
Chiu YW, Mehrotra R. What should define optimal correction of metabolic acidosis in chronic kidney disease? Semin Dial 2010;23:411-4.
Brady JP, Hasbargen JA. A review of the effects of correction of acidosis on nutrition in dialysis patients. Semin Dial 2000;13:252-5.
Kidney Disease Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl 2013;3:1-150.
Fouque D, Vennegoor M, ter Wee P, Wanner C, Basci A, Canaud B, et al.
EBPG guideline on nutrition. Nephrol Dial Transplant 2007;22 Suppl 2:ii45-87.
Lemann J Jr., Litzow JR, Lennon EJ. The effects of chronic acid loads in normal man: Further evidence for the participation of bone mineral in the defense against chronic metabolic acidosis. J Clin Invest 1966;45:1608-14.
Movilli E, Zani R, Carli O, Sangalli L, Pola A, Camerini C, et al.
Correction of metabolic acidosis increases serum albumin concentrations and decreases kinetically evaluated protein intake in haemodialysis patients: A prospective study. Nephrol Dial Transplant 1998;13:1719-22.
Soleymanian T, Ghods A. The deleterious effect of metabolic acidosis on nutritional status of hemodialysis patients. Saudi J Kidney Dis Transpl 2011;22:1149-54.
] [Full text]
[Table 1], [Table 2], [Table 3]
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MARYVILLE, Tenn. (WATE) — Maryville first responders will be holding a training session Saturday morning at Foothills Mall. The exercises will take place in the closed Sears store around 9 a.m.
Maryville Police will take part in the training along with the Maryville Fire Department. The training will involve several police and fire vehicles.
“Please be advised this is only training,” the Police Department said.
The Maryville Fire Department will also be training Sept. 20-23 and Sept. 27-29.


