text:
Age, comorbidities, nursing home stay and outcomes of SARS-CoV-2 infection in a Northern Italian cohort
Background & aims. A large proportion of deaths from SARS-CoV-2 infections worldwide occur among nursing home residents. The aim of this research is to study the association between age and comorbidities and the likelihood of hospitalization and death in patients with SARSCoV- 2 infection in an Italian province, taking into account the residential setting.
Methods. Retrospective cohort study based on multiple anonymous administrative health databases. Multinomial logistic regression was used to assess the association of sex, age, comorbidities, nursing home residency, calendar time with likelihood of hospitalization (with no death) and death, adjusting for mutual confounding.
Results. Older subjects had increased likelihood of both outcomes. Congestive heart failure and hypothyroidism significantly increased the likelihood of death. Neurological diseases and hypertension increased the risk of hospitalization. Nursing home residents were over-represented in the cohort. They had reduced likelihood of hospitalization, but mortality was analogous of that of other persons of the same age and clinical conditions.
Conclusions. Efforts should be done to protect elderly and frail people from SARS-CoV-2, regardless of the residential setting.
Italy, 60 million inhabitants, was strongly hit by the SARS-CoV-2 pandemic, particularly from the end of February to the end of May, totaling more than 240,000 cases of infection and over 30,000 deaths in approximately 4 months 1. The incidence and consequences of the SARS-CoV-2 outbreak, however, were not homogeneous across the country, with the Northern part of Italy reporting the highest toll.
Older age and chronic comorbidities were associated with poor COVID-19 outcomes worldwide. For example, in China elderly COVID-19 patients with comorbidities were more likely to develop serious or critical illness 2. In a large Mexican cohort, patients with 3 or more comorbidities had higher risk of hospitalization of ICU admission and case fatality rate 3. Similarly, in New York City, age and comorbidities of people with COVID-19 predicted hospital admission, in particular, and mortality 4 and in Atlanta, Georgia, diabetes and elderly age were associated with hospitalization 5. A special category of elderly and frail people, at high risk of infection and of severe outcomes, can be found in nursing homes, where, in many countries, a large proportion of all deaths from COVID-19 occurred 6. In Sweden, however, approximately two thirds of COVID-19 patients in nursing home are surviving 7.
In the 530,000-inhabitant province of Udine, in the North-East of Italy, the spread of SARS-CoV-2 was limited if compared with other provinces in the North of the country 1. Nonetheless, it is estimated that more than 70 people have died from COVID-19 8. The population of the province of Udine is older than the country average: mean age is 47.7 years (vs 45.4 in Italy) and the ratio of the population ≥ 65 to that ≤ 14 is 2.242 (vs 1.731 in Italy) 9. In the province, there are over 4000 nursing care beds in more than 30 nursing homes, ranging from less than 10 to approximately 400 beds each. Mean age of persons lining in those facilities is approximately 80 years.
The objective of this study was to assess the association of age and chronic comorbidities with different outcomes of SARS-CoV-2 infection, taking into account to potential confounding effect of residing in a nursing home, in this Italian area.
MATERIALS AND METHODS
For this retrospective cohort study, we used as the source of information the administrative health databases of Local Health Unit “Friuli Centrale” (ASUFC), geographically corresponding to the 530,000-inhabitant North-Eastern Italian province of Udine. In particular, we analyzed the hospital discharge database, including records of hospitalizations in COVID-19-dedicated wards at the two COVID-19 hospitals in the province; the nursing home database, including dates of admission to and discharge from any nursing home in the province; the list of all healthcare beneficiaries, including sex, date of birth, residence and, when applicable, date of death; and the laboratory database, including results of the real-time reverse-transcriptase polymerase chain reaction (RT-PCR) tests for the detection of SARS-CoV-2 conducted at the University Hospital of Udine. In this Hospital, RT-PCR tests are conducted on upper or respiratory specimens to confirm a diagnosis of COVID-19 in symptomatic patients and on upper respiratory specimens collected though nasopharyngeal or oropharyngeal swabs in asymptomatic persons for screening purposes or during contact tracing activities 10. In addition, chronic comorbidities were identified through the Johns Hopkins ACG® System (Johns Hopkins ACG System 11.2.1), fed with data from the outpatient care database and the drug prescription databases, in addition to the other above listed databases. Comorbidities considered in this analysis were diabetes, congestive heart failure (CHF), ischemic heart disease (IHD), hypertension, disorders of lipid metabolism, obstructive pulmonary disease (COPD), persistent asthma, osteoporosis, renal failure, rheumatoid arthritis, hypothyroidism; in addition, bipolar disorder, depression, and schizophrenia were collapsed into a broader category of psychiatric disorders; Parkinson disease and seizure disorders were collapsed into neurological disorders. Immunosuppression/transplant and HIV could not be included in the final analysis due to the extremely small number of subjects in these categories.
All the above listed databases are anonymous; nonetheless, they can be deterministically linked with each other at the individual level through a stochastic key which is univocal for a given person across all databases.
We built a cohort of all the persons living in the province of Udine who had at least one positive RT-PCR test for SARS-CoV-2 from the beginning of the COVID-19 outbreak in the province (March 1, 2020) to April 15, 2020. All cohort subjects were then followed up to death or April 30, to allow for a minimum follow-up of 15 days, and classified into 4 mutually exclusive groups: a) subjects who died; b) subjects who had a hospitalization requiring an ICU stay; c) subjects who had a hospitalization with no ICU stay; d) subjects with only one or more positive RT-PCR tests for SARS-CoV-2.
For all cohort subjects, we also calculated Charlson’s comorbidity index, a weighted index taking into account the number and the seriousness of a person’s comorbid diseases and associated with mortality, based on hospitalizations in the 5 years before the positive test for SARS-CoV-2 11. The algorithm for calculating Charlson’s comorbidity index was also used to identify persons with cancer.
We assessed the association between group and subject’s characteristics, including sex, age, comorbidities, and being in a nursing home at the beginning of the COVID-19 local outbreak. At univariate analyses, the statistical significance of the associations were tested through chi-square tests for categorical variables and through one-way ANOVA for normally distributed continuous variables. P-values < 0.05 were considered statistically significant.
We also built a multinomial logistic regression model to assess the association between group and patient’s characteristics, adjusting for the potentially confounding effect of each characteristic on the others. The analysis was also adjusted for time from the local outbreak start and the date of infection diagnosis. Since group B (ICU) was relatively small, in the model hospitalized patients with and without ICU stay were grouped into a single level of the dependent variable, which then had 3 levels. To reduce the number of covariates in the model, the stepwise option was used with a significance level of 0.3 required to allow a variable into the model, and a significance level of 0.35 to stay in the model. Odds Ratios (OR) and 95% Confidence Intervals (95% CI) were calculated. An alternative more parsimonious model, including Charlson’s comorbidity index instead of all the single comorbidities, was also built to assess the role of age and nursing home residency on hospitalization and death, taking into account the number and seriousness of comorbidities.
Although the dependent variable (group) might resemble an ordinal variable in terms of infection severity, we could not assume that grouping was entirely depending on severity and, consequently, that it was really ordinal. This was also confirmed by some univariate analyses. Thus we decided not to use ordinal logistic regression.
All the analyses were conducted using SAS v9.4 (SAS Institute Inc., Cary, NC, USA).
The cohort included 886 persons. Most cases were identified between March 9 and April 11 (Fig. 1). Of all cases, 70 (7.9%) died, 16 (1.8%) had an ICU stay but did not die, 171 (19.3%) had a hospital stay in a COVID-19 with no need of ICU, and 629 (71.0%) only had one or more positive RT-PCR test for SARS-CoV-2. 185 subjects (20.9%) were in nursing homes during the COVID-19 local outbreak. For patients who died, mean time to death was 9.9 ± 9.6 days, median 7 days; 75% of deaths occurred within 12 days from the first positive RT-PCT test.
Table I shows the characteristics of cohort subjects in the 4 groups. Both sex and most comorbidities were significantly associated with groups. At univariate analyses, the proportion of hospitalized patients was smaller among females (14.9 with no ICU and 0.8% with ICU stay) than among males (28.5 and 3.3%). Among patients with each of the comorbidities of interest except cancer, the proportion of deaths was higher than among those without the specific chronic condition. Charlson’s comorbidity index was higher in subjects who died (mean 0.44 ± 0.86, median 0) than in those with only positive tests (mean 0.11 ± 0.58, median 0) and in those hospitalized, either with no need of ICU (mean 0.26 ± 0.85, median 0) or with an ICU stay (men and median 0); p-value of Kruskal-Wallis test < 0.0001). In addition, patients with only positive tests were younger (mean age 56.1 ± 22.1, median 55 years) than those who were hospitalized, either without ICU (mean age 63.5 ± 16.0, median 65 years) or with ICU (mean age 64.6 ± 10.2, median 66 years), and f those who died (mean age 84.5 ± 9.4, median 85.5 years; p-value of ANOVA < 0.0001). The proportion of deaths was higher in nursing home residents (25.4%) than among the other patients (3.3%).
Table II shows the results of the stepwise multinomial logistic regression model. After adjusting for potentially confounding factors, females positive to SARS-CoV-2 had a reduced likelihood both of hospitalization and of death than males (OR = 0.502, 95% CI: 0.345-0.731 and OR = 0.445, 95% CI: 0.225-0.882, respectively). Increasing age significantly increased the likelihood of hospitalization and of death: for each additional year, OR = 1.047, 1,95% CI: 034-1.061 and OR = 1.101, 95% CI: 1.067-1.136, respectively. Although most associations with comorbidities lost statistical significance in the multivariate model, a clearly significant excess in the likelihood of death was associated with CHF (OR = 2.606, 95% CI: 1.270-5.345). Neurological conditions and hypothyroidism were associated with increased risk of hospitalization (OR = 2.548, 95% CI: 1.079-5.986 and OR = 2.058, 95% CI: 1.142-3.711, respectively) but not with death (OR = 2.173, 95% CI: 0.806-5.860 and OR = 1.104, 95% CI: 0.423-2.841, respectively). Living in a nursing home strongly reduced the likelihood of being admitted to hospital, whereas no association was found with mortality. Time from start of epidemic to infection detection reduced significantly the likelihood of both hospitalization and death.
When we included Charlson’s comorbidity index in the stepwise multinomial logistic regression model instead of the list of distinct comorbidities, the associations of hospitalization and death with sex, age, nursing home residency, and time from start of epidemic were virtually the same as those reported in Table II (data not shown). Adjusting for all those factors, Charlson’s comorbidity index was significantly associated with death (OR = 1.392, 95% CI: 1.043-1.858) but not with hospitalization (OR = 1.173, 95% CI: 0.912-1.510).
This study assessed the association between demographic and clinical characteristics of persons with a SARS-CoV-2 infection and the likelihood of being admitted to the hospital or dying in the 530,000-inhabitant Italian province of Udine. In the cohort of almost 900 persons diagnosed with SARS-CoV-2, those living in a nursing home were over-represented (20%), indicating that prevalence of infection was particularly high in this setting. Thus, assessments of the association between chronic comorbidities and outcomes cannot overlook a person’s residential situation.
Taking nursing home into account, in our area, age and sex of patients infected by SARS-CoV-2 were significantly associated with increased risk of both hospitalization and death. Among all the comorbidities of interest, CHF and hypothyroidism were significantly associated with increased likelihood of death; patients with neurological conditions, hypertension, and COPD also had increased risk of death, although the association did not reach statistical significance. Neurological patients and those with hypothyroidism had increased risk of hospitalization with alive discharge. Increasing Charlson’s comorbidity index also increased the risk of death from COVID-19.
Several risk factors were proposed to explain the high risk of death from COVID-19 among elderly patients, including comorbidities 12. In fact, not only are the elderly exposed to the effects of immunosenescence, of the continuous production of inflammatory mediators and cytokines, and of aberrant ciliary function and ciliary ultrastructural anomalies, which contribute to the increased mortality from COVID-19, but they may have multiple comorbidities and polypharmacotherapy which can both contribute directly to poor outcomes and complicate COVID-19 therapeutic management 12. Elderly subjects in nursing homes, where living conditions make viral transmission easy, cause great concern 12. In this study, nursing home residents had decreased likelihood of being hospitalized (and being discharged alive), meaning that there was a tendency to take care of infected patients directly in the nursing home, instead of transferring them to hospitals. Otherwise, nursing home residents who were hospitalized might have had an unfavorable outcome. This management of nursing home residents did not necessarily mean that this patients received less or poorer care than the others. In fact, the likelihood of dying for nursing home residents was similar to that of the other COVID-19 patients of the same age and with the same comorbidities. In the province of Udine, three quarters of COVID-19 patients in nursing homes were surviving as after the first two months of epidemic, a proportion even higher than in Sweden 7. However, since case fatality was high in general, nursing homes accounted for two thirds of all COVID-19 deaths in whole province because the high prevalence of infection in such peculiar setting. Thus, it is of the utmost importance that all possible measures are taken to prevent the virus circulation, staff training and access to personal protective equipment, and staff and resident periodic testing 6.
The multinomial model showed that the likelihood of hospitalization and, in particular, of death decreased as time from outbreak start and diagnosis of infection increased, indicating that the level of care provided to patients has increased. Improvement of care over time was also reported in New York City 4.
Results of this analysis should be interpreted in the light of some limitations. First, cohort size was relatively small, making association estimates quite imprecise. In addition, only all-cause mortality was available at the time the study was conducted, thus it was not possible to distinguish COVID-19-related deaths from other deaths. Nonetheless, since most all deaths occurred in the days or weeks immediately following a COVID-19 diagnosis, it likely that SARS-CoV-2 had some role in all those deaths.
This analysis had also a great advantage: it was entirely conducted using anonymous databases which are timely available, cover the entire population, and can be linked through stochastic keys.
In conclusion, in this Italian context, older persons and those affected by some chronic conditions suffered worse consequences in case of SARS-CoV-2 infection. We must protect frail patients in case of further COVID-19 waves, regardless of the residential setting.
Figures and tables
|Positive RT-PCR test only(n = 629)||Hospitalization(no ICU, no death)(n = 171)||ICU(no death)(n = 16)||Death(n = 70)|
|Female (n = 522)||393||75.3||78||14.9||4||0.8||47||9.0|
|Male (n = 364)||236||64.8||93||25.5||12||3.3||23||6.3|
|No (n = 814)||585||71.9||154||18.9||15||1.8||60||7.4|
|Yes (n = 72)||43||61.1||17||23.6||1||1.4||10||13.9|
|No (n = 805)||592||73.5||151||18.8||15||1.9||47||5.8|
|Yes (n = 81)||37||45.7||20||24.7||1||1.2||23||28.4|
|No (n = 873)||622||71.2||169||19.4||16||1.8||66||7.6|
|Yes (n = 13)||7||53.8||2||15.4||0||0||4||30.8|
|No (n = 780)||560||71.8||152||19.5||15||1.9||53||6.8|
|Yes (n = 106)||69||65.1||19||17.9||1||0.9||17||16.0|
|No (n = 558)||436||78.4||96||17.2||6||1.1||20||3.6|
|Yes (n = 328)||193||58.8||75||22.9||10||3.0||50||15.2|
|No (n = 806)||580||72.0||149||18.5||15||1.9||62||7.7|
|Yes (n = 80)||49||61.2||22||27.5||1||1.2||8||10.0|
|No (n = 839)||604||72.0||160||19.1||15||1.8||60||7.1|
|Yes (n = 47)||25||53.2||11||23.4||1||2.1||10||21.3|
|Disorder of lipid metabolism||0.0367|
|No (n = 771)||559||72.5||140||18.2||15||1.9||57||7.4|
|Yes (n = 115)||70||60.9||31||27.0||1||0.9||13||11.3|
|No (n = 844)||608||72.0||158||18.7||16||1.9||62||7,3|
|Yes (n = 42)||21||50.0||13||31.0||0||0||8||19.0|
|No (n = 720)||524||72.8||131||18.2||13||1.8||52||7.2|
|Yes (n = 21)||9||42.7||4||19.0||0||0||8||38.1|
|No (n = 859)||611||71.1||165||19.2||16||1.9||67||7.8|
|Yes (n = 27)||18||66.7||6||22.2||0||0||3||11.1|
|No (n = 875)||622||71.1||167||19.1||16||1.8||70||8.0|
|Yes (n = 11)||7||63.6||4||36.4||0||0||0||0|
|Nursing home||< 0.0001|
|No (n = 701)||500||71.3||162||23.1||16||2.3||23||3.3|
|Yes (n = 185)||129||69.7||9||4.9||0||0||47||25.4|
|Hospitalization vs positive test||Death vs positive test|
|Characteristic||OR||95% CI||OR||95% CI|
|Female vs male||0.502||0.345-0.731||0.445||0.225-0.882|
|Age (continuous, in years)||1.047||1.034-1.061||1.101||1.067-1.136|
|Days from start of outbreak to diagnosis||0.977||0.958-0.996||0.944||0.914-0.975|
- Dipartimento della Protezione Civile. Aggiornamento casi COVID-19.Publisher Full Text
- Yang A, Qiu Q, Kong X. Clinical and epidemiological characteristics of COVID-19 patients in Chongqing China. Front Public Health. 2020; 8:244. DOI
- Kammar-García A, Vidal-Mayo JJ, Vera-Zertuche JM. Impact of comorbidities In Mexican SARS-Cov-2-positive patients: a retrospective analysis in a national cohort. Rev Invest Clin. 2020; 72:151-8. DOI
- Petrilli CM, Jones SA, Yang J. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study. BMJ. 2020; 369:m1966. DOI
- Killerby ME, Link-Gelles R, Haight SC. Characteristics associated with hospitalization among patients with COVID-19 - Metropolitan Atlanta, Georgia, March-April 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:790-4. DOI
- ECDC Public Health Emergency Team, Danis K, Fonteneau L. High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020. Euro Surveill. 2020; 25:2000956. DOI
- Amér S, Molnar C, Tuutma M. Närmare två tredjedelar av covid-sjuka på SÄBO överlever [Almost two-thirds of the elderly with covid-19 surviving in nursing homes]. Lakartidningen. 2020; 117:20104.
- Regione autonoma Friuli Venezia Giulia. Protezione Civile della Regione.Publisher Full Text
- Istat. Indicatori demografici.Publisher Full Text
- World Health Organization. Laboratory testing for coronavirus disease (COVID-19) in suspected human cases.Publisher Full Text
- Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40:373-83. DOI
- Perrotta F, Corbi G, Mazzeo G. COVID-19 and the elderly: insights into pathogenesis and clinical decision-making. Aging Clin Exp Res. 2020; 32:1599-608. DOI
© JOURNAL OF GERONTOLOGY AND GERIATRICS , 2021
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domain: literature


