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People have different values and preferences when it comes to making decisions about their health care. For example, some patients may want to be more involved in their treatment decisions with their doctors than others. Or when seriously ill, some people want to live as long as possible through aggressive treatments, while others may be more concerned about the quality of their life during the time they have left.
For patients who want to focus on their end-of-life plans, try this starter kit from The Conversation Project, an acclaimed national effort dedicated to helping people talk about their wishes for care at the end of life.
First, think about your health care wishes. Who do you want to make medical decisions on your behalf if you are unable to make them yourself? Are there circumstances under which you would not want to receive life-sustaining treatment?
Then, share your preferences with any one who may be impacted. Talk through your decision with family, caregivers, and doctors.
Massachusetts has five key health care planning documents — these are “living” documents that can be updated at any time.
Learn more about these documents and how to talk about them with your health care providers at Honoring Choices Massachusetts.
Be sure to make copies of the paperwork for family members or others who need to know about your preferences, and give them to your doctor's office so they can be filed in your medical record.

domain: medical


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A Crown for Cold Silver by Alex Marshall (pseudonym of Jesse Bullington)
A Crown for Cold Silver is a big, brassy, gut-buster of a fantasy, weighing in at over 650 pages. Alex Marshall has crafted a multi-layered tale (or song, if you prefer the parlance of The Star) of bloody vengeance, personal glory, and the unimaginable consequences of a single careless wish. Clear your calendar, stock up on snacks, and silence the phone — this is a serious investment of time, but one which is well worth your attention.
A Crown for Cold Silver opens with the massacre of an entire village. Kypck is a little town at the foot of the Kumbutan mountain range, and for murky reasons that only grow more complicated as the book unfolds, the Fifteenth Cavalry of the Crimson Empire has arrived to murder every last man, woman, and child. The Mayoress, a fifty-odd-year-old woman who introduces herself as Vivi, escapes with her dog into the mountains; as it turns out, Vivi is really Cobalt Zosia, a truly fearsome warrior who once ruled the Crimson Empire before her death at the hands of her successor, Queen Indorsith. Twenty years of idyllic existence have been erased in a single afternoon, and Zosia embarks upon a year-long process of gathering allies, calling in old debts, and betrayal, all with the goal of destroying the Empire which took her happiness away.
In the two decades since Zosia’s supposed death, her former Captains (known as the Five Villains) have all taken on new lives of their own: one has settled into familial routines, one is waging civil wars against their neighbors, one is a guide for wealthy nobles who wish to go on lavish hunts, and the other two are setting separate (and possibly conflicting) plots into motion which may change the entire known world. Marshall does not do things by halves, and even if A Crown for Cold Silver were badly flawed, I’d still applaud this level of ambition.
There are many named characters, and luckily, they’re all discrete and interesting. A sampling of Marshall’s rogues gallery includes: Zosia, Ji-hyeon, Maroto, Sullen, Ruthless, Tapai Purna, Sister Portolés, Baron Domingo, Queen Indsorith, Pope Y’Homa III, Fennec, Hoartrap, Singh, Kang-ho, and Captain Bang Lin. Each and every one of them has their own personalities, wants, motivations, emotional baggage, background, fighting style, native language, etc. — even down to whether they prefer to smoke tubāq or saam. That individuality prevented the names and faces from blurring together for me, providing a complex tapestry of shifting allegiances and questionable motives. Marshall also makes no negative distinction between male, female, and androgynous characters, casually placing them all in positions of power and influence regardless of plumbing or identification. This is not a world in which men are men and women wait in the kitchen; The Star is blisteringly equal-opportunity, and I can think of some other authors who would do well to take a lesson or two from Marshall’s example.
Personally, I felt most invested in the storylines of a handful of characters, but there are so many to choose from that readers should easily find someone to root for (and against). At the top of the list is Princess Ji-hyeon Bong, who undergoes a tremendous and laudable personal transformation from impetuous teenager to respected military leader; close behind is Zosia, through whom Marshall explores the consequences of a life lived at swordpoint. All too often, fantasy novels focus on the thrilling and glorious aspects of the young hero or heroine’s quest to conquer a kingdom, without taking into consideration what personal toll would be asked of that person later in life. Marshall contrasts Ji-hyeon’s excitement and immaturity against Zosia’s regret and heavy burden of experience. These two women are formidable, and a welcome respite for any reader who is weary of fantasy novels dominated either by men of varying ages or women who vanish once they’re old enough to show a few wrinkles.
The Star, as this world is known, is vast and peopled with many tribes and cultures, as well as a wide variety of climates and biomes. There are farmers, seafarers, priests, soldiers; deserts, forests, an intriguing area known as the Frozen Savannahs, and many other places which are mentioned, though not explored, in this volume. The world map (provided by Orbit books) provides many tantalizing clues for possible future adventures — what makes The Worst Marsh so bad, and how did The Witch Wood get its name? If readers are interested in the map-making process, Orbit has also provided an interview with Marshall and Tim Paul, who collaborated on the map for A Crown for Cold Silver.
Obviously I enjoyed many aspects of A Crown for Cold Silver — characterization was strong and unique and the world-building was intricate and unexpectedly interesting, from the large details like geography/language/culture/society to the small, like ingesting bug venoms for their psychoactive properties rather than abusing drugs. There’s also an intriguing amount of information which hasn’t been revealed yet, leaving plenty to bring readers back for the next installment. The middle section, roughly two hundred pages or so, focused more on conversation and travel than action, and I felt that it could have benefitted from a little tweaking. Had the novel itself been a little more tightly constructed, I would recommend it without hesitation; as it is, I will merely say that readers who are patient through the slower-moving center will be greatly rewarded.
Crimson Empire — (2015-2017) Twenty years ago, feared general Cobalt Zosia led her five villainous captains and mercenary army into battle, wrestling monsters and toppling an empire. When there were no more titles to win and no more worlds to conquer, she retired and gave up her legend to history. Now the peace she carved for herself has been shattered by the unprovoked slaughter of her village. Seeking bloody vengeance, Zosia heads for battle once more, but to find justice she must confront grudge-bearing enemies, once-loyal allies, and an unknown army that marches under a familiar banner. FIVE VILLAINS. ONE LEGENDARY GENERAL. A FINAL QUEST FOR VENGEANCE.

domain: library


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Music on CD
GRRL has music on CD for all ages and musical interests, including rock, folk, popular, world, jazz, classical and children’s favorites.
Searching tip!: Do you like Minnesota music? The link takes you to a wealth of music by local musicians and composers!


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Forget the hydrogen fuel cell, forget biofuels, forget hybrids (they are only a 'bridge'), ELECTRIC is the future for automotive transport!!!
It is the only logical conclusion (to me at any rate!), given that hydrogen is still on a very far off drawing board and hybrid is merely the bridging of old tech (fossil fuels) to new (electric).
Don't get me wrong, hybrid is going to be here a while as the world as a whole gets to grips with letting go of the internal combustion engine and embracing the concept of simply plugging your car into the wall and you're good to go!
This is not some far off future doohicky, or the cute but lightweight G-Wiz - this is 0-60 in 4 seconds and a top speed of 125mph (limited) in the form of the appropriately named 'Tesla': http://www.teslamotors.com/
If that's too fast, then check out Smith's electric vans and trucks. The Edison, Ampere etc, Ohm my God, they'll be running out of suitably cheesy names before long! ;) : http://www.smithelectricvehicles.com/index.asp
Actually, on the latter company, Ford have recently announced their partnership with the parent company whose share prices are currently at a historically low level - EPIC:TAN Buy, buy, buy!


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Treat your furry friend to a delightful snack with Scoochie Beef Lungs Dog Treats! These wholesome treats come in an 8 oz bag and are a fantastic option for rewarding your canine companion. Made from high-quality beef lungs, these treats offer a protein-packed, crunchy texture that dogs adore. Great for dogs with food allergies or sensitivities, these treats are hand-sliced and contain no chemicals. Whether you're training, rewarding, or simply sharing a moment of joy, our Beef Lungs Dog Treats are sure to leave your pup's tail wagging for more.
- 8 oz resealable bag
- Ideal for rewarding and training
- Suitable for dogs with food allergies or sensitivities
- Hand-sliced for quality
- Chemical-free treats for your pet's health and enjoyment

domain: pet


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A major lesson of Covid-19 is that there is no distinction between natural and man-made catastrophes.
KUALA LUMPUR: Three militants had threatened to kill former premier Tun Dr Mahathir Mohamad and a few of his then Cabinet members last year.
KUALA LUMPUR: A total of two Malaysians and an Indonesian had plotted to kill former premier Tun Dr Mahathir Mohamad and a few ministers last year, says Inspector-General of Police Tan Sri Abdul Hamid Bador.
PETALING JAYA: Security forces in Malaysia remain on high alert for any terrorism threat in the country, especially after the death of Islamic State (IS) leader Abu Bakr Al-Baghdadi, police say.
BAGHDAD (Reuters) - Abu Bakr al-Baghdadi, the Iraqi jihadist who rose from obscurity to declare himself "caliph" of all Muslims as the leader of Islamic State, has died in a raid by U.S. special forces in northwest Syria.
KUALA LUMPUR: Members of an Islamic State (IS) terrorist cell, which planned to launch attacks in Malaysia and Indonesia, were among 16 militants detained following counter-terrorism swoops in seven states.
KUALA LUMPUR: A total of 16 suspected militants were detained following swoops in six states, says Deputy Comm Datuk Ayob Khan.
KATTANKUDY, Sri Lanka (Reuters) - Sri Lanka is moving to curtail Saudi Arabian influence, after some politicians and Buddhist monks blamed the spread of the kingdom's ultra-conservative Wahhabi school of Islam for planting the seeds of militancy that culminated in deadly Easter bomb attacks.
HAIZER, Algeria (Reuters) - While tens of thousands of Algerians have been gathering for four months in the capital to demand sweeping political reforms, former fighters who led the last confrontation with the establishment have been warning people not to rock the boat.


