text:
Another choice to pay for therapy is a health savings account (HSA) or versatile costs account (FSA). Betterhelp Experience…
COVID-19: The business uses this counseling to medical professionals and other healthcare experts who have worked or are dealing with the cutting edge of the COVID-19 pandemic.
The therapists on this platform might have particular specializations, such as stress and anxiety, anxiety, anger management, and more. When signing up with, an individual can choose the locations they would like to focus on
In addition to offering therapy for individuals, partners with a range of companies to help produce reliable, cost effective, and practical mental health services in a number of industries. These include the personal and nonprofit sectors, educational institutions, and towns.
6 ways to handle accessory anxiety …… developing healthy relationships with people is necessary for your overall well-being from birth we establish connections to others through a design of attachment as we go through different phases in life the relationships produced through the attachment design we have actually established play a role in how we select to live and individuals we relate to sadly when anxiety is in the picture it might result in unhealthy habits such as controlling displaying emotional outbursts and continuously seeking approval from others such modifications can be a sign of accessory stress and anxiety many people can connect to the symptoms however may have a hard time to manage the
stress and anxiety affects you and the assistance readily available to you manage it healthy relationships with people you care about will strengthen assistance from a licensed counselor through online counseling choices such as may introduce you to brand-new and useful resources to improve yourself while challenging your emotional challenges|} many of us have skilled seasons of life when we feel like we simply don’t want to do anything at all we feel exhausted all the time even if we get 8 hours of sleep during the night we do not wish to rise to face the day’s difficulties and we don’t wish to deal with our everyday responsibilities there are lots of coping systems to increase inspiration for instance you could attempt a new hobby set a timer or discover an accountability partner while often an absence of motivation is simply a phase that will pass in due time you may be worried that it’s due to something larger like depression sensation unmotivated is normal and everybody fights with this from time to time but if you find this season of no inspiration is lasting for longer than normal and you can’t overcome it alone it may be time to seek if you believe
you may be experiencing a season of depression there is assistance offered for you understand that you are worthy of to live a delighted and satisfied life our online counselors at you conquer your lack of motivation and your feelings of anxiety [Music] if you are experiencing anxiety you will likely likewise encounter other symptoms these symptoms can range from person to person however they frequently consist of sensations like unhappiness irritation and maybe even thoughts of self-harm if you are considering self-harm please instantly call the .
The two greatest things you need to do are: believe in yourself and dedicate to doing the work. You’ll be on the roadway to recovering your happiness in life when you do those.
” It’s most useful to have a professional explore the advantages and disadvantages with us. Often impartial contributions can let us see an angle we haven’t otherwise considered. Individuals discover happiness in various methods, so what works for a friend or relative will not necessarily work for everyone.”
Talkspace therapist Meaghan Rice, PsyD, LPC
What about Betterhelp Experience vs Talkspace
Talkspace provides online therapy that’s various from any other experience you may have had in terms of psychological health and recovery. Our accredited, extremely experienced therapists understand how to use the help you require. Talkspace can assist you get to a place where you’re living your finest, happiest life, once again.
it’s psychological health awareness week are you aware of psychological health i bet you are due to the fact that you’re probably mad you have actually probably got psychological health problems definitely one in four people at some time in their life will however do not you believe sort of everyone at some time is experiencing what you might categorize as psychological health concerns some things that could be classified as psychological health issue are merely responses to sad irritating or frustrating occasions my method to mental health is a spiritual along with psychotherapeutic one let’s look right now at the fundamentals unhappiness and anxiety i expect the distinction in between sadness and depression is anxiety is you have actually entered into a state where you are unable to leave a state of unhappiness you are not able to change your feelings most pathological or severe conditions suggest there’s nothing you can do or it feels a minimum of like there’s absolutely nothing you can do you know when people talk about anxiety numerous many people say well it’s a chemical problem it’s a biochemical problem by reaching a product conclusion around a subject like anxiety you often restrict the possibility for change i acknowledge why people do it one due to the fact that it could be factually precise there is maybe probably likely likely a chemical element to any neurological or anatomical or biochemical condition but by concluding like oh well it’s a chemical biochemical condition you’re almost saying it’s intransigent and can not be modified but for pharma pharmacologically now some individuals have psychological illness that require some sort of pharmaceutical option and if that’s what’s been recommended to you by a medical professional or recommended to you by a medical occupation specialist that’s well beyond my sphere and it’s none of my company my brand-new technique to great self-care is based on what i call the building of indices indices is merely the plural of the word index and i love stating it it makes me feel creative and crucial how you produce this index is to take a look at the areas of your life there’s your relationships there’s your work there’s your solitary time your leisure your health your diet plan take a look at these classifications do not try to be entirely extensive just take a look at the main ones and provide yourself a little rating from naught to 10 on how you think you’re carrying out because area like if you do not do any exercise that’s a.
Therapies are extremely expensive. That’s why you get guaranteed right from the beginning. Whenever treatment enters the picture, a question occurs; just how much will it cost?. Will I be able to pay for it, and can I get all the relevant psychological health services via online treatment?
In a nutshell, refers to the online therapy platform connecting individuals with licensed therapists. They likewise handle relationship concerns and other mental health issues.
You have to complete a questionnaire and assist the business match a therapist to you if you sign up for. You can participate in virtual therapy sessions by means of tablet, computer, or smart device. If you think your current therapist is not appropriate for you, you can ask for to discover another one.
When it concerns privacy, you can depend on. Plus, you can get rid of any message from your accounts.
Another option to pay for therapy is a health savings account (HSA) or flexible spending account (FSA). A health savings account is a savings account that enables users to conserve cash tax-free to pay medical costs just. You can find out more about flexible costs at Healthcare.gov.
everyone get a huge hug and welcome to the fearlessly fam so i am working towards becoming a certified frame of mind life coach and i am an individual advancement youtuber and in the last 6 months i have actually been on a mission to discover the best fit for online treatment for me for three months i was with talkspace and after that for 3 months i was with and i have compared the two and chose which online therapy platform is right for me and through learning both platforms and finding out more about myself through therapy in an online experience i have likewise come up with some questions i think will you in figuring out whether treatment online is right for you so let’s talk particularly today about the cons and pros i have actually experienced with Betterhelp Experience.


text:
Write an essay about why is math imlartant
19:30, October 11, 2018, from. The background section gives the reader the history of the problem or ideas you're working with. If you are creating your own model, describe exactly what.
He holds a Masters of Fine Arts in creative writing, and is currently completing a PhD in English Studies. If you're going to be writing many mathematics essays or other writing involving complex formulas, it might be worthwhile to learn a mathematical typesetting language such as TeX or LaTeX. Is there some way of changing the rules which intrigues you? Look at the books on reserve at the library. Treat an equation, inequality or other complete mathematical statement as a sentence, followed by a period. Consider topics or ideas brought up in discussion that the instructor did not have time to explain in detail, or ways of applying ideas from class to new problems.
The implications section gives your reader an idea of the consequences of your work, and what future work remains to be done. Now you're ready for the outline: Start with an introduction, end with a summary/discussion/conclusion, and put the various (categories of) problems in the middle. Writing Formulas, some instructors might allow students to write complex mathematical formulations by hand, though of course the main text of the paper should be typed. Make an outline, now that you have chosen the topic, you should know at least in principle what geometry model(s) you will be working with. References, about the Author. The body section contains most of your work, leading the reader through the specific problem or idea you're considering. Choose a topic, for instance, pick a geometry we have studied which you find interesting. More Classroom Articles, related Articles, related Articles, Leaf Group Ltd., all rights reserved. Turn in your outline. M, (December 31, 1969). The next step is to decide what questions to ask about.
Wolf on the fold essay, Divorce affect children essay, Write abstract english research paper, Day without water essay,

