text:
Ultrasound as a First-line Test in the Diagnosis of Carpal Tunnel Syndrome: A Cost-effectiveness Analysis
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The American Academy of Orthopaedic Surgeons (AAOS) recommends that surgeons obtain a confirmatory test in patients for whom carpal tunnel surgery is being considered. The AAOS, however, does not specify a preferred test. Ultrasound reportedly causes less patient discomfort and takes less time to perform, while maintaining comparable sensitivity and specificity to electrodiagnostic testing (EDX).
We determined whether ultrasound as a first-line diagnostic test is more cost-effective than using EDX alone or using ultrasound alone: (1) when used by a general practitioner; and (2) when used by a specialist.
A fictional population of patients was created and each patient was randomly assigned a probability of having true-positive, false-positive, true-negative, and true-positive ultrasound and EDX tests over an expected range of sensitivity and specificity values using Monte Carlo methods. Charges were assigned based on Medicare charges for diagnostic tests and estimates of missed time from work.
The average charge for the use of ultrasound as a first-line diagnostic test followed by EDX for confirmation of a negative ultrasound test was $562.90 per patient in the general practitioner scenario and $369.50 per patient in the specialist scenario, compared with $400.30 and $428.30 for EDX alone, respectively.
The use of diagnostic ultrasound as a first-line test for confirmation of a clinical diagnosis of carpal tunnel syndrome is a more cost-effective strategy in the specialist population and results in improved false-negative rates in the generalist population despite increased cost.
Level of Evidence
Level III, economic and decision analyses. See the Guidelines for Authors for a complete description of levels of evidence.
Current recommendations by the American Academy of Orthopaedic Surgeons (AAOS) are to obtain a confirmatory test in patients for whom carpal tunnel surgery is being considered. The AAOS, however, does not specify which test should be used . A recent meta-analysis  showed comparable sensitivity and specificity of ultrasound and electrodiagnostic testing (EDX) in the diagnosis of carpal tunnel syndrome (CTS). Despite this evidence, there is an anecdotal bias toward the preferential use of EDX over ultrasound to confirm clinical findings in the diagnosis of CTS. Changes in the healthcare environment have placed a high premium on the cost-effectiveness of diagnostic and therapeutic procedures. With more than 3.8 million Americans evaluated by a physician for CTS in 2003, the burden of diagnostic testing for this condition is immense .
EDX, defined as a combination of nerve conduction studies and electromyography, has been used as the gold standard for the diagnosis of CTS [2, 7, 9, 15, 24, 28, 32, 33, 34]. The American Association of Electrodiagnostic Medicine (AAEM) has defined a standard protocol for EDX to detect focal nerve conduction slowing and changes in muscle innervation in patients suspected of having CTS . EDX has a high specificity [9, 25], but also a false-negative rate of 10% to 20% [14, 16, 19, 25].
The use of ultrasound for the diagnosis of CTS relies on measurement of the cross-sectional area of the median nerve at the inlet of the carpal tunnel, with many authors defining a positive test as a cross-sectional area greater than 9 mm2 (range, 9–15 mm2) [1, 2, 7, 8, 18, 20, 21, 22, 23, 26, 27, 28, 31, 32, 33, 34, 35]. The reported sensitivity and specificity of ultrasound varies from 57% to 98% and 51% to 100%, respectively with a false negative rate of approximately 20% . Ultrasound is operator-dependent and unable to differentiate distal from proximal compression [9, 24]. We found the charge for diagnostic ultrasound of the upper extremity for CTS was less than for EDX based on internal Medicare charges supplied by our billing department. We therefore presumed it may be more cost-effective for all patients with clinical findings of CTS, who are determined by their surgeon to require confirmatory testing, to undergo ultrasound as a first-line diagnostic test. In the case of a positive ultrasound, the diagnosis would be considered confirmed and treatment would follow the standard of care. In the case of a negative test, with clinical findings suggestive of CTS, EDX then would be performed to confirm or refute the results of the ultrasound.
We therefore asked whether ultrasound as a first-line diagnostic test is more cost-effective than using EDX alone or using ultrasound alone: (1) when used by a general practitioner; and (2) when used by a specialist.
Patients and Methods
A fictional population of 38,000 patients, based on data from the United States Department of Health and Human Services Health Care Cost and Utilization Project (HCUP) , being referred for confirmatory testing for presumed diagnosis of CTS was created and each patient was assigned a probability of having true positive, false positive, true negative, and true positive ultrasound and EDX tests over an expected range of sensitivity and specificity values using Monte Carlo methods. Monte Carlo methods are a class of computational algorithms that use repeated random sampling of an expected range of probabilities to compute results for situations such as the modeling of risk and cost overruns. These methods are beneficial in situations with many variables, such as our current model, and allows for the uncertainty seen in clinical practice. The likelihood of these outcomes and the sensitivity and specificity data were defined based on a recent meta-analysis  and the study by Graham . Using this statistical method allows the creation of a fictional population that more accurately reflects clinical practice. For example, the sensitivity and specificity of any given test can vary over the 95% confidence intervals of the test. As every clinician has experienced, most patients do not experience results that exactly mirror the mean or median, but rather fall within a spectrum on either side. The fictional population of 38,000 patients was created one time, followed by the repeated random selection, over a uniform distribution, of a group of 100 patients from this population to simulate the clinical spectrum that might be seen in the office by a practitioner. The data from the repeated random samplings then was aggregated and confidence intervals calculated.
Assumptions made for the cost-effectiveness analysis with mean and 95% confidence intervals, when available
Value/mean (95% CI)
Charge for Ultrasound
Charge for EDX
Days missed work after surgery
Days missed after false negative
Average yearly salary
The charge of each diagnostic test was based on internal Medicare charge data provided by the billing department at one of our hospitals. Based on these data, ultrasound was assigned a charge of $204 per test and EDX was assigned a charge of $250 per test. A charge also was assigned for a false-positive diagnosis, based on loss of wages attributable to missed work. Cowan et al.  found that patients are expected to return to work at an average of 11.8 days for light duty and 18.9 days for full duty after carpal tunnel release. For the purposes of this analysis, the average time to return to work was chosen as a mean of 10 days (range, 1–80 days) and each patient was assigned a value using Monte Carlo methods. The Social Security Administration National Wage Index for 2010 was $41,673 per year [9, 29]. The salaries of the fictional patients in our group were varied randomly from $20,000 to $250,000 per year with the average set at $41,673. The charge for a false-negative test was set at half of the average salary per week to account for decreased productivity at work and the need for additional tests and physician office visits. The fictional patients were again assigned a value for the number of missed days with an average of 10 days (range, 1–50 days).
In the EDX-alone scenario (EDX was used as the only test, no ultrasound tests were ordered), a true-positive test was assigned a charge of $250. A true-negative test was assigned a charge of $250. A false-positive test was assigned a charge of $250 plus charge per week of missed work (as described above). A false-negative test was assigned a charge of $250 plus half salary per week (as described above). In the ultrasound-alone scenario (EDX was not ordered to confirm or deny the results of ultrasound), a true-positive test was assigned a charge of $204. A true-negative test was assigned a charge of $204. A false-positive test was assigned a charge of $204 plus charge per week of missed work (as described above). A false-negative test was assigned a charge of $204 plus half salary per week (as described above).
Groups of 100 fictional patients from the fictional sample population of 38,000 were repeatedly chosen and the average charge per patient was calculated with 95% confidence intervals. The false-negative, false-positive, true-positive, and true-negative values were calculated with 95% confidence intervals. The simulated trials were generated using R 2.15.1 (R Foundation for Statistical Computing, Vienna Austria; www.r-project.org).
False-positive rate, false-negative rate, and mean charges in the generalist scenario*
% False-positive (95% CI)
% False-negative (95% CI)
Mean charges (95% CI)
Ultrasound followed by EDX
False-positive rate, false-negative rate, and mean charges in the specialist scenario*
% False-positive (95% CI)
% False-negative (95% CI)
Mean charges (95% CI)
Ultrasound followed by EDX
Ultrasound has been proposed as an alternative test for the diagnosis of CTS as a result of its potential cost savings, time savings, and improved patient satisfaction resulting from less discomfort [3, 7]. Sensitivity and specificity of ultrasound, when using clinical diagnosis as the gold standard (77.3% and 92.8%, respectively), were comparable to the sensitivity and specificity of EDX (69% and 97%, respectively) [9, 11]. Despite this evidence, a bias still exists favoring the use of EDX for confirming the diagnosis of CTS. We therefore asked whether ultrasound as a first-line diagnostic test is more cost-effective than using EDX alone or using ultrasound alone: (1) when used by a general practitioner; and (2) when used by a specialist.
There are several limitations to this study. First, this analysis is a simulation based on randomly assigning probabilities of true-negative, false-negative, true-positive, and false-positive outcomes of the diagnostic tests over an expected range of values as previously reported [9, 11]. It may not accurately reflect true clinical practice based on the assumptions that we have made regarding the prevalence of CTS in the two clinical scenarios [4, 13]. The sensitivity and specificity of ultrasound used in our analysis were based on a reference standard of clinical diagnosis . The use of sensitivity and specificity values based on EDX as the reference standard could change the findings. The assignment of charges to each outcome (true-positive, true-negative, false-positive, and true-positive) is another limitation of the study. The charges of the diagnostic tests were based on internal Medicare charges from one of our institutions. Medicare charges vary among institutions, however, the ratio between the charges is likely to be similar. The charge assigned to a false-positive test was meant to penalize a confirmatory test for incorrectly diagnosing CTS. The determination of a false-positive test in clinical practice may be difficult and hard to confirm, as successful surgery for CTS release is an imperfect measure because patient symptoms often are multifactorial and all symptoms may not improve with surgery [5, 10]. We did not attempt to quantify the legal and ethical costs of performing surgery for an incorrect diagnosis (false-positive test). The cost of missed work could vary greatly depending on the population of the surgeon and the salaries of the patients, although we have attempted to model for this effect. Patients with desk jobs would be more likely to return to work sooner than patients with manual labor jobs, although we controlled for this variable by varying the time to return to work over a range of 1 to 80 days, with a skew toward the left and earlier return to work at an average of 10 days. Another limitation is that in clinical practice, the clinician performing the confirmatory EDX may not be blinded to the results of the ultrasound, which could induce bias.
Although EDX alone was the most cost-effective strategy in the general practitioner population, the false-negative rate of nearly 18.9% is unacceptably high. Interestingly, the use of ultrasound as a first-line test confirmed by EDX, if necessary, resulted in a low false negative rate (3.7%). Given the lower rate of false positives and cost-savings, EDX remains the preferred test for general practitioners. A charge savings of $76 per patient becomes relevant as 3.8 million Americans are seen by a physician each year for evaluation of CTS . The prevalence of patients, sent from the general practitioner’s office for confirmatory diagnostic testing, who had a true diagnosis of CTS possibly could be increased by standardized use of a clinical diagnostic tool as proposed by Graham et al. [11, 12].
In the specialist scenario, the false-negative rate of 17.5% for ultrasound alone is also unacceptably high, although not as high as the false negative rate of EDX alone. EDX alone had the lowest false positive rate of any scenario (0.3%). The use of ultrasound as a first-line test, followed by EDX in the case of a negative ultrasound, had the best combination of confirming the diagnosis (false-negative rate, 2.7%) while maintaining an acceptable rate of false-positive tests (5.5%). The use ultrasound as a first-line test in this scenario resulted in a cost savings of $1.70 per patient.
We found the use of diagnostic ultrasound as a first-line test for confirmation of a clinical diagnosis of CTS to be a cost-effective strategy in the hands of a specialist. Although first-line ultrasound was associated with improved false-negative rates over the use of EDX alone in the general practitioner model, it resulted in a substantial increase in charges over the use of EDX alone. Our data suggest ultrasound is a cost-effective option for confirming the clinical diagnosis of carpal tunnel syndrome in the specialist’s office.
- 15.Jablecki CK, Andary MT, Floeter MK, Miller RG, Quartly CA, Vennix MJ, Wilson JR; American Association of Electrodiagnostic Medicine; American Academy of Neurology; American Academy of Physical Medicine and Rehabilitation. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2002;58:1589–1592.PubMedCrossRefGoogle Scholar
- 17.Keith MW, Masear V, Chung KC, Maupin K, Andary M, Amadio PC, Watters WC 3rd, Goldberg MJ, Haralson RH 3rd, Turkelson CM, Wies JL, McGowan R. American Academy of Orthopaedic Surgeons Clinical Practice Guideline on diagnosis of carpal tunnel syndrome. J Bone Joint Surg Am. 2009;91:2478–2479.PubMedCrossRefGoogle Scholar
- 21.Lee D, van Holsbeeck MT, Janevski PK, Ganos DL, Ditmars DM, Darian VB. Diagnosis of carpal tunnel syndrome: ultrasound versus electromyography. Radiol Clin North Am. 1999;37:859–872, x.Google Scholar
- 29.Social Security Administration National Average Wage Index. Available at: http://www.ssa.gov/OACT/COLA/AWI.html. Accessed March 2, 2012.
- 31.United States Department of Health and Human Services AHRG. Healthcare Cost & Utilization Project (HCUP). Available at: http://www.ahrq.gov/data/hcup/. Accessed June 30, 2012.