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At Warrington Car And Van Sales we understand that our customers sometimes need the flexibility of finance rather than outright purchase. We have teamed up with Black Horse, Moto Novo and KMC to offer competitive loans, to people with different credit scores.
If you want to apply please fill out the application form on this page or call us on 01925 558827.
You may have already looked at an alternative source of finance, if you need a comparison quote please ask. We operate a one hour turn around from proposal to decision, it could save you ££££'s.Apply Online NOW
Contact one of our helpful sales staff on 01925 558827 who will be able to tailor a finance package to suit your budget, or complete our online application form and we will contact you.
Below are some examples of monthly payments from Black Horse. They offer vehicle finance with just a small £10 option to purchase fee and a set interest rate of 14.9% APR for everyone accepted.
|Amount||Term - 2 years||Term - 3 years||Term - 4 years||Term - 5 years|
As always, finance is subject to status, terms and conditions.

domain: finance


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Christmas Tree Sensory Set
Sale Sold out
Regular price $30.00 USD
Regular priceUnit price per
*All Winter Collection Preorders will ship by December 9th*
This is the perfect gift for any fans of sensory play.
You will receive our homemade play dough, painted rice and chickpeas for weeks of sensory fun!
This Set includes:
One Wooden Christmas Tree Tinker Tray *Use this for sensory tracing and creating your own Christmas Tree.
The Littlest Christmas Tree Book
Green play dough for your tree
Red & Green rice & chickpeas
Christmas tree cookie cutter
Various Loose parts for imaginative play (lights, ornaments, presents etc.)

domain: hobby


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We'll send you beautiful layouts, innovative project ideas, free classes and more. Subscribe below!
Get $10 Off Any Order Over $70 Today! View Details
Absolutely love this paper - vintage elegance - both sides are wonderful - reminds me of victorian wallpaper - wonderful!
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Blue Acrylic Wedge Facet Award
The 1-1/4 thick acrylic Wedge Facet Award was engraved using 40% power and 100% speed on a 35 watt laser system. Engraved slightly out of focus by .020 inch yielded a smoother engraving with no raster lines in the large fill areas of the graphic. The Wedge Facet Award has a gold or blue ripple bottom which reflect the light in a stunning fashion and is self standing so no additional base is required to be glued on. After engraving, the smoke residue was removed using Novus Cleaners and Polishers. Available in two sizes: 5" x 7" and 6" x 9."

domain: artistic


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Gallery Talk/Opening Reception, Saturday, June 1, 2019, 7 – 9 p.m., Cochran-Bleckley Arts Alliance, 113 E Dykes St, Cochran, Georgia 31014
On Wednesday, April 17th, Dr. Chris Cairney and Dr. Gul Celkan will be hosting a Panel on “Teaching English Abroad” at the Writing Center in Russell Hall on the Cochran Campus at 2:00 P.M. If you are interested in teaching abroad, please don’t miss this opportunity. All students from all disciplines are welcome.
Monday, March 11th, Dr. Gul Celkan and Dr. Chris Cairney will provide information on employment opportunities for recent college graduates to teach in multiple countries worldwide. The event will begin at 1:30 P.M. in The Writing Center (TEB 226) on the Macon Campus.
Meet the Provost Fellows for 2018-2019: Kendra Russell, Ph.D., RN. Melinda Robinson-Moffett, Ph.D. Kara Smith Svonavec, Ph.D. Christopher Cairney, MA, MA, Ph.D. Amy Berke, Ph.D. Eric L. Sun, Ph.D. Sumitra Himangshu-Pennybacker, Ph.D.
Here is senior MGA English major Sarah Ashley Winans (far right) after giving her paper at her SAMLA panel in Birmingham last Friday morning: “Intertextuality and Crime Fiction from Poe to Conan Doyle and Beyond.
Professors from Middle Georgia State University and Mercer University collaborated for a recent academic presentation at SAMLA 90 this past weekend.
The English Department would like to share the latest accomplishments and highlights that have transpired thus far during the summer. Dr. Christopher Cairney, the assistant chair of the English Department, is the invited Keynote Speaker at the 11th World Conference on Educational Sciences which will take place in Italy (Florence and Milan) on February 7-10, 2019. Continue reading

domain: news


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The government is allocating 30 billion forints (EUR 85.6m) to supporting rail freight transport.
Single wagon transport, where smaller amounts of cargo from multiple facilities are organised into shipments based on their destination, is used by over 700 companies in Hungary, including those from strategic sectors such as pharmaceutical, energy and forestry companies, the innovation and technology ministry said. Around one-fifth of goods transported via rail in Hungary are shipped in single wagon shipments, the ministry said. Government support to the sector currently making losses on the market will preserve thousands of jobs and keep some 10-12 million tonnes of goods in an environmentally friendly transport mode, the ministry said. Government grants, available through the railway company MÁV, will come to a total of 3.7 billion forints this year and 6.4 billion annually until 2025 afterwards.


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Who doesn’t love a Wedge edit? There’s something ever so pleasing watching people fall out of the sky. The Newport Wedge isn’t for the fait hearted, it’s a balance of pleasure and pain, the good the bad and the ugly. It’s full send or sand enema, and an unwanted one at that. Respect to everyone out there, and the Newport Lifeguards, some of the finest in the game, hit play.
Film and edit: @socal.surfer/

domain: entertainment


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"Cable car to the Mount Salève..." Top 5 Page for this destination Mont Salève Tip by Tripack
Mont Salève, Geneva: 3 reviews and 3 photos
The Mount Salève is just located to the Swiss border in France. From its 1'380 meter high you could enjoy a breathtaking panorama over all of Geneva, as well as the Alps. A panoramic restaurant and many outdoor activities as mountain biking, hicking, paragliding are available. A cable car built in 1983 let you to reach easily this panoramic point.
Opening cable car:
From May to September: Monday, Tuesday, Wednesday, Thursday, Sunday opened from 9:30 to 19:00, Friday and Saturday : opened from 9:30 to 20:00
From October 2005: Opened everyday from 9:00 to 18:00 except Monday (closed)
Return ticket adult: 10.50 €/16.80 CHF
One-way ticket adult: 6.30 €/10 CHF
Return ticket children (6 to 17 years): 5.80 €/9.30 CHF
One-way ticket children: 4.70 €/7.50 CHF
Return ticket student (up to 25 years): 7.50 €/12 CHF
One-way ticket student: 4.70 €/7.50 CHF
Return ticket Senior (more than 60 years): 7.50 €/12 CHF
One-way Senior: 6.30 €/10 CHF
Return ticket family (2 adults and children up to 17 years): 21 €/33.60 CHF
One-way ticket family: 12.60 €/20 CHF
Combined tickets Transports Public Genevois (one day) and the Salève Cable Car
Adults: 19 CHF Children: CHF 12
Free transportation of yoour bicycles
Directions: Veyrier Etrambières
TPG stop Veyrier Ecole/Douane: bus n°8 then free shuttle bus to the departure cable car station from June to September.
More Things to Do in Geneva (6)
More Reviews (29)
- See All Pour une nuit d'ivresse...
- See All Geneva Festival - Fêtes de Genève
- See All Where to eat???
- See All Outdoor Ice Skating in the Heart of...
- See All Cheap accodomation for Summertime
Tripack's Related Pages
Have you been to Geneva?Share Your Travels

domain: geography


Xbox Series X | To take advantage of the official integrity of Dolby Vision Gaming on the S, however, it is essential to have TV Compatible. If this happens, converting custom games to the Dolby Vision gaming version should happen automatically. Otherwise, you need to go to the settings of one or another console to activate it manually. Also make sure the TV is using the latest as a console Firmware Date
For better visual immersion, Microsoft looks to be fully compatible with the latest generation of Dolby Vision gaming features. This makes it possible to complete the table Ray tracing DirectX, automatic latency mode (ALLM) and variable refresh rate (VRR), which can display games up to 120 fps depending on the TV capabilities.
According to Microsoft, this unique partnership provides lights up to 40 times brighter, dark levels 10 times deeper and color bits up to 12 bits. Effect yourself to enjoy current and future games that support Dolby Vision Gaming on the Xbox Series and through Game Pass.
“Avatar: The Way of the Water”: The Great Return of James Cameron
To end polarization
Pokemon says goodbye to Ash and Pikachu!


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RIBBON CUTTING CEREMONY! LOCAL TRAINING AGENCY OPENS NEW PRODUCTION STUDIO!
CARY, NC, June 14, 2021 – Aquinas, celebrating its tenth year as an industry leader in providing custom training solutions to the pharmaceutical and life sciences industries, is excited to announce the launch of its brand-new full-service production studio at its Cary-based headquarters.
The studio will provide customers with a full suite of production abilities including video recordings, podcasts, recorded presentations, voiceover recordings, and many more solutions. This will provide opportunities for local actors and other talent around the Triangle and surrounding areas.
On Monday, June 14th, at 11:00 am, Aquinas leadership executives and the Marketing team will proudly participate in the official ribbon cutting to celebrate this new venture and begin offering services to customers.
CONTACT: Joe Doerfler firstname.lastname@example.org


text: [BDSP. Notice produite par INIST-CNRS 8tn9R0xn. Diffusion soumise à autorisation]. Assays for detecting levels of antiretroviral drugs in study participants are increasingly popular in preexposure prophylaxis (PrEP) trials, since they provide an objective measure of adherence. Current correlation analyses of drug concentration data are prone to bias. In this article, we formulate the causal estimand of prevention efficacy among drug compliers, those who would have had a threshold level of drug concentration had they been assigned to the drug arm of the trial. The identifiability of the causal estimand is facilitated by exploiting the exclusion restriction ; that is, drug noncompliers do not acquire any prevention benefit. In addition, we develop an approach to sensitivity analysis that relaxes the exclusion restriction. Applications to published data from 2 PrEP trials, namely the Preexposure Prophylaxis Initiative (iPrEx) trial and the Centre for the AIDS Programme of Research in South Africa (CAPRISA) 004 trial, suggest high efficacy estimates among drug compliers (in the iPrEx trial, odds ratio=0.097 (95% confidence interval : 0.027,0.352) ; in the CAPRISA 004 trial, odds ratio=0.104 (95% confidence interval : 0.024,0.447)). In summary, the proposed inferential method provides an unbiased assessment of PrEP efficacy among drug compliers, thus adding to the primary intention-to-treat analysis and correlation analyses of drug concentration data.

domain: health


Retro Flowers Single Bed Quilt Cover
After much anticipation, Single Bed Bedding has arrived to Savannah and Three! Retro Flowers on one side with a large sunflower print on the other.
- 100% Cotton
- Reversible with a different design on each side
- 1 Matching Pillowcase included
- Storage Bag in same fabric
- 140cm x 210 cm, fitting a Single Bed Doona.