domain: library


As 2017 comes to an end, KMPH has also reached its 10th year anniversary since our company was first founded in Nov of 2007. We thank you all for your business and support, and wish you and your family happy holidays!
This article is written (year-end 2017) to summarize and review the best recommendation on radar and laser detectors and countermeasure for Canadians, and it will be updated throughout early 2018 should new products are released.
Best Radar Detectors for Canadians by Category
Best Over-all Performance
Best Bang for the Buck under $400
Best Stealth Radar Detector for Eastern Canada
Best Radar Detector for Edmonton and Grande Prairie
Best Laser Defence (Laser Jammer)
- Antilaser AL Priority (TX sensor configuration)
Best Installed Integrated Radar and Laser Defence
2017 Events in the Radar and Laser Industry
- ESCORT releases new custom installed MaxCi that failed to address DragonEye LIDAR threats, and later releases firmware update but still offer mediocre protection.
- ESCORT closed down Canadian manufacturing facility in Mississauga and moved production off shore to the Philippines.
- Uniden launched R-Series R1 and R3 models, and have been rated the best radar detectors of the year. KMPH became Canadian supplier for Uniden in September 2017.
- AL Priority released the new TX high power laser sensor to stay on top of new VPR and high-PPS LIDAR threats.
- KMPH teamed up with BPG AutoSound to showcase AL Priority at Hublot Diamond Rally and Luxury Supercar Weekend in Vancouver.
- NoLimits acquired Radenso Radar brand.
- Radenso released Pro-M radar detector, becoming the first detector with GPS to incorporate MultaRadar MRCD capability
- ESCORT launched 2nd generation Redline EX which now also includes MRCD detection, and GPS camera database.
- Radenso RC-M was debut at SEMA
- NetRadar DSP soon to be released in early 2018 will be based on the all-new digital platform for the best remote radar performance and filtering. It will also have MultaRadar capability. NR-DSP must be integrated with AL Priority laser defence system.
- Speculation that Uniden R1 and R3 will gain MultaRadar capability in early 2018 via firmware update (no hardware upgrade required).
Share this post


text:
The whole difference between construction and creation is exactly this: that a thing constructed can only be loved after it is constructed; but a thing created is loved before it exists.
On day 1 we focused on identifying and gathering relevant information to spark our imagination. Now we are ready to start putting our imagination to use in making decisions about what we think that information we gathered means. Once we have these two steps down we are ready for the majority of the course material where we learn how to show the result of the decisions we make by what we do. This is the “how”. It isn’t until day 3 though so hang in there.
Imagination is the beginning of creation. You imagine what you desire, you will what you imagine and at last you create what you will. George Bernard Shaw
Creation starts in the mind. The detail put into gathering information for your imagination will determine the clarity of your decisions which will determine the authenticity of your creative artifact. In short, what you thought about will show in what you do. If you only think in the fuzziest and most vague of detail your performance will be vague, unclear, lack variety and nuance, and won’t read as authentic or professional. This doesn’t mean you have to have the whole final picture all at once. We can work on a project in pieces creating our final artifact section by section. There also isn’t just one way to go about the creative process. The point here is that the process determines the product so an artist should make it their business to spend the majority of their effort at developing an effective process. Our purposes in day 1 and 2 of this course are to help give you a starting point for this process and convince you of the necessity of investing in the process by which you create your art.
Some people can create on instinct and just go for it and have the result be wonderful. The only problem with that process is that it usually isn’t reliable and can only take one so far. It lacks the self refining process of a true artist.
If you are wanting to be a professional artist you need to create products that are reliably high in quality. Consequently, you must be deliberate about the process that you take to get a product. That process must start by creating a clear plan for what you intend to make, the freedom to explore and test the results of those plans, the ability to adjust your plans according to those results, getting your product critiqued, and refining your product through continuing this cyclical process until you have a finished product that someone values you enough to pay for. Welcome to the process of this course.
The Creative Artifact AKA Product
The creative artifact is the final consumable product that is created by an artist working through a process. Most people call this product “art”. To me, the real art the process artists use to create that artifact.
The artifact or product for a performing artist that is each performance that is seen by an audience. In live theater, the artifact is not a permanent object like a painting for people to look at as they choose. This means performing arts can keep going through this process almost endlessly for one particular project. in other words, for the audience watching a performance that is your finished product in their eyes, but for you, it can and should continue to evolve through this process night after night.
Process over Product
In “mindset: The New Psychology of Success” by Carol Dweck the difference between Growth mindset vs fixed mindset. Growth mindset “is based on the belief that your basic qualities are things you can cultivate through your efforts.” The fixed mindset is “believing your qualities are carved in stone. The fixed mindset creates an urgency to prove yourself over and over. If you have only a certain amount of intelligence, a certain personality, and a certain moral character – well, then you’d better prove that you have a healthy dose of them. It simply wouldn’t do to look or feel deficient in these most basic characteristics.” With a growth mindset, “Although people may differ in every which way – in their initial talents and aptitudes, interests, or temperaments – everyone can change and grow through application and experience. Do people with this mindset believe that anyone can be anything, that anyone with proper motivation or education can become Einstein or Beethoven? No, but they believe that a person’s true potential is unknown (an unknowable); that it’s impossible to foresee what can be accomplished with years of passion, toil, and training.” Our goal is to focus on nurturing a growth mindset.
Prioritizing process over product is another way of thinking about cultivating a growth mindset as an artist. Young artists are so eager to create a product that they jump straight to creating a product without realizing that good products come from a good creative process. The details of each artist’s process can vary tremendously. Part of becoming an artist is figuring out what your process is. Once you define what your process is your unique product will take its shape. The process determines the product. I am suggesting a process you can go through. The hope is that most of it you will find useful. Over time though, you will add things to the process, change the order, alter things here and there so they best suit you. That is a good thing. This process is just meant to give you a solid starting place.
If you don’t enjoy the process then you should ask yourself if the product is worth the cost of the process. If you don’t enjoy the process then either you need to change to the process or the product you are making in hopes that it will require a different process. What do you need to do so that the real enjoyment comes from the process of what you are creating so that the final product is just the cherry on top?
Make decisions in pencil with a good eraser nearby. A commitment to amending is a crucial part of the creative process. Once amending your decisions is no longer an option for the creator the creative process is finished.
The key is to explore as many possibilities as possible. The temptation with this is is to either generate a bunch of ideas without making any decisions, wait to generate ideas until someone else makes decisions, or make a bunch of general ideas but not make it concrete. Instead, generate a list of ideas. Try each idea out as you practice. Then continue to go through the process until you find something that feels like it is the right fit. It will feel genuine, authentic, and true to what the music, text, and you are trying to create.
Don’t just settle for the first and most obvious choice. Generate as many options as time allows for. Even if you do end up going back to your first choice it will be informed and so much more rich for having spent the time exploring other options.
- A lot of talking without enough doing. Try to make it so with most ideas you are stopping and actually putting it into a concrete form to try it out. Draw a picture of what you mean, act out what you mean, try the idea on for size to see if that leads to prompt further exploration.
- Personal exploration without making things specific. The tendency of many young performers is to not make decisions that are specific enough. For example, if they are trying to decide on who they are they the list of options might be “A. Old man B. Middle-aged man C. Young Man D. Alien” Instead try to be as specific as you can be given your time and resource constraints. The above list might instead read, “A. An 82-year-old Man from Taiwan nicknamed the zipper man who just woke up from a coma and can’t remember what his real name is. B. A 45-year-old Mexican Man named Louis who loves grilled cheese sandwiches more than anything on earth. etc etc”
- Personal exploration without seeing the whole picture first. Take the time to gather information as discussed on Day 1. If you don’t know all the pre-existing material that has already been created and must be integrated into the final product you will just be wasting your time generating options that will definitely change once you are finally confronted with that information.
- Being too quick to dismiss and idea. “That idea won’t work” or “We don’t have the budget for that” or “That’s dumb, silly, stupid” etc are often words that mark the death of brilliant ideas. There is some reason you thought of them. Give them a chance by testing them out or at least by not throwing them out right away. Half the time what a young performer thinks is going to be dumb or silly is exactly what that moment needs.
- Not considering the limitations of the art form. For example, if you are singing a song where there are a lot of lyrics or extremely long phrases without much chance to breath and regroup and you choose to make it so your character is running around the stage…. you aren’t considering the limitations of the art form. A singer must be able to breathe and sufficient control of their breath for whatever phrase they are going to sing. If you are out of breath or breathing fast before you even start singing then it just won’t work.
- Holding yourself captive to expectations and perceived limitations. Instead of being worried about doing it “right” or how you think someone would want you to do it, explore the furthest reaches of what is possible. Permit yourself to do it wrong or to do too much. What is the performance YOU would want to watch? If you wouldn’t want to watch your performance then you need to keep pushing and digging until you would. Find a safe place to experiment and perform in front of a trusted group of people who can give you direct helpful feedback. Art is not about recreating what has been done before but about exploring what you and only you can create.
Individual : Visual Reference Word bank
How to do this exercise: Whether it is a Pinterest board, a collage, or folder you keep images in – start gathering images that remind you of your character and their world. It could just be a specific gesture someone is doing, the make-up on another person, an umbrella from another picture. The goal is to build visual references for your mind to use as you start making decisions about this world your character inhabits.
Individual: What is your “in”.
How to do this exercise: An “in” is your way to start connecting with the story or the creative process. It could be visual references, a movie, a painting, a song, a book, a memory. Whatever it is you have to an in immediate strong connection with it both as yourself and your character. Your goal is to search for this “in”.
Individual: Explore the Possibilities
How to do this exercise: Try performing one or two phrases of your song. Then without pause do those same phrases but don’t let yourself do it the same way twice. Continue this without time to stop and think for 10 turns. At the end of 10 turns decide which one felt most authentic to your characters. Continue the process as many times as time will allow or until you feel like you found the right fit for each phrase.
Individual or group: Re-define the prop
How to do this exercise: If you have watched who’s line is it anyway you know what this game is. Essentially the game is to choose any object and reinterpret that object as something else. You can’t repeat what that object is more than once. If you are playing in a group you can rotate through people reinterpreting the object while other people guess. This is an especially useful exercise when you are first introduced to a new prop your character uses. For pop or rock singers remember that your mic, mic stand, mic cord, instruments, and anything else you can touch with your hands is a prop.
Group: Re-write Disney
How to do this exercise: Choose a Disney song and create a scene where you change the entire context. You are not allowed to use the same who, what, where, when, or why of the original. This can be done with any song that the participants all are familiar with.
Group: 5 minute Scene
How to do this exercise: Give the group 5 minutes to create a scene of their choosing. Suggestion: Make who, what, where, when, why decisions quickly. Let each person decide what their character wants and what their obstacle to getting it is. The faster you can get to exploring how your characters would react as a group in the context you have created the more successful the scene. The longer you take to make decisions or talk without actually trying things out the worse it will be. Give yourself a rich context to react to.
Group: Complete show in an hour
How to do this exercise: Divide the group into smaller groups of 3-4 people. Each group has one hour to come up with the most compelling performance they can come up with. Performances must be a minimum of 5 minutes in length. Suggestion: Encourage performers to think outside the box and not limit themselves to what they think is expected. If they ask for more clarification encourage them to take the lack of clarity as permission to make their own decisions. This must be a performance that they would want to watch.
Links to other articles in this class segment:
Creating a Clear, specific, emotional WWWWW
WOTE in Boxes
Subtext with Lines
See & Feel at the Arrows
Action with the circles
Good Risk Taking
The difference between fully staged and concert version performances
How to help others give you useful feedback
What are your questions? What are you feeling skeptical about? Is there a situation you can think of when you don’t need to start with the story when performing?
Now let’s get down to making some decisions!

