FORT LAUDERDALE, FLA. (WSVN) - Characters from a new children’s book sprang to life at two Broward County schools, just in time for the holidays.
Students at Park Ridge Elementary School in Pompano Beach and Walker Elementary in Fort Lauderdale were treated Friday to a presentation featuring the three best friends from Neil Goldberg’s new Christmas-themed book, “Pomp, Snow & CIRQUEumstance.”
The performers stopped by both campuses to read from the book to the children.
Students also got to watch a preview of the book’s new 30-minute TV special.
Copyright 2022 Sunbeam Television Corp. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
You are here
Molecular Breast Imaging Increases Accurate Cancer Diagnoses, Mayo Clinic Finds
A study conducted by the Mayo Clinic has determined that the addition of molecular breast imaging (MBI) for women with dense breast tissue resulted in a lower cost per cancer detected than screening with mammography alone. Approximately 45% of all women have dense breast tissue.
The study, published in the American Journal of Roentgenology, found that MBI technologies led to more accurate diagnosis and, in combination with mammography, resulted in a cost savings of approximately 15%.
Investigators at the Mayo Clinic in Rochester, Minnesota, evaluated additional diagnostic workups and costs generated by the addition of a single MBI examination to screening mammography in 1,585 women with mammographically dense breasts.
Screening mammography alone prompted the diagnostic workup of 175 (11.0%) patients and biopsy of 20 (1.3%), and yielded five malignancies (PPV3, 25.0%). In comparison, the results of combining screening mammography with MBI prompted the diagnostic workup of 279 patients (17.6%) and biopsy of 67 (4.2%), and yielded 19 malignancies (PPV3, 28.4%). The benign biopsy rates were 0.9% (15/1,585) for screening mammography alone and 3.0% (48/1,585) for the combination (P < 0.001).
The addition of MBI increased the cost per patient screened from $176 for mammography alone to $571 for mammography plus MBI. However, the cost per cancer detected was lower for the combination ($47,597) than for mammography alone ($55,851).
An additional Mayo Clinic study published in the AJR concluded that there was a four-fold increase in detection rates compared with standard mammography when using the LumaGEM MBI technology as a secondary screening method. Unlike mammography, tomosynthesis, and ultrasound –– all of which are anatomical imaging tests –– the LumaGEM system highlights metabolic activity in the breast regardless of tissue density, thereby allowing radiologists to identify early-stage cancers, according to the system’s manufacturer (Gamma Medica, Inc.). MBI provides equivalent sensitivity and improved specificity compared with magnetic resonance imaging, but at roughly one-third of the cost, Gamma says.
It has been estimated that approximately 12.5% of women in the U.S. will develop breast cancer during their lifetimes. Nearly half of women have dense breast tissue, which masks early stages of cancer in traditional screening methods, often leading to missed opportunities for early intervention. Early detection through screening remains the most reliable method for managing breast cancer. However, for women with dense breast tissue, standard mammography and 3-D tomonsynthesis lack the accuracy to detect early-stage cancers.
Sources: Gamma Medica, Inc.; August 17, 2015; and AJR; June 2015.

domain: medical


Obama and Biden unveil gun control agenda in White House speech
Backlash already started ahead of Obama’s announcement on gun control
You can only push people to a point
Support B&R Today!
Exclusive B&R Advertisers
Buy this e-book from this Nationwide Concealed Carry ad and the publisher will make a donation to Black & Right


text:
Great Bend-Brit Spaugh Zoo is still planning an Earth Day celebration on Friday, but it will not be showing a movie as announced earlier, Zoo Director Scott Gregory said. The zoo will reopen at 6 p.m. Friday for this after-hours event. This event is now free to the public.
KANSAS CITY, Mo. (AP) - Alex Gordon had two hits and stretched his hitting streak to 13 games and left-hander Bruce Chen went seven strong innings, leading the Kansas City Royals past the Cleveland Indians 5-4 on a cold and blustery Tuesday night.Chen (3-0) beat the Indians for the fourth straight time. He stretched his personal winning streak, dating to last season, to seven games over 11 starts.
LARNED - Larned High School hosted its boys golf meet on Tuesday with Ellinwood, Hoisington and Pawnee Heights among the schools competing.
BOSTON (AP) - Kevin Garnett sank the go-ahead basket with 14 seconds left, then stole the ball as the Boston Celtics overcame Carmelo Anthony's 42 points and beat the depleted New York Knicks 96-93 to take a 2-0 lead in their playoff series on Tuesday night.
ORLANDO, Fla. (AP) - Dwight Howard had 33 points and 19 rebounds, Jameer Nelson added 13 points and eight rebounds and the Orlando Magic held off the Atlanta Hawks 88-82 on Tuesday night.
BUSHTON - Joseph W. Porter, 85, died April 18 at the Rice County District Hospital in Lyons. He was born Dec. 19, 1925, in Keota Okla., the son of Charles and Olvia Gray Porter. On Sept. 30, 1947, he married Norma Louis on Sept. 30, 1947. A resident of Bushton since 1991, formerly of Tulsa, Okla., he grew up in McCurtain, Okla. He was an oilfield worker and a barber.
STILLWATER, Okla. - Corbin Dean Edmisson, 22, died April 16 in Stillwater, Okla. Born April 23, 1988, in Hutchinson, he was the son of Robert Dean and Gina Jo (Gagnebin) Edmisson.
BUSHTON - Orland Lee Schulz, 84, died April 18 at Hospice House in Hutchinson. He was born July 27, 1926, in rural Bushton, the son of John and Myrtle Beneke Schulz. A lifetime resident of the Bushton area, he graduated from Bushton High School. On May 5, 1949, he married Gloria Chesnut at Wichita Falls, Texas. She died on Feb. 2, 1985. He was employed by NCRA for 22 years, and was a lifetime farmer.
Great Bend Fire Department
Amanda F. VanSteenburgh 1919-2011
Healing Hearts Ranch to begin evening worship services
Check It Out!
At their Feb. meeting, 17 members of Great Bend Garden Club learned of the far reaching legacy of the legendary Johnny Appleseed during a program given by Alice Young.
Evelyn Anna Hochstatter, 96, died Feb. 22 at Great Bend Health and Rehabilitation Center, Great Bend. Born Feb. 25, 1917 at Holyrood, she was the daughter of John and Katie A. (Schmitt) Ehler.
Doris J. Nitzel, 86 years, longtime Great Bend resident, passed away on Thursday evening, Feb. 20, 2014 at the Great Bend Regional Hospital in Great Bend after a brief illness. Doris was born on Oct. 21, 1927 at Fairbury, Neb. to Moses G. and Grace (Eilts) Williams. She graduated from Endicott High School at Endicott, Neb. in 1946, and was united in marriage to Robert Dale Nitzel on Feb. 9, 1947 at Endicott. Doris was an Accounting Clerk for various businesses for many years prior to her retirement. She was an active volunteer for RSVP, and delivered Meals On Wheels ...
TRES PIEDRAS, N.M. - Carl Don Nicholas Bradley, Sr., 65, died Feb. 20 at his ranch in Olmitz, Kans. Born Dec. 6, 1948 at Santa Fe, N.M., he was the son of John Carver and Winifred (Wright) Bradley.
OLATHE - Jerad Lee Bickford, 24, died Feb. 19. Funeral mass will be held at 10 a.m. on Monday at Prince of Peace Catholic Church in Olathe. Visitation will be from 7 to 9 p.m. today at the church. To view the full obituary and to leave a message for the family, visit www.PenwellGabelOlathe.com.

domain: news


text:
Delores Barr Weaver Policy Center awarded contract to expand Open Doors Outreach Network services
Voices for Florida announced that the Delores Barr Weaver Policy Center (The Policy Center) was awarded a contract to expand Open Doors Outreach Network services to sex trafficked children and young adults ages 10 – 24 in the North Coastal Florida region. Referrals are anticipated to begin in early spring in Flagler, Volusia and Putnam counties. The Policy Center already provides Open Doors services in neighboring Nassau, Duval, St. Johns, Baker and Clay counties. In 2020 there were 12 verified child sex trafficking victims in Volusia County.
Voices for Florida’s Open Doors Outreach Network is the state’s leading trauma-informed 24/7 network for helping sex trafficked children and young adults. Open Doors services are currently available in five other Florida regions: Big Bend, Northeast Florida, Gold and Treasure Coast, Southeast Florida and Suncoast Victims are supported by a team of professionals, including Survivor-Mentors, Regional Advocates, Clinicians, and Victim Services Coordinators that work together to provide emergency stabilization, individualized wellness plans, ongoing support and more to help victims heal.
Over 1,300 Victims Have Received Open Doors Outreach Network Services
The Policy Center has served 260 sex trafficked children and young adults to date through the Open Doors Outreach Network, which has helped over 1,300 across Florida since services began in 2017.
“The Delores Barr Weaver Policy Center has not only been an integral partner in providing Open Doors Outreach services to the Northeast Florida region, but also they helped develop the original Open Doors model of services,” said Deborah Foote, Voices for Florida President. “We are so pleased that this expansion will allow them to support even more sex trafficked children and young adults on their journey to survivorship.”
“The network approach utilized by the Open Doors Outreach Network is tremendously valuable in helping survivors of sex trafficking. As survivors move to another region, which happens more often than many realize, there can be a seamless transition of services so sex trafficked children and young adults don’t fall through the cracks,” said Chanel Dionne, Co-Chair of the Freedom 7 Human Trafficking Taskforce.
All Children Are Vulnerable
Florida is a hot spot for human trafficking, ranking third in the nation for reports to the National Human Hotline. There were 738 reports of human trafficking in Florida to the National Human Trafficking Hotline in 2020, the latest statistics available. Most of the reports (514) were for sex trafficking and 142 reports involved minors. In 2020 there were 12 verified child sex trafficking victims in Volusia County and 2 in Putnam County.
“We know that sex trafficking is a historically underreported crime and that the number of verified victims is just the tip of the iceberg. We look forward to identifying more survivors in need and providing them with necessary tools to overcome their trauma, and live happy and healthy lives. We are excited to be expanding this important work to additional counties so that victims/survivors of CSE can connect with people who care and are committed to advocating for impactful changes at all levels,” said Dr. Vicky Basra, President & CEO of the Delores Barr Weaver Policy Center.
The average age of a child sex trafficking victim is just 12-14. Both boys and girls are victimized. All children are vulnerable, but foster children, runaways and homeless youth are especially at risk.