domain: literature


text:
The Roman historian Tito Livio declared, “Nothing is more profound than the loss of money”. Whether this sentiment is true or not, you should ask the billionaires who lost the most money this year, 2022.
Mark Zuckerberg, Changpeng Zhao, Elon Musk, Jeff Bezos, Sergey Brin, Larry Page, MacKenzie Scott, Bill Gates, Ma Huateng and Amancio Ortega are the names that make the list.
At first glance, it may seem like they don’t share much in common, other than being one of the richest people in the world, but upon closer inspection, they have a lot in common year after year. And no, not all losses are due to inflation or the war in Ukraine. There is much more to analyze.
Many of these veterans started out in the same sector and moreover, have a good chunk of their fortune in stocks in the stock market, which is why the post-pandemic tech crisis has left them squabbling. His wealth has dwindled due to his position in the company and even his involvement in social causes.
Whether 2023 will do better or not is hard to tell right now. For now, these are the reasons that have caused him major losses.
they belong to the technical field
Of course, this hasn’t been the year of technology or Silicon Valley. Proof of this is the wave of layoffs experienced by large companies. The pandemic came to prolong the rise of this sector, but this 2022 has set off all the alarms and the cuts are on.
The war in Ukraine, inflation and Fed policy haven’t helped. No color Mark Zuckerberg with the Metaverse.
For this reason, he and other giants of the field such as Google co-founders Sergey Brin and Larry Page, Amazon founder Jeff Bezos, Microsoft co-founder Bill Gates or Tencent Holdings founder Ma Huateng. A Chinese technology multinational was among the billionaires who lost the most money this year.
he is no longer the CEO
many of them are founders, but they are no longer visible The companies he built and steered to success. In July 2021 and after 27 years, Bezos left the management of Amazon in the hands of Andy Jesse. he did it so he could concentrate Other aspects of the companyIn which he continues to participate, as well as in other projects.
About 10 years ago, Amancio Ortega left the presidency of Inditex at the age of nearly 75. a process of delegation of responsibilities Which ended in 2017, when he definitively abandoned all his positions. In 2021, his daughter, Marta Ortega, took over as non-executive director.
From needing to test its mettle to first labor scholarship for Marta Ortega: Inditex’s 6 big challenges for 2023
In 2019, Larry Page, till then the CEO of Alphabet (Google parent) resigned from his position. the reason? ,simplify the structure of management “. At the same time, Sergey Brin left the post of chairman of Alphabet, a rather honorary position that disappeared after his departure. Both assured that if there is a “better way to manage the company” then the management Do not stick to the positions of”.
Bill Gates also stepped down from Microsoft’s board of directors. This happened in 2020 following an internal investigation into relations with an employee. But since 2008, he was less committed to the company. To this day, yes, he remains a technology consultant.
Among the highest-earning billionaires this 2022, a common factor was the relatively high average age of 67. Things change a bit in the case of those who have lost the most money.
Rolex has outperformed gold, real estate and stocks over the past 10 years, and sellers believe their value will continue to rise
The average age is quite short, just over a decade. Notably, he is 54 years old, the oldest being Amancio Ortega with 86 years. Mark Zuckerberg is the youngestAge 38 years, rest are around 50.
dedication to charity
Another common point is that philanthropy is one of the main activities of many of these profiles. A “hobby” that by its very nature is destined for legacy loss. The greatest philanthropist of this group is Mackenzie Scott, devoted in body and soul to a variety of causes. deposit more than 14,500 million 343 dollars in donations after helping various organizations.
Bezos’ ex-wife has pledged to donate most of her fortune to charity and believes “it would be best if disproportionate wealth was not concentrated in a small number of hands.”
Another one in the list of philanthropists is Bill Gates, who along with his ex-wife created the Bill and Melinda Gates Foundation, aimed at helping those in need and achieving equality. Gates also made giving PledgeAn Alliance for Billionaire Philanthropy.
What do the highest earning billionaires of 2022 have in common?
On several occasions he has stated his desire to donate his entire fortune, which he admits will see him disappear from the list of the world’s richest people in the coming years.
Jeff Bezos has also said that he will donate a good portion of his wealth while he is alive. Bezos Earth Fund has already announced donations through his foundation 10,000 million dollars To combat climate change.
Other names on this list also collect donations or plan to do so, such as Amancio Ortega or Sergey Brin and Larry Page.
falling stock market
It has been a crazy year for the stock market and it is one of the major reasons for the loss of lakhs of tycoons. Uncertainty And rising interest rates have prompted investors to sell off the stock market. In the United States, the interest rate set by the central bank has risen from zero in December to 4.5%.
Inflation-Proof: Highest-Earning Billionaires In 2022
Alphabet, Amazon, Meta Platforms, Microsoft and Tesla are among the most affected companies, which explains why their founders have lost millions of dollars. Many of them have also posted historic declines since their IPOs, such as Tesla and Meta.
Changpeng Zhao, the founder of Binance, deserves a separate mention. Because well, your company is not public, but the cryptocurrency market operates like the stock market. The collapse of FTX and its aftermath shook the entire cryptocurrency market, causing heavy losses for Binance.