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One famous disinfectant’s claim to kill 99.9% of germs stone-dead has entered advertising folklore, but a team from the University of Abertay Dundee has gone literally a thousand times better.
Abertay researchers have devised a method of killing bacteria in water using microbubbles and ozone that has succeeded in destroying 99.9999% of E.coli bacteria in a given volume of water.
Ozone is increasingly used as an alternative to chlorination in the modern food and drink industry, but normally only eliminates 99.99% of bacteria. The Abertay team’s results from combining ozone with microbubbles are generating considerable interest among manufacturers seeking a means of ensuring ultrapure and almost completely bacteria-free water for use in food processing, without using potentially harmful chemicals.
Rashmi Chand, a PhD student in Abertay’s School of Contemporary Sciences, employed hydrodynamic cavitation technology which pumps water very fast along a pipe and then through a small hole with such force that microbubbles or cavities are produced. These bubbles then implode, creating tiny pockets of high pressure and high temperature that kill bacteria.
The hydrodynamic cavitation by itself killed off 99 million out of 100 million E.coli cells in a body of water. Working with Abertay’s Professor David Bremner, Rashmi then investigated the effect of adding ozone and discovered that two bursts of the gas during the process further reduced the E.coli count to fewer than 100 cells.
Rashmi explained: “Food is a necessary for life, and safe food is essential for human health. In processing the food, ultrapure and completely bacterial free water is of prime importance.
“Conventional chemical disinfection techniques, particularly chlorination, suffer from disadvantages such as the formation of possibly carcinogenic by-products. Our method of disinfection by means of ozone and hydrodynamic cavitation opens up the possibility of eliminating or drastically reducing the use of these disinfecting chemicals,” she added.
The project was supported by the Food Processing Faraday Partnership Ltd (FPFP), which aims to promote improved interactions between the UK science, engineering and technology base and the UK food manufacturing industry.
FPFP were interested in the specialized ultrasound and hydrodynamic equipment available only at Abertay and provided a small grant to fund the acquisition of an ozoniser and enable the six-month research project to go ahead.
The Abertay team’s results are due to be published in a scientific journal in the near future.
Kevin Coe | alfa
Researchers identify potentially druggable mutant p53 proteins that promote cancer growth
09.12.2016 | Cold Spring Harbor Laboratory
Plant-based substance boosts eyelash growth
09.12.2016 | Fraunhofer-Institut für Angewandte Polymerforschung IAP
Physicists of the University of Würzburg have made an astonishing discovery in a specific type of topological insulators. The effect is due to the structure of the materials used. The researchers have now published their work in the journal Science.
Topological insulators are currently the hot topic in physics according to the newspaper Neue Zürcher Zeitung. Only a few weeks ago, their importance was...
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
09.12.2016 | Life Sciences
09.12.2016 | Ecology, The Environment and Conservation
09.12.2016 | Health and Medicine


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Common Changes in Body Composition in Breast Cancer Patients May Be Preventable With Exercise
DURHAM, N.C. -- Increasing or maintaining activity levels may help premenopausal patients avoid the weight gain common with chemotherapy for breast cancer, researchers from Duke Comprehensive Cancer Center and elsewhere reported Monday in the May issue of the Journal of Clinical Oncology.
The researchers said weight gain is a significant psychological burden for premenopausal breast cancer patients and is also a potential health problem itself. Excess weight is associated with heart disease, diabetes, stroke and other conditions in the general population. Until now, many oncologists assumed patients were eating too much, but this study, the largest of its kind, says activity is the key.
"Our study does not support over-eating as a cause for weight gain in premenopausal breast cancer patients receiving chemotherapy," said lead author Wendy Demark-Wahnefried, associate research professor in the Department of Surgery. "Chemotherapy patients did not eat more than they did before treatment or when compared to patients not getting chemotherapy. Instead, reduced activity level appears to be responsible."
"Even with concerns about immune system suppression, it's important that patients not cloister themselves throughout their treatment," added co-author Dr. Kelly Marcom, a Duke medical oncologist specializing in breast cancer. "This research should be a motivator for women getting chemotherapy for breast cancer to stay as active as they can."
The researchers measured and compared diet, activity, resting metabolism and body composition in premenopausal, early-stage breast cancer patients who received only localized treatment -- surgery with or without radiation treatment -- to those who also received chemotherapy to help minimize the risk of recurrence. The oneyear study of 53 patients was funded by the National Cancer Institute.
"Weight gain is a substantial problem for breast cancer patients getting chemotherapy, particularly for premenopausal women," Marcom said. "Weight loss is generally more associated with other cancers, including lung and pancreatic cancers, but it's not nearly as common with breast cancer."
While most analyses of breast cancer patients have found a significant weight increase for chemotherapy patients compared to those not receiving chemotherapy, in this study the weight gain itself was not as striking as its composition, the researchers said.
"In the general population, weight is gained in both lean muscle tissue and fat," said Demark-Wahnefried. "In premenopausal breast cancer patients receiving chemotherapy, however, we saw an increase in adipose tissue, while lean tissue stayed the same or even decreased -- so patients became 'fatter' even if their weight stayed the same. This wasn't the case for patients getting localized treatment only."
Because this increase in body fat is accompanied by reduced activity, exercise represents a possible avenue of prevention, said the researchers.
"In a small pilot study we've seen that specific exercises in a clinic-based setting can stop this weight gain and muscle loss from happening," said Demark-Wahnefried. "Through a study we're starting soon, we will see whether a home-based exercise intervention can provide similar benefits."
At the annual meeting of the American Society of Preventive Oncology in March, Demark-Wahnefried reported that a structured exercise program prevented the typical weight gain and muscle loss in nine premenopausal breast cancer patients receiving chemotherapy.
Developed in conjunction with exercise physiologists at the Duke Center for Living, the program emphasized aerobic activity, specialized strength training focused on the lower body and a low-fat diet with lots of fruits and vegetables, she said.
The exercise study participants lost an average of 2.1 kilograms (4.6 pounds), increased their lean mass by 0.1 kg (0.22 pounds), and lost 1.9 kg (4.2 pounds) of fat tissue during the six-month program. By comparison, the 36 chemotherapy patients in the current JCO study gained an average of 2.2 kg (4.8 pounds), lost 0.1 kg (0.22 pounds) of lean tissue, and gained 2.0 kg (4.4 pounds) of fat.
"We were able to stop the weight gain with specific exercises and a low-fat, high-fruit and vegetable diet," said Demark-Wahnefried. "The new, homebased study, which uses adapted exercises and a video and written manual for instruction, will determine the relative importance of exercise, diet recommendations and telephone counseling."
While reduced activity is one culprit in the weight gain, more work is necessary to see whether the chemotherapy drugs actually alter the way the body uses or stores calories. The researchers also said that since chemotherapy frequently induces menopause or menopause-like symptoms in premenopausal patients, additional study is necessary to examine the role of amenorrhea, or lack of menstrual cycles, in the weight gain.
Other co-authors on the study are Drs. Bercedis Peterson, Lawrence Marks and Kimberly Blackwell of Duke, Dr. Eric Winer of the Dana Farber Cancer Institute in Boston and Drs. Barbara Rimer and Noreen Aziz of the National Cancer Institute.