domain: artistic


text:
Grateful Dead Live at San Francisco Civic Auditorium on 1984-12-31
- Grateful Dead
- DeadLists Project
Shakedown Street, Minglewood Blues, Peggy-O, Jack Straw-> Bird Song-> Hell In A Bucket-> Don't Ease Me In
Sugar Magnolia-> Scarlet Begonias-> Fire On The Mountain-> Women Are Smarter-> Drums-> Spanish Jam-> The Wheel-> Throwing Stones-> Turn On Your Love Light
Gimme Some Lovin'-> Uncle John's Band-> Around & Around-> It's All Over Now Baby Blue,
National Radio Broadcast Other artist(s): The Bobs, Dirty Dozen Brass Band
Related Music (Beta) question-dark
Versions - Different performances of the song by the same artist
Compilations - Other albums which feature this performance of the song
Covers - Performances of a song with the same name by different artists
|New Minglewood Blues|
|Jack Straw >|
|Bird Song >|
|Hell in a Bucket >|
|Don't Ease Me In|
|Happy New Year Booms > Sugar Magnolia >|
|Scarlet Begonias >|
|Fire on the Mountain >|
|Man Smart (Women Are Smarter) >|
|The Wheel >|
|Throwing Stones >|
|Turn on Your Lovelight|
|Gimme Some Lovin' >|
|Uncle John's Band >|
|Around and Around >|
|It's All Over Now, Baby Blue|
No changes to the file except for minor edits, fade-ins/fade-outs, and level changes as needed.
One short blank space in Jack Straw cut out for flow.
Editing with Diamond Cut Forensics 8 and Forensics 9 (alpha).
Paragraphic and Spectral Filters applied for equalization.
May 4, 2014
Thanks to Doug Oade & Jim Wise for making this beautiful recording available.
- 2014-05-10 02:16:13
- Master PCM > DAW (via SEKD Prodif) > Wav; Mastering by Droncit; No changes to the file except for minor edits, fade-ins/fade-outs, and level changes as needed. One short blank space in Jack Straw cut out for flow. Editing with Diamond Cut Forensics 8 and Forensics 9 (alpha). Paragraphic and Spectral Filters applied for equalization.
- San Francisco, CA
- Run time
- Taped by
- The Oade Brothers
- Transferred by
- Doug Oade
Subject: Nice job
Uploaded by Matthew Vernon on

domain: entertainment


Fuck Off Get Free We Pour Light On Everything
Thee Silver Mt. Zion Memorial Orchestra (SMZ) has traced a barbed-wire arc of genre-defying protest music, through seven albums , since its inception in 1999.SMZ has recently pared back to five players, with Menuck's massive spectrum-spanning electric guitar sound emerging as the spine around which two violins, bass (now more often electric than acoustic) and drums are supported and deployed.Fuck Off Get Free We Pour Light On Everything is the first definitive document of the band's newfound sound and style as a quintet.
- Genre Post Rock
- Released 01/21/14


BREC features 16 locations within the city limits, which allows for the cultivation of wildlife and a great appreciation of nature. Central gives home to two conservation areas: Frenchtown Road Conservation Area and Blackwater Conservation Area. A true gem of Central, Frenchtown Road Conservation Area is the largest conservation area offered by BREC at 495 acres, which includes two globally ranked "rare or imperiled" habitats. Additionally, Frenchtown Road Conservation Area has over 3 miles of trails and offers self guided hikes through the MyTourGuide App. Blackwater Conservation Area also offers many opportunities for outdoor recreation, including nature trails, hiking and fishing lakes.
Central BREC Parks also offers Comite River and Kerry Stamey Bike Trails, the multi-million dollar Central Sports Park and the amenity clad Jackson Community Park.


