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Little is known about the patterns of help-seeking in UK veterans with mental health difficulties. The aim of this study was to explore referral patterns to Combat Stress over a 20 year period. Combat Stress is a national mental health charity that offers support to UK ex-service personnel. Data was extracted from an electronic patient database system that included information on referrals to Combat Stress between 1994 and 2014. Data included time since leaving the Forces, area of deployment and whether participants engaged in clinical services. A fourfold increase in the number of referrals received each year over the duration of the study period was observed. Ex-service personnel who had served in Northern Ireland made up the largest proportion of helpseekers. In recent years significant increases in referrals from veterans from Iraq and Afghanistan were noted. Over the study period the time it took for participants to seek help after they left the services reduced by a half. There has been a recent sharp increase in veterans seeking support for mental health difficulties. This may reflect a period effect with individuals more willing to seek help sooner now than in the past. For example, veterans from Iraq and Afghanistan are seeking help more quickly than veterans from previous conflicts. The data presented within this paper suggests that there will continue to be an increase in the numbers of veterans seeking support for mental health difficulties over the coming years.
PTSD, Military, Veterans, Ex-service personnel, Referral rates, Help-seeking
Following the operational duties in Iraq and Afghanistan since 2003 there has been an increase in the amount of research monitoring the mental health of military personnel (Sundin et al., 2014; Riddle et al., 2007; Hoge, Auchterlonie, & Milliken, 2006; Hoge et al., 2004; Hotopf et al., 2006; Iversen et al., 2009; Fear et al., 2010). As a result of an ongoing epidemiological study of military personnel in the UK we now have a clearer picture of the prevalence rates of mental health difficulties within this population. These studies reported consistent rates over two waves of data collection of common mental health difficulties to be approximately 20% and post-traumatic stress disorder (PTSD) to be 4% (Fear et al., 2010; Hotopf et al., 2006).
What is known?
The UK Armed Forces has a turnover of approximately 10% each year meaning that large numbers of individuals who will have served during these conflicts will now have left and become veterans (Defence Analytical Services Agency, 2008). In the UK a veteran is defined as an individual who served at least one day in the UK Armed Forces (Dandeker, Iversen, Ross, & Wessely, 2006). It has been estimated that there are 3.8 million veterans living in the UK but that this number is expected to decline in the coming years as veterans from World War Two pass away (Woodhead et al., 2009). Analysis of the 2007 UK Adult Psychiatric Morbidity study reported no significant differences in the mental health of veterans compared to non-veterans in the UK (Woodhead et al., 2011). However, analyses comparing still serving military personnel and the general working population observed that military personnel were twice as likely to report common mental health difficulties (Goodwin et al., 2015). Further, veterans have been shown to have experienced higher levels of both childhood adversity and trauma in adulthood than nonveterans (Woodhead et al., 2011).
Whilst research in the UK has focused on epidemiological surveys to understand representative population data of military personnel, less is known about the rates of help-seeking for mental health difficulties within veteran populations (Iversen et al., 2011; Iversen et al., 2010). Differences in prevalence rates of mental health difficulties between help-seeking veterans and the wider veteran population have been noted. For example, as mentioned above rates of depression and PTSD in the veteran population have been observed to be 20% and 4% respectively (Fear et al., 2010), compared to 80% and 73% within a help-seeking population (Murphy, Palmer, Busuttil, & Oddy, 2015). Research studies have reported significant time intervals between veterans leaving the military and seeking help for military-related trauma with on average 11 years passing between leaving the military and seeking support (Murphy et al., 2015; van Hoorn et al., 2013). In addition, it has been observed that only approximately 20% of veterans with a mental health difficulty seek support (Iversen et al., 2010). Such a disparity between mental health difficulties and help-seeking implies a large number of veterans who may require treatment are not receiving it, highlighting a need to further explore patterns of help-seeking.
The aim of this paper was to explore the changing nature of referrals to Combat Stress (CS) over the last two decades. In particular, to explore if there has been an increase in rates of ex-service personnel seeking help, whether there have been changes in the time interval between leaving the Forces and seeking help and to elucidate which deployments help-seekers had served on over this time period. This is the first study of its kind in the UK to explore patterns of referrals for veterans with mental difficulties over a significant period of time.
Data Access Point
Combat Stress was established in 1919 after the end of the First World War to support veterans who were experiencing mental health difficulties. Today it is the UK’s largest charity providing clinical mental health services to veterans, and since 2011 has been funded by the NHS to provide a national specialist PTSD clinical service (Murphy et al., 2015). The charity offers national support through community outreach teams and specialist treatment for PTSD at three residential treatment centres across the UK. Referrals to CS can come from a variety of sources including self-referrals, from other charities and via the NHS (for instance via GPs or community mental health teams).
For this paper we created a dataset that included unique contacts from veterans between 1994 and 2014. In the case of a veteran being referred to CS several times over this period of time we defined a unique contact as the first time a veteran was referred and subsequent referrals were excluded from the dataset. Following a referral to CS, veterans were assessed to ascertain their level of clinical need and whether they wished to engage with CS. Where there was evidence of a mental health difficulty and the veterans chose to engage with CS they were deemed active and offered clinical services.
Data included within the electronic patient records system included referral dates, demographics, whether individuals became active with CS after their initial assessment, information on where individuals had deployed during their military careers and when they had left the military. A new variable was constructed that recorded length of time between leaving the Armed Forces and seeking help from CS.
A dataset was derived by doing data extracts from CS’s patient records system. As part of this veterans were assigned a code to signify their first year of contact, which deployments they had served on and when they had left the military. These variables were then used during the analysis. The analysis for this paper consisted of using plots to explore changes in the patterns of referrals over the 20 year period and answer the research questions set out for this study. The first stage of the analysis was to plot the number of unique referrals to CS by year between 1994 and 2014. For subsequent analyses we restricted the dataset to only those individuals who choose to engage with CS. The reason for this was because the aim of the above analysis was to provide information on referral rates whilst the next stage of the analysis was to explore different patterns within those veterans that were assessed as having a mental health difficulty and then engaged with the clinical services offered by CS.
The number of participants who became active each year between 1994 and 2014 stratified by area of deployment was plotted. It was decided to restrict the analysis to only individuals who had deployed to Northern Ireland, the Falklands War, the 1991 Gulf War, the peace-keeping operations to the Balkans, operations to Iraq since 2003 and operations to Afghanistan since 2001. This was to ensure that any conflicts with numbers too low to be analysed or any non-deployed personnel were not included in this analysis. It is important to note that participants could have deployed to several operations. Where this occurred they were included in both operations. Following this the average number of years that had passed between participants leaving the military and seeking help from CS for each year between 1994 and 2014 was plotted. The final stage of the analysis was to repeat this but stratified by area of operational deployment. All analyses were conducted using Stata 13 (StataCorp, College Station, TX).
Ethical approval for this project was granted by the CS ethics committee.
In total there were 21,651 unique referrals to CS between 1994 and 2014. Of these 13,746 individuals became active and engaged in clinical services with CS. Graph 1 reported the number of referrals each year over the two decade data collection period. An increase in numbers of referrals to CS was observed over this time period. For example in 1994, 588 referrals were received compared to 788 in 2004 and 2,163 in 2014. The slope of the graph suggests that referral rates steadily increased until 2005 and then started to rise more rapidly following this date. In general, no differences in terms of socio-demographic characteristics and areas of deployment were observed between the different CS sites across the UK.
The vast majority of the sample was male (98%) and this remained consisted over the course of the study period. The mean age of individuals within the study was 44.1 years old. There was some evidence that the mean age that veterans was seeking help was reducing over period of the study from 53.8 years in 1994 to 42.2 years in 2014. In total 53% of the sample were single (this includes those who were widowed) and this rate had increased from 41% in 1994 to 53% by 2014. Similarly, changes in employment status were noted with 29% of veterans employed in 1994, increasing to 53% in 2014 (overall rate was 45%). The mean length of service was 10.4 years and this remained roughly consistent over the study period. The mean numbers of deployments individuals had served was 1.58 and there is a suggestion of a modest increase in this over the 20 years, from 1.12 deployments for individuals referred in 1994 increasing to 1.76 deployments for those referred in 2014.
Graph 2 shows the theatre of deployment of participants who became active in CS's clinical services over the data collection time period. Veterans who had deployed to peace-keeping duties to Northern Ireland were the largest group and the numbers being referred who have deployed to Northern Ireland have increased over time. Different patterns of referrals were observed between individuals who had deployed to either Iraq since 2003 or Afghanistan. The slope of the Iraq veterans showed a steady increase from 2003 onwards at the beginning of the conflict. In contrast, the slope of veterans deployed to Afghanistan appeared to remain relatively low from the beginning of the conflict in 2001 until 2008. Subsequently, the rate of Afghanistan veterans being referred to CS has increased and overtook those from Iraq in 2011. The reported increase equates to 104 individuals in 2010, 219 in 2012 and 443 in 2014. More modest increases over time were observed in the number of veterans deployed to the Falklands War and the 1991 Gulf War. Interestingly, there appears to be a steady rise in those deployed to all six of the different operational deployments with the largest increases in the last few years being veterans from Afghanistan and Iraq. It is important to note the difference in numbers may reflect the differences between the total numbers of military personnel involved in each conflict. For example, Northern Ireland veterans make up the largest proportion of referrals as these deployments involved the largest number of military personnel over the longest period of time.
Graph 3 shows that as time has passed there has been a decrease in the number of years between individuals leaving service and seeking help. In 1994 the average time interval between leaving service and seeking help for service-related mental health difficulties within this population was 24.0 years. By 2004 this had reduced to 14.3 years and by 2014 to 11.8 years. This analysis was repeated but stratified by area of deployment in Table 1. The data in table one show marked differences in the time it took for participants to seek help. For example, individuals who had deployed to Northern Ireland and the Falkland War took the longest times to seek help whilst veterans from Afghanistan and Iraq have sought help much sooner. There seems to a general trend that veterans of more recent operations have sought help sooner than their peers from previous conflicts. For example, deployments to Falklands War, and in general to Northern Ireland, took place longer ago than operations to the 1991 Gulf war or the mid 1990s operations during the Balkans conflict and the conflicts in Iraq and Afghanistan that began in 2003 and 2001 respectively, and as mentioned above, veterans from these more recent conflicts are seeking support more quickly.
|Area of deployment||Number of ever active veterans||Mean number of years|
|Afghanistan since 2001||1470||2.0|
|Iraq since 2003||2198||3.3|
|1991 Gulf War||1618||8.7|
|Operations to Northern Ireland||6707||13.3|
Table 1: Mean number of years between leaving the UK military and being referred.
The main findings from this study are that the number of veterans seeking help for mental health difficulties appears to have dramatically increased over the last two decades. There appears to be evidence of a period effect with veterans accessing services more quickly now than in the past.
The data presented demonstrate that the number of new referrals each year to CS have increased nearly fourfold between 1994 and 2014. Veterans who had deployed to Northern Ireland make up the largest proportion of help-seeking veterans. This is perhaps not surprising given that deployments to Northern Ireland would have had the largest commitment of military personnel. Whilst data is not available it has been estimated that during the 1970’s approximately 21,000 UK troops were deploying to Northern Ireland each year. This figure reduced during the 1980’s and is estimated to have been around 10,000 troops each year. In contrast approximately 53,450 UK military personnel have been estimated to have deployed during the 1991 Gulf war (Ministry of Defence, 2000), 150,000 from the start of the conflict in Iraq in 2003 until May 2011 and 139,000 from the start of the conflict in Afghanistan until October 2014 (Defence Analytical Services Agency, 2015). These figures give an estimate of the relative sizes of the veteran populations to each of these conflicts. The data shows that in recent years there has been an increase in number of veterans seeking help who had deployed to Iraq since 2003 and Afghanistan since 2001. A steady increase in referrals of Iraq veterans was observed starting from the beginning of operational duties in 2003. This contrasts with referrals from Afghanistan which were low for the first five years of the conflict and then increased sharply around 2009. Referrals for veterans who had been on operations to Afghanistan have increased sharply and they are now the second largest group seeking support from CS.
Differences in referral patterns
The differences in fatality rates between these operations could be hypothesised to explain some of the reasons behind the referral patterns. The number of British service personnel killed in Iraq was substantial from the beginning of the conflict, whilst fatality rates were low in Afghanistan between 2001 and 2005 (between zero and three service personnel killed each year) and then increased to 39 individuals in 2006 and peaked at 108 individuals in 2009 (Ministry of Defence, 2015b; Ministry of Defence, 2015a). Previous research of historical conflicts have demonstrated a clear link between the number of service personnel killed during a conflict and rates of mental illness (Jones & Wessely, 2001).
Differences between UK and US rates of mental health difficulties
Evidence has been presented that suggests a trend of increasing rates of help-seeking from UK veterans with mental health difficulties. This raises the question, does this imply there has been an increase in prevalence rates of mental health difficulties within the population? Studies of US service personnel deployed to Iraq and Afghanistan have suggested a trend to increased rates of PTSD as time since deployment has increased (Hoge et al., 2007; Hoge et al., 2004; Bliese et al., 2007; Cabrera et al., 2007; Vasterling, Proctor, & Friedman, 2010). However, a different pattern has emerged in the UK. As mentioned above, an ongoing epidemiological survey of serving and ex-serving UK military personnel has reported that there has not been an increase in rates of mental health difficulties when the authors reported findings from the first wave in 2006 and the second wave in 2010. The above study was setup in 2003 following the invasion of Iraq which means that limited data exists on rates of mental health difficulties within veterans that were on operations prior to this. Taking the above evidence, and focusing on just the UK veterans in our sample who had deployed to Afghanistan and Iraq, it could be suggested that the increase in referral rates to CS is not an increase in prevalence rates of mental health difficulties in the UK veteran population, but rather an increased awareness of services or an increased willingness for those with difficulties to access services.
Explanations for increases in rates of help-seeking
Increased reporting about PTSD by the media (Coggins, 2013) and initiatives from mental health organisations could have increased awareness of services. Since 2007 CS has significantly increased its awareness campaigns to discuss the issue of PTSD for veterans and available treatment options. For example, in 2007 CS launched a media campaign directed at veterans from the Falklands conflict and subsequently, as reported within the current study, saw an increase in Falkland’s war veterans seeking support from 59 in 2006 to 94 in 2007.
The current study has reported that the time it takes veterans to seek help has reduced from 24.0 years to 11.8 years between 1994 and 2014. In particular, it appears that veterans from the more recent conflicts; for example the operations to Afghanistan and Iraq, are accessing services sooner than their peers from previous deployments. As mentioned above, over the last decade there has been an increase in media reporting about the possible impact of deployment on veterans' mental health and awareness campaigns by service charities and mental health organisations about the importance of seeking support for difficulties which may explain some of the positive reduction in the amount of time it takes veterans to seek support. In addition, there have been a number of initiatives by the UK Defence Mental Health Services to promote help-seeking and tackle stigma within active members of the British military. For example, these included introducing a period of decompression for personnel that were returning from tours of Iraq or Afghanistan. Decompression involved military personnel stopping off in Cyprus for two days after the end of deployment to give them time to adjust before returning home. Decompression activities included a focus on increasing awareness and reducing stigma about mental health (Hughes et al., 2008; Burdett et al., 2011). Further, Trauma Risk Management (commonly referred to as TRiM) has been introduced across the military services, an initiative with the aim of tackling stigma and promoting help-seeking for mental health difficulties through peer support (Greenberg et al., 2010). These initiatives could have contributed to an increase in awareness of help available and gone some way to tackling stigma-related barriers to seeking help.
The role of stigma in the Armed Forces
There is evidence to suggest that during World War Two stigmatising beliefs towards mental health were encouraged. For example the term ‘lack of moral fibre’ was used to discourage members of the Royal Air Force to refuse to take part in operations (Jones, 2006). Whilst views have clearly changed towards mental illness, studies have demonstrated the continuing presence of stigma. It has been observed that military leaders viewed soldiers with mental health difficulties more negatively than those without (Porter & Johnson, 1994) or that leaving deployment due to mental illness greatly increased the chances of leaving the military via an early discharge (Jones et al., 2010).
The relationship of stigma in the Armed Forces is complicated by the military culture that places an emphasis on psychological resilience (Rona et al., 2004; Vogt, 2011). For example, it has been observed that soldiers are more likely to attend appointments for physical health problems than appointments for mental health difficulties (French, 2005). Given the suggestions above about the impact of stigma, it is positive that the current paper reports increased numbers of veterans seem to be accessing support, and that they are doing so sooner than their peers from previous generations.
Similarities with the general public
An increase in referrals to mental health services without an accompanying increase, or only modest increase, in rates of mental illness has also been noted with the general public in England.
Results from the Adult Psychiatric Morbidity Household surveys over a similar time period have observed only modest increases in the prevalence rates of mental health difficulties within the general public in England. For example, observed rates of individuals who meet criteria for at least one common mental health disorder were 15.5% in 1993, 17.5% in 2000 and 17.6% in 2007 (Jenkins et al., 1997; Singleton et al., 2001; McManus et al., 2009). Whilst restricted to 2005 onwards, data has been reported by NHS England that demonstrates a year on year increase in the numbers of individuals who have accessed mental health services in England (NHS England, 2015). For example 1,149,472 individuals accessed support in 2005 and this increased to 1,727,641 by 2014 (NHS England, 2015). Taken together this could also suggest that whilst the rates of mental illness have only increased modestly, there has been a greater increase in the number of individuals accessing support, reflecting a similar trend as found in the current study in the general population.
This study has a number of limitations that need to be considered. Information on diagnosis was not recorded in the electronic patient records system that CS used over this time period. As such, whilst the referral data provides information on the numbers seeking support for mental health difficulties we have been unable to comment on the severity or range of mental health presentations individuals were referred for. Information of diagnosis is now collected and this will allow us to conduct future analyses to explore patterns of referrals in more detail. The sample for this study was drawn from participants who had sought support from CS. No information was available about veteran referral patterns to the NHS over this time period and no information was recorded on whether individuals had accessed other services for support prior to CS. As such, whilst the current study provides insights into the changing rates of referral patterns to CS, the conclusions drawn from the data may not generalise to the wider help-seeking veteran population. Replicating this study for other national veterans charities that provide different types of care (for example those supporting welfare needs) would allow us to build up a more detailed picture of the changing needs of veterans, beyond mental health.
This study represents an important step in understanding the changing nature of help-seeking in UK veterans over the last 20 years and may provide valuable information for understanding the services that may be needed by veterans in the future. Overall veterans from Northern Ireland continue to make up the largest proportion of help-seekers. The results of this study show that there has been an increase in demand for support for mental health difficulties from CS with a sharp increase in the numbers veterans from the conflicts in Iraq and Afghanistan being referred in recent years. The data suggests a period effect with individuals being referred more quickly now that in the past. Whilst this trend was apparent for all veterans, it was particularly apparent in veterans from Iraq and Afghanistan who appear to be seeking support more quickly than peers from previous deployments. The data presented within this paper suggests that over the coming years there will continue to be an upward trend in the numbers of UK veterans seeking support for mental health difficulties which may need careful planning for. UK veterans appear to be seeking support sooner now than in the past which provides evidence for the success of anti-stigma campaigns. This implies that the UK Armed Forces and veterans’ charities should continue to support existing, and evolve new, strategies to encourage this difficult to engage population to seeking help mental health difficulties. However, given the limitations of this study, more information is needed about referral rates of veterans to the NHS and other mental health organisations before firm conclusions can be drawn.
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domain: psychology