text:
Showing of 0 - 10 from 442 results
Church - Total results - 442
Jun 14, 2017
Kerala HC ruling on clergy's right to ancestral property assuages mounting miseriesKerala HC's verdict will go a long way in assuaging mounting miseries of the state's clergy.
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Orlando shooting: One year later, 'Angel Force' strives to fight anti-gay hatred, protect LGBTsShocked by the slaughter at Orlando's Pulse nightclub one year ago, the Angel Force came forward to help shield the LGBT community from anti-gay hatred.
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Meet BlessU-2: Unveiled to mark 500 years of Reformation, this robot 'priest' will forgive your sins in five languagesInteracting with the robot priest is similar to ordering a meal from a kiosk at a fast food chain. One puts in their inputs and the robot reacts accordingly.
May 30, 2017
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May 22, 2017
Donald Trump in Israel: President speaks of "unbreakable bond" between US and alliesDonald Trump said that there is a "rare opportunity" to bring security and peace to the Middle East as he arrived in Israel to reaffirm America's "unbreakable bond" with the nation
May 09, 2017
Munnar's glory fades: CPM bigwigs, priests and businessmen on list of Kerala encroachersThe recent political storm that is rocking Kerala, Munnar has put the ruling CPM in the dock with the latest list of encroachers released by the District Collector featuring some of the ruling party’s prominent leaders.
May 04, 2017
Donald Trump to sign order promoting religious liberty, grants churches more powersPresident Donald Trump is planning to sign an executive order on Thursday that could allow churches and other religious organisations to become more active politically, according to administration officials.
Apr 24, 2017
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domain: news