text:
MST Packaging Co., Ltd.
Mr.porojan Raul Jul 22, 2019 5Thank you.
Anna Cane Jul 18, 2019 5The Kraft Paper Flat Bottom Bag is worth buying.
Jia Kiam Lee Jul 11, 2019 4Awesome Manufacturer!
Hong Seok Jin Jul 06, 2019 4the good service
Michael Sørensen Jun 21, 2019 5We received the Kraft Paper Flat Bottom Bag today,the inspection result looks great.
Holly Olson Jun 21, 2019 5Received it.The appearance of this Kraft Paper Flat Bottom Bag as beautiful as the picture shows.
Carlos Correa Jun 13, 2019 4Very impressed by this Kraft Paper Flat Bottom Bag manufacturer!
Mr.john Rodriguez Jun 10, 2019 5Price and quality of the Kraft Paper Flat Bottom Bag are favourable.
Bilal Afzal Kapur May 25, 2019 4I love the Kraft Paper Flat Bottom Bag and its price.
Saleem Jan May 14, 2019 5Everything is great.
Daniel Saad May 13, 2019 5Really fast delivery and the Kraft Paper Flat Bottom Bag is in high quality,good !
Ali Akbar Oroojan May 02, 2019 4The package received today.Fast delivery and Kraft Paper Flat Bottom Bag got good quality.The sellers’s service in appreciated.
YOU MAY LIKE
Firm kraft paper poly lined bag 2014
kraft paper cheap food bag, Zipper bag 2014
paper wine bag, kraft paper square bottom bag 2014
Good at kraft paper poly lined bag production 2014
14 x 20 cm kraft paper Scented tea bag with clear window, Food packaging stand-up bag
hot-selling kraft paper zip lock bag for food 2014
flat bottom bag packing machine(HS-520T)
Product Description HS 520T flat bottom bag packing machine BLS 520T Large vertical automatic packaging machine I The scope of packaging Its suitable to use in packing the high accuracy and easy fragile material such as puffy food crispy rice Potato Chips Snacks candy pistachio sugar apple slices...
Edge-sealing white kraft paper flat bottom dog food bag with factory price
flat bottom bag/stand up pouch /resealable stand up bag
2015 NEW style flat bottom plastic bag/quad seal ziplock bag/flast bottom food packaging bag
Product Description 2015 NEW style flat bottom plastic bag quad seal ziplock bag flast bottom food packaging bag Specifications 1 High quality best price 2 ISO9001 2008 BV CE QS 3 Material PET AL PE NY AL PE OPP CPP PE PET etc Feature 1 Glossy appearance can be vacuumed 2 Moisture proof oxygen...
hign end machine made elegant design laminate kraft paper stand up bag with window
foil lined zipper Chinese date packaging bag/eight side seal plastic bag/flat bottom bag
flat bottom bag with zipper/Plastic bag/Aluminum foil paper bag
transparent zipper flat botom bag for food
Gravure Printing Kraft paper Mix Nuts Packaging pouches zipper bag
food grade square bottom brown kraft paper foil packaging bag
flat bottom white kraft paper foil coffee bag with valve
Kraft Paper Flat-Bottom Grocery Bag (2166)
Custom Printed Food Packaging Kraft Paper Flat Square Block Bottom Coffee Valve Bags Pouches
Low Cost Food Grade Stand Up Kraft Paper Flat Bottom Pouches With Zipper & Window For Food Packing
SEND US A MESSAGE
We didn't put all products on website. If you can't find the product you're looking for, please contact us for more information.
Copyright © 2019 MST Packaging Co., Ltd. All rights reserved.

domain: food


PITTSBURGH -- A CAPSULE LOOK AT THE PITTSBURGH STEELERS TRAINING CAMP, WHICH OPENS TODAY:
PITTSBURGH -- A capsule look at the Pittsburgh Steelers training camp, which opens today:
Site: St. Vincent College, Latrobe, Pa., about 50 minutes east of downtown Pittsburgh.
Summers: Steelers have trained at St. Vincent since 1967. They have had only three coaches during that span: Bill Austin (1967-68), Chuck Noll (1969-91) and Bill Cowher (1992-present).
Sounds: It's noisy on the three practice fields, which are surrounded by hillsides that create a natural amphitheater. The cheering that follows a big play can sound like that of a stadium.
Spectators: Can attend the afternoon practices only, currently scheduled for Tuesday-Saturday, Aug. 8-13, Aug. 17-18 and Aug. 22-24. The Aug. 10 practice is set for Latrobe High School at 7 p.m. The rest start at 3 p.m., except for the Saturday workouts on Aug. 6 and Aug. 13 at 12:15 p.m. All times are subject to change. Because the Steelers have home exhibition games Aug. 15 and Aug. 20 in Pittsburgh, they will practice at camp only two days that week.
Signatures: Fans can seek autographs after practices as the players climb the stairs leading from the practice fields to their locker rooms.
Signings: All rookies are signed and sealed before camp begins, a rarity for the Steelers -- partly because they drafted so low in the first round (No. 30) that tight end Heath Miller's contract doesn't rival that of last year's first-rounder, No. 11 pick Ben Roethlisberger. The only player expected to be missing today is Hines Ward, who is unsigned past this season and is vowing to hold out until he gets a deal comparable to the NFL's other top wide receivers.
Copyright 2005 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


I own a 2017 Colorado diesel and I've asked GM about any issues due to accidental overfilling the tank and having fuel way up into the fill tube and I cant get an answer. I'm curious as to any issue causing problems like you'd have with the evap system on a gas engine. I have an extended warranty good to 100,000 miles so I dont want to do anything that would cancel the warranty by doing something like adding an extra fuel tank in the bed which would feed the tank with an aftermarket "Y" fuel fill tube. Fuel is a lot cheaper in Ky and I'd like to add the extra tank to take advantage of the cheaper fuel. Any thoughts?


text:
'Ridiculous' - Steve McManaman tears into one Leeds player in 2-1 win v Newcastle
Steve McManaman has blasted Leeds United ace Rodrigo and Newcastle defender Fabian Schar for an incident involving the two of them on Tuesday night.
In the second half of Leeds’ 2-1 win over Newcastle at St James’ Park, Schar went down clutching his face after being unintentionally hit in the mouth by Rodrigo.
Leeds’ Spain international then appeared to get in Schar’s face and say something while he was on the deck, prompting the Swiss centre-back to miraculously leap up.
Schar then got in Rodrigo’s face and the Leeds attacker fell to the ground before both players were booked by the referee.
Speaking on co-commentary, ex-Liverpool and Real Madrid midfielder McManaman hit out at both players for their woeful theatrics.
“[Schar] was up quick enough there. Oh, and he’s (Rodrigo) fallen over as well,” said McManaman after the incident unfolded on BT Sport 1 on Tuesday night.
Subscribe to Football Insider TV now
“Sorry, but you have to laugh at that. That is ridiculous from the pair of them, to be very honest.”
McManaman added: “I understand that but it’s the way Schar held his face and then jumped up really, really quickly and then that – it’s ridiculous from the pair of them.
“I get the fact that he got hit in the mouth but it’s the reactions afterwards.”
Embarrassing incident done and dusted
Football players really don’t help themselves when something like this happens.
Schar had genuinely hurt himself but to leap up the way he did just showed he was making the most of the injury to get some attention from the referee.
And then Rodrigo’s reaction to Schar getting in his face was simply laughable.
There were allegations that Rodrigo spat at Schar but thankfully, that has been rubbished with BBC Sport journalist Alistair Magowan saying that was not what happened and instead, something was said by the Leeds man to the Newcastle defender.
Lee Ryder, of the Newcastle Chronicle, has since added that the Magpies are not taking any action after the incident.
Both players were booked, both players made themselves look stupid and nothing extremely bad happened so let’s move on from the incident.
But, hopefully, Marcelo Bielsa will have had a quiet word with Rodrigo about that and tell him throwing himself to the ground in that manner is unacceptable. We don’t want to see Leeds players doing that.
In other Leeds United news, fans are furious with what happened to this player in the win over Newcastle.