Feudalism is alive and well in Europe. It just has a very modern form of expression.
The really big money in the European Union financial scheme of things changes hands feudally between the lowly taxpayers and vested agricultural interests, mostly big agribusiness and large landowners. Just as in the United States, where the wealthiest factions of the country have been milking the economy for all it is worth, a similar process is at work in the European Union in transferring more and more money into the hands of those who already have it.
As reported by Valentina Pop at EUObserver, European Union farm subsidies currently total $55 billion per year, which accounts for 43% of the entire EU budget. Since EU budget funds come from the EU Member States in the form of a flat tax of ca. 1% of GDP, it is in fact the little guys who are once again paying the bill.
This can be seen from Richard Baldwin’s analysis of agricultural aid to the UK in Who finances the Queen’s CAP payments? The CAP as a dooH niboR scheme [i.e. taking from the poor and giving to the rich in a reverse of Robin Hood, which is dooH niboR backwards – see Paul Krugman on Dooh Nibor Economics].
Baldwin may be writing in the year 2005 in The royalty of CAP madness, but nothing has changed in the intervening years. As written February 9, 2008 by Colin Brown, Deputy Political Editor at the Independent in ‘Fat cats’ benefit from EU farming subsidies:
“The Queen and one of the richest men in London, the Duke of Westminster, are among the biggest winners from this year’s payment of farm subsidies.
The Duke, who owns most of Mayfair and also Grosvenor Farms Limited, was paid £562,786, while the Duke of Marlborough, a member of the Churchill family, was paid £452,944 in subsidy for the Blenheim Farm Partnership based in Woodstock, Oxfordshire.
One of the largest payments went to the Mormon Church, which has become one of the biggest foreign landowners in English farming following a payment of £1.59m from the reformed Common Agricultural Policy (CAP). The Queen’s Sandringham Farms were paid £408,970 in subsidies. Half of the land is let to tenants and the rest is turned over to two studs for her racehorses, forestry and fruit farms which produce apples and juice for the Windsor farm shop.“
The UK Parliament has also provided interesting figures. The House of Commons Hansard Written Answers for 27 Jan 2009 (pt 0010) show the following top 10 recipients in the UK of EU farm aid:
“Jane Kennedy [holding answer 5 February 2009]: The following table lists the 10 individuals and/or organisations that received the highest subsidies available under all schemes under the common agricultural policy for the European financial year 2008, which runs from 16 October 2007 to 15 October 2008.
We found the following information about these organizations online:
- K G Growers has an annual turnover of £115 million.
- G’s Growers, according to Hoover’s, had sales of $34.5 million in 2008.
- Farmcare Limited is part of the Co-Operative Group (CWS) Limited, a co-op headquartered in Manchester, UK, with ca. 65000 employees and revenues of over £7000 million annually. This is the largest commercial farmer in Britain.
- The Berryworld Producer Organisation are suppliers of berries to the major UK supermarkets (Tesco, Sainsbury’s, etc.)
- Strutt and Parker Farms cover more than 18,200 acres in Essex and Suffolk and are divided into six farms
- The National Trust – in our opinion, they should get more
- Sir Richard Suttons Settled Estate is 6500 acres and belongs to one of the UK’s wealthiest persons
- Lilburn Estates Farming Partnership covers nearly 28000 acres – in the year 2005 “5,450 acres of combinable crop, 5,285 acres of lowland grass, 155 acres of forage crops, 14,600 acres of hill and heather grouse moor and 2,300 acres of woodland. As well as a breeding and finishing sheep enterprise totalling 28,380 head, the unit’s 3,068 cattle includes 1,134 suckler cows, 1,536 finishing cattle, 370 Stabiliser bred replacements, six continental stock bulls and 18 Stabiliser stock bulls.“
- Blankley Estates Ltd provides little information online but it even has its own proprietary 18-hole golf course (as a golfer, I am happy, but as an EU taxpayer, this is to my mind not a suffering farmer worthy of a CAP subsidy)
- Fruition Producer Organisation Limited – Fruition PO Ltd is part of World Wide Fruit “one of the UK’s largest fruit marketing companies“
Of course, none of these companies is to be blamed for obtaining subsidies if the EU laws permit them to do so. The fault is to be sought in Brussels, not in London, through whose incompetence billions of euros are being funneled into the bank accounts of those who least need the money.
As Valentina Pop now writes at Germany dodges disclosure of EU farm funds, to keep these kinds of payments to the rich out of the public eye, Germany has now ignored an EU law requiring full agricultural subsidy disclosure and has refused to name the German aid recipients on the grounds of “data protection”, which is of course absolutely absurd from every possible legal viewpoint. As EUObserver writes:
“Claiming data protection issues, German agriculture minister Ilse Aigner on Wednesday recommended: “temporarily suspending the publication of further information on the beneficiaries of agricultural funding.” Germany is the only country to have done so.“
Aigner is by profession a trained radio and TV technician who appears to us intellectually and by educational background to be totally out of her league in her ministerial post. What does Aigner know about law? One of the tragedies of our media age is that “pretty faces” such as Aigner are elevated into top political positions where they wreak havoc due to their lack of qualifications.
In fact, as we already know from a November 2007 Stern article Agrarsubventionen: Volle Töpfe für die Großen, the lion’s share of EU agricultural CAP subsidies to Germany is going into the pockets of the large agribusiness concerns and the old landholding gentry, just as in the UK.
The idea that the names of those who are plundering the European Union economy should be kept secret is a travesty, as pointed out by Jack Thuston in the EUObserver article by Pop:
“This is a disgrace. The handful of politicians and judges in Germany who are opposing transparency are acting as the puppets of big agri-business and wealthy landowners, who’s only interest is to keep the German people in the dark about the reality of farm subsidies,” Jack Thuston, co-founder of www.farmsubsidy.org, the journalist-launched initiative behind the EU requirement, said in a statement.
He also pointed to the fact that the commission can release the names of the beneficiaries if a member state dodged this requirement, because the EU executive does have this data on file.
“Farmsubsidy.org originally proposed that the commission publish the information in one single dataset, partly because it would be simpler, less bureaucratic and less fragmented, and partly in anticipation that some member states would backslide from their obligations, as Germany is now doing. Unfortunately the commission chose to pass the responsibility down to member states,” he added.
Also on Friday, a court in Munster ruled that the publication of names, addresses and amounts of EU funding received by farmers complies with German legislation. The ruling cannot be challenged further.”
It is quite clear in this quarter that the names must be revealed. It will now be interesting to see who does the revealing and what consequences it will have. With Ministers like Aigner, Merkel does not need enemies – they are in her own cabinet.