text:
BONN — West Germany's most notorious terrorist group, the Red Army Faction, has weapons and explosives and seems poised for an offensive against United States and allied military targets in Europe, security officials say.
The resurgence of the Red Army has surprised West German law enforcement authorities, who believed the group close to extinction in 1982 after the arrests of three key organizers and the seizure of major weapons caches.
The center of the group has doubled to 20 committed terrorists who can rely on passive support and shelter from hundreds of sympathizers sharing their anti-NATO, class warfare doctrine.
Security officials say the guerrillas have rebuilt a formidable arsenal through raids on guns shops and explosives depots. They have gained possession of about 100 guns and hundreds of pounds of explosives. The group also is believed to have $1 million from banks robberies and kidnapping extortion.
The guerrillas also have established links with radical groups, including France's Direct Action and Belgium's Fighting Communist Cells, officials said. Efforts to foil the terrorist network by enhancing cooperation among European governments have not worked.
West German officials say France has been unwilling to use computers or other modern techniques in tracking the terrorists. As a result authorities find it difficult to trace a known terrorist once the terrorist makes it to France.


Caddie behind Cook’s victory
John Cook has claimed a 2nd, 2011 Champions Tour victory at the Outback Steakhouse Pro-Am – but not easily.
John Cook claimed his second 2011 Champions Tour victory when he triumphed at the Outback Steakhouse Pro-Am on Sunday – but winning didn’t come easily at at the TPC Tampa Bay in Florida.
To do it, the overnight leader had to bounce back from a devastating double bogey at the final, 54th hole and win his play-off against Jay Don Blake with a birdie at the first extra hole – he same 18th that so nearly cost him the title
Cook, also the winner of the season-opening Mitsubishi Electric Championship in Hawaii, closed with a 2-over 73 to match Blake at 9-under 204, Blake having birdied the final hole for a three shot swing and a closing 70.
Cook’s final-hole, double-bogey heartache was setup by a 175-yard approach that found water on the par-4 18th.
“We’re not supposed to hit shots like that,” Cook said. “But it happens to the best of us. It’s happened to everyone on the regular tour, on the Champions tour and it happened to me today.”
He insisted that his caddie, Tommy Anderson, had been largely responsible for getting him in the right frame of mind for his fight-back in the play-off.
“Tommy had us stop when driving us down the fairway to the 18th tee so we could walk the rest of the way,” Cook said of Anderson’s calming influence..
“Tommy said, ‘OK, JC, think of it as hole number one. Just refocus. Get back at it.’
“He really settled me down, and I give him a lot of credit for that. He stepped in when he needed to and that’s why we’ve been together four years. … I was still hot, and didn’t know what to expect in the playoff, but luckily I got the chance to redeem myself.”
In the playoff, Cook hit a 6-iron from 168 yards to about 6 feet to set up his winning birdie.
Blake’s second shot out of a fairway bunker landed in the greenside rough from where he was unable to match Cook’s birdie.
Blake is winless since the PGA TOUR’s Sheraton Lehman Brothers Open in 1991.
“But all this builds confidence and builds positive results,” Blake said. “Keep knocking at the door and some time that door is going to open pretty wide. So, that’s what we keep practicing for, to try to make it happen.”
The 53-year-old Cook earned $255,000 for his seventh career Champions Tour victory after opening rounds of 66 and 65 had sent him into the final round with a one-stroke lead.
Joe Ozaki (68) and Russ Cochran (74) tied for third at 7 under.
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text:
There is no better way for basketball lovers and ardent Los Angeles Lakers supporters to demonstrate their unshakable loyalty to the team than by donning the recognizable Lakers Jacket. Whether you’re an experienced basketball fanatic or a casual sports fan, this jacket keeps you warm while also allowing you to stylishly show your team’s pride.
The Lakers Jacket: A Fashionable Fan Gear
The Los Angeles Lakers Jacket is more than just a piece of outerwear; it’s a symbol of team spirit and a way to celebrate one of the most storied franchises in basketball history. The team’s signature purple and gold colors are prominently featured in the design, making it instantly recognizable to fans worldwide.
The jacket comes in various styles, ranging from classic varsity jackets to modern bomber jackets and cozy hoodies. No matter your age, gender, or personal style, there’s a Lakers Jacket to suit every fan’s preferences.
Showcasing Team Pride
Wearing the Lakers Jacket is not just about fashion; it’s a way to showcase your unwavering team pride. When you put on this jacket, you become part of a larger community of passionate fans, all rallying behind the Lakers as they compete on the court.
The iconic Lakers logo, often displayed on the chest or back of the jacket, serves as a symbol of the team’s greatness and its rich history of success. As you wear this jacket, you’re sending a powerful message of support and admiration for the team’s achievements and its legendary players.
Perfect for Game Days and Beyond
Game days are undoubtedly the perfect occasion to sport your Lakers Jacket, but its versatility extends far beyond the basketball season. Whether you’re heading to the stadium to catch the action live, meeting up with friends to watch the game on TV, or simply going about your daily activities, this jacket allows you to carry the team spirit with you wherever you go.
The Lakers Jacket also goes well with many other outfits, so you may wear it to sporting events, casual outings, or even simply to relax at home. No matter the situation, you will look fantastic and feel cozy thanks to its chic style and soft fit.
Connecting Fans and Forging Bonds
The Lakers Championship Varsity Jacket serves as a powerful unifier, bringing fans together from different backgrounds and cultures. When you spot someone else sporting the same iconic jacket, an instant connection is made, fostering a sense of camaraderie and shared passion for the team.
This common ground often sparks conversations, and friendships are forged over a mutual love for the Lakers. Whether you’re at the game, in a sports bar, or even while traveling, wearing the Lakers Jacket can lead to heartwarming encounters with fellow fans.
The Los Angeles Lakers Jacket is more than just a piece of sports merchandise; it’s a representation of a proud basketball legacy and a symbol of unwavering team loyalty. By wearing this iconic jacket, you join a global community of passionate fans and proudly display your love for the game and the team.
So, whether you’re a lifelong Lakers supporter or just discovering the magic of basketball, don’t miss the opportunity to own this fashionable fan gear. Grab your Lakers Jacket, embrace the team spirit, and celebrate the sport that brings people together like no other!

domain: hobby


text:
GLOBAL CITIZEN is likely to have his next start in Saturday's Grade 2 Unibet Hurdle.
The Ben Pauling-trained gelding reportedly had something amiss when a well-beaten fourth in the Christmas Hurdle on Boxing Day.
A winner of a competitive Listed handicap at Newbury last month, hopes were high the seven-year-old would be able to produce a good effort in that Grade 1 contest.
However, he never looked happy at any stage and trainer Ben Pauling has now revealed something wasn't quite right with his stable star.
He said: "He hung very badly at Kempton for the last mile. He has never really had that problem before in his life - and he also didn't jump with his usual fluency.
"Given that, he ran an absolutely massive race to be only beaten 13 lengths - and I was chuffed to pieces.
latest in horse racing
"We found a little reason why he hung that day, and I hope we have now righted that wrong."
With his problems seemingly behind him, a tilt at the Unibet Hurdle on Saturday looks on the cards.
Pauling added: "He did a very smart piece of work this morning, and there is a good possibility we will see him this weekend.
"I'm leaning towards it (Unibet Hurdle), and I would say there is a 70 per cent chance of him running.
"Brain Power is in there, but he will have a penalty for his Grade Two win. I think this is a very decent option for him. I still believe there is improvement to come, and I hope it will be on Saturday."