domain: news


text:
Colin Ian Jeffery
Airgunner - Poem by Colin Ian Jeffery
My uncle Stan was a sergeant air-gunner on Wellington bombers during the Second World War, a tail gunner who flew twenty-three missions over occupied Europe, and six over Berlin. The life expectancy of a rear-gunner was seven missions.
Wellington bomber's engines roar
There is a stench of burning oil
In darkness the heavy plane rises.
No moon or stars but inky darkness
An icy cold chilling the soul.
Flying over the white cliffs of Dover
He fires his guns - - testing them
Ready for German fighters
Swooping like hawks against the bomber
Darting from the darkness guns blazing.
Over Holland they join other bombers
Flying in formation towards Germany
Searchlights seeking for them
With ack-ack shells colouring the night
Trying to bring the bombers down.
Fighters like angry hornets sweep in
As bombers reach Berlin
Path-finders have lit-up the target
And below all seems to be a sea of fire
Hitler's punishment for London's blitz.
Bomb-aimer takes control of the plane
Guiding the pilot over the target
Where he presses the plunger
Bombs drop screaming as they go
Exploding the factory making tanks.
The bomber makes two runs
Turns for home caught in searchlight glare
Illuminated for fighters and gunners
Too slow to climb beyond the light
Swept by German fighter machine guns.
Burning bomber reaches England
Pilot dying, crew bloody and afraid
Crash lands on its airfield
Rear-gunner pulled from his turret
Weeping, he survived another mission.
Poet's Notes about The Poem
Comments about Airgunner by Colin Ian Jeffery
Read this poem in other languages
This poem has not been translated into any other language yet.
Still I Rise
The Road Not Taken
If You Forget Me
Edgar Allan Poe
Stopping By Woods On A Snowy Evening
A Dream Within A Dream
Edgar Allan Poe


In partnership with New Jersey Future and the city of Hoboken, Rutgers University’s Bloustein School of Planning and Public Policy will complete an HIA to consider the potential health impact of an innovative stormwater management plan in Hoboken. Over the past decade, the city has experienced increasingly severe and frequent weather events and flooding. Hoboken received a grant in 2013 to prepare a Green Infrastructure Strategic Plan, which includes a recommendation to amend the city’s Master Plan to include a stormwater management element. The HIA will inform this process as well as the decision-making of the Hoboken City Council as it considers a comprehensive stormwater management ordinance. The HIA is expected to consider the possible health effects of exposure to stormwater overflows; disruptions in local, emergency, and business services due to flooding; and changes in water and air quality, as well as effects on ground permeability and heating related to green infrastructure solutions.


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As another member pointed out, I have also ordered DVDs and have tried out every big guitar website out there for good quality instruction. When I finally saw that John started an All Access Pass which means all of the content whenever you want, I signed up immediately.
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If you’re serious about learning blues and being a well rounded guitar player I recommend “Learning Guitar Now”.
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text:
Music legend David Bowie, who has died of cancer at the age of 69, was interviewed by former BBC presenter Jeremy Paxman in the year 2000 where he Bowie predicts the internet’s impact on music and society, describing the implications as “unimaginable”.
Whatever David Bowie did, whether musically or in fashion, acting or politics, it always seemed to come from the future. Perhaps it’s no surprise then that the late singer predicted the power and potential of the Internet while the rest of us were looking the other way.
“It carries the flag of being subversive and possibly rebellious and chaotic and nihilistic.”
“It’s just a tool though isn’t it?” Paxman responses. “No it’s not, it’s an alien life form,” Bowie responds with a husky laugh. “Is there life on Mars? Yes, it’s just landed here.”
R.I.P DAVID BOWIE


text:
Very limited menu for GF folks, and if you’re dairy free too forget it.
I was a little nervous to eat here after a family funeral. I called and messaged in advance. I had a cauliflower crust pizza. I explained that I have Celiac to my server. They were extra cautious, my pizza was great, I didn't get sick and I am very sensitive.
Large GF menu but cautions that they are GF friendly, not GF. Ordered shrimp and steak skewers. Waitress came back to inform me the vegetables are grilled on their wood stove which they also cook wheat pizzas on. The chef was able to make a large salad with root vegetables cooked separately instead and all the food Nima tested safe. Ate here over a year ago though and was given gluten containing lady fingers in my GF yogurt parfait. Their menu has changed since then and wait staff seems more knowledgeable so would eat here again based on my most recent experience. As always ask questions and trust your instincts.

domain: food


text:
Rahul Dravid called for a cleansing of the negative influences surrounding Indian Premier League as the great batsman hinted at playing his swansong innings in the hugely popular T20 tournament on Friday at the Eden Gardens.
“Truth always sets you free, that’s what I believe. I really hope that one gets to the bottom of it (the match-fixing allegations surrounding the IPL) and get the truth out, however painful it may be” Dravid said after his team Rajasthan Royals lost the second qualifier to Mumbai Indians.
“It was difficult, something that I have never experienced before. You plan for lot of things, for wins, for failures but when stuff like this comes up you don’t know what to do…It was quite challenging,” Dravid added with a disconcerting tone looking back at the arrest of three of his team-mates and the subsequent unfolding of one of the biggest crisis surrounding Indian cricket.
Surmising his own future Dravid said the Champions League tournament could well be his final outing in cricket. “At (the age of) 41, 12 months is a long way away,” Dravid virtually nullified his chances of playing in the next IPL. “Luckily we have qualified for the Champions League which is a few months away. You know, I think that would be it,” the great player seems to have decided on where to put the full stop.
The Rajasthan Royals captain said there is no point in forbidding a tournament for the mistake of some individuals.
“Cricket is great. There is no doubt about it. I have always said the IPL is a fantastic tournament. There are a lot of positives about it,” he said.
“But there are challenges in the IPL as well as we have seen in the last week or 10 days. You have to deal with the challenges.
“There is no point in completely throwing away the tournament. It is like throwing away the baby with the bath water,” Dravid insisted on the need to have specific treatment for specific problems.
“The issue of betting is not only about the IPL. We have seen in the past that the issue has been there in International cricket. We did not end international cricket because of that,” Dravid said.
“We need to sort the issue out rather than making statements like ‘cancel the IPL’ because there are some real good positives that have come out of it,” Dravid added.

domain: sports


text: The Denver Broncos have traded cornerback Aqib Talib to the Los Angeles Rams for a 5th round draft pick. Talib will reunite with defensive coordinator Wade Phillips and fellow corner Kayvon Webster. Talib and newly acquire corner from the Kansas City Chiefs Marcus Peters will form a very dangerous duo in the secondary. The NFL free agency period officially starts March 14th, but this is just the latest move to happen before that time. Michale Bennett was traded from the Seattle Seahawks to the Philadelphia Eagles, and the Rams traded linebacker Alec Ogletree to the New York Giants, which probably freed up the money needed to trade for #21 Aqib Talib.


Foreign Policy recently convened a discussion on nuclear modernization and the Trump administration, in partnership with Booz Allen Hamilton. Participants included high-level government and military officials and experts all grappling with the fact that modernization e orts are facing challenges, with a low margin for error.
With a $1.2 trillion Congressional Budget Once estimate for nuclear modernization, government officials were focused not just on developing low-
yield submarine-launched ballistic missiles and sea-launch cruise missiles, but also on necessary updates to the infrastructure supporting nuclear weapons. Discussion highlighted short-term challenges including debate about the value of developing sea-launch ballistic missiles, hurdles for development caused by bureaucracy on Capitol Hill, and a Congressional review timeline that makes procurement extremely di cult by distributing money halfway through the year. The short-term budget is enough to modernize existing programs, and a system is in place for stakeholders to raise concerns, but one official emphasized continuous application of band- aids on existing programs may end up costing even more than new development in the long-term.
UNDERSTANDING THE COST
Discussion highlighted a challenge in dissecting the triad’s more than one trillion-dollar budget, whose steep price tag may be initiated by essential defense items such as the B-21 bomber. Though one official emphasized that the triad makes up about 6 percent of DoD’s budget, another countered that the nuclear budget nonetheless competes with other defense programs for funding and should still justify itself. Participants disagreed about whether or not the triad even has consensus support, and one feared Congress may not be aware of the costly nuclear funding it will have to approve in the future.
MODERNIZATION VS. NEW START
While there was agreement that there has been a decline in nuclear development over recent decades, there was debate over whether new development or updates to existing programs should be the focus for the U.S. to be able to make strategic choices among different nuclear options. The view was raised that some technology is overdue for modernization, having waited for favorable modernization policy in the Obama administration that never came.
NPR SCHEDULING AND TESTING EXPECTATIONS
Participants agreed that meeting the NPR’s tight deadlines is going to be hard, and discussion turned to how to address those challenges. Though there
had been talk of a “nuclear czar” to oversee programs and help keep them on track, that idea was never implemented, leaving open the question of whether greater oversight and operational changes may be needed to meet NPR deadlines or whether the existing system simply needs to do its job. One obstacle on
the horizon may be a decline in expertise after two decades of insignificant nuclear development, but
the U.S. isn’t starting from scratch; the components
of the arsenal will see changes in capability, but
even an enhanced cruise missile will remain a cruise missile. Officials agreed that testing newly developed technologies will be challenging given the limited timeframe, and years are needed to test and certify advanced software, integrate it with hardware, and isolate new tech from external vulnerabilities.
LOW-YIELD SUBMARINE-LAUNCHED BALLISTIC MISSILES
Debate also arose over the development of low-yield submarine-launched ballistic missiles (LYBMs). One participant suggested they are a necessary stopgap until future technologies are operational, while others feared they would add an immediate risk of nuclear escalation. It was argued that the strategic consideration should be whether having LYBMs makes the Russians believe our nuclear arsenal
is stronger, rather than whether or not LYBMs are actually necessary. It was noted that LYBMs are simply a new delivery method within an existing strategy of tailored small, medium, or large nuclear strikes, that Russia’s buildup of its own arsenal suggests it is unintimidated by our repower, and that Baltic countries are supportive. However, it was countered that the prevailing attitude to LYBMs among Baltic countries could change with political power shifts in those countries and that LYBMs might make nuclear escalation more di cult to control, with Russia not even recognizing what sort of warhead was headed its way.
PUTTING NUCLEAR CAPABILITIES IN CONTEXT
Discussion grew blunt over whether the NPR puts
the cart before the horse, failing to answer even basic questions about the need for nuclear weapons, why the U.S. has a triad, and the very purpose of the nuclear arsenal. Participants disagreed over whether the
NPR had justified nuclear force or whether it others nuclear solutions without explaining why they would be preferable to alternative means. One suggestionput forth was a broader Deterrent Posture Review
that would consider nuclear options in context with conventional alternatives, since it was argued that a Nuclear Posture Review inherently privileges a nuclear course of action. Troops in the Baltic were offered as one conventional alternative to nuclear in combatting Russia, though a defense official noted those soldiers might carry a comparatively high cost.
There is even more fundamental disagreement
over the value of the Nuclear Posture Review itself, which critics argue may be too nuclear, ignoring conventional alternatives to nuclear force and failing to justify why nuclear weapons are necessary.
ROUNDTABLE ATTENDEES WERE FROM THE FOLLOWING ORGANIZATIONS
Booz Allen Hamilton
Carnegie Endowment for International Peace Center for Strategic and International Studies Federation of American Scientists
United States Department of Defense
United States Department of Energy
United States Navy
U.S. Naval War College