domain: sociology


text:
Westminster’s Oxford Street area plan too weak
- By SimonM on at 12:06pm 19 October 2018
- Posted in: News and blogs, Westminster
- Tagged with: oxford street, walking, mayor of london, crossrail, #oxfordstreet, Sadiq
- Boroughs: Westminster
After rejecting Mayor Sadiq Khan’s plans to pedestrianise Oxford Street, Westminster Council pledged to present plans later this year, stating that “doing nothing to improve the area is not an option”.
On Wednesday, they finally released their vision for the area. But their strategy amounts to little more than a collection of potential schemes that are wholly inadequate in addressing the primary issue facing Oxford Street, the west end and indeed central London – too much motor vehicle traffic.
The proposed measures to reduce or curb unnecessary motor vehicle journeys are insufficient to deliver the scale of improvements that cramped pedestrians, struggling businesses, cyclists facing road danger and residents suffering illegally poor air quality deserve. Westminster Council is proposing spending at least £150 million on a do as little as possible option.
Most tellingly, the key recommendations to reduce motor traffic include vague statements such as “encouraging use of public transport, walking and cycling” and to “improve and address existing traffic congestion issues on the surrounding road network to provide less incentive for rat-running”. Such blandishments alone will do little to actually reduce motor traffic volumes. “Encouraging” more people to walk, cycle and use public transport, without meaningful reductions in the dangers presented by an excess of motor vehicles is an approach proven to fail. And the latter recommendation, also known as “smoothing traffic flow” is actually likely to increase motor traffic volumes, given evidence around .
Westminster is only giving lip-service to measures such as traffic restrictions, modal filters, 20mph and lower speed limits. This strategy gives no commitment to actually use these tools to the extent needed to effect genuinely transformative reductions in motor traffic speeds and volumes. Contrast this with the bold and ambitious transport strategy, just published by the City. Westminster’s leadership could learn a lot from their neighbours.
Pollution, congestion and road danger threaten Oxford Street’s position as a world-class destination. These plans show a complete lack of ambition from Westminster Council to stop the rot. Residents, businesses and all of London deserve much better.


Code for America’s accelerator program is announcing its third class of startups aimed at improving government.
The five new startups come from California, Michigan, and New York. They are developing innovative and significant solutions for local governments, including sustainable procurement, geographic information systems, and municipal equipment sharing, Dharmishta Rood, Code for America’s accelerator program manager, told VentureBeat in an interview.
Code for America’s accelerator is part of a larger nonprofit movement to accelerate the civic tech marketplace, which is estimated to be $142 billion. The program will help train startups over four months from July through October. The group’s supporters include Google for Entrepreneurs, the Passport Foundation, and the Ron Conway Family Foundation. Code for America was created by Jennifer Pahlka in 2009 in the name of fostering civic innovation.
The startups will receive $25,000 as well as training and mentorship. And they will get access to Code for America’s extensive government network to navigate the government technology ecosystem. In September, the companies will present themselves at the Code for America Summit. That event draws 800 civic tech leaders from more than 80 cities.
“The companies selected in this year’s accelerator represent some of today’s most promising civic startups upending the civic tech landscape,” said Rood. “All are creating new technology solutions that are already helping governments efficiently solve community and government needs.”
Rood said the companies were selected on the basis of whether they were going to be effective businesses. They were also chosen based on whether they were aligned with Code for America’s values of bringing 21st century technology to government. And the final criteria was whether the company was at a stage where the accelerator could help them.
The companies include:
AmigoCloud (San Francisco, Calif.): Founded by Ragi Burhum and Victor Chernetsky, AmigoCloud is a next-generation mapping technology company. It provides its mobile Geographic Information System (GIS) solutions with advanced offline support. Available on Android and iOS devices, AmigoCloud makes geospatial data collection, administration, and sharing simple and is currently used by nearly 100 organizations.
MuniRent (Ann Arbor, Mich.): Founded by Alan Mond and Julien Vanier, MuniRent is a platform that simplifies the process for local governments to rent heavy-duty equipment to other local governments, with a vision of bringing the sharing economy to all levels of government. Through MuniRent, local governments can seamlessly rent equipment from other municipalities, road commissions, school districts, and counties at much lower rates than commercial rental companies charge.
ProductBio (San Diego, Calif.): Founded by Angela Chen and Andrew Huynh, ProductBio’s patent-pending data platform is making it easy for buyers to evaluate products for sustainability requirements and report on their consumption footprints. Aggregating information from trusted sources of supply chain sustainability data, ProductBio can automatically figure out what matters by product category, how things were made by suppliers, and how an organization’s purchases measure up. Cities and schools are currently using this product metadata, evaluation, and reporting to save time and money when complying with government administrative regulations.
SeamlessDocs (New York City, N.Y.): Founded by Jonathon Ende and Chachi Camejo, SeamlessDocs is a modern replacement for the PDF. It can convert any existing PDF through a proprietary technology into a dynamic, cloud document that can be completed and eSigned from any device. Every document SeamlessDoc processes saves an average of four hours in paperwork management. With customers including Box, HP, and Aol, SeamlessDocs works with governments, Fortune 100 companies, small local business, and individuals to make the world a more paperless place.
Trailhead Labs (Oakland, Calif.): Founded by Ryan Branciforte and Jereme Monteau, Trailhead Labs is an outdoor recreation and public transit mapping application startup that collaborates with outdoor groups to build technologies that connect and engage people with the outdoors. Since its inception in 2013, Branciforte and Monteau have been working with Code for America to build open standards for outdoor data (e.g. data for trails, amenities, parks) along with other groups in the Bay Area and Portland, Oregon. The pair also founded Transit & Trails, which connects people to parks and open spaces, in partnership with Bay Area Open Space Council, a coalition of most of the park agencies in the San Francisco Bay Area.
Past graduates of Code for America’s accelerator include MindMixer (which received $6.2 million in funding), Captricity (received $6.9 million in funding), OpenCounter, and SmartProcure. Mentors and advisors include Tim O’Reilly (O’Reilly Media), Jeff Clavier (SoftTech VC); Jenn Downs (ShootProof, MailChimp); Hilary Hoeber (formerly IDEO); Zal Bilmoria (Andreessen Horowitz); and Ron Bouganim.
Last year’s group had more than 200 hours of mentorship. Here are some past Code for America accelerator companies and their funding details:
SmartProcure: $1.8M raised, $1.3m Series A
StreetCred Software: Series A
Aunt Bertha: $1M
VentureBeat's mission is to be a digital town square for technical decision-makers to gain knowledge about transformative enterprise technology and transact. Discover our Briefings.


Originally Posted by smokepb
I recently aquired an old bear Tamerlane recurve. It was made in 68 i think. The bow is in really good shape and shoots well. The only thing wrong with it is that it is missing the sight that came with them. It still has the slide in the riser. Only the sight is missing. Any info on where to find a sight would be greatly appreciated.
I have the exact same problem.I received aTamerlane from my father when I was teenager and somehow they lost the adjustable part of the sight. I only have the brass slide the was installed when it was bought.Please let me know if you find a source for the parts.Have a good one.


text:
Terri Irwin Reveals She Hasn't Been on a 'Single Date' Since Husband Steve Irwin's Death 10 Years Ago
"What we had was incredible," Irwin said of the late Crocodile Hunter star
“I haven’t been on a single date since Steve died,” the 52-year-old told The Australian Woman’s Weekly.
The mother of two continued about her life partner, “If I hadn’t met Steve, I probably would never have married because I wasn’t looking for love when I met him.”
“What we had was incredible,” she told the publication of her relationship with Steve, who died in September 2006 at the age of 44 after being fatally attacked by a stingray off the coast of Australia while filming a documentary.
The couple wed in 1992 and had two children together over the course of their marriage: daughter Bindi Irwin, now 18, and son Robert, now 12.
“I love you. I hope I’m making you proud,” Bindi captioned the throwback photo of her and her father.

domain: celebrity


text:
NEC - New York-Trenton
What did I do?
I joined DoveTail within the last couple of weeks of production of this route and had a great time learning to implement scene ambience & tunnel / bridge occlusions. I even designed & implemented the audio for the mastery tile!
The fireworks were designed using a few different sounds that I sourced and combined to produce the final firework sound.
FIrework explosion - For the main firework characteristics, especially the crackle. It just lacked the punch you'd expect it to have
Artillery fire (Transient) - To add a punchier transient
Cannon fire (Body) - To give the explosion more body and weight
Dynamite explosion (Tail) - To give the explosion a nice echo & reverb as it bounces around the scenery

domain: design


text:
Nitibha Kaul and Manu Punjabi to Host MTV ‘A Date to Remember’ Show
Bigg Boss 10 Fame Nitibha Kaul and Manu Punjabi making their television debut as a Host (Anchor) in Upcoming Television reality Show Titled MTV ‘A Date To Remember’. It is the Couple-Based Show where Couple will be Seen Competing and doing Tasks.
Interestingly the Saturday Saturday Singer Indeep Bakshi will be the Host with Manu and Nitibha. The Bigg Boss 10 Fame Manu Punjabi and Nitibha Kaul revealed an Exciting news among the Fans and revealed how they are equally excited to Kick Start the Show.
There will be the 13 Episodes Across Delhi-NCR, Chandigarh, Barely, Lucknow and Dehradun. There will be the Special Celebrity Judge in Every Episode. The Selected 9 Couple (9 Girls – 9 Boys) will be Seen doing Tasks in the Show.
Recently we revealed that Bigg Boss 10 Winner Manveer Gurjar doing Khatron Ke Khiladi 8 with Ex-Bigg Boss Contestant Lopamudra Raut and now two more Bigg Boss 10 Contestants got their Carrier boost as they are doing the New Show.
How are you Guys Excited to See Nitibha and Manu Hosting the Show of Lovely Couple? Let us know in Comments.