COVID-19: WHO Driver Shot Dead While Collecting Coronavirus Samples
Pyae Sone Win Maung, a driver to the World Health Organization (WHO), has been shot dead while collecting coronavirus (COVID-19) monitoring samples in Myanmar.
According to BBC, he was driving a well-marked United Nations (UN) vehicle when he was hit by gunfire in Rakhine State.
The UN said dozens of civilians have been killed as fighting between the military and the armed ethnic Arakan Army group which escalated in recent weeks.
Both the military in Myanmar (also called Burma) and the Arakan Army have blamed each other and denied being involved in the WHO driver’s death on Monday.
Myanmar’s Maj-Gen Tun Tun Nyi, a military spokesman, said his forces had no reason to attack the UN vehicle.
“They are working for us, for our country,” he told Reuters news agency. “We have the responsibility for that.”
Reacting, the UN office in Myanmar expressed sadness over the death of the 28-year-old.
Speaking on the development, the driver’s father, Htay Win Maung, said his heart was “broken”. He said:
“I am trying to calm myself, thinking he died in serving his duty at the frontline.
“He went there in the midst of fighting when many people didn’t dare to go.”
Meanwhile, KanyiDaily had reported how a 32-year-old man shot and killed five people for making too much noise in front of his house in Russia, as the country is under a stay-at-home orders imposed amid the coronavirus pandemic.