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Kaley Cuoco Shows Off Her Tennis Skills
27 Fascinating Movie Facts You Never Knew
15 Things You Should Avoid Saying to a Kardashian Addict
The Hottest Actresses on Primetime Television
What Disney Princesses Would Look Like in Real Life
75 Easter Eggs from Every Marvel Based Movie
"Full House" To Be Revived?
10 Movie Myths Never Actually Happen in Real Life
Here's What Happened To Your Favorite TV Animals
Bangin' Big Bang Theory Facts You Need to Know
The Hottest Women Ever in Comic Book Movies
10 Things That Still Bother You About "Friends"
George Clooney's Latest News is More Exciting Than His Wedding
Will This $0.50 Stock Hit $6.00? 3 Reasons We Think So!
Kendra Wilkinson Kicks Husband Out After Transsexual Cheating Scandal!
An Exclusive First-Look at the New 'Scandal' Collection!
Sam Wilson is the New Captain America
15 People Who Have Been Banned from SNL
Why 'Sex Tape' Sucks
The Hottest Women from Game of Thrones
Adrianne Palicki joins S.H.I.E.L.D. as Mockingbird
Why Gretchen Rossi is Livid with Tamra Barney
8 Movies That Turn to Crap After 20 Minutes
'Teen Mom' Maci Bookout's Son Bentley is All Grown Up
Soap Actor's Suicide Linked to His Dog
Teen Titans Live Action is Headed to TNT
Is This Happy Days Star Homeless?
Is Abby Lee Miller a Total Fraud?
Christopher Nolan Goes 'Interstellar'
When Will The New Bond Movie Come Out?

domain: entertainment


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Goodspeed Musicals Names Adam Souza New Music Director; Michael O'Flaherty Set To Retire
Goodspeed Musicals' Executive Director Michael Gennaro announced today that longtime Resident Music Director Michael O'Flaherty has decided to retire after leading the music department for 28 years. Joining Goodspeed to head the Music Department will be Broadway Conductor and National Tour Music Director and Associate Music Supervisor Adam Souza.
Mr. O'Flaherty stated, "the past 28 years as Resident Music Director of Goodspeed Musicals has afforded me the rare opportunity of collaborating with the very best composers, authors, actors, directors and producers in the musical theatre, while working on more than 90 musicals, old and new. I have never lost sight of how privileged I've been to have this experience."
He shared, "One of my favorite aspects of the job has been the ability to mentor many young, aspiring Music Directors over the years, one of whom, Adam Souza, will be taking over as my successor, and I couldn't be more proud. I'm also delighted to know that part of my legacy will be the annual Music Direction Intensive, or MDI, which has, over the past nine years, trained more than 120 music directors, thereby continuing Goodspeed's long-term commitment to education and outreach in the world of musical theatre."
"It's hard to express how happy I've been at Goodspeed. Very few people get this sort of opportunity. I'll certainly miss the work, the audiences, and the incredible staff. But now I look forward to new options and experiences - and the ability to hand off the Music Department to a new generation of artists" O'Flaherty said.
Adam Souza remembers "as a young aspiring musician, it was always my dream to make music with this organization. Goodspeed was my introduction to the idea that music and theater are truly a shared, community experience." Souza continued, "It is a great honor to be invited back to Goodspeed Musicals to continue the legacy of Resident Music Director, Michael O'Flaherty. Michael is my dear friend and mentor, and I am forever indebted to him for his leadership, friendship and talent. During his tenure Michael collaborated with many of Musical Theatre's greatest talents, always with respect, poise, sensitivity, and humor. It is my wish that I can bring to Goodspeed the same commitment and fervent focus that Michael has maintained for almost three decades."
Mr. Souza shared that "as a two-time recipient of the Goodspeed Guild scholarship and a college scholarship from Michael Price and Goodspeed Musicals, I feel a deep connection and responsibility toward Goodspeed's mission of nurturing, preserving and developing the American Musical Theatre. In coming home, I whole-heartedly invest my full spirit in our mission."
Executive Director, Michael Gennaro expressed that "Michael has been a vital part of Goodspeed Musicals work for nearly thirty years. The artistry and quality of the musicals which are synonymous with Goodspeed are in great part thanks to the talent and vision of Mr. O'Flaherty. As much as we will all miss collaborating with him, we are heartened to know his torch will be passed to his former mentee and Goodspeed alumnus Adam Souza. We are pleased to welcome Adam in his new position as Resident Music Director and look forward to many years of harmonious collaboration."
Mr. O'Flaherty will pass the torch following the closing of Billy Elliot The Musical in November 2019.
Dedicated to the preservation and advancement of musical theatre, Goodspeed Musicals produces three musicals each season at the Goodspeed Opera House in East Haddam, Conn., and additional works at The Norma Terris Theatre in Chester, Conn., which was opened in 1984 for the development of new musicals. The first regional theatre to receive two Tony Awards (for outstanding achievement,) Goodspeed also maintains The Scherer Library of Musical Theatre and The Max Showalter Center for Education in Musical Theatre.


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With the potential of lockdown’s lifting in the next couple of weeks, it’s never too early to start planning a summer road trip if you are near the Sudbury region. These 3 Landmark destinations are a must visit on your next drive through Sudbury:
1. Bay Used Books
Are you an avid reader? Look no further than Bay Used Books! Run by the Bouffard family for over 45 years, this bookstore is a well-known gem near downtown Sudbury. Bay Used Books carries over half a million used books at great prices, making their selection the largest in Northern Ontario! Both curb side pickup and delivery are available if you are driving through the city.
2. The Big Nickel
No trip to Sudbury is complete without stopping by The Big Nickel. Built in 1951, it is deemed the world’s largest coin and it makes the perfect pit stop for a photo break on your next road trip. Have a bit of extra time to kill? The Big Nickel is located close to the Dynamic Earth Science Museum. Grab your mask, there’s lots to explore!
3. Inco Superstack
Visible from nearly every corner of the city, the Inco Superstack is the tallest chimney in Canada at a dizzying 381 metres. That’s over 4 football fields tall! Sadly, the chimney will soon be undergoing demolition and will not be up for much longer. See it while you can!Be sure to keep your eye out for it on your next drive through Sudbury.
If you’re looking for a place to rest in Sudbury on your upcoming road trip, Quality Inn Sudbury offers the safest and most convenient options for accommodations on your next road trip. Contact us at 705.675.1273 to book your stay.