domain: sports


Guideline for light agricultural vehicles
Light agricultural vehicles up to 4.5 tonne
The Safe movement guideline for light agricultural vehicles, light agricultural combinations and drawn plant provides specific access conditions for the movement of light agricultural vehicles, light agricultural combinations and drawn plant operating in Queensland. For example, access conditions relating to a time-of-day condition, dimension condition, route or network condition and location conditions.
If your vehicle exceeds the maximum limits in this guideline, you will need a permit or other lawful authority to travel on the Queensland state-controlled network.
Heavy agricultural vehicles exceeding 4.5 tonne
Please visit the NHVR website for more information about the National class 1 agricultural vehicle and combination mass and dimension exemption notice and Operator's guide.
- Last updated 29 November 2023


By all appearances they would seem to be an unlikely pair.
But a musical collaboration between an Oxford County opera singer and an electronic music producer could very well be a match made in heaven.
Last year, Norwich Township soprano Victoria Gydov was performing a solo concert in Denmark, the country of her birth, when she was approached by Montreal electronic music composer Joseph Borg.
Borg, who also goes by the name Hibernate, asked her to pen the lyrics for a piece of music he had written.
Borg was initially surprised with what she came up with.
“It’s based on a Christian prayer I wrote and translated into Latin,” Gydov said. “He wasn’t expecting me to go quite as far with the project — but he loved it.”
Translated into English from Latin, Lux Tua means Your Light.
Released last January by Alpha Milk Records, the song’s otherworldly, ethereal feel attracted the attention of acclaimed DJ and remixer Paul Oakenfold.
Oakenfold, who was twice voted the number one DJ in the world by DJ Magazine, signed the duo to his label, remixed Lux Tua and released it on his latest CD Back to My House on Perfecto Records.
“We were lucky to be included on it and promoted world-wide,” Gydov said. “It’s being played at clubs and on the radio. I am very excited and very lucky Joseph Borg invited me to be a part of it.”
The pair also recorded a video, shot in Oxford County, which can be viewed on YouTube.
Despite the project, Gydov has never meet Oakenfold, recording in her home studio with the assistance of her recording engineer husband Brian Burnes.
“If you have a home studio, it gives you the ability and freedom to collaborate with others and you have more control over the projects,” she said. “We’re perfectionists and put a lot of time into the recording and getting it right.”
Gydov said she will continue to collaborate with other musicians in many different styles.
“I try to be as diversified as possible,” she said. “You have to keep moving forward with power and conviction. As long as something has a powerful message and a good feeling about it — I’m all for it.”
Besides continuing to work on her upcoming CD, doing voice-over work and dabbling in acting, Gydov is also preparing for her third annual holiday concert at La Sallette Historic Church on Sunday, December 6 at 2 p.m.
“We’re calling it a celebration of holiday favourites and songs of faith and inspiration,” she said. “It’s worth the drive, my voice really likes that space.”
Tickets are $20 in advance and $25 at the door. Tickets can be purchased at Byers General Store in La Sallette or call 519-582-1736.
To learn more about Gydov and view Lux Tua visit www.victoriagydov.com or visit her Facebook page.


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Parked along Tujunga Avenue in North Hollywood, on the east side of the park, between Magnolia and Riverside, a remarkable new residential community of homeless people has been established in a line of permanently parked RVs.
Visible and egregious, with their reflective cardboard stuffed inside windshields to cool down the metal houses in the summer sun, these faded and rusted motor homes are testament, depressing and sobering, to the high cost of housing in Los Angeles and the inability of so many to find a suitable and safe place to live.
I walked along here today and photographed some 15 vehicles where people live.
In front of one, a woman and two men were in lawn chairs, sitting in the shade. The lady asked me, in a friendly way, why I was photographing and I told her it was for my blog.
“I’m homeless. We’re all homeless,” she said.
And I told her I knew that. And I also said I was photographing these four-wheeled residences to let others know how their fellow human beings were forced to live.
“God bless you,” she said.
And I continued my walk.

domain: sociology


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THE LEEWAY FOUNDATION
The Leeway Foundation supports women and trans* artists and cultural producers working in communities at the intersection of art, culture, and social change. Through our grantmaking and other programs we promote artistic expression that amplifies the voices of those on the margins, promotes sustainable and healthy communities, and works in the service of movements for economic and social justice.
*We use the term “trans” in its most inclusive sense, as an umbrella term encompassing transsexual, transgender, genderqueer, Two-Spirit people, and more generally, anyone whose gender identity or gender expression is nonconforming and/or different from their gender assigned at birth.
We at Leeway believe that art is a vital tool for community building, self-expression, and individual and collective transformation. Art can bridge difference, center those who have been on the margins, and challenge and connect communities and individuals to live in peaceful coexistence.
We envision a world in which art flourishes in many forms as the cultural life blood of communities, where all have access to creative expression regardless of who they are, and where art and art-making is considered an essential element of our collective efforts to create a more just, peaceful world where all can live in dignity.

domain: artistic


text:
M.S.I KELLEY CARBON
Bespoke Carbon Fibre Armour & components
Oset 16 inch & 20 inch Carbon Fibre direct replacement parts and protection.
TRS TRRS RR ONE Full Bike Kit of Carbon Fibre Guards NOW AVAILABLE
Beta Evo air box 'ribbed' guard in either carbon or silver twill.
Product properties and specification:
I have a wide range of products, specifically moulded to suit a variety of bikes. Some of my products are listed with some pictures within this site, but if your bike is not listed then please get in touch. I am continually expanding my range as an on going process, as the factory bike design changes each year I always attempt to do likewise. I do carry a small stock of the more popular parts, but I normally supply on demand once an order is placed.
There is a choice of materials depending on your application and budget. Polyester or Epoxy resin, Carbon/Kevlar or fibre glass composite can influence the cost radically. Exhaust front pipe guards have to be made using a woven cloth and an epoxy resin due to the heat it is exposed to.
I can supply most other parts in either resin, but epoxy is 50% lighter and has better mechanical strength than polyester. Epoxy resin is more expensive than polyester, but the final outer appearance is the same.
Most parts are made to fit straight away with little or no alterations needed. I can advise on how to attach them or modify to suit, but the normal method is either sticky silicone dots or small strips/squares of industrial strength double sided tape that adheres and cushions. Then as a second back up I strongly advise quality tie wraps/cable ties placed out of harm's way from moving mechanism and pivots.
If you are a practical type of person and handy with tools, then modifications could be made easily. Cutting, trimming and drilling carbon composites is simple and the rough edges can be rubbed down by hand using wet/dry production paper to a smooth 'flesh friendly' finish.
Please call for more information on products, current promotions and custom options.
This is my own bodywork but I am open for discussion if you require something out of the ordinary.
Special one off's are not a problem
This is my own bodywork
but I am open for discussion
if you require something out
of the ordinary.


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How stunning is this by on one of the round shelves the awesome people over at have put together a little kit and instructions for anyone who wants to do this themselves. You just need the shelf thanks for the tag lovely!
I just wanted to make a little note before l trelease my final dolls for this year. Due to the timing of their availability l can no longer offer Christmas delivery for my overseas customers. Orders sent around Australia will be posted Express Posted xx

domain: design


Project Director: Yael Arbell
Project Duration: 2022-2023
How will greater accessibility affect the practice and vision of cohousing? The project explores Housing 21’s new model of cohousing, that will deliver affordable, rented community-led homes to older people of modest financial means and from minoritized groups. We will work together with staff and prospective residents to understand what cohousing means to them and identify good practice for social housing providers and their tenants in a community-led setting.