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“I’ve been thinking about what to write to you and I honestly don’t know where to begin. You made every single part of our wedding day perfect!
From our first meeting a few months before the wedding I instantly felt at ease and the weight lifted from my shoulder. Although we only hired you as an ‘On the day coordinator’ you went above and beyond without any hesitation!
I really want to thank you for everything you did – but in particular for making our ceremony perfect when behind the scenes was chaos, for driving all over the city picking up our bits and pieces, for your beautiful styling skills and for saving my night when my dress broke mid reception! You knew instantly when something went wrong and was there before I even had a chance to worry! And you did it all with an 8 week old baby!! You are super woman!
Please pass on our huge thank you to your wonderful team and your amazing hubby. Everyone in your team were just a dream to work with.”

domain: economics


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[CANCELLED] Malaysia: Prime Minister Muhyiddin YassinVIEW EVENT DETAILS
Presented in conjunction with the 75th session of the United Nations General Assembly
***Unfortunately, this program has been cancelled due to unforeseen circumstances.***
Asia Society and the Asia Society Policy Institute are delighted to host His Excellency Muhyiddin Yassin, Prime Minister of Malaysia, for an address and discussion with Asia Society Policy Institute President the Hon. Kevin Rudd AC.
H.E. Muhyiddin Yassin is the 8th Prime Minister of Malaysia and member of the Malaysian Parliament for Pagoh. He previously served as Deputy Prime Minister and held various ministerial positions: Minister of Home Affairs (2018-2020), Minister of Education (2009-2015), Minister of International Trade and Industry (2008-2009), Minister of Agriculture and Agro-Based Industry (2004-2008), Minister of Domestic Trade and Consumerism (1999-2004), and Minister of Youth and Sports (1995-1999). He was the 13th Menteri Besar of Johor , which is the head of government for the state of Johor, from 1986-1995.
The Hon. Kevin Rudd AC is inaugural President of the Asia Society Policy Institute. He served as 26th Prime Minister of Australia (2007 to 2010, 2013) and as Foreign Minister (2010 to 2012). He is Chair of the Board of the International Peace Institute in New York, and Chair of Sanitation and Water for All, a global partnership of government and non-government organizations dedicated to the implementation of Sustainable Development Goal 6. He is a Distinguished Fellow at Chatham House and the Paulson Institute, and a Distinguished Statesman with the Center for Strategic and International Studies. He is a member of the Comprehensive Nuclear Test Ban Treaty Organization’s Group of Eminent Persons, and also is on IMF Managing Director Kristalina Georgieva's new external advisory group.
This program is made possible through the generous support of the Nicholas and Sheila Platt Endowment for Public Policy.
For event details visit https://asiasociety.org/new-york/events/cancelled-malaysia-prime-minister-muhyiddin-yassin For event details visit https://asiasociety.org/new-york/events/cancelled-malaysia-prime-minister-muhyiddin-yassin

domain: news


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At the end of May, about 20 companies in the city center wanted to hire more people for work.
VIRGINIA BEACH, VA. – Downtown is a place that both locals and tourists love in Virginia Beach.
From small local restaurants to national chain stores, there is something for everyone when it comes to evening shopping.
Companies have had to adjust to the coronavirus pandemic, which has meant reducing capacity (and sometimes laying off employees or shortening business hours).
Now the restrictions are gradually being lifted, which means companies can work closer to the “old” normal.
However, many city center companies are facing a new challenge – they cannot find workforce.
On Wednesday, about 20 companies in the city center wanted to hire more people for work. Entrepreneurs and managers say the problem is: Nobody fills out applications.
Susan Kelly is the managing director of Taste. She said her staff worked hard, but she still had six to ten people to hire.
Kelly is looking for sales people, sandwich makers and food preparers. If she hires enough people, she says she’ll consider extending the hours at Taste in Town Center.
“Right now we’re 10 to 3 years old and that was only meant for our lunch, but we’d like to open in the evenings and if I can get people to join the team we’ll be in,” said Kelly. We will be open to everyone. “
Here is a list of the vacancies that are being hired in the city center:
- APEX Entertainment (all positions)
- Boxed Gourmet (all items)
- Bravo Italian Kitchen (all positions)
- Cantina Laredo (cooks, dishwashers, bartenders, hosts, waiters)
- The cheesecake factory (all positions)
- Drybar (beautician / hairdresser)
- Jimmy Johns (delivery driver, delivery driver, sandwich maker)
- Keagan’s Irish Pub (host)
- Modern salon (hairdressers)
- PF Chang’s (all positions)
- Ruth’s Chris Steak House (all positions)
- TASTE (sandwich maker / crew member)
- The Royal Chocolate (Retail Representative)
- City center cold-pressed (barista and kitchen staff)
- Town Center City Club (part-time kitchen staff)
- Tupelo Honey (line chef, waiter, dishwasher)
- Westin Virginia Beach Town Center (all positions)
- Yard House (line cook, prep cook, court / utility)