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MIKE PENCE NEWS AND UPDATES ON THE VICE PRESIDENT OF THE US
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When asked by a reporter whether he would discuss abortion with Pence, Trudeau replied in French: 'You all know my opinion on that. We will always defend women's rights.'
Supreme showdown: Justices Thomas and Bader Ginsburg clash over abortion law in Indiana as they concede the SCOTUS will have to confront the pivotal issue after several states approve extreme restrictions
Justices Ruth Bader Ginsburg and Clarence Thomas' differing opinions came to a head on Tuesday when the Supreme Court appeared to send mixed messages on abortion.
'Their duty was to serve; our duty is to remember': Mike Pence visits Arlington on Memorial Day and honors 1 million Americans who have fallen in uniform and touts deal with Kim Jong-un that brought back Korean War remains
Vice President Mike Pence visited Arlington Memorial Cemetery to honor servicemen and women who gave their lives – and brought up the return of U.S. remains from North Korea.
'It is a virtual certainty that you will fight on a battlefield at some point in your life': Mike Pence tells most diverse group of West Point grads they should expect to see combat since world is a 'dangerous place'
Vice President Mike Pence congratulated the West Point graduates on behalf of President Trump, and told them, 'Your commander in chief will always have your back.'
Mike Pence says he's 'proud' of President Trump for standing up for the 'sanctity of human life' just days after a controversial anti-abortion law was signed in Alabama
The former Indiana governor was invited to speak in front of graduating students at the Taylor University Christian Liberal Arts School in Upland, at a commencement ceremony.
Dozens of students walk out of graduation ceremony in protest moments before Vice President Mike Pence delivers commencement speech at Christian school Taylor University
Dozens of students walked out in protest of Vice President Mike Pence's commencement speech at Taylor University's graduation ceremony in Upland, Indiana on Saturday.
Trump says it was 'impossible' to know Michael Flynn was being investigated, and claims he should have been told when he was 'one of two people who would become president'
President Donald Trump said Friday that there was no way for him to know that retired Army General Michael Flynn was under investigation while he was still campaigning in 2016.
Congress grills NASA after plan to send humans back to the Moon by 2024 looks set to be DELAYED 'because it is not ready yet'
Members of US Congress grilled space agency bosses over preparations for the 2024 missions and its failure to put forward a viable plan. Mike Pence announced in March the five-year deadline.
In a statement in March, NASA Administrator Jim Bridenstine doubled down on plans to send humans first to the moon and then to Mars and said NASA is on track to have humans back on the moon by 2028.
'The congresswoman doesn't know what she is talking about!' Pence goes back to bashing Ilhan Omar for blaming Venezuela's problems on the U.S. as Marco Rubio calls her 'embarrassing'
Mike Pence again berated freshman Representative Ilhan Omar on Friday for blaming the issues in Venezuela on the U.S. 'The congresswoman doesn't know what she is talking about,' Pence said.
Outrage as Ilhan Omar blames AMERICA for devastation in Venezuela: Pence and Pompeo hit out at 'unbelievable ignorance' of Democrat congresswoman
Pence castigated Ilhan Omar for blaming the American government for the violence in Venezuela. Democrat Congresswoman @IlhanMN chooses socialism over freedom.'
Navy servicemen were told to 'clap like they were at a strip club' before Mike Pence arrived on a visit to the USS Harry Truman
The Vice President was making a visit to the USS Harry S. Truman on Tuesday to reassure sailors that the veteran warship was not going to be retired ahead of schedule.
'Never take drugs, don't drink alcohol, don't smoke, enjoy your life.' Trump doles out life advice to White House kids on take your child to work day
Trump told kids that 'often times they report correctly,' adding 'most of the time.' He conceded that press want 'to get the word out fairly and honestly' during a Take your Kids to Work Day event.
Sarah Sanders holds her first press briefing in 45 days - but only kids get to ask questions and the answers are kept SECRET by the White House
Vice President Mike Pence had not been expected to be there, but popped into the event mid-way through and stayed long enough to take questions from the pint-sized crowd.
Democrat 2020 presidential hopeful Pete Buttigieg is criticized for using 'Pharisee' slur which depicts Jews as hypocritical and greedy to describe Mike Pence
Indiana mayor and presidential hopeful Pete Buttigieg unleashed a Bible reference 'Pharisees' to criticize Mike Pence. The term has been called anti-Semitic by some Jewish scholars.
'He knows me. He knows better.' Mike Pence says openly gay Democratic 2020 candidate Pete Buttigieg is playing to party 'sliding to the left' by criticizing him on gay rights
Vice President Mike Pence shot back at South Bend Mayor Pete Buttigieg, saying the mayor 'knows better' than to criticize his faith and charging him with trying to win points with progressives.
'You're just a Boy Scout': Trump dismissed Paul Ryan as 'kind of religious' over his reaction to infamous Access Hollywood 'grab them by the p***y' tape during 2016 campaign
'You're just a Boy Scout. You're also kind of religious, aren't you?' Trump asked Ryan on his second day as president-elect. Ryan had recoiled at audio of Trump boasting about groping women.
US amps up pressure on Venezuela with new sanctions and threatens to take even 'stronger action' against Cuba for helping the Maduro regime
After Pence's speech, the US Treasury announced sanctions on 34 vessels owned or operated by Venezuelan state-run oil company PDVSA that carry oil to customers outside the region.
NASA will NOT use a commercial rocket for its 2020 moon mission, after all: Agency says it's sticking with SLS and investigating 'creative approaches' to get the rocket ready on time
Following VP Mike Pence’s announcement yesterday that the Trump administration wants astronauts on the moon in the next five years, NASA says it’s keeping SLS on the roster for EM-1.
Mike Pence to meet the journalist wife, 26, of US-backed opposition leader Juan Guaido - who claims to be the 'legitimate president' of Venezuela
Fabiana Rosales, a 26-year-old journalist and opposition activist who is considered Venezuela’s first lady by supporters, says her family and friends have been stalked and threatened.
NASA will send astronauts back to the moon within FIVE YEARS: Mike Pence reveals aggressive new 2024 deadline as he calls on the space agency to 'reignite the spark of urgency'
Vice President Mike Pence revealed the new 2024 deadline during a speech at the fifth meeting of the National Space Council in Alabama. NASA said earlier this month it was targeting 2028.
Mike Pence views raging river responsible for at least three deaths and $1billion damage in Nebraska
Vice President Mike Pence took a look at the raging Elkhorn River in Nebraska on Tuesday, after it found itself cut off from the outside world last week by floodwaters caused by snowmelt and heavy rain.
Before and after satellite photographs reveal the extent of the devastating floods which have caused more than $1billion in damage to the Midwest
Much of Nebraska, Iowa, Missouri and parts of Illinois remain submerged in water, at least four people have died and countless businesses have been washed away by the historic floods.
Republican senators plead with Pence to sign on to a deal to save Trump from having his national emergency at the border voted down
A group of Republican senators pitched the vice president on a deal to spare the president from the embarrassment of having his national emergency voted down in the GOP-controlled U.S. Senate.
Dick Cheney tears into Mike Pence behind closed doors over Trump's foreign policy telling him it's too much like Obama's and criticizing president's off-the-cuff decision making
Former Vice President Dick Cheney ripped into Vice President Mike Pence over President Donald Trump's foreign policy moves, it was revealed on Monday.
Long-shot Democratic White House contender Pete Buttigieg blasts Bible-thumping Mike Pence as 'cheerleader for the porn-star presidency'
Buttigieg, the mayor of South Bend, Indiana, is a presidntial long-shoti but had an hour to himself Sunday at the South By Southwest festival in Austin, Texas.
'I respect their beliefs, they should respect mine': Tax consultant REFUSES to complete couple's annual returns because of her religious beliefs - and insists she has no regrets
Bailey and Samantha Brazzel sought to have their tax return done at Carter Tax Service in Russiaville, Indiana, but the owner turned her away.
Awkward! Mike Pence is met with stony silence instead of applause after he tells European leaders that President Trump sends his greetings at a security conference
Vice President Pence delivered a speech in Munich expecting applause at the mention of President Trump, but to no avail. He is seen above with German Chancellor Angela Merkel.
Ivanka gives talk at the 55th annual Munich Security Conference alongside world leaders, Jared and the Pences
Ivanka Trump is said to be working hard behind the scenes of Washington DC to implement her paid family leave initiative - and she certainly didn't shy away from the spotlight in Munich this week either.
Mike Pence claims Iran's mullahs are plotting a 'new Holocaust' that would 'erase Israel from the map' as he urges European Union nations to withdraw from Obama-era nuclear deal
With Israeli Prime Minister Benjamin Netanyahu watching, Pence said in Warsaw, Poland that Tehran poses 'the greatest threat to peace and security' in the region.
Pence says the government shutdown wasn't 'a mistake' — it proved Trump is 'absolutely determined to keep his word' on a border wall
'I never think it's a mistake to stand up for what you believe in,' Pence told CBS News, 'and I think what the American people admire most about this president is he says what he means.'
'Who you are is more than enough': Courtney Act supports Ellen Page after the actress slammed Donald Trump and Mike Pence for stoking homophobia in passionate speech in wake of Jussie Smollett attack
Australian drag queen Courtney Act, 36, appeared on Sunday's The Project and supported Ellen Page's accusations against US politicians for discriminating against the gay community.
Ellen Page blasts Trump and Mike Pence for stoking homophobia in passionate speech in wake of Jussie Smollett attack
Ellen Page has blasted U.S. President Donald Trump and Vice-President Mike Pence, accusing them of discriminating against the gay community and stoking homophobia.
Trump and Pence spend TWO MINUTES in the freezing cold at Martin Luther King Jr. memorial after Al Sharpton slammed president for 'insult' of having no official events
The White House's official schedules for the day, published Sunday night, said Trump and Pence both had 'no public events scheduled.'
Lady Gaga RIPS VP Mike Pence as a 'disgrace' following controversy over wife's job at school with anti-LGBTQ policies
The 32-year-old musical artist addressed the issue following a week of headlines about the Karen Pence's new job at a school which explicitly bans LGBTQ teachers and students.
'We'll see': Pence concedes White House may not have enough Senate support to pass Trump's deal to end shutdown as he downplays president's offer to protect Dreamers
Vice President Mike Pence conceded the White House may not have enough votes in the Senate to advance President Donald Trump's deal to end the shutdown.
'That was his impression': Pence changes White House's story on living past presidents telling Trump they should have built a border wall after ALL of them said it didn't happen
Vice President Mike Pence was asked to defend President Trump's claim that former presidents have told him they regretted not building a border wall.
Border patrol stops just ONE foreign terror suspect each month crossing into the U.S. from Mexico according to new government stats – after Sarah Sanders claimed it was 4,000 per year and Kirstjen Nielsen insisted the number was CLASSIFIED
The rate of one per month falls far short of what White House Press Secretary Sarah Sanders claimed Sunday, when she said it was 'nearly 4,000 known or suspected terrorists.'
I won't take it! Vice Mike Pence says he WON'T accept a pay raise while federal workers are furloughed — but no word if the rest of the Cabinet will turn down $10,000 hike
Pence is one of the president's Cabinet members in line to get a raise amid the shutdown that has 800,000 members of the federal workforce dipping into their savings to make ends meet.