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Josh Ong is the US Editor at The Next Web. He previously worked as TNW's China Editor and LA Reporter. Follow him on Twitter or email him a Josh Ong is the US Editor at The Next Web. He previously worked as TNW's China Editor and LA Reporter. Follow him on Twitter or email him at [email protected].
Competition in China’s browser market is even fiercer than the US, with several local players jockeying for users alongside international brands. Mozilla has a small slice of that pie with about 8 million mainland Firefox users, but it is working to establish a dynamic developer ecosystem for its open source browser.
Mozilla’s China division, also known as Mozilla Online, was officially established in 2007 and it operates out of Beijing with a team of about 30. The group’s efforts are predominantly focused on Firefox, rather than other products from the foundation. Outside of China, Mozilla’s presence in Asia includes an office in Japan and an R&D center in Taipei that focuses on Firefox OS development.
Firefox has roughly 2-3 percent market share in China, according to Jack Guo, Mozilla China’s GM of Strategic Development. Still, Guo says the typical Chinese Firefox user tends to be much more skilled than the average consumer, and many of them are developers themselves. The browser has a smaller share of the mobile market, with roughly 5-6 million users.
Guo agreed that China is a more competitive browser market than the US. By his estimation, there are 30-40 browsers in China, though most of them are IE6 clones with tiny market share.
Mozilla’s goals in China aren’t just about making money, as the company is dedicated to the mission of the Mozilla Foundation and is committed to developing the local open source ecosystem.
“Compared to ten years ago, the situation has changed and improved a lot. More and more people accept open source concepts,” Guo said. “Every developer is now using at least one or two open source technology-powered tools for their daily development.”
Even the government has come to understand the role the open source software places. After browser plugins threatened to take down the official Chinese train ticketing site, officials called several browser makers to ask them to disable their plugins. However, when they called Mozilla, they acknowledged that the Firefox version of the add-on wasn’t directly from them so they couldn’t shut it down.
The train ticket plugin was believed to be part of the reason for the temporary blocking of GitHub in China that occurred last month.
“The government’s more accepting, more open to [open source],” Guo said.
When I asked what steps Mozilla has taken to gain traction for Firefox in China, Guo highlighted three points. First, the Firefox community’s volunteer localization efforts across UI, support and websites. Second, Mozilla China built a set of China-specific add-ons, including an apps center, account manager and e-banking assistant, for the browser.
Finally, Firefox comes with a different default homepage than overseas versions of the software. The page uses Chinese search engine Baidu as its default search and also serves as a portal with links to ecommerce, news, games and more. That custom homepage is actually the chief source of revenue for Mozilla China, due to ads and partnerships with Baidu and Taobao.
Chinese developers have made their own add-ons too, like a popular plugin to link up with the Sina Weibo microblog or a Taobao price comparison add-on.
With mobile emerging as an especially important trend in China, I was curious whether the upcoming Firefox OS will be targeted at taking on Android, which dominates with an estimated 86% market share, in China. However, Guo says that Mozilla hasn’t yet developed a specific strategy for Firefox OS in the Chinese market, despite the fact that two of its OEM partners (ZTE and TCL) are based in China. The company is currently focused on the initial release of the first Firefox OS phones in Brazil with Telefonica and may consider a China launch at a later date.
Firefox OS phones may be affordable enough to compete with Android in the low-end of the market, but it sounds like we’ll be waiting for a bit before the first localized devices arrive.
Image credit: Tom Brakefield
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text:
- Social development in childhood and adolescence with a focus on the study of friendship and peer acceptance
- Reading instruction
- Remediation in childhood
Vaillancourt, T., Trinh, V., McDougall, P., Duku, E., Cunningham, L., Cunningham, C., Hymel, S., & Short, K. (2010). Optimizing population screening of bullying in school-age children. Journal of School Violence, 9, 233-250.
Vaillancourt, T., Brittain, H., Bennett, L., Arnocky, S., McDougall, P., Hymel, S., Short, K., Sunderani, S., Scott, C., Mackenzie, M., & Cunningham, L. (2010). Places to avoid: Population-based study of student reports of unsafe and high bullying areas at school. Canadian Journal of School Psychology, 25, 40-54.
Vaillancourt, T., McDougall, P., Hymel, S., & Sunderani, S. (2010). Respect or fear? The relationship between power and bullying behaviour. In S. R. Jimmerson, S. M. Swearer & D. L. Espelage (Eds.). Handbook of bullying in schools: An international perspective (pp. 211-222). New York: Routledge.
Aspenlieder, L., Buchanan, C.M., McDougall, P., & Sippola, L. (2009). Gender non-conformity and peer victimization in pre- and early adolescence.” European Journal of Developmental Science, 3, 3-16.
McDougall, P., Vaillancourt, T., & Hymel, S. (2008, November 10). What happens over time to those who bully and those who are victimized? In S.Hymel, S. Swearer & P. Gillett(Eds.), Bullying at School and Online, a special invited issue of education.com. Retrieved DATE from <http://www.education.com
Vaillancourt, T., McDougall, P., Hymel, S., Krygsman, A., Miller, J., Stiver, K., & Davis, C. (2008). Bullying: Are researchers and children/youth talking about the same thing? International Journal of Behavioral Development, 32, 486-495.
Hymel, S., McDougall, P., & Vaillancourt, T. (2008). Peer effects. In the Encyclopedia of the Social Sciences, 2nd Edition. Macmillan References USA, Thomson Gale.
McDougall, P. & Vaillancourt, T. (2007). Bullying in context: Why do they stand by and when will they stand up? Queen’s University Education Letter, Fall/Winter, 7-9.
McDougall, P. & Hymel, S. (2007). Same-gender versus cross-gender friendship conceptions: Similar or different? Merrill-Palmer Quarterly, 53, 347-380.
Child and Adolescent Development adolescence childhood development friendship peer acceptance reading
Her primary teaching inerests include Developmental Psychology and Research Methods and Design in Psychology. Her research interests centre around social development in childhood and adolescence with a focus on the study of friendship and peer acceptance. In addition, Dr. McDougall has research interests in the area of reading instruction and remediation in childhood.

domain: literature


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Scalp acne, also known as scalp folliculitis, is a common skin condition characterized by the occurrence of bumps or pimples on scalp. While scalp acne may not be as visible as facial acne, it can be equally distressing and uncomfortable. This article aims to provide a comprehensive overview of scalp acne, including its causes, symptoms, and effective treatment options.
I. Understanding Scalp Acne
A. Scalp acne causes
Scalp acne occurs when hair follicles on the scalp become clogged with oil, dead skin cells, and bacteria. Several factors can contribute to the development of scalp acne, including:
- Excess sebum production: Overactive sebaceous glands can lead to an accumulation of oil on the scalp, promoting the growth of acne-causing bacteria.
- Poor scalp hygiene: Inadequate cleansing of the scalp can result in the buildup of dirt, sweat, and oil, leading to clogged follicles.
- Hormonal changes: Fluctuations in hormone levels, such as during puberty or menstrual cycles, can trigger increased sebum production, worsening acne symptoms.
- Certain hair products: The use of oily or greasy hair products, such as conditioners or styling gels, can contribute to scalp acne by clogging the hair follicles.
- Sweating and humidity: Excessive sweating, high humidity levels, or wearing hats for prolonged periods can create a favorable environment for bacterial growth and exacerbate scalp acne.
B. Symptoms of scalp acne
Scalp acne typically presents as small, red bumps or pimples on the scalp. These bumps may be tender, itchy, or painful, and can occur in isolation or in clusters. In severe cases, scalp acne can progress to pustules or cysts, which are larger, pus-filled lesions. Additionally, some individuals may experience accompanying symptoms, such as scalp tenderness, flakiness, or hair loss.
II. Diagnosis and Treatment
To diagnose scalp acne, a dermatologist will examine the affected area and consider the patient’s medical history. In some cases, a scalp biopsy may be performed to rule out other conditions with similar symptoms, such as psoriasis or fungal infections.
B. Scalp acne treatment
The treatment of scalp acne aims to reduce inflammation, control bacterial growth, and unclog hair follicles. The following treatment options are commonly employed:
- Topical Medications:
- Benzoyl peroxide: An over-the-counter medication that helps kill bacteria and reduce oil production.
- Salicylic acid: Helps exfoliate dead skin cells and unclog follicles.
- Topical antibiotics: Such as clindamycin or erythromycin, can help control bacterial growth.
- Prescription Medications:
- Oral antibiotics: In severe cases, oral antibiotics like tetracycline or doxycycline may be prescribed to address widespread infection and inflammation.
- Retinoids: Prescription-strength retinoids, such as isotretinoin, can effectively treat severe cases of scalp acne.
- Scalp Care:
- Gentle cleansing: Regularly wash your scalp with a mild, pH-balanced best shampoo for scalp acne to remove excess oil, dirt, and dead skin cells.
- Avoid harsh chemicals: Refrain from using harsh hair products that can irritate the scalp and exacerbate acne symptoms.
- Regular exfoliation: Gently exfoliate the scalp using a soft brush or a specialized scalp exfoliating product to remove dead skin cells and prevent clogging of the hair follicles.
- Avoid scratching: Resist the urge to scratch or pick at scalp acne
C. Lifestyle and Home Remedies
In addition to medical treatments, certain lifestyle changes and home remedies can help manage scalp acne:
- Maintain proper scalp hygiene: Wash your hair regularly with a gentle scalp acne shampoo and conditioner. Avoid using hot water, as it can strip the scalp of essential oils and lead to dryness. Ensure thorough rinsing to prevent any product buildup.
- Avoid excessive heat and friction: Limit the use of heated styling tools, such as hair dryers or straighteners, as they can aggravate scalp acne. Also, avoid wearing tight hats or helmets for prolonged periods, as they can trap sweat and bacteria.
- Use non-comedogenic hair products: Opt for hair products labeled as non-comedogenic, meaning they won’t clog the hair follicles. Look for water-based or oil-free formulas that are less likely to contribute to scalp acne.
- Keep your hands off: Refrain from touching or scratching your scalp excessively. Picking at acne lesions can worsen inflammation and potentially lead to infection.
- Stress management: Stress can contribute to hormonal imbalances and trigger flare-ups. Practice stress-reduction techniques like meditation, deep breathing exercises, or engaging in hobbies that help relax your mind.
- Natural remedies: Some individuals find relief from scalp acne using natural remedies. Tea tree oil, known for its antibacterial properties, can be diluted and applied topically to affected areas. Aloe vera gel, with its soothing and anti-inflammatory properties, can also be beneficial.
III. When to Seek Medical Attention
While mild cases of scalp acne can often be managed with home remedies and over-the-counter treatments, it is important to consult a dermatologist if:
- The condition worsens or does not improve with at-home treatments.
- The acne lesions become painful, tender, or show signs of infection.
- Hair loss or scarring occurs.
- Scalp acne is accompanied by other concerning symptoms, such as fever or fatigue.
A dermatologist can assess the severity of the condition, provide a personalized treatment plan, and rule out any underlying conditions that may be contributing to scalp acne.
Scalp acne can be a bothersome and uncomfortable condition, but with proper understanding and management, it can be effectively controlled. By identifying the causes, recognizing the symptoms, and implementing appropriate treatment options, individuals can alleviate scalp acne and prevent future flare-ups. Remember to maintain good scalp hygiene, use suitable hair products, and seek professional guidance when necessary. With patience and consistency, you can achieve a healthier scalp and regain confidence in your appearance.