domain: entertainment


Stefano Pioli will sign a two-year deal with AC Milan but there’s a gentleman’s agreement between the parties to terminate the contract in advance.
After announcing the sacking of Marco Giampaolo, Stefano Pioli will be appointed the new head coach of AC Milan. The former Inter and Fiorentina coach will sign a two-year deal but there is a gentleman’s agreement to terminate the contract at the end of the season if AC Milan don’t qualify for Champions League, reports La Gazzetta dello Sport.
Pioli will earn 1.5 million euros per year, with a bonus of 500 thousand in case of Champions League qualification. A salary decidedly lower than the 4.5 million euros Luciano Spalletti would have received.
However, Inter declined to offer Spalletti a severance pay in order to terminate his contract that binds him to the Nerazurri until 2021. AC Milan too refused to cover that difference of three million euros.
From Spalletti, Milan then moved to Plan B. Thus Pioli, who has close to becoming Sampdoria’s coach, joins the Rossoneri instead. He will be joined by a staff of six people including his son Gianmarco, while he will inherit the goalkeeping coach, Gigi Turci, from Giampaolo.
Pioli will have the arduous task of bringing AC Milan out of this unexpected crisis. Boban and Maldini vouched for him and are convinced they have made the right choice. The Italian coach will make his inter debut on 20 October against Lecce at San Siro.
— AC Milan (@acmilan) September 13, 2019