Comey told lawmakers Flynn was feeding Pence information on Russia that was 'starkly at odds' with classified information and he sent FBI agents to interview him as part of a 'counterintelligence mission'
Former FBI Director James Comey told GOP lawmakers he dispatched agents to interview Mike Flynn because he had told the vice president things that classified information proved wasn't true.
'Twas the night before Christmas... in the Pence house': The Vice President's favorite Christmas poem is revealed as the Naval Observatory is transformed into a festive grotto
Every year, on Christmas Eve, the Clement Clarke Moore classic is read to the three children by Vice President Mike Pence, even though they're adults now.
Thanks but no thanks! Trump tells Republican congressman openly seeking chief of staff job to stay put as search continues for Kelly replacement
The White House on Wednesday said that Donald Trump ruled out North Carolina Rep. Mark Meadows for the chief of staff position.
'Weird time to introduce the new Pence statue to the White House': Twitter has a field day with the catatonic Vice President after he doesn't move a muscle during Trump's excruciating Oval Office tantrum with Nancy Pelosi and Chuck Schumer
Twitter users mercilessly mocked Mike Pence on Tuesday for his bizarre behavior where he barely said a word and even shut his eyes during a Oval Office meeting with Donald Trump and Nancy Pelosi.
Crisis-stricken Trump will keep John Kelly as his chief of staff into the New Year and says he is 'no rush' to find one as search for successor turns into a fiasco
'He will stay on the job through January 2nd at least, and I think there were will be a very peaceful and pragmatic transition to the next chief of staff,' Kellyanne Conway said on Tuesday.
'Who wouldn't want one of the truly great and meaningful jobs in Washington?' Trump whines that 'over ten' people are 'vying' to be his chief of staff - even though he got publicly rejected by the front runner
President Donald Trump defended the state of his search for a chief of staff after getting rebuffed by his leading candidate after announcing Gen. John Kelly's departure.
Firebrand Republican congressman Mark Meadows says he DOES want to be Trump's White House chief of staff hours after reports said he was out of the running, as president hunts for John Kelly's successor
Republican congressman Mark Meadows said he does want to be considered for President Donald Trump's chief of staff hours after a report said he took himself out of the running for job.
Thanks but no thanks: Pence's top aide Nick Ayers, 36, turns down Trump's chief of staff role because he 'didn't want to commit for two years'
Nick Ayers, Vice President Mike Pence's current chief of staff, will not be President Donald Trump's new chief of staff in the wake of John Kelly's departure, it was revealed on Sunday.
Florida SWAT officer is demoted after wearing a QAnon conspiracy theory patch in photo op with Mike Pence
Broward County Sheriff's Sergeant Matt Patten wore a patch reading 'Q - Question the Narrative' on Friday during a meet and greet with Pence, who shared the photo on his official Twitter account.
Ivanka looks stunning in white jumpsuit as she joins Mike Pence and other delegates in Mexico for new president's inauguration
Ivanka Trump dazzled in an all white ensemble while with Vice President Mike Pence and other officials in Mexico for the inauguration of President elect Andrés Manuel López Obrador.
EXCLUSIVE: Pence is in! Veep WILL be Trump's running mate again in 2020 despite not saying so when Trump put him on the spot during press conference
Trump asked him publicly on Nov. 7 if he would run a second time. Pence nodded wordlessly, creating spedulation about his intentions. But a senior official told DailyMail.com that Pence is in for 2020.
Cryptic call from 'all zeroes' phone number received by NASA chief was from US Vice President Mike Pence congratulating the space agency on the safe landing of Mars InSight probe
NASA Administrator Jim Bridenstine (right) revealed that US Vice President Mike Pence (left) called him using a cryptic phone number to congratulate him and his team on InSight's success.
'He's been a trooper': Trump slams 'phony' report which said he had been questioning Mike Pence's loyalty while considering a new running mate for 2020
President Donald Trump has considered dropping Vice President Mike Pence from the ticket and picking another running mate in his quest to win re-election in 2020, according to The New York Times.
'America will not change course until China changes its ways': Defiant Mike Pence vows no end to tariffs until Beijing bows to Trump's demands as he trades barbs with Chinese President at Pacific Summit
Speaking at the APEC summit for world leaders in Port Moresby, Papua New Guinea on Saturday, Pence traded barbs with Chinese President Xi Jinping in a pair of dueling speeches.
Parts of Cairns are currently in lockdown after United States vice president Mike Pence touched down in Queensland.
Cindy McCain says Trump NEVER reached out to her after husband's funeral – following non-invitation snub that kept him out of the ceremony
Cindy McCain has revealed in her first interview since her husband's passing that President Trump did not reach out to her after the late Sen. John McCain's death and still hasn't.
Mike Pence slams Myanmar's leader Suu Kyi during meeting over Rohingya refugee violence telling her the killings are 'without excuse'
Pence told Aung San Suu Kyi he was keen to hear that those responsible for the violence would be held accountable and hit out at Myanmar for the jailing of two Reuters journalists reporting on the crisis.
Chris Christie floated as next attorney general after Kellyanne Conway's husband pens op-ed calling Trump's bid to install 'acting' successor without Senate consent 'unconstitutional'
Former New Jersey Gov. Christie is being floated as a candidate for attorney general, after a scathing op-ed calls President Trump's installation of an 'acting' AG 'illegal.'
The 2018 midterm election saw a huge number of diverse candidates be elected all across the United States. Here's a closer look at who they are and how they made history.
'I just don't think you can connect it to threats or acts of violence': Pence dismisses any suggestions of a link between Trump's rhetoric and the MAGAbomber or Pittsburgh shooting
Vice President Mike Pence dismissed suggestions of a link between President Trump's fiery rhetoric and acts of violence that have taken place in recent days, such as the shooting at a synagogue in Pittsburgh.
Vice President Mike Pence admits nuclear weapons could be deployed in space as Trump threatens to pull out of Cold War arms treaty with Russia
Vice President Mike Pence said last night America may need to to enforce 'peace through strength', by deploying nuclear weapons in space. A Cold War treaty bans such weapons in space.
Pence says it is 'inconceivable' Middle Easterners aren't in migrant caravan as he backs Trump's claim 'everyone' is in there
Vice President Mike Pence defended President Trump's claim there are Middle Easterners in the caravan headed to the U.S. from Central America, saying it's 'inconceivable' there wouldn't be.
'Let's do it': Moment Mike Pence faces down Brett Kavanaugh protesters on Capitol Hill after refusing to leave the Senate vote via a side exit as they chant 'Shame! Shame! Shame!' at him
Vice President Mike Pence said the phrase to his security detail after they suggested he leave the Capitol via a side exit to avoid the demonstrators who were protesting Kavanaugh's confirmation.
REVEALED: Taxpayers paid over $300,000 for Mike Pence's trip to the Indianapolis Colts game last year when he left the stadium after players kneeled during the anthem, and new documents suggest it was a stunt
Mike Pence attended an Indiana Colts versus 49ers game last October at a cost of $300k . Before kickoff players protested against racial inequality by kneeling down during the National Anthem.
Brett Kavanaugh WILL sit on the Supreme Court as swing senators Susan Collins and Joe Manchin say they will vote YES and confirm Trump's nominee
Senators Susan Collins and Joe Manchin said they will support Kavanaugh when lawmakers in the upper chamber of Congress make his fate official this weekend.
Moderate Republican Senator Susan Collins of Maine has emerged as perhaps the key deciding vote on Brett Kavanaugh's Supreme Court nomination. Here's a look at who she is.
'Very proud of the U.S. Senate': Trump tepidly celebrates pivotal vote to advance the nomination of Brett Kavanaugh to the Supreme Court
President Trump offered rare praise to the U.S. Senate after lawmakers, in a razor-thin vote opted to proceed to the final question on Brett Kavanaugh's judicial nomination.
'What the Russians are doing pales in comparison to what China is doing across this country': Mike Pence accuses Communists of trying to meddle with mid-terms
Pence, in a Washington D.C. speech, alleged that China was waging a campaign aimed at swaying midterm elections against Trump's Republicans in retaliation for his trade policies.
President Donald Trump said everyone at his Monday press conference has something in their past that can used against them - except for his Vice President Mike Pence.
Aung San Suu Kyi DEFENDS the jail sentence of two journalists who were convicted while reporting on the Rohingya crisis
Myanmar's Aung San Suu Kyi defended the imprisonment of Reuters journalists Wa Lone and Kyaw Soe Oo at the World Economic Forum in Hanoi today following their sentence on September 3.
America marks 17 years since the 9/11 attacks as President Trump prepares to travel to the Flight 93 crash site in Pennsylvania while Vice President Pence will attend ceremony at Pentagon
The president and first lady Melania Trump plan to join an observance at the Sept. 11 memorial in a field near Shanksville, Pennsylvania, where a new 'Tower of Voices' was dedicated Saturday.
'I would' - Vice President Pence says he would sit down for interview with special counsel Robert Mueller if asked to do so
Vice President Mike Pence says he would sit down for an interview with special counsel Robert Mueller if asked.
'No, NEVER' - Vice President Pence denies he EVER had talks about invoking 25th amendment against Trump and says he would take a lie detector test to prove he didn't write 'resistance' op-ed in NYT
Vice President Pence is denying he was ever part of a conversation about invoking the 25th amendment against President Trump.
The New York Times have published an op-ed authored by a senior official in the Trump administration who claims that they are part of the resistance, but work closely with the President.
'Any time I’m criticized for my belief in Jesus Christ, I just breath a prayer of praise': Vice President Mike Pence reacts to claims he's a 'Christian supremacist' by citing a passage from The Bible
In an interview with Christian Broadcasting Network, Mike Pence responded to claims that he is a 'Christian supremacist.
'We thank God for giving this country John McCain': Mitch McConnell pays emotional tribute to maverick Senator in Rotunda ceremony attended by patriot's 106-year-old mother, Henry Kissinger, Warren Beatty and Mike Pence
John McCain's 106-year-old mother, Roberta, mourned her senator son in public Friday as his casket was carried into the Capitol Rotunda to lie in state on the catafalque built for Abraham Lincoln.
EXCLUSIVE: Mike Pence believes he 'could bring Trump to Jesus' and that the 'hand of God' will make him president himself, new book claims
In new biography, The Shadow President: The Truth About Mike Pence, released Tuesday, authors Michael D'Antonio and Peter Eisner say the vice president has God-like delusions of grandeur.
Donald Trump does NOT pay tribute to John McCain's personal achievements and only offers sympathy to his family, as its claimed the president 'will NOT be invited to the senator's funeral'
As the nation mourns the loss of Senator John McCain, preparations for the war hero's funeral are underway - but one face sure to be missing from the crowd is president Donald Trump.
EXCLUSIVE: How egomaniac Mike Pence demanded custom clothes embroidered with his governor title, has a creepy habit of rubbing people's shoulders and is lying in wait to take Trump's place to make country 'more pleasing to his god'
Upcoming book, The Shadow President: The Truth About Mike Pence, reveals how the VP is waiting to see the hand of God at work in his elevation to the White House.
Trump White House made aides sign NDAs promising NEVER to disparage the Trumps and the Pences and let any books be vetted to remove things he didn't like
President Donald Trump's White House required aides to sign highly-restrictive non-disclosure agreements meant to prevent them from writing the kind of tell-all books that went after Trump.