Vaccine effectiveness estimates were found to be similar against the Delta, sub-lineages
An ICMR study has indicated that a booster dose of Covaxin is safe and necessary to ensure persistent immunity to minimise breakthrough infections of COVID-19, due to newly emerging variants, Minister of State for Health Bharati Pravin Pawar informed Parliament on Friday.
The Indian Council of Medical Research (ICMR) has conducted studies on the effectiveness and side-effects of COVID-19 vaccines, Ms Pawar said in Lok Sabha in reply to a written question.
A multi-centric, hospital-based, case-control study was conducted between May and July 2021, in which vaccine effectiveness of complete vaccination was found to be 85 per cent in Covishield and 71 per cent in Covaxin.
The vaccine effectiveness estimates were found to be similar against the Delta strain and sub-lineages, Ms Pawar said.
A second study assessed the persistence of immunogenicity up to six months after a two or three-dose with Covaxin. The results of the study indicated that a booster dose of Covaxin is safe and necessary to ensure persistent immunity to minimize breakthrough infections of COVID-19, due to newly emerging variants.
A six-month analysis of the study titled 'Immune response to precautionary third dose of Covishield/Covaxin among healthy adult population: an ICMR Cohort study, India" shows robust immune response with both vaccines, she said in her reply.
The Ministry of Health provides requisite support to states and Union territories to enhance preparedness and response capacities. Funding support has been provided to them for health system strengthening to meet any exigency due to resurgence of cases in the country through National Health Mission, Emergency COVID-19 Response and Preparedness packages.
With the long-term goal to better prepare our country against public health emergencies, the PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay of Rs 64,180 crores (for the period of 2021-26) has been launched with the intent to enhance the capacity of primary, secondary and tertiary health care facilities or systems and institutes for identifying and managing any new and emerging diseases, Ms Pawar said.
These include support for strengthening rural health and wellness centres in high focus states, establishment of urban health and wellness centres in all the states, establishment of block public health units in high focus states, setting up of integrated public health labs in all districts, establishing critical care hospital blocks in all districts with population more than five lakhs, developing central institutions as training and mentoring sites with 150 bedded critical care hospital blocks, strengthening of the National Centre for Disease Control (NCDC), New Regional NCDCs and metropolitan health surveillance units among others.
Further, DBT through its public sector undertaking, Biotechnology Industry Research Assistance Council (BIRAC), has supported enhancement of capacities for conducting clinical trials, immunogenicity assays and animal challenge studies, which are important for vaccine development.
For early identification and diagnosis of emerging or re-emerging viral infections of public health importance, both serology and molecular diagnostic infrastructure has been strengthened across the country by establishing a network of virus research and diagnostic laboratories, the reply said.
(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)


According to current data, the U.S. needs about 52,000 more primary care physicians by 2025 to meet its healthcare needs. But officials at Denver’s veterans hospital have another pressing medical matter: a critical shortage of anesthesiologists.
Despite salary offerings reaching as high as $400,000, the Denver Post reports that dozens of surgeries have had to be rescheduled or postponed, often multiple times.
Back in July, the facility had been cited as having some of the worst wait lists in the country.
The hospital employs eight anesthesiologists and eight nurse anesthetists. Still, they’re short of the demand needed to accommodate all the surgeries, which currently total about 380 per month, according to a spokesperson. They also noted that some staff members have left to pursue other jobs in addition to taking maternity and paternity leaves.
“Currently we have had approximately 65 to 90 nonemergent surgeries rescheduled or postponed due to a shortage of anesthesiology staff,” VA spokeswoman Kristen Schabert said, but was unable to offer any examples.
There are 5,564 registered hospitals in the United States, and many of them report common issues of overcrowding and excess wait times. The VA hospital’s waiting time during fiscal 2017 for surgery for ‘established’ patients is 9.5 days. This exceeds the national average, which is currently at 5.8 days.
“Any delay we are certainly concerned about,” said Dr. Ellen Mangione, the chief of staff for the Eastern Colorado Health System, which operates Denver VA Medical Center.
In total, around 13.5% of all appointments at ECHCS had a longer than 30-day wait, according to federal data, ranking it the worst in the nation. Back in 2011, however, the VA set a goal of making sure each veteran is seen by a doctor within 14 days.
Many veterans cite primary care and dentistry as having the worst wait times. Navy veteran and Denver resident Al Montoya says that he has become used to waiting up to a period of three full months in order to see a primary care doctor at Denver’s facility.
“Primary care takes longest … I know they’re doing the best that they can. They’re very good people here,” he said.
Ultimately, one can only hope the situation will improve as surgery need become more urgent.
“VA facilities learn from each other by sharing information and best practices,” said Schabert. “But ultimately, every VA health care system is unique in a number of ways, including the demographics of its veteran population, the geography it covers, the number and size of clinics and the number and certifications of its health care professionals.”


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Stream Jakob Dylan' New Album, Women and Country, For Free
Jakob Dylan's new album, Women and Country, is set for release tomorrow (April 6) through Columbia Records, but you can listen for free right now!
Billed as Jakob Dylan and Three Legs, this new collection finds Dylan reuniting with acclaimed Grammy and Golden Globe winning producer T Bone Burnett (Robert Plant, Alison Krauss, Crazy Heart), who produced the Wallflowers' 1996 breakthrough album Bringing Down the Horse. On this release, Jakob is also joined by Neko Case and Kelly Hogan, who provide back-up vocals to eight of the album's 11 tracks. Jakob Dylan and Three Legs will be on tour in support of the album, dates below.
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Tech industry research outfit Forrester just put together a report predicting the future of the cloud computing business. It belongs to Amazon and Google.
Now, Forrester compiled the report before yesterday's big news that Dell is buying EMC for about $67 billion. But analyst John Rymer says the deal doesn't really change the picture. Yes, it's true that in acquiring EMC, Dell will gain stakes in two other companies under the EMC umbrella: VMware and Pivotal. Both are related to cloud computing, but Rymer says neither is a major player in the wider market for "public cloud services," which is where the future lies.
The major players are, of course, Amazon and Google, who now offer their own infrastructure to the rest of the world as cloud computing services. Oh, and Microsoft. It's pretty big, too—at the moment bigger than Google. Yes, Pivotal has a good idea on its hands, building tech that mirrors what the likes of Amazon and Google built over the last decade-and-a-half in support of their massive Internet empires. But it turns out that the companies with the strongest incentive to build a better cloud for themselves also are in the best position to offer that cloud to everyone else.
Forrester's report, which draws on interviews with vendors and customers across the market, looks exclusively at "public cloud services"—Internet services, like those from Amazon and Google and Microsoft, that let businesses build and operate software without setting up their own hardware. With VMware and Pivotal, Dell is pushing a little further into this space. But VMware and Pivotal are mainly companies that deal in the "private cloud." That's when businesses set up their own hardware and configure it to behave kind of like public cloud services, except that it's only available to them. VMware and Pivotal help companies do that. That's pretty much what Dell was doing anyway. And it's not the future.
Rymer and Forrester now call the public cloud a "hyper-growth" market. Their new report predicts that this market will grow to $191 billion by 2020. That's 20 percent more than they predicted in their previous report, back in 2011. "The adoption among cloud among enterprises, which is really where the money is, has really picked up steam," Rymer says. "It's a big shift. The cloud has arrived. It's inevitable."
The report encompasses a wide range of services, including everything from things like Amazon's EC2, which serves up virtual machines where you can run practically any software you want, to things like Microsoft Office 365, a suite of pre-built and configured software applications you can tap into via the 'net. That's appropriate. Companies like Amazon and Microsoft and Google continue to expand across all these areas. Amazon just introduced a sweeping array of new services last week.
According to the report, "cloud platform services" like Amazon EC2, where you can build and run your own software, will be a $44 billion market by 2020. Meanwhile, back-end business services will reach $14 billion, and cloud software applications will hit $131 billion. "A lot of businesses are now saying: 'I want to move my operational application, back office applications, into public clouds,'" Rymer says. "That's a big deal. In the past, so many people said: 'I'm never going there.' Now they're actually working at it."
The public cloud won't take over the whole IT market, Rymer says, but this is where the big growth lies. According to Rymer, software-as-a-service offerings such as Office 365 are growing the quickest at the moment. Eventually, he says, similar growth will extend into so-called platform market.
The biggest winner here will likely be Amazon. "They have a massive customer base and they're been at it longer than anyone else," Rymer says. This spring, Amazon revealed that its cloud operation is now a $4.6 billion business, and the company expects it to grow to $6.23 billion by the end of the year. The next-biggest player is Microsoft. In April, Redmond said it's on track to reach $6.3 billion in revenue this year, including sales of its Office 365 and its Dynamics customer relationship management service. Google, in many respects, has a technical lead on Amazon and Microsoft, but it was slower to market. IBM, with its acquisition of a company called SoftLayer, is also in the mix.
Services from Google and IBM may not grow as quickly as Amazon's. But they will grow. It's where the world is moving.