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Things You'll Need
Hepa filter vacuum
Once mice have entered your home, it is crucial to make sure that all the mice and their droppings have been thoroughly removed. Mice are very dangerous to human health because they carry a dangerous virus known as the hantavirus. This virus is spread through contact with the mice and their droppings -- the hantavirus can become airborne and this is why you must not stir up the virus by sweeping or vacuuming. If you notice mice have left behind droppings in your heating ducts, it is very important to clean them up immediately. Although the best practice is to call a professional, it is possible to remove the droppings using a vacuum with a hepa filter.
Put on your protective mask and gloves to prevent any contact with the mouse droppings. As you clean up the droppings you may stir up the virus, so you should always take precautions before you start the cleanup.
Video of the Day
Mix a solution of bleach and water to create a disinfectant. Add 1 part bleach to 10 parts water. Pour the mixture into a spray bottle so you can spray down the inside of the heating ducts.
Remove the cover from your heating duct and set it aside. Use your disinfectant spray to spray the inside of the heating duct so that the droppings are moistened with the spray.
Use a paper towel to wipe up any droppings and discard the paper towel in a garbage bag. Use the vacuum cleaner to remove any hard-to-reach droppings inside the vent. Use a long attachment so that you can insert the hose deep inside the heating duct.
Spray more disinfectant into the heating vent and then wipe it away. Discard of the hepa filter from inside the vacuum cleaner, and dump all droppings into the garbage bag. Tie the garbage bag in a knot and discard it. Use the bleach and water solution to disinfect the vacuum.
If you are unable to clean the mouse feces thoroughly, you should contact a professional. Mouse droppings can cause infection for those with weak immune systems.

domain: biology


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We will examine the exciting world of marketing, learning tested models for success and exploring marketing technologies best suited for your business. In addition, we will consider the marketing fundamental of understanding customers and developing a story and message they love. To preregister or for additional information call ...
The first arrivals in the area were fisherman, among them a NY attorney named Remington Vernam. He was very interested in the prospects for real estate development in Rockaway. He was persistent in buying land owned by William Amerman’s heirs. After several years he was successful in acquiring the land that now makes up the section they named Arverne. According to legend, it was Mrs. Vernam who suggested this name when she observed her husband’s signature, “R. Vern,” with the last letters “am” almost illegible.
In 1884 he incorporated Ocean Front Improvement Company where he wanted to open a new vacation village. Essential to this was the construction of a large hotel, completed in 1888. Despite a good start, Vernam’s hotel did not share in the general success of the community. Financial difficulties came early on. In January 1899 he filed for bankruptcy. He died unexpectedly in 1907, and his son Clarence continued his father’s work. In 1916, Clarence sold the last sizable open tract of land to investors.
Arverne began to decline in the 1950’s and by the 70’s, most of the buildings had been leveled. Recently, the “Arverne by the Sea” project has been revitalized.
The library was initially housed in a drug store from November 10, 1914 through 1929. It was temporarily relocated to PS 42 for one year when in 1930 it was replaced by a bookmobile stop. In 1951, the branch was established in small quarters in a housing project, and on October 23, 1964 a newer rental facility opened for service at the present site. A new title was vested with the City and was designated for Library use on September 6, 2000.
History of the Rockaways by Alfred Bellot
Old Rockaway, New York in Early Photographs by Vincent Seyfried
Queens Library HealthLink
According to the American Cancer Society, approximately one of two American men and one of three American women will have some type of cancer at some point during their lifetime. Queens Library HealthLink seeks to increase access to cancer screening and cancer treatment among medically underserved communities in Queens. Queens Library HealthLink is a partnership between Queens Library, Memorial Sloan-Kettering Cancer Center, Queens Cancer Center of Queens Hospital and the American Cancer Society.