domain: sports


text:
Celebrity Family Feud is about to get… Twisted.
Listen to your favorite Rock music now on Audacy
Twisted Sister frontman Dee Snider and his family are set to appear on the game show. "My family and I, the whole Snider Growing Up Twisted clan, are on Celebrity Family Feud,” he revealed during a Facebook Live show.
Who will Snider be taking on? None other than NFL Hall of Famer Terry Bradshaw. Oh yeah, this will be a must watch.
“We went up against Terry Bradshaw and his family. And I will just say we kicked ass and we represented,” Snider said.
When Snider and his family were first offered the opportunity to be on the show, they were unsure whether or not to even take it seriously. “We were kind of debating, do we go in and treat it like it's a joke, you know what I mean? Just like a big goof out of it, or do we take it seriously?” Snider said.
The Sniders decided to take it seriously and “go for the gold.” “I can’t say how it went, other than to say we kicked ass. That I can say.”
If you want to catch the matchup between Dee Snider and Terry Bradshaw, you can watch their Celebrity Family Feud appearance Sunday at 8PM ET on ABC.
WATCH MORE: 7 rock icons with surprising movie cameos

domain: celebrity


text:
Getting A Cat Verses Having A Baby! You Must See This First But!
This is one of the funniest comic strip I have ever seen involving a Cat!
It is hard to tell you a bit about it,all I can say is please don’t skip reading,it is the most hilariuos and clever strip I have seen in years!
Get your laugh on and come see this ,I made it for you! Cat Lovers…
Please go to the next page to read this clever comic


text:
Shares of Biogen gained 1.4% in premarket trading on Thursday after the drug maker beat earnings expectations and even though it saw revenue drop 25% for the quarter. Biogen had earnings of $410.2 million, or $2.69 per share, in the first quarter of 2021, compared to $1.4 billion, or $8.10 per share, in the like quarter in 2020. Adjusted earnings per share were $5.34, against a FactSet consensus of $4.97. Biogen’s revenue fell roughly 25% to $2.69 billion for the quarter, down from $3.53 billion in the first quarter of last year. The FactSet consensus was $2.65 billion. Its top-selling drug is multiple-sclerosis therapy Tecfidera, which generated $479.3 million in revenue for the quarter, down from $1.1 billion in the same quarter last year. The company said its guidance for the year assumes “rapid erosion of Tecfidera in the U.S.” in 2021. It also raised its outlook for adjusted EPS to $17.50 to $19.00, from $17.00 to $18.50. Biogen said it expects that aducanumab, its somewhat controversial Alzheimer’s disease drug candidate, will get approved by U.S. regulators by June 7. Biogen’s stock is up 10.2% for the year, while the S&P 500 has gained 10.1%.
Market Pulse Stories are Rapid-fire, short news bursts on stocks and markets as they move. Visit MarketWatch.com for more information on this news.

domain: news


text:
I’m so excited that Photosbygoldie has reached 200+ followers in such a short time and, to celebrate, am hosting a giveaway of my original 8×12″ print “Grey Winter Day”. Available in other dimensions on my Etsy site (click here) and printed by a professional lab, this image depicts Wimbledon Park in London on a rather bleak, freezing cold morning.
To enter, simply “like” this blog post. For extra entries, you can follow me on Twitter, Instagram and/or Etsy (links on top of this page) and leave me a comment to let me know. I will draw a winner at random on Tuesday, March 25.
Good Luck and look out for larger giveaways in the future!!


text:
Spiritual Meaning of Someone Cutting My Hair
The Spiritual Meaning of Someone Cutting My Hair can vary depending on the context. In some cultures, it is believed that when a person cuts another’s hair they are taking away negative energy or bad luck and replacing it with good fortune. This could be seen as a blessing of sorts, allowing the person to start fresh and begin anew.
In other traditions, having someone cut your hair symbolizes trust, surrendering one’s ego to another in order to receive something new and beneficial. Lastly, it has been suggested that having one’s hair cut by another can represent an act of protection for yourself; it could be seen as a way of making sure you are not taken advantage of by others or exposed too much in vulnerable situations. Ultimately though, the spiritual meaning behind someone cutting your hair will depend entirely on its context and what each individual chooses to apply to their own personal situation.
Hair is often seen as a symbol of power and strength, so the spiritual significance of someone cutting your hair can be quite profound. It’s believed that when someone cuts your hair, they are releasing any stagnant or negative energy that has been built up in you – allowing you to move forward with clarity and purpose. Additionally, it’s said that having someone else cut your hair also allows them to infuse their own energy into yours, which can be incredibly beneficial if the person performing the haircut is spiritually connected.
DREAM ABOUT SOMEONE CUTTING YOUR HAIR – Biblical Meaning of Hair Cutting
What Does It Mean to Dream of Someone Cutting Your Hair?
Dreaming of someone cutting your hair can be symbolic of a desire for change. It could also symbolize the need to let go of something in order to move forward and make progress. This dream may represent a fear that you are unable to make decisions or changes on your own, so you must rely on an outside force (the person cutting your hair).
Alternatively, it might signify that you need help in making decisions about how to proceed with life’s challenges. Finally, dreaming of someone cutting your hair may reflect feelings of vulnerability as if something is being taken away from you without any control over the outcome.
What Does Hair Cut Mean Spiritual?
Haircut spiritually is a practice that has been around for centuries. It’s believed to be a form of energy healing and spiritual cleansing, often used in rituals or ceremonies. During the haircut, hair is cut off from the head and disposed of in an appropriate manner (in some cases it might be buried).
This ritual can help to release any negative energies that have accumulated within your body and environment while helping you connect with your higher self. The idea behind this ancient tradition is that when we get rid of our old physical attachments, such as hair, we make room for new growth and nourishment both inside us and out.
What is the Biblical Meaning of Cutting Hair?
The Bible never specifically states what the biblical meaning of cutting hair is. However, there are several references to hairstyles and attitudes towards them throughout both the Old and New Testaments. In Leviticus 19:27, it is written that men should not shave their heads bald or mar their beards—this could indicate a general attitude of respect for one’s hair as something given by God rather than something to be changed according to personal preference.
Further in 1 Corinthians 11:14-15, Paul writes about women wearing long hair as a sign of glory and submission to her husband; this indicates that long hair has spiritual significance in Christianity. It may also symbolize humility before God since we have no control over our physical traits like our hair color or texture. Ultimately, it seems that while the Bible doesn’t explicitly state what the biblical meaning of cutting hair is, it does give us insight into how we should view our own appearance—with respect and modesty—and how we can use our outward appearance to glorify God through honoring His creation with humility.
What Does It Means to Cut Your Hair?
Cutting your hair is an act of change and transformation. It can be a symbol of breaking free from the past, a way to express yourself and start anew. It can also signify starting over, rebelling against societal norms, or simply trying something new.
Depending on the style you choose, it could make a bold statement that reflects your personality and feelings at any particular moment in time. While cutting off large amounts of hair may feel intimidating at first, it can also be liberating by allowing you to take control of your look and redefine who you are.
Dreaming of Someone Cutting Your Hair
Dreaming of someone cutting your hair can be symbolic of a significant change in your life. It may represent the start of something new, such as a career shift or relationship, and signify letting go of the old to make way for this fresh start. Alternatively, it could be indicative of feeling powerless in some situations and needing help from outside sources to attain a desired outcome.
Spiritual Meaning of Someone Cutting My Hair in Islam
In Islam, the spiritual meaning of having someone cut your hair is associated with humility and trust in God. When you have someone else trim or shape your hair, it symbolizes that you are giving up control to a higher power and relying on faith for guidance. This is why many Muslims choose to go to a barber or hairdresser when they need to get their hair cut; it’s an act of worship, not just grooming.
It also serves as a reminder that all blessings come from Allah and none should be taken for granted.
Dream of Someone Cutting My Hair Short
Having a dream about someone’s Spiritual Meaning Someone Cutting My Hair Short may be symbolic of a desire for change in your life. It could mean that you are ready to make changes and take risks, or it could also mean that you are feeling overwhelmed by the current state of affairs and need to start fresh. Alternatively, this dream may represent an unconscious fear of losing control over something important in your life.
Whatever the reason, understanding the deeper meaning behind these dreams can help provide insight into how to best handle any upcoming transitions or changes in life.
This blog post has explored the Spiritual Meaning of Someone Cutting My Hair. It is believed that anyone who cuts your hair holds a powerful influence over you, as they are literally taking away part of you. It can symbolize making room for new growth, releasing attachments, or letting go of the past in order to move forward into a better future.
Ultimately, it is important to remember that this interpretation is only one perspective and should be taken with a grain of salt. Everyone’s experience and understanding will be unique, so listen to yourself and honor what feels right for you.