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CYTOSPORT MUSCLE MILK LIGHT RTD
KEY PRODUCT HIGHLIGHTS:
• Genuine Muscle Milk Light. Nutritional Shake. Contains No Milk. Naturally and Artificially Flavored. 30 g Protein. Lactose Free. No Sugar. Gluten Free. Each Container Provides an Excellent Source of 20 Vitamins and Minerals. Muscle Milk Light provides nutrients found in natural milk that are important from building muscles and bones. Muscle Milk Light contains 38% fewer calories than Genuine Muscle Milk (200 calories vs. 320 calories per 17 fl. oz.).
• Allergen Statement: This product contains ingredients derived from milk and soy. Keep from freezing.

domain: food


Shanghai Sunland Industrial Co., Ltd is the top manufacturer of Personal Protect Equipment in China, with 20 years’experience. We are the Chinese government appointed manufacturer for government power,personal protection equipment , medical instruments,construction industry, etc. All the products get the CE, ANSI and related Industry Certificates. All our safety helmets use the top-quality raw material without any recycling material.
safety bump cap insert
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Professional team work and production line which can make nice quality in short time.
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Hands-free User ,Experience,. HMT-1Z1 Industry Specific Solutions. Manufacturing. Automotive. Oil & Gas. ... Approved for ATEX & IECEx ,Zone, 1 and CSA C1-D1. Safe to deploy in explosive areas, ... Designed to work with standard hard ,helmets,, bump caps and safety glasses. Tablet Class Power.
WaveCel works like a crumple ,zone, that helps absorb the force of impact before it reaches your head. In order to protect your head and absorb the energy created by an angled impact, WaveCel is designed to go through a three-step change in material structure.
Chengdu, Hanyan Technology Co., Ltd. is located in China and is a leading supplier and wholesaler of General welding lathes / auxiliaries equipment,Home appliance and strips welding machine,Resistance welding equipment,Auto parts welding machine,Welding robots.
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The world's largest mall is in the central China city of ,Chengdu,. It opened in September of 2013, and it is a new regional tourist attraction. Tourists want to see what one of the world's biggest buildings looks like inside, and they are interested in seeing its entertainment and amusement facilities, accommodations, and …


The Lakers legend joined Good Day LA and discussed bringing his NBA experience to the sideline at Crespi High School in Encino, the lessons from Kobe Bryant he's sharing, and the balance of being a father coaching his sons.
The council will provide guidance to reinforce cultural, social, political, and economic ties between the U.S. and Africa.
Miller was the WNBA's Coach of the Year in 2017 and 2021, and served as assistant coach for the Sparks in 2015.
The massive, nine-figure renovation project was originally scheduled to be completed in 2024.
Derek Fisher is no longer head coach of the Los Angeles Sparks effective immediately.
Starting Friday, those attending events at the Crypto.com Arena and the Microsoft Theater in downtown Los Angeles will no longer be required to show proof of being vaccinated against COVID-19 or a negative test for entry.
The change isn't official until Christmas, but the signs are already up for the Crypto.com Arena.
Despite the disapproval from many Angelenos, the transition from Staples Center to the Crypto.com Arena is underway as crews began taking down the red letters early Monday morning in downtown Los Angeles.
General Manger and Executive Vice President Penny Toler has been relieved of her duties from the Los Angeles Sparks. The team made the announcement Friday afternoon.


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Founded in 2022 ALBA Gallery is representing its thematically intrinsic program by bringing exceptional exhibitions to life, interconnected by their transdisciplinary approach.
Driven by a keen interest in the wide-ranged conditions of human identity, ALBA Gallery‘s program explores this spectrum in all its beauty and cruelty.
Being attracted by the aesthetics of both the immensely atrocious as well as the overwhelmingly beautiful, we all as human beings deal with universal issues, everyone can find a part of themselves in.
What makes us human? What is real/life? Where do we position ourselves within these concepts, what motivates our urge to then escaping from them and where do we anticipate to find ourselves once this process is successful?
The undeniable disparity between what we – as a society – commonly agree upon as real life and our individually received reality – aligned to the purpose of prevarication – remains uncanny and self-destructive behavioural patterns reflect on the paradigms of contemporary times and emotional mechanisms, as seductive illusions consume us with heart and soul.
ALBA Gallery embraces those identity fomenting directions emerging from plurality, proprioceptively renegotiating the fragility of both the physical and the virtual self and its realities.


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South Shields roadworks mix-up causes delays
Council chiefs have admitted the completion of a road upgrade project – part of a multi-million-pound rejuvenation scheme – has been delayed due to a mix up over utilities data.
They say some historic ground features, which could include pipes and telecommunications cabling, did not show up on pre-works surveys on roads opposite South Shields town hall.
It led to final stage works - planned to finish in around February - only being expected to start this week.
These include paving in Charlotte Terrace, and road resurfacing in Crossgate and at bus stop in Westoe Road.
The works began in January 2018 as part of Phase Two of the South Shields 365 regeneration masterplan, whose core feature is a new bus and rail interchange in South Shields town centre.
That month, demolition began to the former PDQ Homes office, on the corner of Crossgate and Charlotte Terrace, causing some traffic delays.
In September, an expected 18 weeks of roads improvements in and around the same location got underway.
These included upgrades to the junction outside the town hall, and the installation of a bus lane on Crossgate.
According to borough bus operators, the works led to delays for motorists of up to 20 minutes.
South Tyneside Council said its contractor, Bowmer and Kirkland, had contacted utility providers for details of existing apparatus prior to construction work starting, as is standard practice.
A spokesman added: “However, some utilities were not on the records provided and so were not discovered until work had already begun.
“The contractor could not have reasonably foreseen that they would be encountered. Orders were placed for the work to be carried out as soon as we became aware of the problem.
“We have been advised that the final utility diversion works are programmed to commence this week and, once completed, our contractors will be able to complete the paving works.”
The council also said the bus lane, which was completed in April but which is marked by signs as not being operational, would soon come into use.
He added: “With regards to the bus lane, the work was completed as part of the Crossgate phase but the lane will not be made live until the bus routes change when the new transport interchange opens later this year.”


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A rebranding campaign for three Massachusetts counties—designed by the same Oklahoma consultants hired to create a new core image for Raleigh government
—has received such negative reaction that it's been put on hold by its sponsors.
Raleigh officials say they’re aware of the controversy surrounding the Massachusetts proposal by Cubic Creative but remain happy with the firm's work, under an $83,000 contract, for Raleigh. "I'm very pleased with the work they've provided us so far and think we are off to a great start," says Damien Graham, the city’s communications director.
In February, after its contract with Raleigh had been signed, Cubic Creative rolled out a "West Mass" slogan and logo for a local convention and visitors bureau and economic development center. Cubic was paid $80,000 for the effort to replace the region's existing name, "Pioneer Valley," an identifier that honors early settlers and dates to the 1930s.
Although perhaps clearer to outsiders, “West Mass” was dissed right away by people who live there.
“It took a year, intensive questionnaires, and tens of thousands of dollars to come up with … this?” said an editorial in BusinessWest
, the business journal of western Massachusetts.
Much more pointed online reaction was immediate and almost all negative, criticizing the slogan as vague and undistinguished. A change.org petition in opposition
has garnered more than seventeen hundred signatures as of Monday. And as of late last week, "West Mass" was being shelved
and will likely be discarded.
“We are taking a pause,” Rick Sullivan, president of the Economic Development Council of Western Mass., told the Boston Globe
Mary Kay Wydra, president of the Greater Springfield Convention and Visitor Bureau, told the INDY
Monday afternoon that Cubic had done a good job for the clients. Wydra says the campaign was geared primarily to people outside the market and that the agencies should have presented it more effectively on social media to reach local people.*
Raleigh officials declined to comment on the Massachusetts reaction.
"The city doesn't have a comment about a campaign that doesn't have anything to do with the city of Raleigh," Graham says.
Cubic's $80,000 campaign for the Massachusetts convention center and economic developments included the "West Mass" brand and a logo. Raleigh is not looking for a city slogan to replace "The City of Oaks"; it paid Cubic to conduct a discovery process that would “identify core themes and provide a narrative,” Graham says.
City council members, city staff, and media attended an April 18 unveiling of Cubic’s “narrative” of city government. The job of creating a logo, style guide, and additional materials will fall to the Assembly, a Raleigh company that will produce its work by June under a $143,000 contract.
When the city solicited bids for the entire rebranding process, companies submitted proposals in the $225,000 range, Graham says, roughly the amount of the combined fees for Cubic and the Assembly. “We felt a local firm, the Assembly, would be best to take us to the next level—the logo, style guide, and other materials,” he says.
*Correction: This article originally stated that the two agencies changed the campaign from “Western Mass” to “West Mass.” Michele Goldberg of the Greater Springfield Convention & Visitors Bureau says that, in fact, that was Cubic’s recommendation: “Cubic presented the brand as West Mass. The data used in the project led Cubic to the name Western Mass, but they recommended shortening it to West Mass to be more modern.”


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Today, the gang talk about the awesome Amalgam Comics & Coffee House in Philadelphia – the east coast’s first black female-owned comics store, which will showcase diverse comics, creators and characters. We also talk about Wonder Woman getting back to her BDSM roots, Mike Mignola bringing “Hellboy in Hell” to a close, and the Muck Man Maniac “http://rootsoftheswampthing.com.”
Also, coming up on Saturday, 1/16/16, from 6-8pm is Ladies Night at the Comics Dungeon. This month the theme is “Women of Sci-Fi” with a discount of 20% off certain titles.
Today on Book Report, Cole reviews Klaus #1 from Boom Studios.
Chris reviews The Wendy Project from Emet Comics.
And finally, Nicole reviews The Secret Loves of Geek Girls from Dark Horse.