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Sniper 3D Download APK: How to Play the Ultimate Shooting Game on Your Android Device
If you are looking for a thrilling and action-packed shooting game that will test your assassin skills, then you should try Sniper 3D. Sniper 3D is a free-to-play gun game that puts you in the shoes of a deadly sniper who has to eliminate high-profile targets and complete various challenging missions. You can play Sniper 3D offline or online, and enjoy stunning 3D graphics, realistic physics, and a variety of guns to choose from. In this article, we will show you how to download and install Sniper 3D APK on your Android device, and give you some tips and tricks to become the ultimate shooter.
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Q: Can I play Sniper 3D offline?A: Yes, you can play Sniper 3D offline without an internet connection. However, some features of the game may not be available offline, such as PVP mode, squad mode, or daily rewards. You also need an internet connection to update the game or make in-app purchases.
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text:
However there is no shortage of those that like to criticize and attack the active users of social media, especially the world's leading social media platform Facebook. Recently yet another blog surfaced on Express Tribune, a well known English Language publication based in Karachi, where the writer is going about bashing people who are active users. The writers motives could be non sinister, lets give him the benefit of the doubt, he might be having a bad day or is just genuinely annoyed by people being so active. The active Facebook users make regular use of features such as Status Updates, Check In's (based on location services) and sharing of photographs. Let's face it, Facebook is a great way of sharing your photographs, whether their day to day photographs or from a holiday or an important occasion in one's life such as their wedding, while status updates provide a quick expression of sorts similar to a tweet on Twitter. The writer was particularly critical of people who actively use these Facebook tools to share their lives with others.
I would say so what if some if not all are active Facebook users and like sharing their life with people in the virtual world. Those critical of active users like to make assumptions that such active users are attention seekers or have too much free time on their hands or have nothing better to do, if others are sharing there no should be reason for any one to have a problem with it, after all people who are being critical of those sharing might not be their target audience, the target audience might be different and what is to say the critic might not be engaged in such active sharing behavior on social media in the future. For example, a foreign graduate now living back in his or her native Pakistan might have a huge lot of close friends abroad who could not make it to their wedding, so Facebook provides an idea platform for sharing photos from memorable and important moments in life. Even if photos are not off an important moment in life, they provide means by which people across long distances keep in touch with friends and keep each other updated with whats happening in each other's lives.
As an individual myself I have benefited a great deal due to the advent of Facebook, without it I would not have been able to re connect with childhood friends or keep in touch and maintain strong relationships with friends across great distances and time zones. Let's not forget how important information is shared with regards to developments, news and events through Facebook. If it was not for Facebook, a lot that is now possible in social activism would not be possible, yes there are some crazy users out there, but it is not for either of us to judge others, those judging active social media users, very conveniently manage to forget how would they feel if some one started judging them over the smallest of things and form opinions about them. Do not judge the person who uploads thousands of pics or updates their status through out the day or checks in where ever they head, if you do not like doing that, refrain from it but do not be judgmental and hold it against others that do. For the active users if f your secretly tempted to click that Facebook icon on your smart phone even as you read this, go right ahead do not worry about what people think.