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Author: Simeon Mills
Hardcover: 320 pages
Publisher: Skybound Books (May 14, 2019)
Product Dimensions: 6 x 9 inches
Shipping Weight: 1.7 pounds
For Fans of: Spoonbenders by Daryl Gregory, How to Live Safely In a Science Fictional Universe by Charles Yu, Riverdale, and Teen Wolf
Growing up is hard when you're secretly a robot...
Darryl and Kanga are brothers with a deep, dark secret that could get them killed. You see, the boys are robots, hiding in plain sight among their robophobic human neighbors in 1990’s small-town Michigan. Darryl—the “mom” of the pair—is content for he and his brother to fly under the radar as forgettable weirdos, avoiding any undue attention. But when Kanga shows a preternatural talent for basketball and makes the junior varsity team, both of the boys are thrust into the spotlight and the danger of being discovered increases exponentially. Don’t miss this darkly funny, charming story of brotherhood, xenophobia, and the age-old question of free will versus…programming.

domain: library


CAMA represented by the Directorate General of Strategic Planning & Quality Control organized on 4th March 2020 a Workshop to discuss the Final Achievement Report of CAMA’s Work Plan for
year 2019 in the presence of the Chairman of CAMA- Dr. Mohammed Abdulkader, Mr. RaedTalibJabal- Deputy Chairman of CAMA, Asst. Deputies Chairman and Directors General of CAMA.
During the workshop, the Chairman of CAMA praised the work team from the Directorate General of Strategic Planning & Quality Control for their exerted efforts in presentation and analysis presented by them as well as the efforts exerted by the Sectors and Directorates General of CAMA aiming at improving the performance and raising the level of achievement; stressing on the importance of continuing the performance, enhancing the positives, establishing the suitable solutions andremedies for the difficulties that impede the non-execution of the goals.
This was followed by a presentation delivered by Mr. Hashim Abdulkader- Director General of Strategic Planning & Quality Control through which he presented a briefing about the strategic planning, the work plan of 2020 and the current trend of CAMA’s leadership to make the strategic plan of 2021- 2025 pointing out to the importance of Institutional Capacities Building and Restructuring that one of its goals is considered to analyze and organize the activities in accordance with the main activities and the supporting activities to prevent the contradiction of interests and conflict of tasks and duties and the importance of such matter in improving the ability to establish and achieve the goals more efficiently and effectively.
Meanwhile, the workshop also presented a detailed chart presentation supported with the analytical and statistical data of the achievement level and the obstacles of execution at the level of each entity with the aim ofidentifying the obstacles and the problems which impede the execution of the some activities and goals included in the plan and discussing them with the concerned parties during the workshop for the proper recommendations were established in order to be avoided during the coming years so as to increase the achievements percentages.
At the end of the workshop, the Chairman of CAMA and Deputy Chairman honored the Directorates that achieved the highest percentage of achievements in the last year 2019, i.e. the Directorate General of Air Transport, Aviation Safety Sector and the Directorate General of Legal Affairs.


While gearing up for a summer season in Sun Peaks always takes hard work from resort workers and business owners and their staff, this year there are even more preparations to consider and still many unanswered questions. While B.C. is not yet officially in phase 3, Sun Peaks Resort and other Interior destinations have announced their plans to soon begin welcoming regional guests as provincial officials anticipate restrictions continuing to lift.
For many business owners much of the work over the past few months has been behind the scenes, and mainly mental. They’re looking for information, formulating a plan, weighing options, revising the plan… it seems to be an endless cycle. It’s exhausting, and it’s all on top of much of the regular work that has to be done. The weeks are long but the days seem short, and my to do list never seems to get any more manageable. Decision fatigue is real and I’m yearning for carefree summer days, hiking, biking and enjoying where I live.
In general, summers are already tough for businesses based in Sun Peaks and recently have been impacted by wildfires and stormy weather. Over the past several years the village has relied on large summer events to draw crowds and introduce potential visitors to the summer activities and vibe. Without these events or the regular international tour buses there doesn’t seem to be a clear picture of how many visitors Sun Peaks can expect this season.
The provincial government said it’s expecting record breaking domestic tourism this summer, and we are all banking on pandemic conditions continuing to allow for farther ranging travel within the provinces. I’m grateful our region and province is doing so well in terms of the virus and thank everyone who helped make these conditions a reality, whether they were setting high level policy or simply keeping up with recommended best practices.
But the questions remain. Will restaurants and cafes be able to break even with limited seating and volume? Will shops sell enough to maintain their skeleton crew’s wages? How many people have money to travel and the confidence to do so? How do we best keep our guests, residents and employees safe while welcoming travellers to our hotels and trails?
These are just a few of the variables the tourism industry is grappling with at the moment and I admire everyone’s resilience in the face of such a challenge. I believe the extra work will be worth it as we can look forward to sharing our mountain paradise with those who have been dealing with their own stressful working and living conditions over the past few months. I think we all deserve a break and some mountain air.
From SPIN’s point of view, our digital product is continuing to work well and seeing increased readership from the community. For the time being, we’ve decided to continue to hold off on restarting our print edition and will revisit the decision once phase 3 is up and running. Thank you for your continued understanding and for engaging with our publication online. All the best to everyone over these few weeks!
Help us bring you more local news
SPIN has been able to serve Sun Peaks as its sole news source for over 20 years thanks to the overwhelming support of our community. Join over 126 of your neighbours and become a monthly or yearly member so that we can continue to regularly publish the digital newsletters and stories our readers rely on.


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This trail in Kincaid Park leads you into either L Train or the Bluff Trail. It climbs from the sand dunes up to the ridge, then splits into the descent into L train or continues on a long run towards the chalet, with an option to cut left onto the Bluff Trail. The latter is where you’ll get some of the best views on the entire single track network.
- Coordinates: 61.145539, -150.026573
- Coordinates: 61.147471, -150.026144

domain: geography


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My birthday is tomorrow and I am preparing to celebrate it with my family. This birthday, like the last few, means a lot to me because several years ago my life was almost cut short by breast cancer. I don’t say that for dramatic effect it is simply a fact of my past. I don’t take my life for granted, nor do I live in constant fear that it will end but this year I am even more contemplative because during the past few weeks a number of major events have occurred that affected the way that I look at my life even though the events are not about me.
In the U.S. we just came through an election that simply made people crazed. There was a lot of public anger and such unhappiness that no matter what side you were on it was unpleasant. I believe I heard a collective sigh of relief when it was over just so we wouldn’t have to hear the negativity in ads anymore! More recently there have been terrible crimes committed including a massive one impacting many very young children and their families and friends. All of this and Christmas is just a few days away.
I recently saw the movie about President Abraham Lincoln and surprised myself by being anxious about how it would end, despite knowing how it would end. I learned a lot from the movie and realize that the world continues to turn, seasons change, ideas change, people change. How I feel about those things matters only to me and those in my orbit. Maybe you. So, I am taking the events of the world in- knowing that I may have no control over them, processing them, feeling the sorrow when appropriate, and being grateful that I was born.


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Concert in Jevnaker church, Norway
Maurice Duruflé: “Missa Cum jubilo”, op. 11
Gregorian chant for lent Sunday
Anders Eidsten Dahl, organ
Terje Kvam, conductor
Arranged by: Ad Fontes – Music and liturgy
Gregorian concert at the Medieval week in Numedal
Consortium Vocale presented Olav hyms and different sides of Gregorian chant from the same period.
Photo: Tommy Johansen
The Medieval park, Oslo
The ruins of the Maria-church are powerful traces of Oslo’s oldest history. Now the Mariachurch ruin is finished preserved. At September 14th, a bronze model of the church was unveiled, as it is believed to have seen in the Middle Ages.
Consortium Vocale singing at the marking in the Maria church ruins.
Photo: Turid Årsheim, Riksantikvaren
4. to 7. October
Concerts and Masses in Sicily
Thursday Oct 4 – San Franciscus day
Participation in Mass in Chiesa di San Francesco d’Assisi, Palermo
Thursday Oct 4:
Small concert as a part of the cultural program in Bianca notte in Chiesa di San Francesco d’Assisi.
Friday Oct 5
Concert evening in Cappella Palatina i Palazzo dei Normanni
Saturday Oct 6
Concert in Basilica Carmine, Palermo
Sunday Oct 7
Evening concert in Cattedrale di Cefalù
8th and 9th of December:
Advent concerts in Oslo Cathedral
“Klinge skal et jubelkor”
With all choirs in the Oslo Cathedral