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Hazelnuts contain nearly 91 percent monounsaturated fat and less than 4 percent saturated fat. Over 30 tree nut studies indicate this high level of monounsaturated fat is likely responsible for a reduction in both total blood and LDL cholesterol levels when hazelnuts are consumed as part of a low saturated fat diet.
It also contributes significant amounts of protein, fiber, iron, phosphorus, vitamins B1, B2, C, and E, folate and many other essential nutrients. Replacing a less nutrient dense snack with heart healthy and flavorful hazelnuts has many health benefits.
Ratings & Reviews
Love these filbertsRobert, Milwaukee, WI
Really delish!Denise, Collinsville, OK
Great productRichard, Valrico, FL
So much easier than trying to crack the shells!Marjie, OLYMPIA, WA
Hazelnut (Filbert) Packaged in the same facility as peanuts, tree nuts, soy, and milk products.
Serving size 30g (~1.1 oz.)
|Amount per serving|
|Calories from Fat||162|
Store open or closed under refrigeration for up to 6 months. This item can be frozen.
Approximately 280 pieces per pound.
Country of origin: United States


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Skincare is definitely an intensive collection of professional medical practices that service complexion level of quality, increase its visual appeal and decrease numerous body-related circumstances. Skin is among one of individuals places which gets lots of attention from health laymen and pros equally. Skin conditions are quickly becoming quite normal amongst folks and the requirement for epidermis remedy and care and attention is over the upswing. It is noticeable coming from the escalating variety of salons, doctors’ centers, health spas and sweetness educational facilities. Skin treatment is now regarded as part of standard precautionary treatment.
Choosing an excellent epidermis-proper care schedule entails a great deal of components. These variables include individualtime and personal preference, type of skin, general amount and overall health of acne breakouts and other pores and skin issues. Some crucial suggestions to give some thought to include things like working with gentle and organic products and solutions, preventing harsh compounds and boosting overall look by way of frequent cleanse and moisturizing. In accordance with type of skin Epidermis-maintenance systems ought to be picked out. The following are some productive components common in skin treatment products.
Natural moisturizers can be used as every day skin-care and come in solution, lot and lotion forms. Moisturizer cleanses without placing any gas to your skin area. Liquid moisturizers have a very air conditioning effect and are generally commonly employed prior to asleep. Cream skin lotions are used whenever your skin layer becomes dried out. Lotions should be utilized each day to re-supply dropped fats while asleep.
The lively ingredients obtained in quite a few healthy skin care items are preservatives, anti-bacterial products and sunscreen substances. These supply security towards ultra-violet rays (UV) gentle. Common skincare ingredients just like herbal antioxidants, zero-growing old ingredients, retinoids and Vitamins E, A and C give anti-oxidant and sun security. Vitamins E, C and A energize the creation of collagen, an additional product which assists in the regeneration of epidermis tissue. If these elements are already analyzed on pets or animals, AHA and Retinoids can also be good at removing age spots, sun-damage, acne scar problems and expand spots.
When using normal or organic and natural complexion-care products, you will need to verify. Animals have come across harsh chemicals very much like all those employed in epidermis-maintenance systems, and sometimes these ingredients induce them critical medical conditions. Similarly, people who make use of these goods often acquire allergic attacks or rashes.
The dermatologists examine your skin, glance at the record of the skin difficulties and look the health background in the patient. They also take a look at the patient’s lifestyle and discuss with him what forms of healthy skin care are best suited for his form of skin as well as the issues they have. This dialogue takes place in a certain environment, making it possible for your skin proper care gurus to suggest the most suitable beauty schedule and complexion strategy per affected person.
Most skin doctors advocate makeup as an important part of your skin care and attention plan. Various make-up which range from airbrush to water, product and lotionfoundations and lipsticks, eyesight dark areas and blushes, to face face masks and the body scrub could be used to keep the key overall tone and features in the deal with. The makeup can be picked out in accordance with the sex and era of the individual. Professional estheticians recommend an array of designs and colours which you can use by both equally men and women, and also there are special foundation make-up for males.
Every time you cleanse your facial skin, specially after having a rigorous day at work or buying, it is recommended to use a soothing cleanser or toner. To preserve the oiliness, it is advisable to use a mild moisturizing lotion. Even though many men and women believe skin lotions are merely important while in the winter when they should guard their epidermis coming from the harsh UV rays on the sunshine, in fact whenever you thoroughly clean your skin and apply a toner, this is also a period to utilize a fantastic moisturizing lotion. This gives your skin layer satisfactory a chance to replenish by itself right after cleaning, plus the moisturizing lotion not just provides moisture, but in addition safeguards the pores in the results the dry fresh air. It is advisable to use it each and every morning, and even though you dress in a lot of sun block lotion after you sleeping through the night, this should always be used before you go to sleep to stop it from diminishing, which can be a result of sun exposure eventually.
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Like the swallows of Capistrano returning annually to the California mission, spring football once again descends on the American sports landscape Saturday, with yet another seasonal aspirant in the seemingly perpetual quest to make non-NFL professional football a go.
The USFL, not to be confused with the 1980s USFL (more on the legal moniker machinations later) kicks off its inaugural campaign this week. And if — always an imperative conjunction in discussing spring football — the USFL lasts until a Year 2, it will compete against another planned historical handle, the XFL.
That will be the XFL’s third try, which is two more than the dead and gone UFL, FXFL, NFL Europe (unless you count the time that league was rebranded NFL Europa) and the AAF.
What keeps attracting entrants, despite the acronym graveyard littered with the carcasses of start-up leagues, is the American thirst for football. The NFL again enjoyed boffo ratings in 2021, and college football remains a top draw — and arguably is the main competitor to spring football as a true developmental league.
But the new 12-week USFL, backed by Fox Sports, expects instant success on a sizable scale.
“Tens of millions of viewers are expected to watch the (43) games in 2022, including the inaugural game on April 16, which will be the first sporting event scheduled to air on competing broadcast networks,” the USFL wrote in court papers tied to the lawsuit brought by 1980s USFL owners suing for trademark infringement. “Since June 2021, USFL Enterprises has invested tens of millions of dollars to develop the New League.”
Tens of millions of dollars might sound like a lot, but as spring football leagues go, it’s not. Wrestling impresario Vince McMahon spent more than $200 million getting the second version of the XFL off the ground in 2020 before the pandemic body-slammed the league into bankruptcy. And in court filings, his Alpha Entertainment estimated another $300 million would have had to be spent before the league turned profitable.
Randy Vataha, an original USFL team owner (he’s not part of the lawsuit) and sports investment banker, pegged the amount necessary in the first few years at $250 million.
“The problem with spring football is not that you can’t get some fans, and you can get some ratings, the problem is that it’s just an incredibly expensive sport. … You’ve got to have 40-plus guys per team to be able to, you know, play a 10-game season,” he said
To minimize costs, the USFL is playing all its games in Birmingham, Ala., even though its eight teams are named after former USFL cities and states, including Pittsburgh and Michigan. That will certainly keep costs down but will also deprive the league of real rivalries, fan groups and, for TV, full stadiums cheering on the home team. During the pandemic when stadiums and arenas were empty, low TV ratings were ascribed to viewers turned off by the spectacle of empty venues with fake crowd noise.
The USFL would not comment on its plans, in part because of the lawsuit brought by former owners. A hearing is scheduled for Monday to argue whether the USFL should be enjoined from using the league name. The current version argues it obtained the trademarks legally and the former owners had ceased using the names, including those for the teams.
Whatever the outcome (and an injunction could derail the league), few in the business of football doubt the NFL needs a place to develop players, and not just in college.
“As agents, we make big investments in our clients when they come out of college, and we want them to have as many opportunities as possible to develop (at) certain positions,” said Kenny Zuckerman, who represents one of the top players in the USFL, quarterback Jordan Ta’amu. “And certain players, depending on their college, need more time to develop. … We love these kinds of leagues, and it just gives guys the ability to play more football and get more film, which gives some (a) better chance to get the golden ticket and play in the NFL.”
The golden ticket for any of these leagues would be an alliance with the NFL. Thus far, the NFL has welcomed both start-ups through various ventures. The USFL is working with the NFL on officiating, and with NFL Films on a series about the first season.
And the XFL, scheduled to play in 2023, is working with the NFL Alumni Academy to train players and the bigger league on new concepts.
The XFL, which played single seasons in 2001 and 2020, is now owned by an equity fund and Dwayne “The Rock” Johnson and his ex-wife, Dany Garcia. They have assembled a league staff of former NFL executives, but their plans thus far are opaque, including which cities will house XFL teams (unless they play in one location), commercial partners and quantity and quality of players.
This week, the XFL unveiled a high-caliber lineup of head coaches, including Wade Phillips, Hines Ward and Bob Stoops, who still has a more than $1 million claim against the XFL’s bankrupt predecessor parent company.
Could two spring leagues survive at once? USFL players are under two-year contracts and can break them only to join the NFL. So the XFL will choose from a less seasoned pool of players.
“There’s not 16 really good quarterbacks to roster both leagues,” said Eric Galko, director of football operations for the Shrine Bowl, who ran recruiting for the XFL in 2020. “So the bottom-tier teams will be significantly worse if there are two leagues.
“There’s not a lot of 6-5, 300-plus-pound people who have played offensive line in college in the world. At the XFL, that was a constant source of planning and focus for me. … One thing that no spring league has had in 40 years is momentum as well as year-over-year consistency.”
In fact, the bankruptcies of the last two spring leagues have lasted longer — far longer — than the original leagues. The Alliance of American Football played for two months in 2019 before filing for bankruptcy. A settlement with former players was struck in February, though a legal dispute with the former league owner, Tom Dundon, is ongoing.
And the XFL’s former parent’s bankruptcy is ongoing, with the plan administrator recently declining to pay the league’s former coaches their contractually owed pay. In addition to Stoops, unpaid coaches include Winston Moss ($583,333 claim), Kevin Gilbride ($583,000 claim), June Jones ($540,000 claim), Marc Trestman ($750,000 claim) and Jim Zorn ($580,000 claim).
Chances are, given Fox’s ownership of the USFL, bankruptcy is not on the horizon. Thus far, the cost is not material enough to be listed in Fox’s securities filings, though as a public company, it will be sensitive to expenditures. Players who were paid bonuses received them only upon arriving at training camp, not at signing, Zuckerman said. Players are also largely responsible for their housing costs while in Birmingham.
Mike Tannenbaum, a former NFL general manager and current ESPN commentator, said when he was in the league, he watched game tape of the now-defunct NFL Europe regularly. If he were still in the NFL, he said he would even look at the Fan Controlled Football League, a seven-on-seven league played inside on a shortened field that is entering its second season.
“There’s an insatiable appetite for it,” he said of America’s passion for football. “So I think there’s a real shot. You know, the demand is there. The supply is there. So I think the fundamentals of any economics are there, and how it’s done and how it’s executed. We’ll see. But I’m certainly intrigued. And as a fan of the sport, I’m sure I’ll watch.”
(Photo: Kirby Lee / Associated Press)


Scotland playmaker Greig Laidlaw has completed a deal to join Gloucester next season, replacing Leicester-bound Freddie Burns as the Cherry and Whites' frontline fly-half.
Well deserved, Mr Hazell.
Leicester moved into the Aviva Premiership play-off places by ending London Irish's winning run.
Mike Ford admits Bath would have taken a top six Aviva Premiership finish at the start of this season but that has now been overtaken by realistic play-off ambitions.
Worcester have announced contract extensions for centre Ravai Fatiaki and scrum-half Jonny Arr.
The 26-year-old Fatiaki joined the Aviva Premiership strugglers in 2011, while Arr, 25, made his Warriors debut four years previously.