domain: sociology


Idaho 1st District Congressman Raul Labrador, who earlier this week made waves by endorsing Russ Fulcher for governor over two-term fellow Republican Gov. Butch Otter, announced today that he’s endorsing four North Idaho incumbents for re-election to the Idaho Legislature: Sen. Bob Nonini, and Reps. Vito Barbieri, Kathy Sims and Ron Mendive. Here’s the kicker: Otter has endorsed the challengers to all four: Post Falls businessman Patrick Whalen over Nonini, firefighter Fritz Wiedenhoff over Barbieri, former Kootenai County Commissioner Rick Currie over Kathy Sims, and longtime Post Falls city official Terry Werner over Mendive/Betsy Russell, Eye on Boise. More here.
Question: Which endorsement is worth more?


text:
Living beyond limits: new hope and help for facing life-threatening illness
Times Books, 12 okt. 1993 - 316 sidor
Based in part on the author's landmark study in The Lancet, which demonstrated the benefits of group therapy for cancer patients, this study explores the interaction of mind and body in the healing process. 50,000 first printing. $50,000 ad/promo. Tour.
Resultat 1-3 av 45
They said "no" to treatment they did not want, and told friends and family how and
when to help them. They would insist on diagnostic tests, and at times would
refuse aspects of medical treatment they did not feel they needed. We found that
With barely a question to elicit it, she told us her story. She had been diagnosed
with breast cancer, her breast had been removed, and she had been told that she
was fine. Her doctor had later discovered a recurrence of the cancer in her ...
What do you get from this group, anyway?" I told them that I had come to
appreciate how precious time is in the group and had become more aware of the
fact that, while I was likely to live longer, none of us knew who would be there
next week ...
Så tycker andra - Skriv en recension
LIVING BEYOND LIMITS: A Scientific Mind/Body Approach to Facing Life-Threatening IllnessAnvändarrecension - Kirkus
Solid, research-based study of how to make the most out of life when faced with death. Spiegel (Psychiatry/Stanford) received wide public attention when Bill Moyers's Healing and the Mind program ... Läs hela recensionen
Living beyond limits: new hope and help for facing life-threatening illnessAnvändarrecension - Not Available - Book Verdict
Basing his conclusions on scientific research and clinical experience, the author discusses the connection between one's mental life and physical health. In his own study of women with advanced breast ... Läs hela recensionen
Weathering the Diagnosis
The Lull After the Storm
12 andra avsnitt visas inte

domain: library


text:
Journal of Pharmacognosy and Phytochemistry
Vol. 9, Special Issue 4 (2020)
Orchid database of Sikkim and Darjeeling, West Bengal, India
Prashant Singh, Avanish Kumar Singh, RK Pamarthi, Ankur Tomar, Ram Pal, LC De, Deepak Rai and DR Singh
Pages: 162-166 | 453 Views 95 Downloads
Prashant Singh, Avanish Kumar Singh, RK Pamarthi, Ankur Tomar, Ram Pal, LC De, Deepak Rai and DR Singh. Orchid database of Sikkim and Darjeeling, West Bengal, India. J Pharmacogn Phytochem 2020;9(4S):162-166.

domain: geography


text:
A North Dakota judge on Friday denied a request to lift his stay of a law banning abortion while a challenge to the law’s constitutionality is pending.
Burleigh County District Judge Bruce Romanick rejected Attorney General Drew Wrigley’s argument that he hadn’t sufficiently considered whether a Fargo abortion clinic would succeed with its lawsuit.
The Red River Women’s Clinic, the state’s only abortion clinic, argues that the state’s constitution grants a right to abortion. Though it continues to pursue that claim, it closed its Fargo location in August and opened a clinic in neighboring Moorhead, Minnesota, where abortion remains legal.
When Romanick blocked the law from taking effect, he acknowledged the clinic had moved but noted that doctors and hospitals would still be affected by the statute.
Romanick said at the time he was not ruling on the probability of the clinic winning the lawsuit, but that more time was needed to make a proper judgment.