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In research echoing Fantastic Voyage, Canadian scientists have succeeded in guiding a computer-controlled microdevice through the artery of a living animal at a speed of 10cm a second.
A team at the NanoRobotics Laboratory of École Polytechnique de Montréal's Department of Computer Engineering and
In collaboration with researchers at the Centre hospitalier de l'Université de Montréal (CHUM), the Polytechnique team succeeded in injecting, propelling and controlling by means of software programs a prototype device. The untethered ferromagnetic 1.5mm-diameter sphere was inserted into the carotid artery of a living animal placed inside a magnetic resonance imaging (MRI) machine.
Encouraged by these results, staff at the Polytechnique NanoRobotics Laboratory are working to further reduce the size of the devices so that, within a few years, they can navigate inside smaller blood vessels.
’Injection and control of nanorobots inside the human body, which contains nearly 100,000 kilometres of blood vessels, is a promising avenue that could enable interventional medicine to target sites that so far have remained inaccessible using modern medical instruments such as catheters,’ Professor Martel explained. ‘In collaboration with our scientific partners, Polytechnique researchers have begun developing several types of micro- and nanodevices for novel applications, such as targeted delivery of medications to tumour sites and diagnoses using navigable bio-sensors.’


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Welcome to our 2023-2024 season!
Collective Listening Project
Princeton Garden Theatre’s Chris Collier Selects
Playlist No. 30
About the Playlist
October 1, 2020
This newest addition to our Collective Listening Project is this playlist “Film Scores: From Screen to Stage,” curated by Chris Collier, Executive Director of the Princeton Garden Theatre. Chris attended Dartmouth, where he was an active leader in all aspects of musical life. He later graduated from the University of Oxford in musicology, writing a thesis reflecting his passion for music in film.
By Chris Collier
Executive Director, Princeton Garden Theatre
One challenge of listening to film scores on their own is that the musical cues were written to be heard while paired to an image. Oftentimes these cues are very specific in their role complimenting the action or emotion of their respective film, which can become repetitious or without structure when listened to as stand-alone musical works.
This playlist is a collection of film music cues that have been adapted, most times by their composers, to achieve life within the concert hall or on their own. Each one takes a different approach to adapting work to a “performance piece.” I structured this list to be in the shape of a concert, starting with an overture and ending with “end credits” with a variety of styles and moods to lead us through. There is also a bonus piece at the end, if you want to listen further.
This playlist in no way represents the full range of film music and barely scratches the surface of all of the novel and interesting ways composers have used music to imbue movies with emotion, action, pacing, and storytelling. I just selected these titles as a way to start the conversation about film music and how it has been adapted to live outside of the films they were written for.
ELMER BERNSTEIN “Theme” from The Magnificent Seven (1960)
Really no better way to kick off a playlist than with an overture and one as memorable as this Western classic. Bernstein’s music has shades of Copland Americana and sets the stage for this tale of gunslingers and bandits (adapted from Kurosawa’s Seven Samurai). This cue plays over the opening credits of the film and is already a stand-alone work. It does the job of setting the locale and tone—and getting the blood flowing.
MIKLÓS RÓZSA “Love Theme” from Ben Hur (1959)
Rózsa’s Ben Hur score is probably best known for the climatic ramming speed sequence or the “Parade of the Charioteers,” but this “Love Theme,” a cue from the action early in the film, was adapted as a concert work to stand on its own. It showcases some beautiful writing to establish a romantic tone in this sprawling biblical epic. (Plus, we needed to move to something a little more andante after The Magnificent Seven.)
BERNARD HERRMANN Suite for Strings from Psycho (1960)
The Psycho score is a marvel. Herrmann’s gift for orchestration is on full display, utilizing only a string orchestra to complement the black and white textures of the film. This “suite” was created by taking a number of cues from the film and linking them together to make a full stand-alone work. Taken as a whole, you get the whole shape of the film in just under 10 minutes. The stand out moment is, of course, the shower sequence, but pay close attention and you will hear lots of playful use of the string effects (muting, harmonics, etc.) throughout. Additionally, there is a wonderful fugue that comes in about halfway through that hints at the possible multiple personalities haunting Norman Bates.
DAVID RAKSIN/JOHNNY MERCER “Laura”