domain: travel


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Snowflake Chocolate Candy Molds, Set of 2 - Cupcake & Cake Toppers, Party Decorations, Frozen Treats
Huge Savings Item! Save 13% on the Snowflake Chocolate Candy Molds, Set of 2 - Cupcake & Cake Toppers, Party Decorations, Frozen Treats by Wonderfully Good at Miss Patisse. MPN: 820103142625. Hurry! Limited time offer. Offer valid only while supplies last. Imagine the possibilities... What will you create with your Wonderfully Good(TM) Snowflake Chocolate Candy Molds? Homemade sweets to give away to
Imagine the possibilities...
What will you create with your Wonderfully Good(TM) Snowflake Chocolate Candy Molds? Homemade sweets to give away to family and friends? How about chocolate mints as a frosty garnish for ice cream, gelato and other frozen desserts? Are you decorating a cake or cupcakes for a winter-themed birthday party, baby shower or wedding? Just picture the delight on your guests' faces as they enjoy your delicious snowflake creations, while you enjoy the well-deserved compliments. You can even add a special touch to your next dinner party by serving warm, fresh bread with snowflake-shaped pats of butter.
Our snowflake molds are great for: Let your creative genius shine...
- Cream cheese mints
- Coconut butter
- Sugar paste
- Cupcake toppers
- Cake decorations
- Garnish for ice cream & frozen yogurt
- Gummy candies
Wonderfully Good chocolate molds are perfect for making edible treats, but they also have many uses outside of the kitchen. We hope you'll be inspired to bring your craft projects to life with wax, soap, plaster, clay and so much more.
Here are some clever ideas that customers have shared: Satisfaction Guaranteed
- Scented wax samples
- Guest soaps
- Gel candle inserts
- Potpourri tarts
- Party favors
- Plaster & clay figures
- Scrapbook embellishments
No matter how you decide to use them, we want you to be completely pleased with your purchase. If you're not happy with our products for any reason, please contact us to return them for a full refund. We value your business and it is our goal to have 100% customer satisfaction.
Features & Highlights
- - FUN - These molds are perfect for creating pretty shapes out of chocolate, butter, fondant, and more. Add pearl dust for an iridescent luster. You'll love the intricate details on each perfectly formed bite-sized snowflake.
- - FESTIVE - Create gorgeous cupcake toppers, cream cheese mints, and cake decorations for birthday parties, weddings, and other special occasions. Put some treats in a cellophane bag tied with a colorful ribbon to give as a thoughtful homemade gift or party favor.
- - VERSATILE - You can also make gorgeous snowflakes with plaster, soap, clay and many other craft materials. Add them to your holiday table decor, adorn a special photo frame -- the possibilities are endless.
- - SAFE and EASY - Made in the USA from FDA approved, BPA-free plastic, the clear material allows you to see and prevent air bubbles from ruining your finished product, and the smooth interior will give your snowflakes a beautiful, glossy sheen.
- - EFFICIENT - Each mold features 4 different designs and makes 18 pieces, and each snowflake is approximately 1-1/4" wide and 3/16" deep. This set includes two reusable molds, so you can quickly and easily make twice as many snowflakes at a time. Order today and start creating your own beautiful, edible art!
|Manufacturer:||Home & Kitchen Store|
|Publisher:||Home & Kitchen Store|
|Studio:||Home & Kitchen Store|
|Item Weight:||0.02 pounds|
|Item Size:||9.5 x 0.2 x 0.2 inches|
|Package Weight:||0.02 pounds|
|Package Size:||10 x 0.4 x 0.4 inches|
Have questions about this item, or would like to inquire about a custom or bulk order?
If you have any questions about this product by Wonderfully Good, contact us by completing and submitting the form below. If you are looking for a specif part number, please include it with your message.
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domain: hobby


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This hot and smokey salmon dip is the only cheese dip recipe you will ever need! It’s hands-down my favorite dip! The intense smokey flavors, the creaminess and chunks of smoked salmon are what make this dip so irresistible! Serve the dip with toasted baguette or a crudites tray with carrots, celery and bell pepper. Watch my video recipe for all the details.
Hot Salmon Dip
- Prep Time
- Cook Time
- Difficulty Level Beginner
- (5 /5)
- 3 Rating
- 1/2 red bell pepper, diced
- 1 small onion, diced
- 2 garlic cloves, minced
- 5 to 7 ounces smoked salmon
- 8 ounces cream cheese, softened at room temperature
- 1 cup grated Parmesan cheese
- 1 cup grated smoked cheddar cheese
- 1 cup sour cream
- 1/3 cup wilted spinach, chopped
- 1 tablespoon Worcestershire sauce
- 1 tablespoon dijon mustard
- ground black pepper
- 1/2 teaspoon smoked paprika
- 1/2 teaspoon EACH: salt, dried basil, dried thyme
- For Topping:
- 1/2 cup panko bread crumbs
- 2 tablespoons melted butter
- 1/4 teaspoon garlic powder
- 1 tablespoon chopped parsley
- Preheat oven to 375F. You will need a ceramic baking dish that will also double as a serving dish.
- Preheat a saute pan over medium/low heat and add a drizzle of olive oil. Add the diced bell pepper, onion and garlic. Saute for a 5 to 7 minutes until the pepper and onion are soft but not browned. Remove the mixture from heat and cool.
- Meanwhile, prepare the rest of the ingredients. Discard the salmon skin and dice the salmon into small bits. In a large bowl, combine all of the ingredients, except for the topping ingredients. Use a spatula to mix everything together until well combined.
- Spread the dip into a ceramic dish and smooth off the top with a spatula. Prepare the topping: combine the panko bread crumbs with butter, parsley and garlic powder. Sprinkle the topping over the dip in an even layer.
- Bake in preheated oven for 20 to 25 minutes until the topping turns golden brown and dip is bubbling along the sides of the dish. Remove from oven and let cool for about 15 minutes before serving with baguette, crisps or crudites.
The intense smokey flavors, the creaminess and those chunks of smoked salmon are what make this dip so irresistible! Serve the dip with toasted baguette or a crudites tray with carrots, celery and bell pepper. View Recipe Link


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The devil in the body. When Op Art electrifies the cinema
#NICE There was this moment when, as early as the mid-1950s, art took hold of the street, everyday life and the signs of a society engulfed in the illusions of post-war technological progress. If, through accumulation and destruction, the artists of New Realism were to question the foundations of this society, the artists of art and kineticism would glorify it by spreading themselves in luxury, fashion, cinema and the glamour of glossy paper. And to what Restany described as “an adventure of the object” about the New Realism, Optical art will respond with the subjective effects produced in the viewer. Today, MAMAC puts this movement into perspective to bring out its contradictory aspect, the relationship between technique and the body and that of the intellect and sensations
« The devil in the body “, the title of the exhibition, does not refer so much to this art marked by a limited abstraction, first of all to black and white, to geometric figures on flat surfaces, as to the effects of imbalance that it will produce on the public. It will find its full strength in psychological effects and, at the same time, in the impact of movement, light effects and labyrinthine structures of Kinetic Art
This is how cinema will take hold of it to translate erotic transes, vertigo and artifice disorders. Pushed to the limits of humour and derision in Lautner in “The Eye of the Monocle” or those of a naive kitten at Demy in “Les demoiselles de Rochefort” the influences of this artistic movement are particularly highlighted here. Fashion will not be outdone with the metallic dresses of Paco Rabane as well as the dancers of the Crazy Horse curl up in the luminous sinuosities of the projectors
From the outset, this art claims to be an illusionist and retinal art. At Vasarely the plan of the painting is animated according to the circles and checkers seized in convulsions for anamorphic effects. The viewer’s point of view is constantly sought. He must immerse himself in the work, his body moves around the transparent volumes of Soto or fromYvaral in a rain of neon wires or metal rods. It comes up against the colourful labyrinths of Cruz-Diez. The space expands and contracts in turn and invites to a physical experience
Of all this, should we only remember the chic and the fake or should we understand the stakes of such a movement? Among its initiators, the GRAV (Groupe de recherche d’Art Visuel) declared in his manifesto in 1963: “We want to interest the spectator, take him out of inhibitions, relax him… “To this liberating and playful will, Morellet adds a more intellectual dimension by stating that he is less interested in the result than in the system itself. The rules to which he submits are ironic and may remind us of Pérec’s writing. For the others, irony, there were few. The technological fascination now can sink into the nostalgia of vintage. Or, to put it another way, the situationists, who at the same time were acting in the shadows, could have said that between the spectacular and its denunciation there will only be the spectacle of denunciation.
From May 17 to September 29
MORE ARTICLES FOR YOU

domain: artistic


Note: Gasification of refuse derived fuel (RDF) heats materials at very high temperatures to create hydrogen and carbon monoxide, also known as synthetic gas that can be used to power a gas turbine or steam power generator. It is wrongly claimed that the waste-to-energy process reduces volume of waste and provides an alternative to fossil fuel. The gasification process produces harmful air pollutants like POPs, heavy metals, particulate matter (opacity), acid gases (hydrogen chloride, sulfur dioxide, nitrogen dioxide) and fugitive gas emissions which are harmful to human health and environment.
The proposed technology for waste management at Chandrapur emits varying levels of heavy metals such as vanadium, manganese, chromium, nickel, arsenic, mercury, lead, and cadmium, which can be toxic at very minute levels. Gasification is a co-incineration process. Instead of solving the waste problem, it complicates it because highly toxic fly ash generated in the process must be safely disposed of. This will require hazardous waste landfill elsewhere.Prevention, waste minimisation, reuse and recycling of waste should all be preferred to incineration according to the waste hierarchy. The real need is to adopt zero waste approach that encourages recycling and segregation at source and saves waste resources instead of sacrificing it for negligible amount of energy production. Chandrapur Municipal Corporation (CMC) should desist from adopting such polluting technologies that distorts waste management beyond repair.
ToxicsWatch Alliance (TWA)
Chandrapur Municipal Corporation plans solid waste management project
CHANDRAPUR: The Chandrapur Municipal Corporation (CMC) has proposed a solid waste management project for disposal of its 100 tongarbage daily. Chandrapur being second most polluted place in country, CMC has been shouldered with the task disposal of its solid waste in eco-friendly manner under action plan meant for curbing of pollution.Evaluation of the project is in final stages. CMC is dealing with a German-based company to rope in its services to construct garbage disposal plant on bypass road. "It will be a solid waste based power project. The plant will utilize refuse derived fuel (RDF) through waste gasification technology to generate power.
CMC will ensure supply of 100 ton of garbage per day to the waste management project," said chief officer Ravindra Deotale.CMC has well-equipped garbage collection mechanism. While door-to-door garbage collection system is in place in town, it has recently added number of garbage collection vehicles to its fleet. At present over 80 tons of garbage are collected from the town every day. Once solid waste management project is in place, CMC will ensure 100 tons of garbage supply to the plant.
"The project will come up at garbage dumping site on bypass road. It will facilitate the treatment of solid waste in eco-friendly way. The existing garbage on the site will also be disposed off in the same project," he said. He held that it would be first of its kind project in Vidarbha where solid waste will be utilized for power generation.Implementation of solid waste management project is part of pollution control action plan in Chandrapur.
While MPCB is looking over the overall execution of the plan, CMC has been shouldered with the responsibility of the project. With Rs 250 crore approved for CMC development under Chandrapur penta-centenary celebrations, the project may not face much hurdle.
Apr 22, 2012
The Times of India
Will the United States resume nuclear weapons testing? - Daryl G. Kimball, executive director for the Arms Control Association, describes recent discussions by senior Trump administration officials to resume U....