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As a therapist and divorce coach, I’ve sat through many hours of discussion around custody. Here’s what I’ve learned: there is no easy answer to this problem. What works for one ex-couple might not work for another. Using what I’ve observed and learned over the years, I’ve written a series of blog posts to outline what to expect as you move through what can be a contentious process. I hope these blogs can provide some insight on what your child needs along with tips on how to make the process less hostile.
It’s Called a Custody Battle for a Reason: Time/Money Grabs & the Court System (Part 2 of 3)
We learned in the first blog post in this series that bullies don’t know they are bullies. They think they are right – no matter the cost.
Picture this: one parent can’t push aside their own wishes, desires, and emotions in order to make decisions about what’s best for the child to grow up in a secure environment. They prepare to go to battle for full custody. They become the aggressor in a classic power and/or money grab. They want to punish the other parent or take their resources (the child, finances, or both). The child in this situation is being used as a pawn.
If you see yourself in this parent, know that your children feel your vibe. Your hostility towards your ex is damaging to your relationship with your child. Children are sponges for feelings and behaviors, and they are watching everything you’re doing. Actions speak louder than words.
As a therapist, I often see these children grow up resenting the parent who does the grab. They mistrust the parent who speaks poorly about the other parent because they begin to see for themselves the character and demeanor of the other parent. What the grabbing parent says doesn’t match up with what they see in their other parent.
There is, too, the pain of battle. Just like with the Russian invasion of Ukraine, the pain is not felt just between the militia (parents), but it involves the whole country (family) and even the world, (our communities).
We are shocked and dismayed when we hear the rulings by the judge. It all seems so clear-cut to us, so easy to see the violations that occur. It’s rare for both parties to be happy with the outcomes decided by a judge who has never seen nor observed the child with either parent. Yet one parent insists that a judge will be a better person to determine who their child should be around. This can certainly be the case when one parent is violent or abusive, has a drug or alcohol addiction, or has otherwise shown themselves to be unsafe around the child. These conditions are outside the scope of this blog. The focus of this discussion is about two mentally healthy parents who simply don’t want to be together any longer.
And war is expensive. As Russia and Ukraine are spending billions of dollars on this illegal war, parents, too, can easily spend the amount of money it would cost to put their child through college. When there is an aggressor and a defender, both will pay. Often the defender would like to agree to joint custody and mediation, however, the aggressor won’t stop until they get total control, even if that means causing harm to their child.
It is possible to agree on a parenting plan and custody arrangement without exhausting emotional and financial resources. But that means both sides have to put down their weapons and accept that they both play an important role in their child’s life. It is the sign of a healthy and mature adult to want the other parent to be in their child’s life, no matter their personal opinion of them.
In part 3 of this series, I’ll give you 5 specific actions you can take to help navigate this war zone and bring the battle to a close.
Disclaimer: Lori Mazenko is not an attorney, nor making legal or diagnostics recommendations. Each reader needs to determine their own needs and use these tips at their own discretion. This blog applies to mentally healthy parents, and may not apply to your particular situation. Lori Mazenko will not be held liable for any use or misuse of the information contained herein.


This is a two-semester course (FA20, SP21) where students will help design a water distribution system for a rural Honduran community addressing the political, social, cultural, and technical considerations. Working closely with professionals and alumni mentors, students will learn what makes international engineering projects successful and will have the opportunity to travel to Honduras during Winter 2021.
Credit Hours: 4
Professor: Ann-Perry Witmer – email@example.com
Day/Time: Tuesday, Thursday 11:00AM – 12:20PM


On the latest episode of RHONY, Erin Lichy’s pettiness reaches a fever pitch as she attacks her co-stars one by one at a holiday event.
All of the ladies arrive at the event in great spirits, minus Ubah Hassan, who is still at home battling COVID-19. Ugh, what a bummer.
“I want to ruin [Brynn’s] party just like she ruined mine,” Erin admits in her confessional interview, referring to Brynn flirting with her husband, Abe Lichy, at their anniversary party during last week’s episode.
Erin’s pettiness is epic, but it’s no secret that Brynn is flirty AF. Flirting is like breathing to Brynn. And it’s not like Brynn was flirting with Abe behind Erin’s back – she was doing it out in the open in front of everyone, which is how you know it’s harmless fun. Brynn was just being her cheeky, flirty self!
As the wreath decorating party kicks into full gear, Erin decides to start picking off her co-stars one by one.
Erin decides to start with Sai, telling her: “I think [leaving the party without saying goodbye] is incredibly rude, and you have bad manners.”
However, Sai doesn’t give a f–k.
“I don’t care!” Sai quips. According to Sai, she was hungry and needed to leave the party to eat. Erin insists there was plenty of delicious food at the party, but Sai disagrees.
“I’m getting so annoyed by Sai’s hungry excuse. Like maybe you should get that checked out. It seems like something is wrong,” Erin says.
The two continue to go back and forth, but when Erin realizes she’s not going to break Sai, she sets her sights on Brynn.
“What you did was horrendous,” Erin tells Brynn. The market consultant attempts to play off and deny Erin’s claims against her.
“I didn’t say ‘divorce,’” Brynn insists. Of course, producers insert soundbites of Brynn joking with Abe, saying “divorce” and “trial separation.”
“If you accuse me of flirting with a married man, it’s gonna really get real,” Brynn says. “It was a fucking joke, don’t flatter yourself. The party was fucking boring!”
At this point, Erin has reached her boiling point, so she grabs her jacket and storms out of the wreath decorating event. As for strolls home, Erin calls her sister Kelley for advice.
“Brynn tried to wear sunglasses inside, like, honey, you’re not a celebrity,” Kelley quips in defense of Erin. Mic drop.
Who knew wreath-making could be so dramatic? The drama continues next week.
Season 14 of RHONY airs on Sundays at 9 p.m. ET/PT.