text:
|Year : 2018 | Volume
| Issue : 4 | Page : 401-405
Extraintestinal infections caused by nontyphoidal Salmonella from a tertiary care center in India
Sukanya Sudhaharan, Padmaja Kanne, Lakshmi Vemu, Aparna Bhaskara
Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
|Date of Submission||07-Jun-2018|
|Date of Acceptance||24-Jun-2018|
|Date of Web Publication||24-Oct-2018|
Dr. Padmaja Kanne
Department of Microbiology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad - 500 082, Telangana
Source of Support: None, Conflict of Interest: None
| Abstract|| |
BACKGROUND: Infection with Salmonella has become an increasing problem worldwide. Recently, nontyphoid Salmonella (NTS) has become a global concern causing threat to the health of human. It causes gastrointestinal infection which may be self-limiting, but invasive infections may be fatal, requiring appropriate therapy. This study was done to analyze the spectrum of NTS infections causing extraintestinal infections and its susceptibility pattern from a tertiary care center in India.
MATERIALS AND METHODS: The medical records of 27 patients whose cultures were positive for NTS between the years 2013–2016 were included in this retrospective study. The relevant demographic, clinical, and laboratory data were analyzed.
RESULTS: Among the 27 patients, predominant patients were in the age group of 20–30 years. The male to female ratio is 1.7:1. Salmonella typhimurium was the predominant NTS isolated among 15/27 (55.5%), followed by Salmonella enteritidis 4/27 (14.8%). 18/27 (66.6%) of NTS were isolated from blood. Nalidixic acid was sensitive in 2/15 of S. typhimurium, 2/4 of S. enteritidis and 1/3 of Salmonella weltevreden, while others are nalidixic acid-resistant implying resistance to quinolones. They were sensitive to other antibiotics reported.
CONCLUSION: This study highlights the spectrum of NTS causing extraintestinal infections which is an emerging infection occurring mostly in immunosuppressed individuals. There should be a high degree of clinical suspicion which would help in the early diagnosis and management of patients.
Keywords: Extraintestinal, focal, immunocompromised, invasive, nontyphoid Salmonella
|How to cite this article:|
Sudhaharan S, Kanne P, Vemu L, Bhaskara A. Extraintestinal infections caused by nontyphoidal Salmonella from a tertiary care center in India. J Lab Physicians 2018;10:401-5
|How to cite this URL:|
Sudhaharan S, Kanne P, Vemu L, Bhaskara A. Extraintestinal infections caused by nontyphoidal Salmonella from a tertiary care center in India. J Lab Physicians [serial online] 2018 [cited 2019 Aug 17];10:401-5. Available from: http://www.jlponline.org/text.asp?2018/10/4/401/243907
| Introduction|| |
Salmonella More Details is an enteroinvasive bacterium which on ingestion bypass gastric defenses, multiply, and penetrate the intestinal mucosa. Infection with Salmonella has become an increasing problem worldwide. Salmonella is an important human pathogen comprising different serotypes of medical importance which can lead to considerable morbidity and mortality. There are 2600 serovars of Salmonella which are divided into typhoidal and nontyphoidal Salmonella (NTS). They cause a wide range of intestinal and extraintestinal infections., Recently, NTS has become a global concern causing threat to the health of human. It causes gastrointestinal infection which may be self-limiting, but invasive infections occurring in the extraintestinal sites such as blood, bone, and joints, meninges may be fatal, requiring appropriate therapy., The global burden of NTS is 3.4 million annually. There were few studies about NTS causing extraintestinal infections from India. The prevalence of NTS serotypes helps in epidemiological and treatment purposes. This study was done to analyze the spectrum of NTS infections causing extraintestinal infections and its susceptibility pattern from a tertiary care center in India.
| Materials and Methods|| |
The medical records of 27 patients whose cultures were positive for NTS between the years 2013–2016 were included in this retrospective study. The relevant demographic, clinical, and laboratory data were analyzed. The samples included blood, urine, purulent aspirates and body fluids. Blood was collected in 2 sets of blood culture bottles within 24 h, 10 ml each in standard and FAN plus aerobic blood culture bottles and incubated in BacT/AlerT three-dimensional continuous monitoring blood culture system. Positive blood cultures and clinical samples were subcultured on 5% sheep blood agar and chromogenic agar (CPS ID, bioMerieux, Marcy l'Etoile, France) and incubated at 37°C for 48 h. Identification and antimicrobial susceptibility of the colonies were done by the Vitek-2 compact system in the laboratory.
The antibiotics tested were ampicillin 10 μg, ceftriaxone 30 μg, ceftazidime 30 μg, cefepime 30, μg piperacillin-tazobactum 100/10 μg, ciprofloxacin 5 μg, levofloxacin 5 μg, cotrimoxazole 1.25/23.75 μg, and nalidixic acid 30 μg as per CLSI guidelines (2016). Isolates identified as Salmonella were sent to Central Research Institute, Kasauli, Himachal Pradesh, India, for serotyping.
| Results|| |
Among the 27 patients, predominant patients were in the age group of 20–30 years [Figure 1]. The male to female ratio is 1.7:1. Salmonella typhimurium was the predominant NTS isolated among 15/27 (55.5%), followed by Salmonella enteritidis 4/27 (14.8%), Salmonella lindenberg 3/27 (11.1%), and Salmonella weltevreden 3/27 (11.1%) [Table 1]. 18/27 (66.6%) of NTS were isolated from blood. The other sites include urine, pleural fluid, synovial fluid, ascitic fluid, and pus [Table 2]. Nalidixic acid was sensitive in 2/15 of S. typhimurium, 2/4 of S. enteritidis, and 1/3 of S. weltevreden, while others are nalidixic acid resistant implying resistance to quinolones. They were sensitive to other antibiotics reported. Most of the patients were immunocompromised among which systemic lupus erythematosus (SLE) was the most common condition in 40.7% of the patients. The other risk factors were listed in [Table 3].
| Discussion|| |
NTS is a zoonotic infection acquired from contaminated food of animal origin in industrialized countries. NTS is found in the gastrointestinal tract of animals and birds. It is transmitted to human beings through contaminated food and water with animal products and excreta.
NTS is endemic in Sub-Saharan Africa causing bacteremia in children and adults,, but the burden of NTS in India is not clear. NTS is an important cause of foodborne gastroenteritis which is self-limiting and there is no long-term carrier status in NTS like S. typhi. Infection with NTS occurs mostly in immunocompromised hosts and among the patients with gastroenteritis, 5% develop bacteremia who have a tendency to develop focal infections also.
There is a high chance of infection with NTS as the age increases, both children and adults are affected. In our study, most of them were in the age group of 20–40 years, and there is no significant increase of infection with increased age. Males are most commonly affected which is similar to our study.
Among the NTS, S. typhimurium and S. enteritidis are the most common human pathogens. In a study from the United States, they found that S. typhimurium is the most common NTS isolated accounting for 24%. The common source of infection includes meat, poultry, and water. In a study from Malawi, they found that S. typhimurium is the most common NTS isolated accounting for 76% and 75% in children and adults respectively and S. enteritidis accounted for 21%. In our study, S. typhimurium was the most common NTS isolated from 15 patients from different samples as mentioned in [Table 3]. The risk factors among these patients were SLE on steroids in 6/15 patients, 5/15 patients were cases of pyrexia of unknown origin (PUO) where there was no underlying cause, one patient with malignancy, two patients with cirrhosis of liver, one in the postoperative patient.
In developed countries, like the United States S. enteritidis is one of the common serotypes causing human infections. In 1980, there was outbreaks of S. enteritidis in the United States and they found eggshell as the source of infection., In a study from South India, they isolated 71.4% of S. enteritidis from eggshell and egg storing trays. In our study, we isolated four cases of S. enteritidis, one from a patient with acute myeloid leukemia (AML), one from a postoperative patient and two from cases of PUO. As this was a retrospective study, the source of infection of NTS could not be traced in our patients.
We isolated three cases of S. lindenberg, two from blood cultures of patients with SLE and one from a patient with chronic kidney disease (CKD). S. lindenberg differs from S. typhimurium in having C2 serogroup O antigens. To the best of our knowledge and literature search, this is the first report of S. lindenberg from blood cultures isolated in our patients.
In a study from Thailand, S. weltevreden has been reported as one of the most common causes of human infections. In 1970, it accounted for <4% of human infections in India but increased to 29.1% of human infections in 1972. From India, cases of food poisoning neonatal sepsis, surgical site infection like postcholecystectomy have been reported. In our study, we have isolated three cases of Salmonella weltevreden from blood of SLE patients on steroids.
S. Kentucky was first reported in Egypt during 2002–2005. There was an increase in infections in Europe during 2005–2008, probably acquired through imported food or secondary contamination in the absence of travel to other countries. Although it is rarely causes infection in human, it was found to occur in people travelling to North Africa and South Asia. In our study, we isolated S. Kentucky from synovial fluid in a case of ALL with septic arthritis.
Among NTS, S. Cholerasuis causes severe infection in human beings. Though it is rarely reported in the United States and Canada, it ranked 10th among NTS in Thailand during 1988–1993 and is the second common human Salmonellosis More Details causing serotype in Taiwan. It causes bacteremia and may lead to extraintestinal infections without local invasion. The first case of bacteremia from India was from an adult febrile patient in whom S. Cholerasuis was isolated from both blood and urine cultures. In our study, we had one patient with myeloproliferative disorder, and S. Cholerasuis was isolated from chest wall abscess from the patient.
NTS causes bacteremia in immunocompromised hosts, and it is considered as a life-threatening condition in adults. In a study from Taiwan, they found 206 patients with NTS bacteremia over a period of 10 years with 36.2% of patients having an underlying clinical illness. In a study from Bangladesh, they found that NTS accounts for <0.2% of all blood cultures. The immune system of the patient helps in defense against NTS; and hence, immunosuppressed status should be checked in a patient with primary NTS bacteremia. In a study from Poland, they found that half of the patients were immunosuppressed from conditions such as SLE, hematological malignancies, renal transplantation, liver cirrhosis, and HIV infection. It also occurs in patients on steroids, malignancy, chronic renal or liver disease, diabetes, or sickle-cell disease, and elderly and newborn patients. We isolated 18/27 of NTS from blood-seven of them were PUO, one patient with CKD, one with cirrhosis, one with postoperative case of mitral valve replacement, one patient with AML on chemotherapy and seven patients with SLE on steroids. Out of 18, 11 patients had an underlying disorder, but in seven patients, the cause was unknown. NTS can cause local infection of any site by hematogeneous spread even though the bacteremia was successfully treated. It can also occur in patients with structural abnormalities involving cardiovascular system as valvular heart disease, aneurysms or atherosclerosis, urinary tract, and bony abnormalities. Metastatic spread to any site is common with NTS. Focal infections such as cutaneous abscess, arthritis, peritonitis occurs in 21% of patients with bacteremia. We isolated NTS one from pleural fluid in a patient with SLE and other from ascitic fluid in a patient with cirrhosis liver. It was isolated from purulent aspirate in two patients (submandibular abscess from a patient with malignancy and chest wall abscess from a patient with myeloproliferative disorder).
Salmonella septic arthritis is estimated to occur at a rate of 0.1%–0.2%. It usually occurs in immunocompromised, but there have been reports in immunocompetent children., We isolated three cases of NTS from septic arthritis. All of them were immunosuppressed, two patients with SLE and ALL in one patient.
Infection of urinary tract with NTS occurs only when there is occult urinary tract problem or immunosuppression. We had two cases of NTS isolated from urine one from a case of SLE, and other patient is an immunocompetent adult who had a surgery for fracture of femur.
NTS shows an increase in antimicrobial resistance to the newer antimicrobials posing a serious threat to human population. This occurs mostly due to the widespread use of antimicrobials in food of animals. In a study from China, only 9.2% of NTS were susceptible to all antibiotics, and S. weltevreden (47%) and few S. typhimurium (1.5%) showed pan-susceptible, others showing high rates of resistance. In a FoodNet study where they analyzed the incidence of human infections due to S. enteritidis they found that they were highly resistant to ampicillin and nalidixic acid. In our study, 5/27 of the isolates were susceptible to nalidixic acid, but others were resistant. Our isolates were susceptible to all other antibiotics indicating that multidrug resistance was not documented among NTS serotypes collected from our medical center as monitored over a period of 3 years.
As it was a retrospective study, our study had certain limitations. The primary source of NTS could not be traced and also patients could not be followed up for the outcome.
| Conclusion|| |
S. typhimurium is the most common serotype isolated in our study. This study highlights the spectrum of NTS causing extraintestinal infections which is an emerging infection occurring mostly in immunosuppressed individuals. Infections due to NTS is often underestimated in the developing countries like India and accounts for the steadily increase in the proportion of human infections during recent decades. The treatment of NTS is becoming difficult with the increasing resistance to antimicrobials. There should be a high degree of clinical suspicion which would help in the early diagnosis and management of patients.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Sudhaharan S, Padmaja K, Solanki R, Lakshmi V, Umabala P, Aparna B, et al.
Extra-intestinal salmonellosis in a tertiary care center in South India. J Infect Dev Ctries 2014;8:831-7.
Su LH, Chiu CH. Salmonella
: Clinical importance and evolution of nomenclature. Chang Gung Med J 2007;30:210-9.
Gal-Mor O, Boyle EC, Grassl GA. Same species, different diseases: How and why typhoidal and non-typhoidal Salmonella enterica
serovars differ. Front Microbiol 2014;5:391.
Laupland KB, SchÂnheyder HC, Kennedy KJ, Lyytikäinen O, Valiquette L, Galbraith J, et al. Salmonella enterica
bacteraemia: A multi-national population-based cohort study. BMC Infect Dis 2010;10:95.
Feasey NA, Dougan G, Kingsley RA, Heyderman RS, Gordon MA. Invasive non-typhoidal Salmonella
disease: An emerging and neglected tropical disease in Africa. Lancet 2012;379:2489-99.
Hohmann EL. Nontyphoidal salmonellosis. Clin Infect Dis 2001;32:263-9.
Kariuki S, Onsare RS. Epidemiology and genomics of invasive nontyphoidal Salmonella
infections in Kenya. Clin Infect Dis 2015;61 Suppl 4:S317-24.
Shahane V, Muley V, Kagal A, Bharadwaj R. Non-typhoid salmonellosis: Emerging infection in Pune? Indian J Med Microbiol 2007;25:173-4.
] [Full text]
Oommen S, Nair S, Nair K, Pillai S. Epidemiology of non-typhoidal Salmonella
among patients attending a tertiary care centre in central Kerala. J Acad Clin Microbiol 2015;17:12-5. [Full text]
Walsh AL, Phiri AJ, Graham SM, Molyneux EM, Molyneux ME. Bacteremia in febrile Malawian children: Clinical and microbiologic features. Pediatr Infect Dis J 2000;19:312-8.
Galanis E, Lo Fo Wong DM, Patrick ME, Binsztein N, Cieslik A, Chalermchikit T, et al.
Web-based surveillance and global Salmonella
distribution, 2000-2002. Emerg Infect Dis 2006;12:381-8.
Saravanan S, Purushothaman V, Murthy TR, Sukumar K, Srinivasan P, Gowthaman V, et al.
Molecular epidemiology of nontyphoidal Salmonella
in poultry and poultry products in India: Implications for human health. Indian J Microbiol 2015;55:319-26.
Olsen SJ, Bishop R, Brenner FW, Roels TH, Bean N, Tauxe RV, et al.
The changing epidemiology of Salmonella
: Trends in serotypes isolated from humans in the United States, 1987-1997. J Infect Dis 2001;183:753-61.
Thong KL, Goh YL, Radu S, Noorzaleha S, Yasin R, Koh YT, et al.
Genetic diversity of clinical and environmental strains of Salmonella enterica
serotype Weltevreden isolated in Malaysia. J Clin Microbiol 2002;40:2498-503.
Gordon MA, Graham SM, Walsh AL, Wilson L, Phiri A, Molyneux E, et al.
Epidemics of invasive Salmonella enterica
serovar enteritidis and S. Enterica
serovar typhimurium infection associated with multidrug resistance among adults and children in Malawi. Clin Infect Dis 2008;46:963-9.
Kendall ME, Crim S, Fullerton K, Han PV, Cronquist AB, Shiferaw B, et al.
Travel-associated enteric infections diagnosed after return to the United States, foodborne diseases active surveillance network (FoodNet), 2004-2009. Clin Infect Dis 2012;54 Suppl 5:S480-7.
Patrick ME, Adcock PM, Gomez TM, Altekruse SF, Holland BH, Tauxe RV, et al. Salmonella enteritidis
infections, United States, 1985-1999. Emerg Infect Dis 2004;10:1-7.
Suresh T, Hatha AA, Sreenivasan D, Sangeetha N, Lashmanaperumalsamy P. Prevalence and antimicrobial resistance of Salmonella enteritidis
and other Salmonellas
in the eggs and egg-storing trays from retail markets of Coimbatore, South India. Food Microbiol 2006;23:294-9.
Alvarez J, Sota M, Vivanco AB, Perales I, Cisterna R, Rementeria A, et al.
Development of a multiplex PCR technique for detection and epidemiological typing of Salmonella
in human clinical samples. J Clin Microbiol 2004;42:1734-8.
Bangtrakulnonth A, Pornreongwong S, Pulsrikarn C, Sawanpanyalert P, Hendriksen RS, Lo Fo Wong DM, et al. Salmonella
serovars from humans and other sources in Thailand, 1993-2002. Emerg Infect Dis 2004;10:131-6.
Basu S, Sood LR. Salmonella weltevreden
: A sero-type of increasing public health importance in India. Trop Geogr Med 1975;27:387-94.
Antony B, Dias M, Shetty AK, Rekha B. Food poisoning due to Salmonella enterica
serotype Weltevreden in Mangalore. Indian J Med Microbiol 2009;27:257-8.
] [Full text]
Patil AB, Krishna BV, Chandrasekhar MR. Neonatal sepsis caused by Salmonella enterica
serovar Weltevreden. Southeast Asian J Trop Med Public Health 2006;37:1175-8.
Ashok R, Anuradha K, Lakshmi V, Kumar A, Bheerappa N, Sastry RA, et al.
Postcholecystectomy surgical site infection by Salmonella enterica
var. Weltevreden. Surg Infect (Larchmt) 2005;6:449-51.
Le Hello S, Hendriksen RS, Doublet B, Fisher I, Nielsen EM, Whichard JM, et al.
International spread of an epidemic population of Salmonella enterica
serotype Kentucky ST198 resistant to ciprofloxacin. J Infect Dis 2011;204:675-84.
Tasmin R, Hasan NA, Grim CJ, Grant A, Choi SY, Alam MS, et al.
Genotypic and phenotypic characterization of multidrug resistant Salmonella typhimurium
Kentucky strains recovered from chicken carcasses. PLoS One 2017;12:e0176938.
Chiu CH, Su LH, Chu C. Salmonella enterica
serotype choleraesuis: Epidemiology, pathogenesis, clinical disease, and treatment. Clin Microbiol Rev 2004;17:311-22.
Chen PL, Wu CJ, Chang CM, Lee HC, Lee NY, Shih HI, et al.
Extraintestinal focal infections in adults with Salmonella enterica
Serotype Choleraesuis bacteremia. J Microbiol Immunol Infect 2007;40:240-7.
Li CW, Chen PL, Lee NY, Lee HC, Chang CM, Lee CC, et al
. Non-typhoidal Salmonella
bacteremia among adults: An adverse prognosis in patients with malignancy. J Microbiol Immunol Infect 2012; 45:343-9.
Shahunja KM, Leung DT, Ahmed T, Bardhan PK, Ahmed D, Qadri F, et al.
Factors associated with non-typhoidal Salmonella
bacteremia versus typhoidal Salmonella
bacteremia in patients presenting for care in an urban diarrheal disease hospital in Bangladesh. PLoS Negl Trop Dis 2015;9:e0004066.
Brown M, Eykyn SJ. Non-typhoidal Salmonella
bacteraemia without gastroenteritis: A marker of underlying immunosuppression. Review of cases at St. Thomas' hospital 1970-1999. J Infect 2000;41:256-9.
Kedzierska J, Piatkowska-Jakubas B, Kedzierska A, Biesiada G, Brzychczy A, Parnicka A, et al.
Clinical presentation of extraintestinal infections caused by non-typhoid Salmonella
serotypes among patients at the university hospital in Cracow during an 7-year period. Pol J Microbiol 2008;57:41-7.
Gordon MA. Salmonella
infections in immunocompromised adults. J Infect 2008;56:413-22.
Chen YH, Chen TP, Lu PL, Su YC, Hwang KP, Tsai JJ, et al. Salmonella
choleraesuis bacteremia in Southern Taiwan. Kaohsiung J Med Sci 1999;15:202-8.
Lee SC, Yang PH, Shieh WB, Lasserre R. Bacteremia due to non-typhi Salmonella
: Analysis of 64 cases and review. Clin Infect Dis 1994;19:693-6.
Lim LE, Dowdle B, Gardiner D. Nontyphoidal Salmonella
septic arthritis in an immunocompetent child – An atypical presentation highlighting the importance of definitive diagnosis. Infect Dis Health 2017;22:89-91.
Gagnon J, Labbé R, Laroche B. Salmonella
urinary tract infection: A vascular emergency. Can J Surg 2007;50:221-2.
Su LH, Chiu CH, Chu C, Ou JT. Antimicrobial resistance in nontyphoid Salmonella
serotypes: A global challenge. Clin Infect Dis 2004;39:546-51.
Liang Z, Ke B, Deng X, Liang J, Ran L, Lu L, et al.
Serotypes, seasonal trends, and antibiotic resistance of non-typhoidal Salmonella
from human patients in Guangdong Province, China, 2009-2012. BMC Infect Dis 2015;15:53.
Chai SJ, White PL, Lathrop SL, Solghan SM, Medus C, McGlinchey BM, et al. Salmonella enterica
serotype enteritidis: Increasing incidence of domestically acquired infections. Clin Infect Dis 2012;54 Suppl 5:S488-97.
[Table 1], [Table 2], [Table 3]


text:
New Holiday Severing Pieces- Free Shipping on orders over $150.00
This essential and irresistible collection is inspired by many iconic Hollywood stars. This collection is handmade, all stones are cut and faceted by hand, each piece is unique. Green Dangle Gemstones Stud Earrings
Your wishlist has been temporarily saved. Please Log in to save it permanently.