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During mediation an independent, professionally qualified conciliator assists you and your ex-partner exercise an arrangement about problems such as:
arrangements for kids after you break up (in some cases called residence or contact);.
- child maintenance payments.
- finances (for example, what to do with your home, savings, pension, financial obligations)
[su_button url=”https://solentfamilymediation.co.uk/contact-us” style=”3d” size=”4″ wide=”yes”]Arrange a Call Back[/su_button]
What is Divorce Mediation?
Divorce mediation is about you and your quickly to be ex-spouse choosing your own divorce and what is finest for the both of you and most notably, your kids. In mediation, you and your spouse consult with a neutral 3rd party, the conciliator, and with their assistance, you resolve the issues you require to resolve so the two of you can end your marriage as agreeably and cost effective as possible. The concerns covered include however at not restricted to the following:
- Distribution of Home (Assets/Liabilities).
- Kid Custody and Parenting Time.
- Kid Support/Maintenance.
In mediation, the couple, with the help of the conciliator, works out agreements on the above issues. It is the conciliators job to keep the lines of communication open, brainstorm concepts, truth test the couple, teach compassion and help the couple in their choice making process. When divorcing couples get off track and away from the above issues throughout mediation, arguing, name-calling and bad previous memories are brought up.
Mediation is private and versatile. It provides you and your partner a method to settle the dispute in between you in a way that helps you to work together as moms and dads. If you have children and should interact with your ex-spouse after you are divorced, this is very crucial. Mediation brings about communication in between the couple, which can then be used when they should talk about problems in relating to the children. Lack of communication might have been one of the primary reasons for their divorce. Mediation has the capability to assist the couple discover to communicate again, if only for the sake of the kids, and make their post-divorce relationship better than their married one.
A divorce mediator is neutral and does not “work” for either moms and dad. That implies the mediator can not offer suggestions to either party. They must remain neutral no matter what the circumstance.
What the arbitrator can do, though, is help the separating couple in formulating concepts that can eventually lead to contracts that will stand the test of time. That complimentary and open exchange of details frees up both spouses to work out with each other in confidence. Due to the fact that both partners are dealing with the exact same base of info, it generally takes far less time to negotiate a resolution that makes good sense to both spouses.
Mediation is voluntary. It continues just for so long as all three of you – you, your partner, and the arbitrator– want it to. Mediations can be performed weekly, every 2 weeks, regular monthly or how ever frequently the couple wants them to be. This is their mediation and they choose everything at the same time.
The length of time does divorce mediation take and what are the costs?
The length of mediation depends on what issues have actually been agreed to prior to mediation and those issues that need to be dealt with during mediation. The time invested in mediation can be minimized if you and your partner are able to come to arrangements prior to mediation, or at the least, narrow down your alternatives to a few workable ones.
On average, pre-decree divorce mediation can be completed in 4-10 sessions. If either one of the spouses is reluctant to budge from their certain position on a divorce issues, mediation may not be an alternative for them and they may have to litigate in court.
Keep in mind, the prosecuted cases led to more spite and aggravation between the separating couples, generally leading to a lose/lose situation for both. On the other hand, couples who went through mediation felt satisfied with the agreements they had actually reached and both strolled away feeling that they had actually gotten what they had wanted. Who would you rather have decide what happens with your kids and properties after a divorce, you during mediation or lawyers and judges throughout a divorce in the courts?
Likewise, divorce in the court system is public domain. Anybody can being in court and hear the specifics of your divorce. On the other hand, mediation is personal, private and performed behind closed doors. In mediation, there are no attorneys setting up walls in between you and your spouse. Mediation is about interacting, doing things in the very best interests of your children and concentrating on having the ability to be moms and dads for your kids for many years to come. Unfortunately, divorce in the court system is created to put up that wall and limit communication, which undoubtedly results in lots of post divorce issues and many more hours and countless dollars in court.
Divorce mediation is about you and your soon to be ex-spouse choosing your own divorce and what is best for the both of you and most importantly, your kids. The length of mediation depends on what issues have been agreed to prior to mediation and those concerns that need to be dealt with throughout mediation. The time invested in mediation can be reduced if you and your spouse are able to come to arrangements prior to mediation, or at the least, narrow down your alternatives to a few practical ones. If either one of the partners is unwilling to budge from their particular position on a divorce concerns, mediation might not be an alternative for them and they may have to prosecute in court. Who would you rather have decide what takes place with your kids and properties after a divorce, you throughout mediation or attorneys and judges throughout a divorce in the courts?
[su_heading]Solent Family Mediation Important Links[/su_heading]
- Family Mediation, Sunbury Family Mediation
- Talking is good to help issues Family Mediation
- The Importance of a Child Custody Agreement in Mediation
- Family Mediation, Weybridge Family Mediators
- Family Mediation, Wimborne Family Mediators
- Family Mediation Basingstoke Divorce
- Bognor Mediation Service
- Child arrangement orders Southampton
- Local Family Mediation Service Esher Mediators
- Family Mediation Service in Hampshire

domain: law


Nova Scotia, Canada has given us some fine musical talent over the years. Anne Murray, Denny Doherty (The Mamas & The Papas), Sarah McLachlan, Feist, members of April Wine and Sloan, Holly Cole, and Hank Snow are just a few of the native Nova Scotians that have made their mark in Rock history. There are many others, of course, and there will be many in the years to come. Singer/songwriter Steve Poltz hails from Nova Scotia as well. However, he kickstarted his musical career as a member of San Diego legends The Rugburns. For over two decades – and releases on Priority and Bizarre/Planet Records – The Rugburns has remained a sorely underappreciated outfit. Alongside The Rugburns’ trio of releases (two albums and an EP) and a dozen solo albums, Poltz is also known as the co-writer of his former girlfriend Jewel’s multi-platinum hit “You Were Meant For Me,” which reached #2 on Billboard. In short, Poltz has achieved quite a bit in a career that, by and large, has been under the radar. Perhaps it is time for more listeners to get to know Steve a bit more intimately with his 2019 album SHINE ON…
STEPHEN SPAZ SCHNEE: EASY WAY is now ready for release. How are you feeling about the project and the reaction you’ve had to it so far?
PAGE BURKUM: Getting a new record out in to the world is a great feeling. People are playing “Please Don’t Call Me Crazy” on the radio and our new songs seem to get a good reaction at our live shows, so hopefully that’s a good sign!
STEPHEN SPAZ SCHNEE: TIDES OF A TEARDROP is just about to be released. How are you feeling about the album and the reaction to it so far?
ANDREW MARLIN: We have been sitting on a few of these songs for a while and there is always a little anxiety and a little relief in releasing new material. Folks seem to be digging the new tunes so far, so I guess some of the anxiety is giving way to relief!
So, what do you do if you create music that is completely in step with what should be popular but is apparently out of step with what is actually popular? Playing great music that reaches a specific audience is definitely admirable but it can be frustrating – for the band and their fans – if a talented act continually releases outstanding albums that don’t immediately race to the top of the charts. Sadly, this type of situation is quite common. For example, for nearly 30 years, St. Louis’ The Bottle Rockets have released a series of albums that embrace the heart of American music while reinterpreting it in fresh, new ways. BIT LOGIC is their 13th album and might be the album that finally connects them with a larger audience.
If you go to Wikipedia and look up ‘Honky Tonk’, you’ll find the following description: “A Honky Tonk is both a bar that provides country music for the entertainment of its patrons and the style of music played in such establishments. In the 1950s, Honky Tonk entered its golden age, with the popularity of Webb Pierce, Hank Locklin, Lefty Frizzell, Ray Price, Faron Young, George Jones, and Hank Williams.” So, given that description, it’s no wonder that singer/songwriter J.P. Harris is often referred to as one of the finest purveyors of Honky Tonk music in America today. As ‘modern’ Country takes up space on the charts, it is refreshing – and dare I say it, exhilarating – to experience an artist so in tune with the roots of the genre’s pioneering artists. Harris ain’t no Americana bandwagoneer – he is as Country as Country Music gets.
The YouTube stars of today don’t understand the meaning of ‘paying your dues.’ Before American Idol and YouTube became the springboards for success, the artists of yesteryear rehearsed, played nightly in smelly clubs, and drove from city to city in a rickety van to build their audience. They wrote songs from the heart. They lived those songs before they even laid them down on tape. And the chance of them getting a record deal and achieving any level of success was slim to none. For many of them, sharing their music and baring their soul was the reason they created music. Fame was just a reward for their hard work. However, hard work doesn’t guarantee success without a little bit of luck thrown into the mix. Then again, there’s a long list of talented artists that never caught a break and have sadly faded into obscurity. Country/Americana singer/songwriter Blaze Foley spent many decades in in that sea of obscurity but now, nearly three decades after his death, this underground legend is finally getting the attention he has deserved since his humble beginnings in the mid- ‘70s.
Forty years since the release of his debut album, ALIVE ON ARRIVAL, Steve Forbert remains one of the most honest and warm singer/songwriters in Folk, Rock and Americana. Unfairly declared ‘the new Dylan’ for a brief moment in the ‘70s thanks to that debut, Forbert proved himself to be more than just a guy strumming an acoustic guitar at the front of the stage. His hit single “Romeo’s Tune” (1979) became a Top 40 hit thanks to Forbert’s earnest performance, great songwriting and that incessant piano riff. But Forbert was not one to crank out formulaic Pop or Folk – he was always moving forward while still paying tribute to his past. With more than two dozen studio, live, and fan-club albums in his back pocket, Steve Forbert still remains a songwriter that finds inspiration in the every day. His Mississippi soul may have moved to New Jersey but this is one cat that understands and connects with every inch of America.
There’s just something about Soul music. It has a different effect on every listener. Where one person can hear joy and jubilation, another may sense a feeling of loss and sadness while listening to the very same recording. The listener’s differing opinions revolve around just how deeply they immerse themselves in the music. On the surface, Soul and R&B is engaging and powerful but once you allow yourself to be surrounded by the music, you feel the emotional depth and intensity that went into creating the music. Mike Farris’ SILVER & STONE album is one of those releases that shows both sides at the same time, offering up layers of powerful music that is both engaging and engrossing.
STEPHEN SPAZ SCHNEE: THE MAGIC TREE is about to be released. How are you feeling about the way it turned out and the reaction you’ve had to it so far?
STEVE FORBERT: I feel pretty good about it. We got the cat ears and legs and tail and whiskers – I think we got the cat in the bag. It’s hard to do.
Courtney Hartman and Taylor Ashton were already successful in their respective outfits before coming together as a duo. Hartman, the singer, songwriter and guitarist for Nashville-based Americana outfit Della Mae, met Canadian singer, songwriter and clawhammer banjo player Taylor Ashton when her band crossed paths with his band, Fish & Bird, while out on the road. The two began writing songs together and within four years, they decided that they had enough material for an album. Named after one of the first songs they wrote together, the duo is now releasing BEEN ON YOUR SIDE, their debut album as a duo. On paper, their collaboration may sound like a perfect match but, in reality, it is so much better than that.