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domain: medical


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Tag Archives: a game of thrones
Feb 22, 2018
There are many sources of wisdom in A Song of Ice and Fire. Some, like the maesters, find wisdom crying out among the ancient books and scrolls of Oldtown. Others look to their gods for guidance, whether it’s the Drowned God of the Iron Isles, the old gods in the north, or the fiery faith of R’hllor. And some carry the weight of tradition, of history stretching back to Old Valyria, and use that tradition to claim wisdom.
No matter what the source, you have the chance to prove your own cleverness and wisdom with new cards for A Game of Thrones: The Card Game—the Favor of the Old Gods Chapter Pack is now available from Fantasy Flight Games.
The Flight of Crows cycle takes players on a journey through the events of A Feast for Crows, adding new cards with the bestow keyword and new incentives for players to build decks using the Banner agendas to bring two factions together. A new agenda invites players to explore what they will do with knowledge of the future, while characters like Selyse Baratheon and Ser Balon Swann lend their own strength to their factions. No matter which part of Westeros or Essos you’ve sworn fealty to, you’ll find new cards to support your faction in Favor of the Old Gods!
Jan 1, 2018
New intrigues consume the Great Houses of Westeros, and new players enter the game. The Greyjoys and the Martells make their first ventures into the game of thrones, and although the fires of war have dimmed, the Seven Kingdoms are still as deadly as ever. Death is a cruel reality for everyone, and every House must forge new alliances in order to survive. Bring the next chapter of the unfolding saga to A Game of Thrones: The Card Game—Journey to Oldtown, the second Chapter Pack in the Flight of Crows cycle is now available!
Like the other Chapter Packs of the Flight of Crows cycle, Journey to Oldtown focuses on the events of A Feast for Crows, the fourth book in A Song of Ice and Fire. Along with that thematic focus, this expansion introduces new incentives to forge alliances between factions and new cards featuring the bestow keyword. Of course, Journey to Oldtown has its own unique cards to offer as well—including a brand-new agenda that promises to revolutionize deckbuilding by giving you a location of your choice at the beginning of the game.
July 25, 2017
Fantasy Flight Games is proud to announce The Archmaester’s Key, the first Chapter Pack in the Flight of Crows cycle for A Game of Thrones: The Card Game!
The great battles of the War of the Five Kings have ceased with the deaths of Robb Stark, Balon Greyjoy, Renly Baratheon, and Joffrey Baratheon. In King’s Landing, Tommen is hailed as the new king, while Stannis Baratheon and his supporters join the Night’s Watch at the Wall, protecting the realm against the threat from the north. Yet the game of thrones is far from over. Doran Martell sets his plans for vengeance in motion, the ironborn call for a kingsmoot, and Daenerys Targaryen solidifies her control over the city of Meereen. More blood will be spilled, and crows will cover the battlefield before Westeros knows peace.
The Archmaester’s Key is the first expansion of the Flight of Crows cycle, and as such, it serves to introduce the major themes that will play out throughout the cycle. As the name implies, the Flight of Crows cycle broadly follows the narrative of A Feast for Crows, drawing on key characters and events from the fourth book in A Song of Ice and Fire. The bestow keyword gathers strength in this cycle, while other new cards provide incentives for the Great Houses to work together using the Banner agendas. With iconic characters and locations like Daario Naharis, The Iron Bank, The Water Gardens, and Mag the Mighty, The Archmaester’s Key is the perfect way to begin a new cycle for A Game of Thrones: The Card Game!
March 15th, 2017
The Blackwater Rush is still choked with ashes and corpses and the wrecks of ships, as a new balance of power is established in Westeros. Stannis Baratheon’s siege of King’s Landing has been broken by a newly forged alliance between House Lannister and House Tyrell, but new schemes are hatching in the darkness, even if the largest battles have passed. Even the Lannisters and the Tyrells may not be as united as they appear, especially if the ladies of the court can have their way…
Dive into the twists and turns of the Blood and Gold cycle—All Men Are Fools, the newest Chapter Pack for A Game of Thrones: The Card Game, is now available at your local retailer and online through our webstore! With the new bestow keyword entering the game for the first time, you’ll find new ways to spend your gold and granular control over how powerful your cards become. What’s more, All Men Are Fools introduces the first new economic options of the cycle, integrating gold directly into your strategy for victory. No matter which faction you support, your road to the Iron Throne is paved in blood and gold.
September 5th, 2013
Fantasy Flight Games announce resin House cards for each of the six Great Houses represented in A Game of Thrones: The Card Game!
Now you can boldly state your allegiance for your favorite House by displaying its heraldry and claiming power on a stylish resin House card as you battle your way to the Iron Throne.
Flaunt Your Heraldry
As you engage in the fierce battles and twisted intrigues of Westeros, you can collect power on a House card bearing the direwolf of House Stark, the lion of House Lannister, or the three-headed dragon of House Targaryen. Perhaps you will exhibit the crowned stag of House Baratheon or the sun-and-spear of House Martell, or even the fearsome kraken of House Greyjoy. No matter which House you support on the field of battle, these resin House cards will serve you well.
|House Baratheon||House Greyjoy||House Lannister|
|House Martell||House Stark||House Targaryen|
Actual components may vary from those shown.
Show your support for your House of choice with these beautifully detailed and weighted resin House cards. Each and every one is worthy of a king, so declare your allegiance. Resin House cards for A Game of Thrones: The Card Game are scheduled to arrive at retailers in the fourth quarter of 2013.
June 6th, 2013
A man’s word can be broken. A knight’s honor can be tarnished. Any man can harbor secret ambitions, even a member of the Kingsguard. The seven Sworn Brothers of the Kingsguard wear white armor and take vows to serve the crown, and only the crown. However, each Sworn Brother is a man at his core, and susceptible to the temptations and ambitions and doubts that plague all men. Each has his secrets, and the sixty new cards (three copies each of twenty different cards) in The Kingsguard lend shape to their ambitions, their deceptions, and their deadly talents.
Like each of the Chapter Packs in the Kingsroad cycle, The Kingsguard returns players to a Westeros changed by the War of Five Kings, countless treacheries, and new alliances. The balance of power between the game’s six Houses has changed, as have the faces of those Houses. As part of this return to Westeros, each Chapter Pack in the Kingsroad cycle explores one or more of the game’s existing themes or mechanics, adding new depth of strategies and deck-building options while remaining light on new rules.
Accordingly, as it explores the secret ambitions of the seven active Kingsguard, The Kingsguard adds new depth to the game’s Shadows mechanic, featuring not only Shadows-crested versions of the Knights of the Kingsguard, but of other characters and locations, as well. In total, no fewer than twelve of the Chapter Pack’s twenty different cards feature the Shadows crest.
Based on George R.R. Martin’s bestselling fantasy epic A Song of Ice and Fire, A Game of Thrones: The Card Game, playable by 2-4 players, brings the beloved heroes, villains, locations, and events of the world of Westeros to life through innovative game mechanics and the highly strategic game play. The Living Card Game format allows players to customize their gaming experience with monthly Chapter Pack expansions to the core game.

domain: entertainment


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Mother Nature may have dealt a torrential downpour on Friday evening, but that didn’t dampen the spirits of 14,000 music fans at the sold-out Dauphin’s Countryfest.
Starting at about 5:30 p.m., Environment Canada issued severe thunderstorm alerts, and the rain came down on the Countryfest site. Lights flickered, tents began to leak, campsites got soaked, and the main barbeque went out. Some folks took shelter, some dug out their umbrellas, and others donned ponchos and simply stayed put in their seats to wait it out…
And through it all, the music never stopped.
Alberta’s Bobby Wills was playing on the Manitoba Liquor & Lotteries Main Stage when the storm hit. Fortunately, the stage is well sheltered, and he continued on.
The rain never stopped Nashville’s Blackjack Billy either, whose lead singer Noll Billings happily crowd-surfed among raincoat-clad fans. South Carolina native
Lee Brice toasted the crowd, proclaiming that beverages taste “just as good in the rain as the sunshine.”
The Manitoba Liquor & Lotteries Main Stage wrapped up with The Band Perry, who paid tribute to all of Canada by bringing the Canadian flag on stage partway through their set. They performed an instrumental version of O Canada, complete with fiddle, while a rain-soaked audience of 14,000 proudly and patriotically sang along.
It truly was a crowd-warming moment.
While Dauphin’s Countryfest prides itself on featuring the biggest and best national/international country acts each year, it’s also a priority for the festival to provide a venue for local artists.
“Here in Manitoba we have a thriving music industry and a lot of great artists from across all genres,” says Eric Irwin, President of Dauphin’s Countryfest. “So it’s important to us to showcase as many of Manitoba’s upcoming bands as we can, including Dauphin’s own Desiree Dorion and Jordan Allard, Brandon’s Until Red, and many others from Winnipeg and throughout Manitoba.”
A total of 18 bands from Manitoba are performing at Dauphin’s Countryfest this year.
ABOUT DAUPHIN’S COUNTRYFEST
Canada’s longest running country music festival, Dauphin’s Countryfest, celebrated its 25th anniversary June 26-29, 2014. Since 1990, Dauphin’s Countryfest on the edge of Riding Mountain National Park has been attracting the biggest names in country music to one of the most beautiful regions of rural Manitoba.
With a capacity of 14,000, the unique outdoor amphitheatre built into the side of an escarpment provides every patron a perfect view from any seat in the house.
Dauphin’s Countryfest is a not-for-profit organization that consists of a 12-member volunteer Board of Directors and a membership of over 2000 loyal supporters. Organizers credit over 2000 volunteers who work tirelessly each year providing essential services for the festival weekend, while fundraising for their respective community organizations. On top of various community contributions, Countryfest pays out approximately $150,000 each year to community organizations that provide services for the festival.

domain: artistic


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We are having a bit of trouble figuring out how explore our data, given our experimental design. Please allow me to detail the design.
We have three human cancer samples, taken from the same tumor, each coming from a very specific section of the tumor, and each sequenced at a high depth (100 M reads or more). I’m not sure if this would be best considered a single condition with three biological replicates, or three samples with one replicate each. In any event, what we are wanting to do, is to explore the similarities and differences between these samples.
Could you please offer some guidance, on how we might use the package to explore the aforementioned data? Basically, is there any way to do statistical testing (e.g., differential expression, etc.) or are we stuck with only looking at EDA-like analyses as outlined in the recent paper in F1000, “RNA-seq workflow: gene-level exploratory analysis…”?

domain: biology


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[Chris Mathiesen sent me this note]
You might want to mention in your blog the sad state of our local daily newspaper. While the paper itself has shrunk over the years and is now providing fewer local stories, the cost of subscribing to the hard copy has increased drastically. They are now charging me over one thousand dollars per year for seven day home delivery. However, according to their website, a new subscriber can get the same service for $372 a year ‘until they cancel’. Due to the outrageous amount that I was being charged, I converted today to the digital version only which will cost only $12.00 per month.

domain: news


We have a used Ballistic Output Conveyor for sale. Driven by a 0.55 kw Siemens motor and gearbox, and runs at a speed of approx 60 rpm. Drive/non-drive rolls each 160 mm diameter. Slider bearings for adjustment on non-drive end. Year of manufacture 2007. Fixed speed high sided off-take conveyor belt to remove the rolling rigid fraction from under the ballistic separator at a rate of up to approx 4000 kg/hour.
- Length: Approx 3.5 metres
- Width: 0.8 metres
- High sided flat bed PVC clipped conveyor belt.