domain: artistic


1. CALL TO ORDER
a. PLEDGE OF ALLEGIANCE led by Assembly Member Patty Gilbert
b. INVOCATION to be given by _________________________
c. CEREMONIAL MATTERS – Community Presentations, Proclamations, Awards, Certificates of Service, Guest Introductions.
i. Municipal Clerk’s Week (May 6-12, 2018)
2. ROLL CALL
3. PERSONS TO BE HEARD – This agenda item is reserved to provide an opportunity for persons to address the assembly on agenda
items or non-agenda items.
4. AMENDMENTS TO THE AGENDA – The assembly may amend the agenda as provided in WMC 3.05.030(E). Removal of an item
from the Consent Agenda is not considered an amendment to the agenda.
5. CONFLICT OF INTEREST – The purpose of this agenda item is to provide a time for any conflict of interest disclosures and
determinations on such disclosures by the mayor, as may be necessary and appropriate under WMC 3.04.112.
6. CONSENT AGENDA –Items listed on the Consent Agenda or marked with an asterisk (*) are considered routine and will be passed in
one motion; provided, upon the request of any member, the manager, or the clerk, an item on the Consent Agenda shall be removed from the Consent Agenda
and placed under New Business for assembly action.
Consent Agenda Items:
a. Approval of Assembly Minutes – April 10, 2018 (Regular w/PH) & April 12, 2018 (Special)
b. POA-2018-00135 Application for a Permit with Dept. of the Army for a Driveway and Pad from
c. School Board Minutes –School Board Action –
7. BOROUGH MANAGER’S REPORT
8. BOROUGH CLERK’S FILE
9. MAYOR AND ASSEMBLY BUSINESS – This agenda item is reserved for the mayor and assembly to provide reports or
comments and to introduce items not previously on the agenda which need to be brought to the attention of the entire assembly or the staff. Assembly
members may hold limited discussion on these topics or ask the borough manager or the borough clerk for clarifying information. By majority consent of the
assembly, the mayor or assembly may give direction to the borough manager or the borough clerk to add an item for consideration for the next regular
assembly meeting. Other than as described in this subsection I, no action may be taken by the assembly under this agenda item.
10. MAYOR AND ASSEMBLY APPOINTMENTS – None.
11. PUBLIC HEARING – Procedure: Persons wishing to speak during a public hearing on an agenda item, or otherwise on an agenda item,
will sign up on a sheet provided by the clerk and list the agenda item they intend to speak on. Persons on the list will be called by the mayor to speak in the order in which they signed up for the agenda item, when that item is brought up for consideration, following any administrative or committee reports on the
12. UNFINISHED BUSINESS
a. PROPOSED RESOLUTION No. 04-18-1404: A RESOLUTION OF THE ASSEMBLY OF THE CITY AND
BOROUGH OF WRANGELL, ALASKA PROVIDING FOR THE AMENDMENT OF THE JOB DESCRIPTION
FOR THE POSITION OF GROUNDMAN/METER TECHNICIAN AND THE AMENDMENT OF THE
UNION WAGE AND GRADE TABLE
13. NEW BUSINESS
a. Approval of Amendment to a Contract Zone Agreement, Previously Approved, for Lot A and Lot A1A
Torgramsen-Prunella Subdivision, Zoned Commercial and Single Family Residential
b. PROPOSED RESOLUTION No. 04-18-1408 OF THE ASSEMBLY OF THE CITY & BOROUGH OF
WRANGELL, ALASKA AMENDING THE FY 2018 BUDGET BY ACCEPTING SECURE RURAL SCHOOLS
AND COMMUNITY SELF DETERMINATION ACT OF 2000 FUNDING ASSISTANCE IN THE AMOUNT
OF $24,000 FROM THE USDA FOREST SERVICE FOR BIRD EDUCATION AND THE PROMOTION OF
BIRDS DURING STIKINE RIVER BIRDING FESTIVAL FOR 2018 – 2020 AND AUTHORIZING ITS
c. PROPOSED RESOLUTION No. 04-18-1409 OF THE ASSEMBLY OF THE CITY AND BOROUGH OF
WRANGELL, AMENDING PERSONNEL POLICY SECTION 105, EMPLOYMENT OF RELATIVES, TO
CHANGE THE DEFINITIONS OF RELATIVES AND TO PROVIDE FOR BOROUGH MANAGER
APPROVAL AND PROVIDE FOR AN EFFECTIVE DATE
d. PROPOSED RESOLUTION No. 04-18-1410 OF THE ASSEMBLY OF THE CITY AND BOROUGH OF
WRANGELL, ALASKA TO ADD THE PUBLIC WORKS ADMINISTRATIVE ASSISTANT TO THE NONUNION
WAGE AND GRADE TABLE AND PROVIDE FOR AN EFFECTIVE DATE
e. INTRODUCTION OF ORDINANCE No. 946 OF THE ASSEMBLY OF THE CITY AND BOROUGH OF
WRANGELL, ALASKA, AMENDING SUBSECTION 14.11.005(CC), FEE SCHEDULE, CRUISE SHIP
SECURITY FEE, OF THE WRANGELL MUNICIPAL CODE (first reading)
f. INTRODUCTION OF ORDINANCE No. 947 OF THE ASSEMBLY OF THE CITY AND BOROUGH OF
WRANGELL, ALASKA, AMENDING SECTION 3.05.050, TELECONFERENCING, OF THE WRANGELL
MUNICIPAL CODE, ASSEMBLY – RULES OF PROCEDURE (first reading)
g. Approval of the Senior Tax Exemptions that were received after the March 1st Deadline, but before
the Late Filing Grace Period
h. Approval of the Property Tax Foreclosures List for Tax years 2013 through 2017, and Authorization
to begin the Official Foreclosure Process
14. ATTORNEY’S FILE – Available for Assembly review in the Borough Clerk’s office
15. EXECUTIVE SESSION – Procedure: Motion is made and voted upon. If adopted, executive session is held. If necessary, action is taken in
public session following the executive session. If there is more than one executive session topic, each topic will be handled completely separate from the other.


text:
Ad Blocker Detected
Our website is made possible by displaying online advertisements to our visitors. Please consider supporting us by disabling your ad blocker.
Snow fell on the highest peaks around the San Francisco Bay Area early Sunday, and there’s more fresh powder on the way with the potential for snow flurries in inland valleys next week, the National Weather Service said. Mount Diablo in the East Bay could see over 6 inches of snow Sunday through Tuesday.
“Through the next three days or so, the precipitation that falls is most likely going to be in the form of snow on those higher peaks,” said Roger Gass, a forecaster with the weather service. “We see an increase in precipitation tonight into tomorrow as that cold front moves through the region on Monday.”

domain: geography


text:
SAN ANTONIO, Texas (March 13, 2011) – Texas Farmers Union (TFU) President Wes Sims was given the Award for Meritorious Service to Farmers Union by National Farmers Union (NFU) at NFU’s 109th annual convention in San Antonio, Texas.
“Wes deeply, deeply believes in Farmers Union, what it stands for and what we fight for,” said NFU President Roger Johnson. “There’s just no one who better represents family farmers and the need to fight for family farmers.”
Sims has served as president of TFU since 1996.
“Wes has worked faithfully for the common good of family farmers, rural people, and rural communities his entire career,” said Johnson.
The Award for Meritorious Service to Farmers Union is designed to recognize individuals or families that have made a significant contribution to the betterment of family farmers and rural citizens through their involvement in national and international agriculture issues.
National Farmers Union has been working since 1902 to protect and enhance the economic well-being and quality of life for family farmers, ranchers and rural communities through advocating grassroots-driven policy positions adopted by its membership.
|Texas Farmers Union, P.O. Box 738, Sweetwater, Tx 79556|

domain: economics


text:
Priyanka Chopra and Nick Jonas
LAST UPDATED : Aug 01, 2019, 09:24 PM IST
- Watch: Priyanka Chopra blushes as husband Nick Jonas says 'I love you' during their first public appearance
After four long days of wedding festivities and merriment, Priyanka Chopra and husband Nick Jonas made her first appearance as a married couple on Monday evening, as they headed to Delhi for their reception.
- Nick Jonas caught face-timing wife Priyanka Chopra in this adorable picture
Priyanka Chopra and Nick Jonas have become the couple, who have been redefining love with their impeccable chemistry which is quite evident whenever they step out together. Not only that but the two have also raised her social media presence and pictures of the two from their exotic vacations go viral within no time on the internet.
- Watch: Priyanka Chopra and Nick Jonas’ families compete in a cricket match
Priyanka Chopra and Nick Jonas are one celebrity couple who sure knows how to have fun. Be it their week-long wedding itinerary, or the cool items on their gift registry, this star couple is making sure their nuptials is as memorable for their guests, as it is for them.
- Priyanka Chopra’s heartfelt thanks to her in-laws for taking her as daughter will melt your heart!
Sharing a photograph of herself along with her father-in-law Paul Kevin Jonas on Instagram on Father's Day, Priyanka Chopra wrote, “Happy Father's Day @papakjonas I feel blessed to have you and @mamadjonas in my life! Thank you for taking me in as your daughter with so much love and warmth. Love you loads. Happy Father's Day."
- Priyanka Chopra reveals that she had planned for a small wedding with Nick Jonas
Nick Jonas and Priyanka Chopra are one of the most adored couples in the world and their pictures on social media prove that they are head over heels in love. Not only that but the two often treat fans with PDA moments on prestigious red carpets.
- After attending Nick Jonas' first concert, Priyanka Chopra leaves Miami in style!
Priyanka Chopra was in Miami to attend the first concert of Jonas Brothers' 'Happiness Begins Tour'. Pictures and videos of actress cheering for her hubby Nick Jonas and dancing along with Sophie Turner and Danielle Jonas at the concert have surfaced over the internet.
- Priyanka Chopra and Nick Jonas sell off their LA pad
Priyanka Chopra and Nick Jonas are one of the most adored couples. Their pictures on social media prove that they are head over heels in love and dish out major couple goals for their fans across the globe. Recently, there's a buzz that 'Cool' singer has sold his lavish bachelor pad in Beverly Hills exclusive post office neighborhood for a whopping $6.9 million.
- Nick Jonas' father shares an adorable picture of Priyanka Chopra and with his wife Denise Jonas
Priyanka Chopra shares a close bond with her hubby Nick Jonas' family. Their social media feed is proof of the same. And now, we have one more photo, which validates that even Nick's mom and dad love the Bollywood beauty a lot.