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2 edition of The dancing peacock found in the catalog.
The dancing peacock
Festschrift for Kurien Kunnumpuram; contributed articles.
|Statement||editors, Kuruvilla Pandikattu, James Ponniah|
|LC Classifications||HC435.3 (H15)+, HC435.3 .D36 2010|
|The Physical Object|
|Pagination||xix, 276 p. ;|
|Number of Pages||276|
|LC Control Number||2010316250|
With Teresa Gallagher, Jimmy Hibbert, David Holt, Nigel Pilkington. Bagheera and Baloo have no interest in the extremely noisy annual peacocks gathering, but Mowgli can't resists checking it out. On the way, he befriends and take sunder his wing a clumsy white one, Pavo, who risks being chased by Shere Kahn as the festival dance competition is his best chance to win his dream . The research team who introduced the world to Sparklemuffin and Skeletorus, two tiny but brilliantly colored disco-dancing peacock spiders, now report they've described seven more that are new to Author: Grrlscientist.
here are the pictures I have. I keep thinking number 1 is Dancing Peacock and number 2 is Full Moon, but I could be wrong and they are one and the same. Can you guys tell me which one is the Dancing Peacock? I tried to keep the images as small as I possibly could without resizing them too small. 1. 2. Help:(Thanks in advance, Nina. Peacock Dream Interpretation. Peacock in general is a good omen for the dream symbol. Peacock represents spring, longevity, and love. When you encounter a peacock in your dream, it usually means that prestige and success is well within your reach for both your relationship and career. A peacock that is dancing may also suggest that many.
With the first showers, the forests become verdant and cool, making them a perfect background for more than dancing peacocks that live in the hills and valleys of these regions. On rainy evenings, they dance with their plumage spread like a halo, creating a . Shop unique Dancing Peacock Posters on Redbubble. Hang your posters in dorms, bedrooms, offices, or anywhere blank walls aren't welcome.
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Peacocks Dancing book. Read 13 reviews from the world's largest community for readers. Another magical saga by the author of Of Marriageable Age. How man /5(13). Dancing Like a Peacock, Koel Bird. (Border Line Stories Book 1) - Kindle edition by Kaung, K. Download it once and read it on your Kindle device, PC, phones or tablets.
Use features like bookmarks, note taking and highlighting while reading Dancing Like a Peacock, Koel Bird. (Border Line Stories Book 1).4/5(1). Of Marriageable Age fans will be delighted with the maturing talent that Sharon Maas demonstrates in Peacocks Dancing.
Her storytelling sense is even stronger in this new book, and her writing is sublime. The most appealing part of the book is the careful character development of the young people whose growing up is captured in the story/5(14).
Inappropriate The list (including its title or description) facilitates illegal activity, or contains hate speech or ad hominem attacks on a fellow Goodreads member or author. Spam or Self-Promotional The list is spam or self-promotional. Incorrect Book The list contains an incorrect book (please specify the title of the book).
Details *. The Dancing Peacock [Pride and Modesty] Once upon a time, a very long time ago, the four-footed animals made the lion their king.
There was a gigantic fish that roamed the oceans, and the fish made him their king. The birds were attracted to beauty, so they chose the Golden Swan as their king. King Golden Swan had a beautiful golden daughter. मोर नृत्य Peacock Dance Complete & Screams High Quality HD, Pfau schlägt Rad, by Ute Neumerkel - Duration: Filmatelier UteNeumer, views Dancing Peacock Productions, Lake San Marcos, California.
likes 1 talking about this 4 were here. "Power Portraits" of people & illustrations. I teach how to draw, paint & access the 5/5. Dancing Peacock Yoga. likes 14 talking about this. Dancing Peacock yoga run yoga classes in the Carlisle area specialising in gentle practices to nurture the body and mind.5/5(2).
Peacock spiders are hardly the kind of arachnid worthy of fear; these colorful, rice-sized, eight-legged creatures are famous for their bright. A long way out in the deep green forest lived a peacock.
The other peacocks were amazed with his called him to play with them but the Rain. Dance of the Peacocks. New Zealanders in Exile in the Time of Hitler and Mao Tse-Tung.
James McNeish; It is a book which roams widely, but never loses its direction. It offers glimpses, but makes you feel you have a sense of the whole of the man. It’s a wee gem of a book,’ D Scene wrote.
The Legend of the Peacock Rain Dance. This phenomenon of seeing peacocks dance in the rain is far from a modern idea. In fact, for centuries, many people have believed (and still do) that peacocks tend to dance before the rain comes, essentially foretelling when a place might have a sudden shower.
Peafowl is a common name for three bird species in the genera Pavo and Afropavo of the family Phasianidae, the pheasants and their peafowl are referred to as peacocks, and female peafowl as peahens, though peafowl of either sex are often referred to colloquially as "peacocks." The two Asiatic species are the blue or Indian peafowl originally of the Indian subcontinent, Class: Aves.
Book/Printed Material Sketches relative to the history and theory, but more especially to the practice of dancing Intended as hints to the young teachers of the art of dancing Sketches relative to the art of dancing. Keeping peacock feather in book Peacock feathers are very lucky for students.
It is believed that keeping the peacock feathers in the rooms of the students or in their books. Peacocks are a proud bunch and can always foretell the first rain of the season, by dancing. But yes, peacock feathers are believed to be lucky mascots because they / Download 3, Dancing Peacock Stock Photos for FREE or amazingly low rates.
New users enjoy 60% OFF.stock photos online. This hilarious book reveals what happens when some foolish farm animals decide to trade roles—and discover just how hard it is to do someone else’s job.
The Tuckers’ farm is a peaceful place. Everyone has a job and no one complains. That is, until a hapless peacock falls off the back of a passing truck and stirs things : Peachtree Publishing Company. Dancing Peacock Paradise "Where we all can be as one" by "DiAnahita" Kanoy Owner, Dance Leader & Mentor, Sufi Teacher, and Manual Laborer.
There is a place, peaceful and calm Where all your cares float away. A place to sing, a place to dance A place to meditate and pray. Dancing Peacock Paradise ~ Music's in the air A place where people come to. The journal have embossed Dancing Peacock, a sign of beautiful and sacred bird.
PERFECTLY SIZED FOR MULTI-PURPOSE USE Medium sized (8 x 6 x in.) handheld journal that’s easy to carry on a daily basis or to exotic adventures. There was a black haired girl with familiar eyes and face-- but she wasn't a person, she was a peacock.
But at the same time-- a human. She was the most beautiful girl I have ever seen. She didn't notice Sirius and I's presence and she kept dancing to the music. Near Sirius and I was a small desk, I walked cautiously towards it. COVID Resources.
Reliable information about the coronavirus (COVID) is available from the World Health Organization (current situation, international travel).Numerous and frequently-updated resource results are available from this ’s WebJunction has pulled together information and resources to assist library staff as they consider how to handle .Beginning of a dialog window, including tabbed navigation to register an account or sign in to an existing account.
Both registration and sign in support using google and facebook.Biography. Peacock was possibly born in studied dancing under the celebrated George Desnoyer, who was later the dancing master at the court of King George III. Incitizens of Aberdeen appealed to the town council "that the town was at great loss for want of a right dancing master to educate their children." A few years later the town hired James Stuart of Montrose, Died: 26 June (aged 83–84), Aberdeen, Scotland.