domain: psychology


text:
The bag that is made for the woman who does everything and goes everywhere in style. AMELIE is made with buttery soft vegetable tanned leather and adorned with perforated leather panels and arrow-like hand stitched details. AMELIE is so easy to pack with your everyday essentials thanks to its multiple pockets and side zippers for favorable storage.
- Chrome free, vegetable tanned leather
- Handmade by Real People
- 2 interior slip pockets, 1 interior zip pocket, removable coin leather pocket
- 12 in. H, 15 in. W, 5.5 in. D , decorative shoulder leather strap
- Made in Leon, Mexico
- Please note that each purse has it's own unique distressing and look. If you are looking for specific look, feel free to request photos when purchasing.


text:
How prevalent are viruses (e.g., Epstein-Barr virus [EBV], cytomegalovirus [CMV]), and polyomaviruses (BKV/JCV) in pediatric patients with inflammatory bowel disease (IBD)?
Treatment with azathioprine is a risk factor for early EBV positivity in children with IBD.
Hradsky O, Copova I, Zarubova K, et al. Seroprevalence of Epstein-Barr virus, cytomegalovirus, and polyomaviruses in children with inflammatory bowel disease. Dig Dis Sci. 2015 Nov;60(11):3399–407.
Serum samples from pediatric IBD patients attending a single tertiary centre were tested for antibodies and viral load against the EBV, CMV, BK polyomavirus, and JC virus. Associations between a patient’s medication regimen and seropositivity were assessed.
There were 106 eligible patients enrolled (CD, 72; UC, 31; Indeterminate, 3). The mean age range for all groups was 8 to 12.6 years. EBV seropositivity was associated with increasing age whereas CMV or BKV (perhaps because of low numbers) did not.
Only azathioprine use and EBV seropositivity was significantly associated giving an odds ratio of 6.03 (95% CI: 21.16-18.75, P=0.005). Viral loads for EBV were only found in 14% of all 106 patients and none were found for the other viruses.
Likelihood estimates found that early use of azathioprine monotherapy and azathioprine+infliximab to be predictive of childhood EBV seropositivity.
Study Design: Cross-sectional cohort study
Funding: Ministry of Health, Czech Republic
Setting: Prague, Czech Republic
Level of Evidence: 2b (Oxford Levels of Evidence)
The summary and conclusion in this issue of E-mentoring in IBD pertains to the manuscript(s) being reviewed, and should be considered in the context of what is already known surrounding the topic and incorporated into practice as deemed appropriate by the individual learner.

domain: literature


text:
This article is part of our Rental Scale-Up vacation rental management conference series. This is an extract from our March 2020 conference: “Getting Your Business Through the COVID-19 Crisis with Actionable Insights from World Class Short-Term and Vacation Rental Experts.”
Vacation Rental Management Conference: Rentivo & Stay Alfred’s Richard Vaughton
Richard brings a unique perspective: He’s been a property manager and a technology provider for years in our industry. He will share with us why the current crisis will expose many small vacation rental companies, their operational activities, their technology, their staff management and their capacity to weather the storm. Cash will be king and he expects an appalling loss of small businesses in this sector. The simple reason many small concerns are suffering is that there is less margin in recent years across the board as the industry has become more corporate and moves to a more professional approach. With more competition, investment for scaling, marketing dominance and reliance on technology the industry is more challenging and in a crisis like this, there are few reserves for most short term rental companies to fall back on. With his detailed 10-point plan, Richard gives you actionable on what to do now to sustain the crisis and be ready when demand returns.

domain: economics


text:
Improve your bungalow with a loft conversion
Have you ever found yourself needing some extra space, or maybe looking to make the most of the view beyond your property? Bungalows can be the cosiest and most idyllic properties that you can own, but they aren’t the most versatile type of property when it comes to making significant changes.
Add a new dimension to your home
This is where a loft conversion can come in handy. Not only providing you with more space and giving you the chance to see your land from a new perspective, a loft conversion also makes the space downstairs instantly more flexible.
A bedroom, study area or even living room could be relocated upstairs, meaning you could expand the kitchen or bathroom, or create an entirely new room in what would now be your downstairs. The flexibility provided by a bungalow loft conversion is taking the perception of a bungalow – a residence ideal for retirement – and turning it upside down.
See your property in a new light
A loft conversion is now a popular choice for both families and young people, which means homeowners no longer have to be limited by space and layout when they opt for a bungalow. As bungalows are often built on larger plots of land, a loft conversion provides an ideal opportunity to see this extra land in all of its glory.
At Bespoke Lofts, we often help homeowners to discover this extra potential in their property. Often unconsidered but regularly unleashed, there could be a new room waiting for you already, just above the ceiling. Get in touch to discuss what you’d love your loft to become.
Benefits of loft conversions new builds
Are you looking for a little more space, but really love where you live already?
A common problem encountered by new-build homeowners is that it can be problematic to significantly alter the building itself. New builds often come with slightly less external land than older properties, which can mean that potential extensions and conservatories are limited in how much space they can take up.
Add space without losing land
Thankfully, there is another option. With a dormer attic conversion or dormer loft conversion, you can make use of the space that’s already in your property, without compromising the land you own outside.
When you bought your new-build property, it’s likely that you received information on what you could and could not do with the building – the loft included. However, many of these restrictions are time-limited, and are initially detailed to maintain the aesthetic of the new homes while other properties in the area are still being sold.
Realise the hidden potential in your home
If you have any doubts about whether you will be able to convert your loft, your property developer should be able to tell you exactly where you stand.
Your new loft conversion can be anything you want it to be. It could be an additional bedroom, study or living area, a way to free up much-needed storage space, or just an extra room that lets you make more of the space in the rest of the house.
Even if you don’t think there’s much space up there, you may be surprised to learn just how much can be done.

domain: design


text:
In it, but not of it. TPM DC
Exactly what steps Congress takes in its lame duck session remain to be seen and will depend heavily on the outcome of the election. But some are likelier than others.
Most notably, leaders of both parties have been largely silent about the looming expiration of the payroll tax holiday. That would amount to a significant tax increase for millions of middle-income earners on its own, but would reduce next year's deficit by $100 billion or more.
Likewise, the Senate is weighing the possibility of delaying the sequester's automatic spending cuts by one year, and offsetting the $55 billion cost of doing so with different, more targeted cuts. Those cuts would likely be spread out over several years, but the more front loaded they are, they greater their economic impact will be in the near term.
Lastly, if Obama wins, Democrats will try to force House Republicans to end the Bush tax cuts for high income earners, bringing tens of billions of dollars out of the economy and into the Treasury.
If all of these things happen at once, economists say, it would slow if not stall the reduction in unemployment.
"If you get all three and no offsetting stimulative measures you knock around 1.2 [percentage points] from growth and add perhaps 0.6 [percentage points] to the unemployment rate," says Dean Baker, cofounder of the Center for Economic and Policy Research. "In a baseline, with no bad news from the government we might have expected to see 3.0 percent growth next year (housing comeback is the good news here) and perhaps a 0.4 [percentage points] drop in the unemployment rate. These three together get us down around 2.0 percent growth and basically no progress on unemployment."
That's based on what economists call Okun's law -- a rule of thumb that allows them to estimate how changes in GDP will impact employment. The estimates don't take into account that certain budget cuts hit the economy harder than others.
"It would be a real mistake to let the payroll cut expire next year -- bad at the micro level, as working families still face a tough job market, and bad at the macro level because it's got a strong multiplier and we need the spending," says Jared Bernstein, a one-time economic adviser to Vice President Joe Biden, currently on leave of absence from the liberal-leaning Center on Budget and Policy Priorities.
He says the payroll tax cut is the most important and frightening part of the coming austerity, both because it's a lot of money and because most of it goes to people with a high propensity to spend it.
"Conversely, high end [tax cut] expiration wouldn't be noticed much at all -- those folks aren't income constrained compared to middle class so unlikely you'd see their tax bump show up much in consumer spending," he says.
The threat of sudden austerity, particularly the lapsing payroll tax cut, is starting to worry at least one senior lawmaker.
"We should not even be considering extending tax breaks for high-income individuals, which do virtually nothing to help the economy but increase the deficit -- we shouldn't be talking about that when obviously there is a better alternative on the table," Rep. Chris Van Hollen (D-MD), the top Democrat on the House Budget Committee told the Washington Post.
"We've gone through an extraordinarily difficult economic period. Everyone would agree the economy remains fragile. This should be considered for another year. Its multiplier effect on jobs and the economy is much more powerful than other ideas that have been put on the table. It's certainly more powerful than providing a tax break for very wealthy people, who are essentially sitting on their funds."