This 1950 recording of the theme from the 1944 film Laura was not found in the film itself, but I have included it to showcase another way in which film music has been adapted from the films itself. The tune, composed by David Raksin, is heard frequently in the movie. (The film’s director, Otto Preminger, had originally wanted to use Duke Ellington’s “Sophisticated Lady” as the theme, but Raksin was not convinced that it was suitable.) The theme plays an important role within the film, standing in not as the music for the character of Laura but instead as the idealized version of her held by each of the three male leads. Watch the film and note when the theme plays, paying particular attention to when Laura herself makes a reappearance and the conspicuous absence of the titular music when she enters the screen. After the release of the film, the theme became a jazz standard and has been covered by many artists. I particularly like the Charlie Parker interpretation.
HENRY MANCINI “Moon River” from Breakfast at Tiffany’s (1961)
This song plays multiple times throughout the film and is featured when sung in full by Audrey Hepburn. It was also part of a fad in films in the late 50s and early 60s to feature pop songs that would sell records and sheet music. One starts to see a shift in scoring to include more pop songs and music that will sell as a key ingredient in how scores are written—most producers demanded it of their composers. This track is a wonderful tune and a turning point as film scoring shifts from the big, late romantic orchestra style to something more commercial. (Until John Williams returns to make the lush orchestra style popular again, but more on that in a little bit.)
JOHN CORIGLIANO Chaconne for Violin and Orchestra from The Red Violin (1997)
This is the most interesting piece in this whole program, in my opinion. Corigliano was asked to write the score for The Red Violin, which tells the story of a violin over three centuries. Many scenes in the film require music while the violin is being played, so Corigliano wrote a theme (a 7-interval progression representing the 7 distinct times from the film) and a number of variations for each specific time period to be included in the film. Then while the film was being shot, he wrote the Chaconne as a separate concert work to explore the musical world he had created. It is based on the baroque structure—a composition in a series of varying sections in slow triple time, typically over a short repeated bass theme (the harmonic 7-interval progression). This was written solely as a virtuoso concert work for a fully-orchestrated ensemble. After the film was shot, Corigliano then wrote a separate strings-only score for the film, inspired by the work he had done on the Chaconne.
JOHN CORIGLIANO Violin Concerto No. 1 (1999)
BONUS: I have included one additional piece as a bonus at the end, which is Corigliano’s return to this theme. He found that the Chaconne was too short to be regularly programmed as a concert work, so he made it the first movement of a concerto and wrote an additional three movements to flesh out a longer, more complex work. These are so many interlocking and distinct pieces to the life of this score and concert work. And it is stunning music.
JOHN WILLIAMS “Finale” from The Empire Strikes Back (1980)
I had to include music by John Williams as he is one of the most iconic and recognizable film composers of all time. His score for the Star Wars epics (he has done all nine main films) is notable for his use of Wagnerian leitmotif—themes that not only represent characters and ideas but are interconnected to show the relationship between various characters. Williams was also the conductor of the Boston Pops and had a very savvy sense to find ways to adapt his own scores into Pops pieces, giving them wide recognition outside of the films. Each Star Wars film ends with a “Finale,” that starts with Luke’s theme and then recaps all of the main themes that had been introduced over the newest installment of the series. Empire Strikes Back features the memorable “Imperial March” (which many know as Vader’s theme) as well as the “Han and Leia” love theme and “Yoda’s Theme.” If you want to go down the leitmotif wormhole—listen to the similarities between the “Force Theme” (introduced with Obi Wan in A New Hope) how it is corrupted to the “Imperial March” in Empire and reappears wide-eyed in “Rey’s Theme” in The Force Awakens.
JOHN WILLIAMS “Hymn to the Fallen” from Saving Private Ryan (1998)
It is so easy to double up on Williams as there is so much to pick from, but this piece in particular is distinctive of William’s genius for writing for film and having the music appear in other media. This hymn is the closing credits to the Spielberg WWII film saga Saving Private Ryan and does a wonderful job of closing out the film and a remembrance of D-Day and American sacrifice. It also stands as a stand-alone patriotic hymn that can be used in many different scenarios separate from the film. Williams has also written the “Mission Theme” for NBC News as well as a couple of iconic Olympic marches and themes. He, like Elmer Bernstein’s Magnificent Seven that started this playlist, is tapped into the sound of Americana (by way of Copland) and has found his sound become the soundtrack of large American events, taking music that started in film or on TV and making it live outside of the screen.