domain: history


More and more people choose SSD to use because of its high speed in read-write performance, however, SSD’s role far more than this. Before you buy it, here are five factors you must to consider: interface, controller, memory, firmware, and warranty period. Now, let’s step forward to learn how to buy a security and good performance SSD, firmly say no to black-hearted products.
- Part 1: How to choose a security SSD
- Part 2: How to select a good performance SSD
Part 1: How to choose a security SSD
In my opinion, SSD’s security and endurance are the most important things, especially for enterprise. To protect SSD, we suggest you select one supports AES encryption and Enhanced Power Loss Data Protection.
1. SSD hardware encryption
Some SSDs support AES encryption on hardware, such as Intel SSD 535 Series, it will show you on the list. On the contrary, if it doesn’t show at all, this means the SSD not support AES encryption.
2. Enhanced Power Loss Data Protection
Once the power cut suddenly, all data of unsaved work on SSD would lose if it doesn’t support Enhanced Power Loss Data Protection. To avoid this kind of situation from happening, you’d better buy an SSD with Enhanced Power Loss Data Protection.
Part 2: How to select a good performance SSD
SSD performance is related to interface type, speed of read and write, controller, memory, firmware. Warranty is a bonus item.
1. Interface Type
SSD interface types are U.2, SATA, PCI Express, SATA Express, mSATA, M.2, and SAS, but not all fit your computer. If you are rookie of SSD, we strongly recommend you use some tools such as CrystalDiskInfo and HD Tune Pro to detect the hard drive interface. Otherwise, it’s likely to be a scrap.
2. Speed of read and write
Input/output operations per second that is IOPS, the higher IOPS, the faster the read/write speed computer will be. In practical applications, whether website cache or system file is closely related to 4K IOPS. Therefore, you should refer to IOPS value.
Controller, which is CPU of SSD, directly determines SSD performance. Because of SSD controller has relatively high requirements for production technology, so, only a few of its manufacturers so far. For instance, Marvell, Samsung, SMI, Phison, SandForce, Toshiba, Intel.
Marvell is a high-end series, used early in enterprise products. But now, it’s used in the Crucial, SanDisk SSD as well. It is in quality stability but in high price.
Samsung: its performance is high too, no worse than Marvell. However, Samsung controller only uses in its SSD.
SMI/Phison: These two brand of SSD’s performance balance in all aspects and lower-cost. Recent years, SMI and Phison seek for the breach in technology and performance.
SandForce: It supports data compression, for example, a file of 20 MB might be compressed to 10 MB when writing into hard drive. But it still takes up 20 MB finally. In 2014, Seagate acquired SandForce.
Toshiba: It is cost-effective, only research and development for their products.
Intel: It’s too expensive and no price-performance ratio to say, though Intel controller is real high quality indeed.
NAND flash memory is the most used media in the SSD construction, it determines the lifetime of SSD and affects performance as well. Generally speaking, flash-memory-based SSDs would save files even if your computer gets an unexpected power outage. There are three types of NAND flash memory: SLC (Single-Level Cell), MLC (Multi-Level Cell), and TLC (Three-Level Cell).
There is no SLC in the market because it is too expensive and MLC is good enough to use. Compared TLC with TLC, it’s low-cost, short life and low-write-rate. You’d better select the self-produced brands like Intel, Micron, Samsung, SanDisk, Toshiba, and SK Hynix. Otherwise, you would be serious possibility to be cheated by black-hearted manufactures which SSDs are made by the NAND flash memory that not meet the requirement.
It is reasonable to choose a well-known brand of SSD, for the self-search and development manufacturer would optimize design themselves. The higher quality of firmware, the more precise SSD is. Here are five manufacturers you can refer to: Crucial, Intel, OCZ, Samsung, and Plextor.
5. Warranty Period
SSD as a technology product, regardless of how good the strength the manufacturer is, it can’t avoid being damaged. Samsung and SanDisk support 10-years warranty in maximum while others support three or five years in total. Select the SSD with lone warranty will be better, in case it going stale, you are still able to fix it.
In a word, SSD of Samsung, Toshiba, SanDisk, and Micron are friendly to ordinary users. As for Intel, its price is too dear, so it’s good for business.


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Last Updated on July 29, 2019, by eNotes Editorial. Word Count: 228
The Awakening is author Kate Chopin's turn-of-the-century masterpiece. Often compared to Madame Bovary, this short novel tackles some of the same issues that appear in Flaubert's work.
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Candide (1759), by the French author Voltaire, is an earlier example of a work in which the experiences and perceptions of a naive character are used to produce an ironic commentary on society.
Winston Groom's 1986 novel Forrest Gump also uses the life of a naive and good-hearted protagonist to comment on the society of its time—in this case, that of the United States in the late twentieth century. The film adaptation, starring Tom Hanks, was released in 1994.
The Letters of Gustave Flaubert is translator and critic Francis Steegmuller's collection of Flaubert's correspondence during the later years of his life. Entertaining and informative, these letters offer a fascinating look at the author's life and times.
Madame Bovary, Gustave Flaubert's best known and most controversial novel, was the subject of an obscenity trial in 1857. The characters of Emma Bovary and Félicité make for interesting comparisons.
Three Tales, the collection from which ''A Simple Heart’’ is taken, also contains the stories ‘‘The Legend of St. Julien l'Hospitalier’’ and "Herodias." It was the last work published during Flaubert's lifetime, and it was the one most quickly written. It is also interesting as a trilogy, as each tale has a successive relationship to the others.


Despite the climate targets and policies in the EU, greenhouse gas emissions from the transport sector keep growing. Unlike the power sector, the transport sector is still almost completely dependent on oil as a source of energy. A shift towards a sustainable transport system must be a priority for the EU if we want to reach our emission reduction targets for 2050.
Electric vehicles can be one part of a solution to cut emissions from the transport sector, and in the longer run, when transport needs to be fully decarbonised, the options available are electric vehicles and sustainable second (or third/fourth ...) generation biofuels. Electricity can also play an important role in improving resource efficiency in transport.
There are however several threats that can turn this opportunity into a greenwashing project for electricity producers and car manufacturers. The Greens/EFA want various loopholes to be cleared until e-vehicles can be seen as a sustainable part of the future transport and power system (...)


So you’re considering adding more automation to your production line layout. That’s great! Automating more of your production line layout optimizes your company’s pizza production process. Automated equipment for pizza has numerous benefits such as increased productivity and reduced wasted resources, as well as improved optimization of pizza production lines. Automating your pizza business equipment is the recommended way to increase optimization. Here, we’ll share some helpful tips for streamlining your company’s automated workflow. These tips include finding the best automated equipment manufacturers and streamlining pizza business equipment. We’ll also focus on pepperoni dispensers, using them as our example to demonstrate how incorporating automation optimizes any pizza production layout. Optimizing pizza production layouts start with automating your company’s equipment.
Automated Equipment for Pizza Companies
How does automation streamline pizza production processes? It does so in multiple ways, including increasing productivity, limiting downtime, and reducing human error. Fortunately, automated equipment for pizza companies is a single and simple solution for multiple problems. Let’s explore how automation increases optimization.
Traditional manual assembly of pizzas might result in only ten pizzas per hour. However, automated equipment for pizza companies can produce up to a hundred pizzas per minute! This increase in productivity allows pizza companies to meet demand, try new ingredients and products, and reach their targets much faster than manual assembly. Companies can increase their productivity by adding more conveyors and changing operational speeds. Because automated equipment applies an exact amount of ingredients per product, you don’t have to worry about losing quality and consistency as you increase productivity through automation.
At Quantum Technical Services, our automated equipment is built to limit production line layout downtime. Downtime can cost significant losses in value and resources, which automation aims to conserve. Our automated equipment for pizza companies is user-friendly and easy to maintain, which reduces the time it takes for tune-ups and repairs. Properly maintaining machinery also extends its lifespan, which limits downtime as well as the time that would be needed to replace entire units. With Quantum, your company can be confident that it can rely on our automated machinery to produce consistent results.
Reduces Human Error
Lastly, automation improves production line layout optimization because it reduces human error, which can cost value, time, and resources. Automated pizza equipment requires staffing only for restocking and maintenance because the machines assemble the pizzas. In traditional assembly lines, employees can make inconsistent products or products that fail quality control, which wastes ingredients and materials. On the other hand, automation increases quality and consistency. Because your company can expect consistent and top-quality products from automation, you can employ multiple conveyor lanes to maximize production line layout optimization.
Together, an increase in productivity, a limit in downtime, and a reduction of human error all streamline any pizza production process, which is critical in optimizing your workflows. Next, let’s focus on streamlining pizza business equipment layouts for maximum efficiency.
Streamlining Pizza Business Equipment Layouts
Before your company either adds more automated machinery to its workflow or incorporates its first automated technology, it’s best to plan for what your company is looking to improve. Does your brand need more consistent meat slice arrangements? Is cheese a priority in its recipes? Does your brand require more conveyor lanes to meet demand? Assessing your current workflow is a great way to find where your company can optimize its production line layout.
Typically, the full.y automated pizza production line layout goes as follows:
- Circle Placers
- Waterfall Sauce Applicators
- Cheese/IQF Ingredient Applicators (Herbs/Spices/Granulated Cheeses)
- Meat Slicers
- Dry Ingredient Applicators
- Water Spray Conveyors
Of course, it’s easiest to have a fully automated workflow for maximum productivity and efficiency, but automating the first or last couple of steps works as well. Your company can rearrange the order to meet brand guidelines, but this is the typical order of the automated equipment to assemble pizza most efficiently.
To fully optimize your production line, your company can add extra conveyors between machines or rely on multiple lanes to facilitate more pizza production. Every brand and company is different, and at Quantum, we’re here to help streamline your processes. Let’s look at automated pepperoni dispensers as an example of automation success.
Spotlight: Using Pepperoni Dispensers
Automated pepperoni dispensers, also known as pepperoni/meat slicers in the industry, are unique and offer a great opportunity to increase the consistency and quality of your products, while also streamlining production. Brand guidelines differ, from the sliced meat arrangements on the pizza to the number per slice. Customers rely on consistent products for a good meal experience, so ensuring that your products are consistent is very important for customer satisfaction. Automated pepperoni dispensers can help.
At Quantum, our automated meat slicers allow brands and companies to design exactly how many slices of meat are applied per pizza and how they’re arranged on the pizza. This precision is rare in traditional manual pizza assembly and can cause products to fail quality control. As long as cylindrical meat is used in the slicer, the equipment can slice and apply the meat to the pizzas the same way, every time. Following meat application, the conveyors take the pizza to the next ingredient applicator right away. With automated meat slicers, your company can cut costs from ingredient waste.
Automation provides consistent precision to any pizza production line, which is necessary for optimization. This technology simplifies pizza production, limits waste, and conserves resources.
Optimizing With Quantum Technical Services
With automated pizza equipment from Quantum Technical Services, your frozen pizza company can optimize its pizza production line layout with minimal hassle. From adding and rearranging machines to quickly trying new products, automated equipment solves many of the frozen pizza industry’s problems- from streamlining workflows to saving resources and materials. Contact us at Quantum Technical Services today so our experts can recommend automated solutions based on your company’s unique business and brand needs.