text:
Necklace Man by the Italian design ROSSO, maybe 90s.
Born for man but can be worn by woman too.
I found it in a small vintage market in Turin, so now it's time to fly to a new destination.
Material: steel and brushed steel
Brand Rosso design by Arvi


text:
Be surrealist chic with the Salvador Dali lapel pin by Andy Tuohy. Stamped iron and soft enamel bring a touch of whimsy to your lapel, while the stylized design adds a playful twist.
About the Artist:
Famous 20th century Modern artists are brought back to life by British born artist Andy Tuohy's striking Artographics. His eye for detail and distinctive character sketches make his illustrations captivate viewers. Along with his wife, Olivia, Andy continues to make waves in the design industry through their perfectly balanced collaboration of artistry and entrepreneurship.
Dimensions: 1.25" x 1.18"


[04/21/22 - 11:00 AM] OWN: Oprah Winfrey Network Premieres the Original Food Competition Series "The Great Soul Food Cook-Off" Friday, May 6 The six-episode, one-hour series debuts on OWN on Friday, May 6, and with new episodes every Friday through June 10.
[via press release from OWN]
OWN: OPRAH WINFREY NETWORK PREMIERES THE ORIGINAL FOOD COMPETITION SERIES "THE GREAT SOUL FOOD COOK-OFF" FRIDAY, MAY 6
Hosted By Kardea Brown With Judges Eric Adjepong and Melba Wilson, First-Ever Soul Food Cooking Competition Series Features the Nation's Finest African American Chefs and Their Inspired Cuisine
Los Angeles - discovery+ and OWN: Oprah Winfrey Network announced today "The Great Soul Food Cook-Off," a first-of-its-kind soul food cooking competition series celebrating Black chefs and the Black culinary traditions that are the cornerstone of American cuisine. The six-episode, one-hour series debuts on OWN on Friday, May 6, and with new episodes every Friday through June 10, fans can watch Live and DVR the new show.
Today, we see Black culture recognized like never before in music, film, fashion, TV, sports and more, but that same cultural recognition remains long overdue in the kitchen. OWN partnered with discovery+ via the original series, "The Great Soul Food Cook-Off," in a cooking competition that spotlights the culinary contributions of Black chefs with challenges designed to highlight the past and present of soul food. Eight chefs will go head-to-head throughout the show in this high-stakes, spiritual, and emotional competition, but only one competitor will take home the grand prize of $50,000.
To watch the "The Great Soul Food Cook-Off" trailer, click HERE
"Soul food describes a style of cuisine that represents the creativity and skill of Black cooks from many cultures within the African diaspora. This series is a celebration of long-standing traditions we hope to introduce and spotlight for new and existing viewers as we shine a light on a few of today's most talented Black chefs and culinary curators," said Tina Perry, president, OWN: Oprah Winfrey Network.
"The Great Soul Food Cook-Off" is hosted by acclaimed chef and television show host Kardea Brown. Brown will be joined by some of the world's best chefs, Eric Adjepong and Melba Wilson as they critique the chefs' weekly creations.
Additional judges that will join Adjepong and Wilson include:
The competition premieres with a Soul Starter Challenge paying homage to the foundational "meat and three," a meal featuring a portion of meat and three sides that are African American community must-haves. In this first challenge, "The Great Soul Food Cook-Off" chefs form teams and are challenged to a Meat N' Three Knockout, preparing smothered pork chops, macaroni and cheese, collard greens, and potato salad. The winning team holds an advantage going into the main Cook-Off Challenge, where the chefs create innovative dishes with staple ingredients. So who will dig the deepest and draw inspiration from their ancestors to win, and who is going home?
"The Great Soul Food Cook-Off" is produced by Good Egg Entertainment, the company behind Food Network's hit cooking competition series "Chopped." Michael W. Twitty, the esteemed culinary historian, educator, and James Beard Foundation award-winning author of The Cooking Gene, will serve as culinary historian and consultant for the series. OWN: Oprah Winfrey Network is overseeing production.
ABOUT KARDEA BROWN
Brown, host of Food Network's Delicious Miss Brown, currently in its 6th season and judge on the network's Spring Baking Championship is a contemporary Southern cook born in Charleston, South Carolina. She is of Gullah/Geechee descent, a term used to describe a distinct group of African Americans living in the coastal areas of South Carolina and Georgia who have managed to preserve much of their West African language, culture, and cuisine. Her love for cooking started in her grandmother's kitchen, learning to cook Gullah dishes that were passed down from her mother. Although she loved cooking as a hobby, Kardea did not envision herself pursuing a career in the culinary field. Instead, she obtained a bachelor's degree in psychology and embarked on a career in social services. But in 2013, she switched gears and began to pursue cooking. She created The New Gullah Supper Club, traveling from state to state cooking traditional Gullah dishes with a contemporary twist. Kardea has since made dozens of guest television appearances on shows such as Good Morning America, The TODAY Show, as well as Food Network's Beat Bobby Flay, Chopped and The Kitchen, among many others.
ABOUT OWN: OPRAH WINFREY NETWORK
OWN: Oprah Winfrey Network is the first and only network named for, and inspired by, a single iconic leader. Oprah Winfrey's heart and creative instincts inform the brand and the magnetism of the channel. OWN is a leading destination for premium scripted and unscripted programming from today's most innovative storytellers. OWN connects with its audience wherever they are, inspiring conversation among a global community of like-minded viewers on social media and beyond. Launched on January 1, 2011, OWN is a joint venture between Harpo, Inc. and Discovery, Inc. The venture also includes the award-winning digital platform Oprah.com. Access OWN anytime on Watch OWN and discovery+ across mobile devices and connected TVs.
ABOUT GOOD EGG ENTERTAINMENT
Good Egg Entertainment is a New York-based, unscripted production company that's committed to creating innovative, energetic and positive content for all ages. Best known as the producers of Chopped, with almost 900 episodes of the series to date, the Good Egg team has proven its capabilities in making long-lasting premium television.
Focused on entertaining formats with international appeal, especially food-forward content for streaming and linear platforms, recent Good Egg productions include Money Hungry with Kal Penn for Food Network/Discovery+, Dishmantled with Tituss Burgess and Eye Candy with Josh Groban for Roku Originals, and The Great Soul Food Cook-Off for OWN/Discovery+.
Individually, the leaders at Good Egg have built their careers on the development and production of seminal series that include Queer Eye, Pawn Stars, the Emmy-winning Zimmern List, Where In The World Is Carmen Sandiego? and Legends of The Hidden Temple.
About Warner Bros. Discovery
Warner Bros. Discovery (NASDAQ: WBD) is a leading global media and entertainment company that creates and distributes the world's most differentiated and complete portfolio of content and brands across television, Film and streaming. Available in more than 220 countries and territories and 50 languages, Warner Bros. Discovery inspires, informs and entertains audiences worldwide through its iconic brands and products including: Discovery Channel, discovery+, CNN, CNN+, DC, Eurosport, HBO, HBO Max, HGTV, Food Network, OWN, Investigation Discovery, TLC, Magnolia Network, TNT, TBS, truTV, Travel Channel, MotorTrend, Animal Planet, Science Channel, Warner Bros. Pictures, New Line Cinema, Cartoon Network, Adult Swim,Turner Classic Movies and others. For more information, please visit www.wbd.com.
[05/17/22 - 10:03 AM] "We Hunt Together" to Return to Showtime This Summer The second season will roll out Friday, June 24, when all six episodes will be available on streaming and on demand for Showtime subscribers before making its on-air debut with its first two episodes on Sunday, June 26 at 7:30/6:30c.