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Biting, chewing and speaking are all important tasks in our lives which can only be facilitated by the teeth in our mouths. This has resulted to institutions like those owned by government coming up with campaigns to sensitize the public on the essence of teeth and oral health.
Some of these sensitization campaigns are constantly reminding the public always to brush and floss their teeth. This is because it gets rid of all the plaque that causes dental problems which include the bacteria and viruses.
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You can get teeth whitening services from reputed clinics like Grand Family Dentistry in Baton Rouge. This is after they got brown either because of smoking or consuming a lot of tea and coffee. Teeth browning problem is an issue that can be easily sorted out by visiting reputed dental health centers like the Grand Family Dentistry clinic.
Replacing Missing Teeth
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Restoring Broken teeth
Reputed dentists in Baton Rouge LA also offer services in chipped teeth restoration. There are instances when restoring teeth can be more cost-effective than replacing the whole set of teeth. People looking to save money will opt to go for this option rather than replacing the tooth.
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Drake (born Aubrey Drake Graham) is a Canadian actor-turned-rapper most famous for his role as Jimmy Brooks on the teen television drama Degrassi: The Next Generation. Born in Toronto, Canada and encouraged to take up rapping by his Memphis-based musician father, Graham initially released a series of mixtapes and a single, Replacement Girl, that drew the attention of the American BET network, who featured the song in early 2007 as the 'New Joint of the Day'. Drake's music soon found its way to Lil Wayne who signed the young rapper to his label/management stable Young Money Entertainment. Although Drake and Lil Wayne continued to collaborate on material for the next three years, it was not until March 2010 that Drake's debut artist album, Thank Me Later, emerged. Inspired by rappers like Andre 3000 and Nas, and earning comparisons to Kayne West's 808s & Heartbreak, the album marked Drake's arrival onto the national hip-hop stage.
Followers: Wale, Kid Cudi, Tyga
Influenced By: Nas, Kanye West, Lil Wayne, Jay-Z, Fabolous, T.I., Twista, 50 Cent, Young Jeezy, Jamie Foxx
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journal | team | miscellany | home
A Brief Review of a Play in Progress:
“Dear Mr. C”
I have titled this a review, but it isn’t so much a review as a report on a play in progress: Dear Mr. C, a memory play with music by Tidtaya Sinutoke, which I had the pleasure of seeing April 22, 2022, at Illinois State University’s Center for the Visual Arts. Dear Mr. C won the 2022 Diverse Voices Playwriting Initiative.
There are lengthy and illuminating interviews online with Sinutoke and the performance’s lead actor, Sanhawich Meateanuwat, conducted by Kee-Yoon Nahm, chair of the Crossroads Project, which is dedicated to promoting diversity and inclusion in the theatre at the university. I encourage you to read the interviews for a detailed description of the play’s development, from inspiration to presentation at the university. In lieu of repeating the information, I’ll mainly focus on my experience when viewing the multidimensional piece, which was presented as a staged reading and not a fully formed, finalized dramatic work.
Nevertheless, some further context is needed. Sinutoke was born in Thailand but is a New York City-based composer, writer, and musician who holds a B.M. from the Berklee College of Music and an M.F.A. in musical theatre writing from NYU Tisch School of the Arts. The play is based on Sinutoke’s experiences while living in the U.S. after discovering that her mother was diagnosed with cancer at home in Thailand. Director Janet Wilson’s note in the program says, “In the play, [Tidtaya] describes cancer as her personal ‘definition of suffering.’ Through delineating her five stages of grief (not ‘based on the Kubler-Ross model’), Tidtaya uses beautiful and poetic imagery, in word and song, to express her private suffering due to her mother’s diagnosis, compounded by Tidtaya’s immigration status in 2017. With gut-wrenching honesty, Tidtaya has created the time and space for us to connect with and experience our own suffering.”
Before the staged reading began, Professor Kee-Yoon Nahm conducted a brief interview with Sinutoke; then four readers took their places at stools with music stands to hold their scripts (Meateanuwat as “The Writer,” Rosie Hauck as “Ensemble 1,” Satomi Radostits as “Ensemble 2,” and Zenon Zamora as “Ensemble 3,” with Grace Eom’s accompaniment on the piano); and afterward the audience was invited to share their reactions to the play (in addition to filling out an optional online survey). It was stressed throughout that Dear Mr. C was a work in progress, and the playwright was very much interested in audience reaction.
Sinutoke had been at the university workshopping the script throughout the week. It was only the second time the play had been presented to an audience—and the first time, the playwright said, that she’d been able to see the production as an audience member. During the week, Sinutoke composed new music (she’s been at work on the play since 2017, when all of the events took place), and rearranged some of the numbers before Friday night’s presentation.
I found the 90-minute staged reading not only successful but delightful, in spite of the heaviness of the subject matter. The script alternates between dialogue and musical numbers, with a simple yet haunting score delivered via the single piano. Projection was also used, to a screen behind and above the actors. The projections were either simplistic drawings (an element of humor in the play), or they were to aid in translation. Generally the actors were speaking in English, but on the screen we saw the dialogue in Thai. Periodically, however, the actors spoke (or sang) in Thai, and we looked to the screen for English translation. The use of the languages in tandem not only added realism to the story, but depth as well, as it underscored the distance between The Writer and his family members back home, especially of course The Writer’s ailing mother.
The five stages of grief, which characterize the playwright’s personal reaction to her situation, were used as a structural device and essentially mirror the chronology of events. Instead of a heavy-handed transition between “acts,” white balloons with faces drawn on them were brought out by stage manager Jenefas Okonma and delivered to the actors, where they remained, anchored by ribbon and clothespins, so that eventually the staging area was lined with the five balloons. It was a simple but, like everything else, creative and effective device. Perhaps the simplistic drawings projected on the screen and the cartoonish balloon faces suggest the The Writer’s feeling like an overwhelmed child in the face of his mother’s illness. In the play there are frequent references to The Writer’s childhood and his relationship with his mother.
Let’s talk about the pronoun his. The play is autobiographical and therefore written with a female lead character. When the Diverse Voices Initiative selected Dear Mr. C, they had in mind that Sanhawich Meateanuwat would direct the play. After all, Meateanuwat is a second-year M.F.A. candidate in directing and is from Thailand. However, once Meateanuwat read the script he wanted to do something he hadn’t felt compelled to do in a long while, he said: act. Sinutoke agreed to change the gender of the lead role (which included revising the key of the musical compositions). Based on Friday’s performance, Meateanuwat’s and Sinutoke’s instincts were on target, as the Thai director-turned-actor was perfect in the role, capturing the intense emotions of The Writer’s situation while successfully injecting humor here and there; and his performance as a singer was startlingly good.
The talents of the other three actors were well on display too, especially Hauck’s, as she played The Writer’s mother (and other roles). Like Meateanuwat, her dialogue was sometimes in Thai.
Since music is such an important element in Dear Mr. C, it’s appropriate to recognize the reading’s music director, Maggie Marlin-Hess. Also, Sinutoke shared credit for the lyrics with Lily Ali-Oshatz and Naomi Matlow.
Dear Mr. C is a mixture of many things: the raw emotions associated with separation and impending loss, the frustrations caused by government bureaucracies, and the harmonizing impulses of Buddhist philosophy. And at this moment in time the horrors of the war in Ukraine filtered into the presentation, with references in the program and a call to support those suffering because of the invasion. The pandemic was also referenced from time to time, in part because even though this is the Diverse Voices Playwriting Initiative’s third year, it was the first time the program was performed in person.
One assumes that as Dear Mr. C evolves it will get better and better. Based on this early staged reading, the ultimate version of the play will be a tremendous work of theatre that will not only entertain but also benefit untold numbers of performers and audience members who encounter the young playwright’s obvious genius.
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Ted Morrissey is the publisher of Twelve Winters Press and its entities. His novel excerpts, short stories, poems, critical articles, reviews, and translations have appeared in some 100 publications. His most recent novels are The Artist Spoke, Mrs Saville, and Crowsong for the Stricken.
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IMEC Participates in HUMANE Workshop
02 Dec 2019
IMEC is pleased to announce that it participated in the recent Human Maritime Autonomy Enable (HUMANE) workshop in Norway.
HUMANE is an academic study of the human element in maritime autonomous systems, being undertaken by the Western Norway University of Applied Sciences, which will be concluded in April 2021.
IMEC’s Head of Training ad Operations, Mr. Adam Lewis took part in the HUMANE workshop, which took place on the 28th November. Further details on HUMANE can be found at: https://www.hvl.no/en/project/591640/, whilst the recent HUMANE paper from the Journal of Physics can be found at: https://iopscience.iop.org/article/10.1088/1742-6596/1357/1/012032/pdf
The workshop centred around the role of the seafarer on tomorrow’s ships. IMEC held it’s own conference on the Human Element in Maritime Automation earlier in the year, which concluded that although crew sizes may reduce and the role of the seafarer in the future may change significantly, ships would continue to be manned by humans for many more decades to come. Videos of each of the IMEC conference sessions can be streamed at: http://www.imec.org.uk/training/conferences/imecs-2019-conference/