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Sugar Hill Mayor Steve Edwards presents the 2017 Volunteer of the Year Award to Ane Mulligan. Photo courtesy City of Sugar Hill
By Ginger Ashworth
Taking a look at the calendar for Ane Mulligan on any given day and one will get tired just reading it! It is no surprise that she was recently chosen as Volunteer of the Year for the City of Sugar Hill. Ane fits in perfectly for the ever busy town as she is cut from the same cloth.
When asked about receiving the honor she says, “No idea. None. I think some girls in the office knew because when I walked into a room of whispers, all got quiet.”
How did all this get started? Ane says about seven years ago the Mayor of Sugar Hill, Steve Edwards, asked her to begin a community theatre. I watched as she demonstrates how she vehemently shakes her head saying no to Mayor Edwards. She had been the Creative Arts Director for her church for about eleven years, creating sermon starters and even full length dramas.
Ane had also become so busy writing her books and becoming the queen of the Southern Fried Fiction world. Her books include “Way Down, A Suwanee Murder,” and “When the Bough Breaks” and coming in 2018 she releases her latest, “When the Wind Blows.” However, no amount of coffee or chocolate, which she firmly believes are food groups, could keep her solid “no” in place for long. She finally caved in 2013.
She loves community theatre and is the Creative Director of the Players Guild at Sugar Hill, an avocational non-profit theatre group. She and her husband, Terry Mulligan act, direct, build sets, all while trying to keep all of us (yes, I have the honor of getting to work with this tireless, wonderful woman) on track.
Ane and the cast, which included her husband, just wrapped up the radio plays “Mars is Heaven” and “War of the Worlds.”
Her first play in 2014, Agatha Christie’s, “And Then There Were None,” which was scheduled to premier in the Sugar Bowl, met with a deluge, flooding the outdoor arena. With days of downpours predicted, the crew was faced with tough decisions. With all the time, effort and money invested, and many looking forward to the debut of the first production from the Players Guild, what could they do to keep from canceling? In true theatre fashion, the show must go on! And go it did! In one night, the underground parking garage transformed into the scene of an old mansion, where mysteriously, the cast is murdered one by one, with suspicions running rampant among the survivors.
The Players Guild officially opened in 2015, sharing the Buice building with two other groups. The Players Guild eventually became the only tenants of the building housing the costumes as well as performing the plays. The last play at Buice, “The Savannah Sipping Society,” wrapped up in September and received rave reviews.
Ane is looking forward to the upcoming radio play to be performed in the new Eagle Theatre — “Bullets and Badges: The Best of Old Time Crime.” The radio play will be presented March 30, 2018 thru April 8, 2018. If you would like to get a chance to perform live, auditions are being held January 8th and 9th from 7-9 p.m. at the Buice Auditorium.
Ane has been involved in theatre since she graduated with churches and dinner theatres. Even with her newest book being written, she still goes full force with the community theatre. We look forward to many more laughs and tears, getting to know the characters, and getting caught up in the storyline. Seeing so much more from the loving, giving, caring, unstoppable Sugar Hill Volunteer of the Year, Ane Mulligan.


Join us on March 20, 2019 for the third webinar in our Blockchain series!
News headlines and blockchain advocates frequently make bold claims about what the tech is capable of, from solving climate change and global warming to ending poverty and straight-up saving the world.
Since blockchain is really just a special kind of database, it absolutely has broad applications to almost every field imaginable, from evangelism and energy to IoT and identity. But, as with any technology, it has benefits and limitations.
In this presentation, technologist Kimberly Koenig addresses blockchain’s real-world applications, future possibilities, and pragmatic limitations.


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The 2020 French Eurovision hopeful, Tom Leeb, will be releasing his Eurovision entry for Rotterdam on Sunday 16 February.
France has gone internal for 2020, after selecting its Eurovision hopeful via a national selection for two years in a row. Tom Leeb was selected via an internal selection by France 2 in order to defend the French colours at the 2020 Eurovision Song Contest in Rotterdam.
Eurovision fans will be thrilled that the wait will be over on Sunday, as France 2 will be releasing Tom’s Eurovision
About Tom Leeb
Tom Leeb was born in Paris in 1989 and is the son of famous French comedian Michel Leeb. Tom enjoys much fame and recognition in France. He has studied cinema, theatre, music, dance and singing in New York for five years and speaks fluent English.
Tom has worked in the cinema, television, theatre and released his first album Recollection in 2019.
He released his first single Are we too late in 2018.
France in Eurovision
France debuted at the Eurovision Song Contest in the very first contest in 1956 and is one of the founder members of the competition. The French nation has won the event 5 times: 1958, 1960, 1962, 1969, 1977. France has hosted the Eurovision the contest on 3 occasions : Cannes (1959,1961) and Paris (1978).
In 2019 the French selected their ESC hopeful and entry via Destination Eurovision, thus sending Bilal Hassani to Tel Aviv with his entry Roi. Bilal placed 16th in the Grand Final in Israel.

domain: entertainment


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Painkillers and cancer, Night shift and breast cancer, Obesity and kidney stones
Painkillers and cancer
|Updated: 5/29/2012 5:31 pm
||Published: 5/29/2012 4:27 pm
Painkillers are good for headaches and other pains - but now scientists say they could also protect us from skin cancer.
New research finds that common painkillers, such as aspirin, may help prevent some forms of skin cancer.
Doctors out of Denmark have found these medications might decrease the risk of developing the three major types of skin cancer, including the most serious, malignant melanoma.
Study authors say more research is needed to better understand why these painkillers prevent some skin cancers.
Night shift and breast cancer
Researchers have found women who work the night shift more than twice a week may be increasing their breast cancer risk.
That risk goes even higher among women who describe themselves as "morning" people rather than "evening" people.
The team found women who worked the night shift had a forty percent higher risk of breast cancer.
No one could determine why night shift work increased breast cancer.
Some believe it could be because of the increased stress and the disruption of the body's 24-hour clock.
The findings appear in "occupational and environmental medicine" medical journal.
Obesity and kidney stones
The numbers of Americans with kidney stones has almost doubled since 1994.
And researchers believe the obesity epidemic is the most likely reason why.
Researchers found 1 in 11 Americans now develops kidney stones compared to one in twenty back in 1994.
The team believes the rise is most likely due to increases in obesity, diabetes and gout, which are risk factors for kidney stones.
Copyright 2012 Newport Television LLC All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

domain: medical


text: This research investigated the milk yield, reproductive traits and productive life of Holstein-Friesian cows born in Turkey or imported from Italy and raised on farms involved in the Turkish-ANAFI Project. A total of 2600 records for age at first calving, 4733 completed lactation records from 2080 cows, and 1130 productive life (from first calving to disposal) records from 50 farms in the provinces of Izmir, Manisa and Aydin under the Turkish-ANAFI Project were evaluated. Least squares means for age at first calving, 305-day milk yield, lactation milk yield, lactation duration, days open, days dry, and productive life were 28.2 months, 6232 kg, 6829 kg, 336.0 days, 138.0 days, 78.3 days, and 28.9 months, respectively. Corresponding least squares means for cows born in Turkey and imported from Italy were 28.8 and 27.6 months (P<0.01), 6182 and 6281 kg (P>0.05), 6761 and 6897 kg (P<0.05), 333.9 and 338.1 days (P<0.05), 132.7 and 143.4 days (P<0.01), 79.2 and 77.3 days (P>0.10), and 21.6 and 36.1 months (P<0.01), respectively. The level of milk yield of Holstein-Friesian cows in herd-book herds under the project in the Aegean Region was satisfactory. However, there were reproductive problems as shown by the length of days open. Shorter productive life of cows born in Turkey compared to cows from Italy suggested that breeders tended to cull locally born cows at a younger age but that they tended to keep imported cows in the herd for a longer period unless serious problems occurred.

domain: agronomy


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Saturday, 17 May 2014
Monday, 12 May 2014
Thursday, 8 May 2014
This little bird is made using re-cycled silks and linens, she also has a hand painted body, which has been hand stitched with the scraps !
Her legs are wire wrapped with silk.
She costs £48.00 inc postage
If you would like to purchase this bird contact me at:
THIS ITEM HAS NOW SOLD
Thursday, 27 February 2014
Here are my latest bird sculptures
This little bird has been hand painted and has stitched details, he also has wire wrapped legs.
This is available in mt Etsy shop
I have also made a Owl sculpture
This is also available in my Etsy shop
Tuesday, 11 February 2014
Where have I been you may be wondering, busy with orders is my answer, since before Christmas I have been totally rushed off my feet, ( great for my business )
I am now going to make a huge effort to keep up my Blog posts !
Here are a few new creations .......
Love mouse perfect for valentines or Mothers Day
Primitive Bird Sculpture
If you would like any of these items please feel free to contact me
Have a great day :)


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Embrace the madness of God's love. Mk 3,20-21read more
My words will not pass. Lk 21,29-33
The Word embraces, overcomes and overcomes the past and the future. Just as He is among us and is eternal, His Word is for us a gift, when we understand that living a single, simple and unmistakable Word of Him, which is alive within our hearts, it will be clear that His Eternal Presence will be with us. His Word is the truth! A single Word, alive, lived, current, which acts, has the gentle force that breaks the rocks of the past, dispelling hatred, melancholy and shadows. Live the life that will never pass.