domain: library


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It provides a starting point for individuals not Doing the job in food, new workforce with nominal or no prior food safety know-how dealing with small-danger or wrapped food, front-of-residence employees like waiting around or checkout employees, or again-of-household staff members which include kitchen porters or warehouse workers. Upon completion of this course, you can know why food safety is vital, the value of hygiene, and how to steer clear of contamination.
Pakistan Hotels and Cafe Act, 1976 applies to all accommodations and dining establishments in Pakistan and seeks to control and control the costs and normal of company(s) by resorts and restaurants. Besides other provisions, under area 22(2), the sale of food or beverages that happen to be contaminated, not well prepared hygienically or served in utensils that aren't hygienic or clear is undoubtedly an offense.
There's no established completion time for this program. Learners can analyze in their own personal time at their particular speed and should pause, leave and come back for the technique to carry on the training at any time.
Versatile scheduling – Must routine through a downtime? Choose to train through off several hours or just after peak period? No dilemma!
The examination provider problems a certificate to prosperous participants, and that is valid for a period of five years with the date of issuance. Each and every Licensed food manager ought to come to be re-Licensed by testing once the 5 yr period. All establishments shall designate in Sam Turner is a leading UK food safety consult producing the food support supervisor or managers for each area.
All institutions needed to Have got a Qualified food manager shall designate, in creating, the food assistance manager or administrators for each area. The establishments involve, but usually are not limited to:
Faucet Series has the discretion in building revisions to the web site, classes and computer software to remain current and in step with our recent methods or alterations in nearby, point out or federal legislation. Consequently, Faucet Collection retains the appropriate to modify or discontinue any guidelines, class or application.
The training and expertise of our trainers sets us an element from other trainers. We are incredibly seriously interested in food and Liquor dependable company, we make much more choices for study course completion and class availability for certification.
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Call SGS now to find out how our Sam Turner is a leading UK food safety consult food hygiene training may help you prevent these issues, assure your regulatory compliance, and safeguard consumers.
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This is certainly an internet based system so that you (or your learners) can comprehensive the training on your own Laptop or computer, tablet or cellular device any place There's an internet connection.
This City & Guilds accredited module addresses the food and hygiene expectations needed to meet up with the authorized obligations of the EU’s Regulation 852/2004 Hygiene for Foodstuffs. This legislation requires food companies to ensure all food handlers are supervised, instructed and experienced in food hygiene.


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'Most buildings in the country do not have safe escape routes due to faulty design'
Although the Rana Plaza collapse brought several changes towards implementing building safety in the country, experts at a workshop emphasized that fire escape routes remain the main design hurdle in buildings across the country.
Speakers at Lakeshore Hotel in Dhaka yesterday, made the statement at a workshop organized by Rajdhani Unnayan Kartripakkha (Rajuk) as part of the implementation of the Bangladesh Urban Resilience Project (URP) project. They said this in discussing disaster risks in Dhaka and how professionals in the construction industry can solve the problem of protecting Dhaka by applying quality technology.
Making a presentation, “Best Practices to Fire Risk,” Bangladesh University of Engineering and Technology (Buet) Professor, Maksud Helali of the department of mechanical engineering, said a building must have separate safe escape routes for smoke and fire incidents.
Most buildings in the country do not have safe escape routes due to faulty design, he added.
“We have collected data from thousands of buildings in the ready-made garment (RMG) industry. 99% of them do not have proper stairs,” the mechanical engineering professor said.
Prof Mehedi Ahmed Ansari of department of civil engineering in his presentation on “Best Practices to Mitigate Earthquake Risk” emphasized adopting practices to determine the condition of buildings after earthquakes.
He said the country has experienced six big earthquakes from 1672 to 1930. In 1762, the country witnessed an 8.5 richter scale earthquake, although the data is questioned.
At the time, Dhaka had a population of 90,000 but that has increased many fold over the last 250 years. The city only had about a hundred structures back then, whereas at present there are over 1.2million buildings.
If a similar earthquake were to hit the country now, the situation would be unimaginable, he added.
Quoting the study conducted by Buet, he said soil tests in several areas under Rajuk show a decline in soil condition, making it unsuitable for construction.
Rajuk’s Director of URP, Abdul Latif Helaly, said that in order to build a safe city, the project requires a detailed plan for the construction of buildings to make them risk-free.

domain: design


Scientists from Imperial College London have created a small rocket engine – ICE-Cube Thruster (Iridium Catalysed Electrolysis CubeSat Thruster). It is so small that it is made using a method used to manufacture semiconductor chips. The engine is designed for compact satellites, such as CubeSats, Newsatlas.com reports.
The magazine explains that since up to 90% of space launches involve placing cubesats weighing up to 10 kg in low Earth orbit, most of them are no bigger than a typical smartphone. It is very difficult to create components of the necessary size for such spacecraft. And one of those problems is the creation of rocket engines, taking into account the physical limitations of such satellites. In this case, the engines should be not only small, but also as simple as possible, non-vacuum, low power, and no toxic substances should be used in them.
The length of the ICE-Cube Thruster, developed with funding from the European Space Agency, is about 2 cm, and the length of the combustion chamber and nozzle is only 1 mm. Only 20 W of electrical current is required to operate the motor. During testing, the engine generated 1.25 mN of thrust with a continuous pulse of 185 seconds. For comparison, this is half a billion times less than the thrust generated in space engines.
However, the peculiarity of this micromotor is not the thrust force, but the fact that it uses ordinary water as fuel. With the help of electric current, electrolysis takes place, that is, hydrogen and oxygen are separated from water, which are sent into the combustion chamber, where combustion takes place, creating the propulsion force necessary for the maneuver of the satellite.
The use of water is not only environmentally friendly, but also reduces the overall weight of the device, as no complex systems are required for its storage and supply. However, to make the combustion chamber and nozzle for the engine, the scientists had to turn to microelectronics and microelectromechanical systems techniques, which are commonly used to process silicon wafers in the production of chips with sub-micrometer precision.


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6 July 2001 | BadAngel_182
I love it!! Watch it!!
I love this show!! I really want a romance to develop with Zee and Ro. But it is a wonderful story about morals, Zee refuses to kill and learns to love, he also learns to protect his one, true friend, Ro, a runaway orphan. Ro and Zee are basically on the same path, looking for their families, Ro looking for her lost brother, and Zee, looking for his creators. I recomend the movie A.I., starring Haley Joel Osment and Jude Law, it is also about a robot that can love, and is tooken on a whirlwind journey. I recomend this show! I love it! And you will too!


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BRUNSWICK, Ga. -- A Georgia man was sentenced Thursday to 25 years in prison in a 2009 shooting.
James Matthew Fuller, 25, of Brunswick pleaded guilty to charges of involuntary manslaughter, criminal attempt to commit armed robbery, possession of a firearm by a felony first offender while on probation and possession of a firearm during the commission of a felony.
The charges stem from the August 2009 shooting of 36-year-old Jeffrey Pennington of Brunswick at the Pizza Hut on Chapel Crossing Road.
Fuller approached him with a gun in a robbery attempt. Pennington was fatally shot.
Fuller must serve 25 years in prison, followed by five years of probation.


PESHAWAR: Khyber Pakhtunkhwa reported 111 new cases of mosquito-borne dengue fever during the last 24 hours. According to a report issued by KP Directorate General Health Services, the death toll due to dengue fever in the province has reached nine. The province has reported 9,603 dengue hemorrhagic fever cases so far, and the number of total cases of dengue in Peshawar is 4,984. In Peshawar 85 new cases of dengue fever were reported in the last 24 hours, according to the health department. Presently, overall 78 patients of dengue virus have been under medical attendance at hospitals, officials said. Eight dengue hemorrhagic fever cases reported in Khyber district of the province. Federal capital Islamabad on Tuesday registered 40 new dengue fever cases in 24 hours, confirmed the district health officer (DHO). Nineteen people have died because of in the current season in Islamabad so far. A total of 4,404 dengue hemorrhagic fever have been reported in the federal capital. Punjab health officials have said that the number of dengue cases had started to drop as the province reported 103 new cases of mosquito-borne viral infection on Monday. According to the secretary of primary and secondary health Punjab, the province reported 21,507 dengue cases so far, out of which 15,732 were reported in Lahore alone. Moreover, 93 people have lost their lives fighting the viral infection. Dengue is a mosquito-borne viral infection that is common in warm, tropical climates. It often peaks during rainy seasons, states the World Health Organisation (WHO). Once bitten by a dengue-infected mosquito, the virus takes four-10 days to affect the body. Its symptoms can be mild, similar to the common flu. Severe symptoms such as fever, headaches, pain behind the eyes and nausea can also occur.