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Amigos de Jaibalito Foundation (AdJ) was established due to the poor quality of the public education system in Jaibalito. Previous to AdJ, Jaibalito had no preschool program, low attendance in all grades, and a high dropout rate. Supplies and equipment were lacking and no nutrition program existed. The classroom interiors were uninspiring and in deteriorating condition. AdJ's mission is to improve the quality of life for Jaibalito residents, starting with the children and their education.
AdJ knew that every young child needs a healthy diet to be able to learn. As Guatemala has the fourth highest rate of malnutrition in the world, we started a breakfast program for the Pre-K and Kinder classes. We served a healthy breakfast for five months when a Guatemalan foundation took over. Our primary goal has always been education. We are committed to improving the education of the students with improved curricula, Internet access, teacher training and necessary supplies.
AdJ has continued to expand its role in supporting Jaibalito. We have donated laptops and a printer to the local library and pay for Internet access for students to use in their research. We support higher education through scholarships. We worked with the people of Jaibalito to build a playground that is also now a town park. The recycling project is now using part of this space as well. Also, as needed, we continue to assist with community improvement (i.e, new bridge, sponsoring community clean-up days and so forth).
Amigos de Jaibalito Foundation is a non-profit 501(c)(3) organization. All donations are tax deductible. There are no overhead expenses. All work related to our activities is done by board members and other volunteers.


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Discover users based on their interests
Semi Pro for over 30 years
Hago como que programo de lunes a viernes. Ex streamer de Smash en Game Hunterz (RIP). A veces tomo fotos.
Hello, my name is Clement, I take photos of the untouched nature and notes of my adventures. I found myself in the middle of nowhere, fighting the elements and crash testing my resiliency. Photography is my exploration tool in a way to widen our horizon toward remote wilderness.
Eternal learner & amateur photographer.
All my work is licensed under the CC BY-SA 4.0 or higher
All my photos are edited using Darktable
Teacher-Mom living in Northern California. Keeping it real during wild time.
Hello, I'm no photographer at all, plus I'm no artiest, I'm just someone with a mobile phone who can takes photos - that's it.
All of the photos have been taken in either England or Wales.
Libravatar is a service which delivers your avatar (profile picture) to other websites. If you sign up there, your photos can appear in forums and blogs.
Plane spotter and photographer from Manchester, UK.
I'm a Photographer/Photographic Content Provider, Blogger of "oneeyeopen - Life through a viewfinder" and mentor. Currently based in Weston-super-Mare, Somerset, UK
Photowalks, D&D, Nederlands taal leren

domain: artistic


Develop and field world-class aircraft survivability systems that maximize the survivability of Army aircraft against a continually evolving threat without degrading combat mission effectiveness.
Detects missile launches/flights, protects aircraft from infrared (IR) guided missiles, and provides threat awareness and IR countermeasures using an airborne self-protection system.
ATIRCM provides warning of missile approach using the AN/AAR-57 Common Missile Warning System (CMWS), which detects the missile, rejects false alarms, and cues the onboard infrared jamming system’s jam head to the missile’s location. When the jam head finds the missile with its IR tracking system, it emits a high-energy infrared beam to defeat the missile’s infrared seeker.
Defeat man-portable air defense systems (MANPADS) threats thereby increasing aircraft survivability
CIRCM is the next generation lightweight, laser-based infrared countermeasure component that will interface with both the Army’s Common Missile Warning System (CMWS) and future missile warning systems (MWS) to defeat current and emerging missile threats to target rotary-wing, tilt-rotor and small fixed-wing aircraft across the DoD. CIRCM receives hand-off from the MWS, and employs a pointing and tracking system to track incoming missiles. CIRCM is utilizing Open Systems Architecture which allows flexibility with software and hardware refreshes to keep pace with future threats.
CIRCM is the lighter weight system analogous to the Advanced Threat Infrared Countermeasures (ATIRCM) system which is only installed on CH-47F aircraft.
The CIRCM system will operate with the Army’s MWS (CMWS). The “Common” refers to the intent that the system is designed in such a way that it can be integrated with other-Service platforms’ MWS and be required to communicate with the MWS using a standard Interface Control Document.
The CIRCM program continues EMD activities and is executing within the parameters outlined in the APB.
On 14 SEP 18, the AAE approved the CIRCM MS C decision. Now, the CIRCM program is initiating Low Rate Initial Production in preparation for the Initial Operational Test and Evaluation in FY19. The CIRCM system is also being accelerated to field in support of Quick Reaction Capability (QRC) requirements. A limited number of CIRCM systems will be integrated with the Advanced Threat Warner (ATW) missile warning system to meet critical size, weight, and power requirements associated with current urgent fielding needs.
Airborne self-protection system which detects missile launch/flight and protects aircraft from Infrared (IR) guided missiles and unguided munitions. Provides threat awareness and data required to deploy IR countermeasures.
An integrated IR countermeasures suite utilizing five sensors to display accurate threat location and dispense decoys/countermeasures, detects missile launch and flight of infrared guided threat missiles and unguided munitions to protect Army aircraft. CMWS provides passive missile warning and hostile fire indicators while operating independently or as a component of the ATIRCM and CIRCM systems. Provides detection of unguided threats and situational awareness to aircrew with visual and aural cueing. Protects aircraft by deploying flares and/or by cueing laser-based countermeasure systems. Consists of five Missile Sensors mounted to the surface of the aircraft, an Electronic Control Unit (ECU), a reprogrammable User Data Module, a Sequencer and Improved Countermeasure (flare) Dispensers.
CMWS remains a highly effective and reliable system, having amassed over 3 million combat hours. CMWS reliability has been independently scored as exceeding its threshold requirement by 800%. Most importantly, the US Army has not lost an aircraft or crew to a Man-Portable Air-Defense System since 2007.