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This free guide helps you for best tips and tricks for Final Fight game
The Guide for Final Fight 2017 New is included with tips and tricks for Final Fight Game lovers
This Guide for Final Fight 2017 New helps you to thump enemies down with changeable assault. Appreciate battling and have a fabulous time, this guide helps you to how to control fighting system, developed with fully animated characters, Videos and You can get cheats on punching, fighting
and kicking etc.
Let's try this perfect new Guide for Final Fight 2017 New. It gets you more excitement to play, helps you to pass through many hard levels, and guides you with many tricks that you don’t know!
The step-by-step free Guide for Final Fight 2017 New will make it easy to learn more about final fight game features and settings.
•All Chapters Walkthrough
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Now download this Guide for Final Fight 2017 new and get the Amazing experience of playing final fight game Series and please do rate us for our future improvements, Thank you!!
Guide for Final Fight 2017 New an UNOFFICIAL version and is not endorsed by or affiliated with the creator of this game or its licensors. This app complies with the US Copyright law guidelines for fair use.
Characters, names, places, and other aspects of this app are trademarked by their respective owners.
If you feel there a direct copyright or trademark violation (Guide for Final Fight 2017 New) that does not follow within the fair use guidelines, Please feel free to discuss with us directly.

domain: game


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View All Recipes
Twisted Carrot Roses From "BraveTart"
Brown Butter Carrot Cake From "BraveTart"
The Food Lab
View All Techniques
How to Make a Show-Stopping Carrot Cake
Shrimp Rolls Bring the Seafood Shack Home
Know Your Ingredients
Special Sauce Podcast
Guide to Eggs
Guide to Steak
View All Features
Obsessed: Baking With an Artist's Palate
Special Sauce: Jacques Torres on Becoming Mr. Chocolate
J. Kenji López-Alt
View All Editors
View All Equipment
The Best Tools for Homemade Fresh Pasta
The Best Food Processors
Utility Knives: The Non-Kitchen Blades Your Kitchen Needs
The New Snickerdoodle Ice Cream Cookie Sandwich from Carl's Jr. is Shock...
We Try the Philly Cheesesteak Thickburger (and New Buns!) from Hardee's ...
We Try the New Buffalo Blue Cheese Burger from Hardee's & Carl's Jr.
We Try the New Pop-Tart Ice Cream Sandwich at Carl's Jr.
Reality Check: We Try the New Bacon-Loaded 'Superman' Burger from Hardee...
Reality Check: New Jim Beam Bourbon Thickburger from Hardee's and Carl's...
Reality Check: Jalapeño Turkey Burger from Hardee's & Carl's Jr.
Reality Check: Memphis BBQ Thickburger from Hardee's and Carl's Jr.
Carl's Jr. Testing 'Ice Cream Brrrger' in Orange County
Reality Check: Carl's Jr./Hardee's Southwest Patty Melt
Video: Kate Upton's Southwest Patty Melt Commercial for Carl's Jr. and H...
Carl's Jr. and Hardee's New Steakhouse Burger: 'Tastes Like It's Made by...
Video: Carl's Jr.'s Turkey Burger Commercial with Miss Turkey
Reality Check: Carl's Jr. Philly Cheese Steak Burger
Video: 'Nightline' on Carl's Jr.'s Footlong Cheeseburger
Videos: Stop Motion Lego Commercials for Carl's Jr.'s Philly Cheesesteak...
Carl's Jr. Testing a New Footlong Cheeseburger
Are Carl's Jr. and Hardee's the Same?
Reality Check: Carl's Jr. Grilled Cheese Bacon Burger
Reality Check: Carl's Jr. Six Dollar Cheeseburger

domain: food


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Beijing imposed its first-ever red alert warnings for air pollution earlier this month. Schools and industries shut down, and restrictions were imposed on cars and trucks coming into the city.
But it’s not the most polluted place on the planet: the Indian capital Delhi now has that dubious distinction.
So what’s it like to live and breathe in all that smog?
The BBC’s Justin Rowlatt has been figuring that out.
Click the above audio player to hear the full report.
As a nonprofit news organization, our future depends on listeners like you who believe in the power of public service journalism.
Your investment in Marketplace helps us remain paywall-free and ensures everyone has access to trustworthy, unbiased news and information, regardless of their ability to pay.
Donate today — in any amount — to become a Marketplace Investor. Now more than ever, your commitment makes a difference.


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How to keep car payments up to date. Having an automobile is exhilarating. To obtain one, you either pay cash or secure financing. Picking the latter option requires you to make monthly payments. When it comes to making payments, whether bi-weekly or monthly, everybody wishes to have payment choices that are quick and easy for them. No worries! There are numerous payment methods available. Assuring you will not have any problem.
Getting auto financing is an excellent way to obtain a vehicle, particularly if you don’t have the budget to buy one outright. However, to guarantee you will not have a tough time throughout the process. You must be with the right auto loan provider that can help and offer you great options. Edmonton Auto Loans can be the best choice for you.
Choose the most suitable payment options for your specific situation and needs. Enjoy your ride without payment hassles. Keeping your automobile payments current is critical to prevent future complications with your car loan. Make payments on your auto loan online. It’s either via mail, phone, or in person. Please see the details given below for your reference.
How To Keep Car Payments Up to Date
Set up Automatic Payments
You choose which savings or checking account the money should come from monthly. Enrollment is free, and you may quickly adjust or cancel the automatic payments online. It’s the most practical method to avoid missing a payment.
To configure automatic payments. Fill in the online Auto Pay Enrollment Form and return it by mail or fax. Your account will be updated to reflect Auto Pay participation within five to seven business days after your Auto Pay enrollment is accepted.
If you want to amend or cancel your automatic payments, give yourself perhaps three (3) working days before the automatic payment is due to withdraw.
You can enroll in Western Union SpeedPay using a MyAccount login. SpeedPay accepts several payment methods, including ATM debit cards, ACH, credit cards, and checking or savings accounts. The system may send a text message to you when payment is due and be paid by text. There’s a fee for this service.
Online payment using your savings or checking account.
Sign up for or log into your account and choose Make a Payment. Enter the amount and date of your payment, then click the submit button. (If you are a first-time user, you will be directed to create an online payment profile). Your payment will then be confirmed. If all of the information is right, hit the Confirm button. Your online auto payment is complete when you see the Thank you page. Print or write down your Transaction ID (confirmation number) for further reference.
Pay online with your debit card.
You can pay with your debit card online. Your debit card issuer may levy a service fee, a cash advance fee, or other fees.
Pay by phone.
Many creditors allow customers to settle their loans/bills over the phone. You can make payments monthly with your checking, savings, or debit account. This service will be subject to convenience fees.
Mail your payment
You may send a personal check, cashier’s check, or money order, in addition to your payment coupon, in the envelope with your statement. Please ensure that your account number is included in the payment documentation.
Use Moneygram or Western Union Quick Collect to make an express payment. Both payment methods are quick and secure. Within 24 hours, your car loan payment is credited to your account. Both services will incur fees.
Paying your car loans or any bills doesn’t have to be a pain you look forward to each month. To make your loan payments easier for both you and your creditor. There are a variety of channels and tools that you may use to plan, finish, and submit your car loan payments. For any questions, feel free to phone us here at 1-855-227-1669.
On the other hand, if you want to finance a new or used vehicle, we can be your best option. We can help you with your vehicle financing regardless of your credit rating. Edmonton Auto Loans have auto loan options available for everyone. Get pre-approved here now! With our expertise in this field! There’s no doubt you’ll have a delightful experience.

domain: finance


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The terrified political system has now launched an extremely aggressive attack on Golden Dawn. Now in addition to the “anti racist” thought crime law they try to pass, the US Department of State announced in its annual “international religious freedom report” that Golden Dawn is a threat to the well being of Muslims in Greece. It implies Greek people themselves are problematic for resisting the Islamification of Greece.
The real problem for them is that Golden Dawn stands in the way of the US governments imperialistic plans and the rapid rise in popularity terrifies them. A recent doctored Panas poll shows the Golden Dawn at 14%, however more realistic polls reveal that Golden Dawn will soon pass 20% of the people’s support.
These reports are done for every country, naming religious freedom status for each country. In it’s report for Turkey for example it mentions orthodox minorities are heavily restricted, however no Turkish political parties are mentioned and no suggestion of action is made.
The Greek report is unique in that it mentions Golden Dawn specifically, while others are written in a more unbiased almanac style.
So the struggle continues, Golden Dawn will continue fighting against the rotten political establishment and its foreign oppressors.
- Muslims & antifa riot, burn cars in France because Le Pen won 2nd place
- ISIS bombed Russia's FSB headquarters, not neo-nazis as initially claimed
- "Allahu Akbar" Shooter Kills 3 in Fresno California, Targets "White Devils" Only
- Erdogan becomes Ottoman Sultan Dictator After winning Referendum
- Turkey on the Brink of Voting ‘YES’ to Installing an Erdogan Dictatorship