text:
Does physiotherapy help with vertigo?
Whether you’re experiencing vertigo for the first time or have been living with it for years, the symptoms can be so overwhelming that it’s hard to imagine what life would be like without them.
We have good news! There’s hope: Physiotherapy for vertigo can help patients by improving balance and posture, reducing pain, and increasing mobility with vertigo exercise regimens.
In this article, our specialists at OAK Physio & Wellness in Oakville, ON, delve deeper into the subject by showing exactly how physiotherapy can help patients with vertigo manage their symptoms.
What Is Vertigo?
Vertigo is a common dizzy-like condition that causes a sensation of spinning or rocking accompanied by a loss of balance.
Several factors can cause vertigo.
Some of these include:
- A problem with the inner ear (the vestibular system)
- Nerve damage from a head injury or stroke
- Dehydration or low blood pressure
- Migraines, anxiety attacks, and panic attacks
Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo, abbreviated as BPPV, is a form of vertigo commonly occurring in people over 70 years. It affects women more than men.
When small crystals inside the ear move into fluid-filled canals (known as semicircular canals), they alter the fluid flow in these canals, causing this type of vertigo.
Patients feel dizzy when they lie down, look up, bend forward, or roll over in bed and often describe the room as spinning.
How Does Physiotherapy for Vertigo Help These Patients?
Vertigo can make it difficult to stand up and walk, so it’s important to seek medical help if you are experiencing vertigo. Physiotherapy can help patients suffering from vertigo in several ways. Here are just a few.
It can help improve balance and posture
Physiotherapists work with patients to improve their balance and posture through exercises. Physio for vertigo moves ear crystals out of the canals and into their correct structure, improving balance. It also challenges the muscles, building strength and promoting better balance.
Exercises include standing on one foot while reaching out in front of you, trying to keep your eyes on a target while standing on unstable ground, or walking in a circle while holding onto something for support.
It can reduce the stress on the body that vertigo causes
Physiotherapy can reduce vertigo-induced stress and anxiety, which elevate hormones like cortisol. These hormones can impair the function of your vestibular system that controls balance. By reducing stress and anxiety, your body can focus more on healing rather than having to deal with stress on top of everything else in your life.
It can reduce pain
Physiotherapists work with patients suffering from vertigo to reduce pain caused by muscle tension or stress on the body’s joints. This type of treatment, called “manual therapy” or “soft tissue mobilization,” involves the therapist working with muscles and soft tissues in your body to reduce tension and increase flexibility.
Contact Our Dizziness and Balance Clinic to Learn More About Vertigo Physiotherapy Treatment
Is vertigo getting you down?
At OAK Physio & Wellness, we offer physiotherapy vertigo treatments as one way to help reduce dizziness and balance problems. We also offer other treatment options for vertigo, including vestibular rehabilitation therapy.
Our dizziness and balance clinic is in Oakville at Hays Boulevard, so contact us today at 289-725-0241 to schedule an appointment with one of our physiotherapists.


I mean obviously it’s a good thing if everyone’s moving more. Those who decamped to the country during lockdown and have Discovered Nature, those who want to avoid public transport, those who just want to escape the dog-eat-dog world of cycling – power to us all. But now that everyone’s at it, it’s all getting a bit competitive and kit-obsessed. The beauty of walking is that apart from proper walking shoes/sandals (proper, as in woefully unattractive), and breathable socks, you don’t need anything special, apart from common sense.
The nouveau walkers, however, are stocking up on their 65-litre Osprey Ariel rucksacks and Platypus Hydration packs – vital if you’re hiking from Land’s End to John O’ Groats. Less so for an amble through Richmond Park. And they’re piling on the evangelism. On they go about how compatible walking is with the body’s natural bio mechanics. We knew that. How meditative we knew that too. And how it burns calories if you do it properly. (A rule of thumb is around 65 calories per mile if you’re around 120 lbs. But so much depends on pace and terrain. If you're serious in this, you can download the Walking for Weight Loss app).
In the nouveau walker’s paradigm, it’s not enough to mooch along looking at butterflies. You have to turn each step into what the Mayo Clinic calls a Fitness Stride. With poles. Actually, poles are a must up hills and down dales (I swear by Leki’s foldable ones). But again, not on the walk to the pub.
I would never belittle the benefits of walking. It does all the above, and all of the following: improve circulation, strengthen bones and prevent bone loss, build muscles and slow mental decline. A study of 6,000 women, aged 65 and older, by researchers at the University of California, found that age-related memory decline was lower in those who walked more. You don’t have to go on a marathon. The women studied walked 2.5 miles per day and experienced a 17 per cent decline in memory, as opposed to a 25 per cent decline in women who walked less than half a mile per week. Walking is unarguably the cheapest form of physical and mental therapy ever.
Plus there is no better way to discover the nooks and alleys of any town or city. During lockdown it has – yes, I’m a cliché – become a non-negotiable, end of my day quasi-religious experience. The nagging pain that plagued my sacroiliac for years and necessitated monthly check-ups with the osteo has almost disappeared. But if you want to see the benefits on hair, muscle tone and complexion, look at Princess Anne, who, her children told us this week, never goes near a gym, but walks the dogs and rides.
There are a few other basics: layers are de rigueur. By the end of an average walk you may need to peel down to something sleeveless. I’ve been testing Commando’s new range of vests and underwear and it’s extremely comfortable. Waterproof trousers make no-go days a doddle (with the right clothes walking in the rain is invigorating).
Sandals, £90, Ecco; Wax parka, £350, Troy London;Cargo trousers, £29.50, Marks & Spencer; Pale blue shirt, £35.60, The White Company; Camisole, £50, Commando at Matches Fashion; Hiking trousers, £56, Mammut; Rib socks, £18, Grenson; Backpack, £195, Away; Straw hat, £79, Hush at John Lewis
Also required: a lightweight, breathable waterproof, and for walks of four hours or more, a strong backpack that’s not too big, but can hold lunch if the pubs are closed. Don’t be tempted by shorts – good for the tan, terrible for the brambles. And socks. Always. Now that I’ve finally discovered the right kind (Women’s Lifestyle Coolmax Merino No Show, £16, Icebreaker) my feet are no longer dotted with blisters. You have to wear them with sandals of course, that’s fashionable. But then you knew that too.
Lisa Armstrong's column appears each Saturday in The Saturday Telegraph and is published online every Saturday at 7am on Telegraph Fashion.


text:
Click play to meet Jay Talker Wayne and join us on the tip-most top of one of New England’s most impressive peaks.
Rough seas were a major concern during Hurricane Sandy’s approach, as Massachusetts’ coastal towns prepared to take the worst of the storm.
A large tree was uprooted in West Newton Monday night, tearing down power lines and landing on a nearby car.
The powerful winds from Hurricane Sandy tore part of the roof off a condominium complex in Waltham, leaving 25 families displaced.
Mitt Romney is trying to contain the political fallout of an unauthorized video of him telling donors that almost half of all Americans “believe they are victims” entitled to extensive government support.
Here are some a few players Levan Reid doesn’t expect to see in tonight’s preseason game against the Philadelphia Eagles.
Robert Kraft was quick to explain himself on Wednesday afternoon, issuing a statement to WBZ-TV.
New England Patriots owner Robert Kraft is joining Tom Brady and Rob Gronkowski as one of many Patriots with a video that’s gone viral.
A family in Tyngsboro knew their birdfeeder was attracting something large and hungry, but they wanted proof.
The Lynn mother who became an online sensation for running out onto the ice during a hockey brawl is now telling her story.


text:
Geyer French Horn Mouthpiece Cup Underpart
Add a note to encourage purchase
Copy of a traditional Carl Geyer original. It shares the essential characteristics of the Osmun Chicago cup in a shallower form.
- 650" (16.5mm) diameter at the joint where the cup and rim meet
- inch threads are .750-36 threads, compatible with almost all American-made screw rim mouthpieces
- US standard shank
- bright silver plated cup only
NOTE: If you can't add the product to the shopping cart it is currently unavailable.


text:
BLACK VIN. REDUCTION
4 cups Red Wine Vinegar
1.5 cups Brown Sugar, dark, well packed
3/4 cup Raisins
1. Stir vinegar and brown sugar in a sauce pot. Bring to a boil, reduce to a simmer and allow to simmer until reduced by 2.5 cups.
2. Chop coarsely and add raisins.
3. Continue simmering until the whole thing is reduced to 2 cups.
4. Finished reduction should be glossy, thick, black and sexy.
Interesting History & Trivia:

domain: food


Social Media / Facebook/ Self-Care
Why I’m Leaving Facebook
“Your heart knows the way, run in that direction – Rumi”
My reason why
I’ve had a hate-love-hate relationship with Facebook for a long time now.
I actually can’t remember the last time I used my personal Facebook account, and my business page is currently home to tumbleweeds.
After almost of decade of trying to make Facebook work for my business I am ready to throw in the towel. By giving myself permission to do this, I feel quite liberated.
So what’s changed?
- I have
- Facebook has
- You have
- Everyone has
- The world has
Yeah I got a bit dramatic there
My Social Media Behaviour Today
I think it’s really important to address how and why I have changed.
Over the past year, I’ve become very aware of the toxicity of some social media platforms.
Inside Facebook, I don’t have to scroll for long before I see something that cranks up my anxiety to Defcon 1.
As a result, I no longer scroll as a habit, and I avoid the Facebook newsfeed altogether. I’ve even removed the FB app from my phone to prevent *Anxiety Scrolling
*Anxiety Scrolling – The process of scrolling social media newsfeeds to distract from current feelings of anxiety only to feel worse because of the content found ‘on the scroll’
During the past year, I’ve found things like mobile phone notifications very stressful and have turned them off where possible.
By personal choice and for my own mental health, I’ve become very limited in my activity on Facebook.
"The Facebook newsfeed cranks up my anxiety to Defcon 1"
As a small business owner on Facebook, I am increasingly frustrated with spending time creating content that is only seen by 1% of my followers.
As a result, I’ve lost trust and faith in it being a good place to spend my time.
Everyone else’s behaviour, including yours
If I’ve retreated from the toxicity of the Facebook newsfeed then it stands to reason that I am not alone.
We are all a bit rung out from fake news, distraction media, comparison anxiety and the fear of missing out.
I feel that we are all realising that we need to take more breaks from social media to support our mental health and wellbeing.
What Do I Plan to Do Next?
To start with I plan to:
- Continue to stay away from the Facebook newsfeed
- Only use Facebook for Groups (which I talk about in a moment)
- Use Instagram for my business on two accounts @themagickalcreatrix and @lunar_stag_oracle
- Keep my Facebook Business Page open (as it’s connected to my IG), and share new blogs and important announcements only as I move away from the platform entirely.
- Make blogging and email my primary form of keeping in touch with you.
"My goal is to create more and stress less!"
Poof! Will I Vanish Off the Face of the Earth?
Absolutely not. In fact, I’m hoping quite the opposite.
By focusing on blogging and Instagram only, I expect to have the capacity to create even better content for you to get your teeth into. You’re just going to have to follow me in a different way that’s all.
Let’s talk about my blog
I have to hold my hands up and say that I’ve neglected to blog for well over a year now.
One big reason for this was the amount of time I was losing on social media. And the other big reason has been a lack of interest in things due to the stress of the pandemic.
It’s taken me this long to make this move as I felt trapped after hanging out on Facebook for my business for so long.
I want to share more personal, supporting and inspiring content with you.
I want to teach about lunar astrology and working with the Moon while showing you how this shows up in my own life.
I want to inspire you to get creative, journal, make big changes and explore who you are deep down inside.
And I fully believe that my blog is the way that I can deliver this to you.
"I want to blog about the things that can change our lives for the better"
What about Facebook Groups
I said I would mention Facebook groups and this is the trickiest part of the whole thing for me.
I have used Facebook groups to host my communities connected to the courses I create and join. And although I’ve fallen out of love with Facebook, groups do have advantages.
I still use a Facebook group for The Magickal Moon Empowerment Portal which is my monthly subscription membership all about connecting with yourself using the lunar energies as your guide.
This is something that won’t change for the foreseeable future as it works really well. However, I have added a forum into the private membership area which means members don’t need to be on Facebook to get access to myself and the other members of the community.
I’ve also started hosting my live events for the portal in Zoom rather than Facebook live which opens things up to a lot more people which is very exciting.
Is it just me?
I thought there was something wrong with me for feeling so strongly about my need to come away from Facebook. However, it turns out it’s not just me.
Leonie Dawson has recently quit all social media, not just Facebook, and her reasons are amazing. In her blog Why Me & My Business Don’t Do Social Media Anymore she details the benefits of her social media detox and the move to quit social media for good. Her blog is a long but valuable read.
Kelly Mae Roberts talks about How Quitting Social Media is Changing Everything For Her over on her blog. I loved hearing about this journey from a creative. Again her focus was on health, wellbeing and creativity.
How can we stay connected?
If you want to continue to hear from me regularly and follow my creative and spiritual journey to help inspire your own personal growth and development then here’s how:
How do you feel about social media?
- I would love to know your thoughts on this topic. Come and share them with me in the comments section below or email firstname.lastname@example.org


text:
Your Young ones will appreciate watching a playful Ranbir Kapoor dancing to this music. The music is lovable too, quite literally meaning “error by miscalculation.”
These songs that won't only instruct them new Hindi text, but also provide them with a chance to groove to some common desi tunes at another party. It may even enable them bond with relatives and buddies users.
Dance in India comprises quite a few variations of dances, commonly categorised as classical or folk. As with other components of Indian lifestyle, unique varieties of dances originated in several elements of India, produced based on the regional traditions and in addition imbibed aspects from other aspects of the state.
The Vedas combine rituals with functionality arts, for instance a spectacular Participate in, where don't just praises to gods ended up recited or sung, although the dialogues had been Element of a spectacular representation and discussion of spiritual themes. The Sanskrit verses in chapter 13.
These dances are composed totally on domestically manufactured devices. Percussion devices function in Many of these dances. Music is made as a result of indigenous instruments. Tunes way too has its have range in these tribal dances While using the aesthetics ranging from delicate and comforting to sturdy and weighted rhythms.
WedMeGood is surely an Indian Wedding day Scheduling Website and application the place you will find the most effective wedding day sellers, with costs and testimonials at website the clicking of the button. Whether you are planning to use marriage ceremony planners in India, or in search of more info the highest photographers, or just some Thoughts and inspiration to your marriage.
Get an e mail notification Every time somebody contributes for the dialogue Notifications from this discussion will probably be disabled. Terminate
Bollywood songs are cherished by virtually Every person; irrespective of age. In the previous few yrs, we’ve also observed its reputation expand while in the West. You’d be surprised by the quantity of nightclubs around Participate in Bollywood social gathering anthems.
We hope that you want our picks of the best Bollywood Dance figures. If we’ve missed any of your favorite tunes, be sure to do let's know so we could increase them to our list. Until then, satisfied shaking a leg!
Dances in Indian movies like Bollywood Dance for Hindi films, will often be noted for freeform expression of dance and keep an important existence in common culture of your Indian subcontinent.
Employing Gaana Application – If you use this music app, you’d realize that it’s at this time one of the better music apps in India.
A handful of of these also have songs, both sung by themselves or by onlookers. The costumes differ from common saris of a particular pattern to skirts and blouses with mirror operate for Women of all ages and corresponding dhotis and upper-don for men. They celebrate modern day situations, victories and are sometimes executed to be a manner of appeasing the tribal deities.
The origins of dance in India go back into The traditional situations. The earliest paleolithic and neolithic cave paintings like the UNESCO planet heritage site at Bhimbetka rock shelters in Madhya Pradesh reveals dance scenes.
But that’s just what exactly we’re here for! We’ve completed all the home get the job done so you can only more info include them on your playlist; be it for ‘Sangeet’, a celebration, an Workplace get-jointly, or even a dance effectiveness at your school or Culture.


The pregnant Keeping Up with a Kardashians existence star — who is expecting her initial child with her NBA boyfriend Tristan Thompson — seemed on Ellen DeGeneres‘ daytime program, The Ellen DeGeneres Show, to speak about her baby on a way.
“At a beginning, a initial trimester is a misfortune and no one knows you’re profound nonetheless and we feel a many uncomfortable,” Kardashian pronounced about feeling ill during her pregnancy. “I consider once people know you’re pregnant, we get all a excuses. Hopefully we demeanour pregnant, not only fat. It’s tough for me to breathe right now.”
Adding, “I’m gonna try to not wear maternity garments as prolonged as possible.”
Want all a latest pregnancy and birth announcements, and luminary mom blogs? Click here to get those and some-more in a PEOPLE Babies newsletter.
And being worried has zero to do with wearing curve-hugging clothing.
“The baby is on all my viscera so we get out of exhale only from walking,” she said.
As for because she chose to announce a baby news on Instagram, Khloé told DeGeneres: “I only wanted to do something myself and write something that was heated for me. I’ve wanted to have a baby for so prolonged it’s only a ideal timing. God always has a devise and we only wanted to do it on my time and when we felt gentle to do so.”
A post common by Ellen (@theellenshow) on Jan 3, 2018 during 6:19pm PST
Thompson is already a father to 1-year-old son Prince Oliver with his ex-girlfriend Jordan Craig.
“[He’s] such a good dad,” Kardashian pronounced of her beloved of over a year. “He’s so good only during pregnancy and he creates me some-more vehement too. I’m excited.”
In fact, she pronounced Thompson has been “milking” a pregnancy “for all he can,” including magnetism cravings. “Mainly Jamaican food, it’s only an excuse. He loves chocolate chip cookies. Like bundles of them.”
Multiple sources formerly reliable to PEOPLE that Khloé, 33, and Thompson, 26, are expecting a baby boy.
And with a baby on a way, Kardashian also hopes she’ll marry Thompson one day.
“I wish so, we’re not in any rush for that,” she told DeGeneres. “As we know I’ve rushed utterly a few things before,” Kardashian added, subtly referring to her ex-husband Lamar Odom, whom she married only one month after they met in 2009.
“Right now, I’m so amatory a place I’m in and really happy with how things are going. We speak about it for sure,” she pronounced of restraining a tangle with Thompson. “What’s meant to be will be.”
Since confirming her pregnancy news final month with a black-and-white photograph of her possess hands and Thompson’s wrapped around her unclothed stomach, she’s been sharing updates with fans — and showing off her baby bump! — ever since.
On Tuesday, she took to Instagram to share a print of herself cradling her flourishing belly in a skintight black dress, captioning it: “Officially 6 months.”
And as she gets closer to her due date, Kardashian is some-more dynamic than ever to stay healthy now that she’s going to be a mom.
“Being pregnant, it’s a whole opposite form of self-care. we still practice to say my reason and also to feel good about myself, yet my workouts are not as heated as they once were,” she said on her website and app.
“I’m also eating differently — of course, we have cravings, yet we wish to make certain I’m provision my baby with a correct nutrient. I’m focused on being healthy mind, physique and essence for myself and a baby. But, man, we can’t wait to be a savage in a gym already, LOL!”
Meanwhile, her younger sister Kylie Jenner has been heading a some-more low-key life given news pennyless in Sep that she’s expecting her initial child with boyfriend Travis Scott. Kylie has nonetheless to endorse her pregnancy publicly.
From not appearing in family photos (including a Christmas card!) some-more frequently to refraining from amicable media, Jenner has kept out of a open eye by adhering tighten to her residence in Calabasas.
“Kylie wants to keep a low profile,” a source formerly told PEOPLE in October.
“She feels good, yet her physique is changing,” a source added. “She doesn’t wish to be photographed. At a moment, she wants some-more privacy. She has family and friends come to her residence instead so she has company. She’s really vehement about a baby, though. She talks about a baby nonstop.”
Another insider told PEOPLE last month that Kylie is “only guileless her closest friends and her sisters right now.”


text:
VIOLET THE BUNNY 2 PACK DIE-CUTS #V001
💌 She's taken the Patreon Club hearts by storm! This super cute bunny is perfect to decorate any card, planner, calendar or just as a keepsake.
💌 Measurements - small die-cut measures approx 2" x 2.5". Large die-cut measures approx 2.5" x 3"
💌 Material - Our stickers are die-cut and printed on a PREMIUM Matte Adhesive Paper (known in the trade as “ #unicornpaper “ ), which means that all the stickers are non-removable once placed and have a silky smooth matte finish. (They feel delicious!)
💌 Any and all accessories or props that are seen in the image are not included, & multiple variations (if shown) are for display purposes only.
💌 this listing is for ONE (1) PHYSICAL pack of 2 die-cut stickers only.
💌 YOU are responsible for reading ALL shop policies, FAQ’s & description of processing times before purchasing.
💞 Become a Patron to receive monthly Coupon Codes, Sneak Peeks, exclusive printables & snail mail! http://patreon.com/socialvibetribe
💞Your support means the absolute world to me! *group squishy hugs*

domain: hobby


text: It is one am and i just found out that a credit card I have had for years and carry a small balance on has an interest rate of 22%. When did that happen? I have two others at 11.9 and 9.9%. I paid that baby off asap. Check your credit cards monthly. I don't know how long I've been paying that rate, but I always pay larger than the minimum payment and somehow they crept that baby up there. Beware. It was Capital! What's in your Wallet? It is a Loews card but Capital is who I pay it to. I called tonight to get the interest rate, and when he said the percentage I made him repeat it. Then, I told him "goodbye." Hung up and hit the savings account. If you have a Capital card, watch out.