Six teams from Orange County reached the semifinals of the CIF-SS softball playoffs. Here is the updated schedule for those games.
CIF-SS SOFTBALL PLAYOFFS
Oaks Christian at Los Alamitos, Saturday, 1 p.m.
Mission Viejo vs. Torrance at West Torrance HS, Saturday, noon
St. Anthony at Tesoro, Monday, 3:30 p.m.
Fountain Valley at Cajon, Saturday, 11 a.m.
El Toro at Flintridge Sacred Heart, Saturday, 3:15 p.m.
Keppel at Capistrano Valley Christian, Saturday, 3:15 p.m.


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In this interview Jenna shares more about her journey as a full time digital nomad of 1.5 years and the process she has followed to create consistent 5 figure months in her heart centered business and how you can too.
In this episode Debbie and I discuss tuning into who you are, who you're meant to be, what kind of things are getting in your way and what you can do to change that. It's about how to trust ourselves and our inner wisdom.
Dane has mastered a creative methodology to help people get things done. It is based on the idea that if you properly think about, organize and manage your life projects and their requisite actions you can free your mind from stress and be more creative and efficient.
In this episode we talked about how to be safely in the zone, pumped up and high on energy without risking your life or doing some crazy things like jumping off the cliffs (hence "safely"). Clay also shared the ONE most often overlooked activity that can change your whole life to achieve more and be more.
In this interview, Becky Barnes shares her year-long challenge to only buy secondhand clothes and what this has unexpectedly led to for her business. She also gives some simple ideas on how to create a wardrobe which is kinder to our planet as well as saving you money.
Fanny Snaith is revealing the three things you need to be financially successful. She will give you insights to understand that "not being great" with money is not your fault but how you can change. Join us today and you WILL learn something useful about you and money that you did not know before.
Coral Bell shares how working with horses can aid your growth and uncovering of your potential. Horses have unique ability to be present, no matter what and require the same of us, so we learn to drop our stories and show up as who we really are!
In this interview Carol shares some tips on how to remain calm when chaos seems to be in charge. She believes in seeing love over fear, health over illness, abundance over scarcity and always peace over conflict.
Style is so much more than fashion, it shows who you really are. Karolina shares her expertise and experience about different aspects of style, how to find the right style for your personality and lifestyle, even when you work from home and prefer leggings and sweaters.
What does MAGIC mean to you? How can we get more into the space of creating magic? Tam connects neuroscience and quantum physics with the spirituality, creating change from the whole mind, body, and spirit. In this podcast we talked about creating magic, why change is so hard and how to harness the power from within.

domain: psychology


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Sounds Like: Aventura, Don Omar, Prince Royce, Daddy Yankee, Carlos Santana
Label: Garmex Record
Manager: Alberto Martinez
Bio: The new sensation of bachata, S2R-SEXO, SUDOR, Y RISA arises in Puerto Rico with the taste of rhythms and different Tropical music sounds that takes Bachata music to the next level. This new sound, image and flavor gives Sexo, Sudor y Risa a very attractive, unique and visual concept inspire...See Full Bio