Almost 100 pieces. State Music Publishers, Moscow edition.
Old Town Music Company
The best selection of sheet music -- both classical and pop -- in Southern California. We also carry a wide variety of woodwind, brass, band, and string instruments for sale or rent . A large selection of guitars, recorders, and world music instruments more..


Man accused in Wisconsin parade deaths pleads not guilty
WAUKESHA, Wis. (AP) — A Milwaukee man accused of killing six people and injuring dozens more when he drove an SUV through a suburban Christmas parade is pleading not guilty to multiple criminal charges.
Thirty-nine-year-old Darrell Brooks Jr. entered the pleas Friday to 77 charges, including six counts of homicide and multiple counts of reckless endangerment.
Last month, court Commissioner Kevin Costello said prosecutors had presented "ample" evidence to show Brooks probably committed felonies and ordered him to stand trial.
Brooks’ attorney has maintained that he couldn’t turn off the parade route Nov. 21 in downtown Waukesha because side streets were barricaded and full of spectators.


text:
Galapagos Educational Event
Saturday, May 16, 2015 at World Golf Hall of Fame
Please Note: This event is from 2015.
The Galapagos 3D Educational Event offers children an opportunity to learn about Florida sealife. The Sea Turtle Conservancy, Marineland, and Jax4Kids will be on sight with information about each organization. Kids and parents alike participate in interactive demonstrations, giveaways, and activities.
At 10:30 a.m., families can watch a showing of the new film, Galapagos 3D. The aquatic educational film allows viewers to learn about giant tortoises, marine iguanas, penguins, and many more exotic animals. Movie tickets must be purchased, but the rest of the event is free.
Admission: Event is FREE, movie is $6 for kids, $8.50 for adults.
When? Saturday, May 16, 2015 from 10:00 a.m. to 12:00 p.m.
Where? At the World Golf Hall of Fame IMAX Theater located at One World Golf Place, St. Augustine, Fl 32092


text:
921 E Ballantrae Drive Shelton, WA 98584
- 2 Beds
- 2 Baths
- 1800 sq.ft.
Lake Limerick located in Shelton WA (Mason County)
Lake Limerick Country Club. Lake Limerick Country Club is a private community located near Shelton, Washington, (Mason County) with over 1100 homes and recreational lots.
See a market report for Lake Limerick.
The community has many amenities: A 9-hole golf course and pro shop with a cafe is open to the public. Lake Limerick Golf describes their golf course as: "a quiet and picturesque course, with excellent greens, primarily surrounded by fir trees. Not infrequently, you may see deer or raccoons. Some homes are built along the course's edge. It is a challenging and fun course in a beautiful setting. It is an easy to walk course, with gentle hills and some sand."
An Inn with a members-only restaurant and bar. Lake Limerick has seven private parks, many with picnic facilities and some have boat access and play equipment. The community also has a Great Hall at the Inn. The Great Hall overlooks Lake Limerick and is available for weddings, receptions, birthdays, anniversaries and many other gatherings. Come to Mason County and visit Lake Limerick and all its amenities in Shelton WA.
This property search is part of the


text:
Latham hispanic singles
Household types in latham, kansas (city) household types#1 percentage of households scope: households in kansas and latham latham kansas 0% 10% 20% 30% 40% 50% count married 1 single. By selecting your store below you'll see just the products they carry. Jag construction & remodeling is located in latham, new york this organization primarily operates in the general remodeling, single-family houses business / industry within the construction. The opportunities of shifting demographics & consumer preferences. Latham park / owen center is a rural neighborhood (based on population density) located in roscoe, illinois latham park / owen center real estate is primarily made up of medium sized (three.
Latham's best 100% free latin dating site meet thousands of single latinos in latham with mingle2's free latin personal ads and chat rooms our network of latin men and women in latham is. Faith focused dating and relationships browse profiles & photos of new york latham catholic singles and join catholicmatchcom, the clear leader in online dating for catholics with more. The number of people per household in latham (zip 65050) is 38, the us average of people per household is 26 family in latham (zip 65050) - 670% are married - 38% are divorced - 557.
Find love in latham with free dating site benaughty online dating in latham for single men and women. Latham town center is a suburban neighborhood (based on population density) located in latham, new york real estate in the town center of latham, ny is primarily made up of medium sized. Want to meet attractive singles from latin america join latamdate today and start browsing or chatting with thousands of latin singles. Use the previous and save/next buttons to go backward and forward do not use the browser's navigation arrows.
Find good looking singles in latham online at date who you want latham is a hotspot for good looking singles, and datewhoyouwant is the place to find them online connect with someone. Forget about dingy bars or seedy nightclubs, interracialdatingcentral makes it simple for you to find and meet women in latham online all you need to do is open an account today it truly. We found 50 addresses on miller rd in latham, ny 12110 find out who lives here, home owner information, property tax, mortgage records and much more. Meetups in albany these are just some of the different kinds of meetup groups you can find near albany sign me up let's meetup all meetups meetups with friends arts beliefs book clubs. Leanin esc, latham, new york 23 likes peer support, knowledge sharing, learning we meet on the first monday of every month we want to lean in and.
The average household size is 24 people 1667% of people are married, with children 333% have children, but are single race in latham, kansas 8661% of people are white, 000% are. Latham, ny pop-facts: demographic quick facts 2012 report radius 1: 231 wade road ext, latham, ny 12110-1855, aggregate radius 2: 231 wade road ext, latham, ny 12110-1855, aggregate. Sold: 4 bed, 2 bath, 1346 sq ft house located at 2928 w latham st, phoenix, az 85009 sold for $185,000 on jul 31, 2018 mls# 5787652 what an amazing remodel near vibrant downtown phoenix. Our network of latin men and women in latham is the perfect place to make latin friends or find a latino boyfriend or girlfriend in latham join the hundreds of single missouri latinos.
40 plus singles' dating club 1,018 likes 35 talking about this welcome,40 plus singles' dating club the best dating club for mature singles in. Meet latina singles in latham, missouri online & connect in the chat rooms dhu is a 100% free dating site to meet latina women in latham. Research link / responding to cultural learning styles teachers formed single-sex groups limited to two or three students and they got positive results yet, even though this.
Free sex dating in latham, illinois adultfriendfinder is the leading site online for sex dating on the web if you are visiting or live in latham, illinois and are dating for sex, we can get. Hot woman in latham, illinois it's time to begin your best experience with online dating, it's time to meet sexy women or mature women in latham, illinois with latinomeetup meeting new. Latham is a city in butler county , kansas , united states as of the 2010 census , the city population was 139 history latham was laid out in 1885 it may have been named for latham.


text:
Park County, Colo. – The COVID-19 testing site in Bailey and vaccine clinic at NorthWest Fire in Fairplay are closed Wednesday, Feb. 2 due to winter weather advisories and winter storm warnings across the state. All patients who had appointments scheduled are being notified. For testing inquiries, please call Affinity customer service number at 888-964-1562. You may also visit Park County's COVID-19 Response website and Colorado’s COVID-19 Testing website and vaccine location finder to find an alternate testing or vaccine appointment.
We apologize for any inconvenience caused as a result of these cancellations. This site is among multiple state-managed and partner community testing sites and vaccine clinics impacted by the weather.
Testing will resume on Friday at the Fairplay Community Center, 880 Bogue St. from 10 AM - 1 PM and next week on Wednesday Public Health Bailey Office at 81 Main St. Bailey from 10 AM – 2 PM.


When all seemed lost, job trainee comes through with lost engagement ring
Shannon Harrigan learned an expensive lesson last month when she dropped her engagement ring down an open bathtub drain.
The Tequesta mother of two and her husband, Antony Mussell, spent several days knocking through tile and digging under the foundation of their house in a fruitless effort to find the 1.5-carat, princess-cut diamond ring, which slipped off Harrigan’s finger while she was bathing her son.
They called a plumber twice to assist in their search before conceding the ring, valued at about $6,000, probably was gone. Repair work to the bathroom tile and yard followed, costing the couple nearly $1,000.
“We manipulated all the plumbing in the house and the ring wasn’t there,” said Harrigan, 34, a Chicago native who moved to Tequesta with her family two months ago. “I was 99.99 percent sure it was gone.”
The story, however, has a happy ending.
Four days after Harrigan lost the ring — she had moved it from her ring finger to her pinkie finger earlier in the day because the humidity made it too tight to wear — she was returning from a bike ride when she noticed a Loxahatchee River District crew in the area cleaning gravity sewer lines.
She spoke with Tom Koch, an engineer inspector with the district, about the ring and if there was a chance it still could be found.
Koch then asked Ryan Robertson, a district collections system operator trainee, to keep an eye out for the ring while he was performing the cleaning, which included removing sand from the gravity main.
The next day, Robertson knocked on Harrigan’s door and asked her to describe the ring. When she did, he took it out of his pocket and handed it to her.
He had discovered the ring that morning after raking through the sand collected from the sewer main. He cleaned it and drove it out to Harrigan, who was stunned by the gesture.
“There were definitely tears,” she said. “I was overjoyed. I just couldn’t believe it. The joy that he had giving it back to me was something I’ll never forget.”
“I knew how upset my wife would be if she lost her ring,” Robertson said.
Harrigan rarely wore her ring before it slipped off, but says it now will remain firmly on her ring finger.
She considers the experience a valuable one.
“If you have something of value, insure it,” she said. “And don’t wear a ring by the drain.”