Marie Mai - La Tournée Inoxydable FLAC album
Genre: Rock / Pop music
Title: La Tournée Inoxydable
Style: Pop Rock
FLAC version ZIP size: 1398 mb
MP3 version ZIP size: 1492 mb
WMA version ZIP size: 1583 mb
Other Formats: MPC MP1 MP4 RA XM MIDI VOX
Marie-Mai Bouchard (born 7 July 1984), known professionally as Marie-Mai, is a Canadian singer from Quebec. She was initially known as one of the finalists of the first season of the Quebec reality show Star Académie. Marie-Mai Bouchard was born in Varennes, Quebec. As her father was also a musician, Marie-Mai began her interest in music in her early years when practicing piano lessons and also participated in musical theatre. Shortly, she began singing and her grandmother noticed her talent
Videos 0. Backdrops 0. Posters 1. Recommendations.
Musicor Québécor Média. La Tournée Inoxydable (DVD-V, NTSC). Productions J. PJDVD-2330.
Marie-Mai Bouchard (born July 7, 1984 in Varennes, Quebec) also known as her stage name Marie-Mai, is a French Canadian singer from Quebec. She was initially known as one of the top finalists of the first season of the Quebec reality show Star Académie. Shortly, she began singing and her grandmother noticed her talent.
Band Name Marie Mai. Album Name Inoxydable. Labels Warner Music Group Les Disques Musicor. Members owning this album4. 1. Il Faut Que Tu t'en Ailles.
2013 – Tournée Miroir (billets vendus) 2011 – Tournée Version . (billets vendus) 2008 – Tournée Dangereuse attraction (billets vendus) 2008 – Inoxydable (DVD). ADISQ 2013 – Interprète féminine de l’année ADISQ 2013 – Album de l’année-Pop (Miroir) ADISQ 2012 – Chanson populaire de l’année (Sans cri ni haine) NRJ Music Awards 2012 – Duo francophone de l’année avec le groupe Simple Plan (Jet Lag) ADISQ 2011 – Interprète féminine de l’année ADISQ 2011 – Spectacle de l’année, nterprète (Version . ) ADISQ 2010 –.
Marie-Mai has been in a relationship with La Voix musical director David Laflèche since 2016, and she gave birth to their daughter Gisèle on February 15, 2017. Inoxydable (2004-2005). Her debut album Inoxydable, produced by Fred St-Gelais, was released on 28 September 2004. Over 120,000 albums were sold in Quebec (platinum certification) alone while the album was released in France in 2006. In support of her album, Marie-Mai played 87 shows and released a DVD of her concert, La Tournée Inoxydable. Dangereuse attraction (2007-2009). Her second album, Dangereuse attraction, was released on August 28, 2007. In August 2008, Marie-Mai was awarded a gold certification for selling over 50,000 copies of this album in Canada. The record was eventually certified platinum.
1 hour ago. Watch Online Marie Mai La tournée Inoxydable (2006) Server Vimeo.
|2||Tu T'en Fous|
|3||Tous Les Chemins|
|5||Entre Mes Mains|
|7||What Dreams Are Made Of|
|8||Chanson Pour Hier Et Demain|
|9||Encore Une Nuit|
|10||Un Million D'Années|
|12||Seule À Montréal|
|14||Il Faut Que Tu T'En Ailles|
- Distributed By – Distribution Select
Barcode and Other Identifiers
- Barcode: 064027233094


Stay or go? Van Gaal set to axe seven Manchester United stars
Media reports suggest Manchester United boss Louis van Gaal (11/2 to win the FA Cup) is set to wield his axe once again this summer and stage yet another clear out of the Red Devils’ ranks, with seven stars being tipped to depart.
Many of the players mooted for moves are in or entering the last 18 months of their contracts, so coach Van Gaal could be ready to cash-in, but is another exodus really wise?
Here, we contemplate which out-of-favour Red Devils should be retained and who should be ushered to the exit.
Jonny Evans (Stay)
The injury-prone Northern Ireland international has undoubtedly struggled for form this season, with utility man Daley Blind recently favoured as first pick left-sided centre back.
Academy product Evans is still excellent on the ball, however, and should be given the chance to play himself back into contention. When fit he is adept at building from the back and is at worst a valuable squad player.
Radamel Falcao (Go)
The fearsome forward, formally known as Falcao, has failed to impress since his summer arrival, but has, in fairness, been hindered by a knee problem and lack of match fitness.
If his poor showings continue, the on-loan Colombia hitman should be allowed to seek pastures new, but the ex-Atletico Madrid frontman should first be given more of a chance to prove himself.
Adnan Januzaj (Stay)
One of last season’s standout stars, Januzaj has fallen foul of Van Gaal’s 3-5-2 formation, with seemingly no space in the starting XI for the highly-rated Belgium attacker.
Still learning his craft, the Old Trafford-reared talent should be allowed to leave on a rumoured loan deal, but offloading the youngster permanently would surely come back to haunt United.
Phil Jones (Stay)
A victim of his own versatility, Jones has suffered from being constantly shunted out of his natural role as a centre half to both right back and defensive midfield positions.
Now considered a Jack-of-all-trades and master of none, the 22-year-old, once tipped to be United’s best ever player and likened to Duncan Edwards by Sir Alex Ferguson, should be retained and given an extended run at the heart of defence.
Should he shine elsewhere, the tenacious defender could be a huge loss.
Robin van Persie (Go)
This is a tricky call, as Van Gaal’s protege can still provide world class moments of quality on his day. However, the Dutchman’s lack of pace and penchant for going missing in games is becoming a problem.
If the Red Devils receive a tempting offer for Van Persie, 31, who has just 17 months left on his contract, it may be best to take the money and invest in the future, with James Wilson already waiting in the wings.
If rumours of interest in Seamus Coleman and Nathaniel Clyne are true, United (odds-on at 4/9 for a top four finish) should bid goodbye to their flying Brazilian full back, who may benefit from a move himself.
Rafael has spent far too much of his Old Trafford career on the treatment table and it could be time for the club to cut its losses.
Chris Smalling (Stay)
It seems as though at least one of the Red Devils’ still-developing centre backs will be shipped off this summer. Not as comfortable in possession as his peers, Smalling may be the most likely to be sacrificed, but Van Gaal should think twice.
Whilst not a great passer, much-maligned Smalling has arguably been one of United’s most consistent defenders this term. That’s not saying much, but the former Fulham man still has potential.


Search For "t series"
Updated : 9 months, 2 weeks ago IST
New Delhi [India], April 17 (ANI): The music video of the T-series produced song 'Dil Hai Deewana' released on Saturday. The upbeat track featuring Bollywood actors Arjun Kapoor and Rakul Preet Singh gives fans a love story that is filled with fun.
New Delhi [India], April 16 (ANI): Life comes a full circle for the actor Arjun Kapoor and singer Darshan Raval, who first interacted on a singing reality show in 2014. Seven years later, the two finally collaborate on Bhushan Kumar's T-Series' new track 'Dil Hai Deewana'.
New Delhi [India], April 15 (ANI): The teaser of the upcoming music video 'Dil Hai Deewana' by T-series, featuring Bollywood actors Arjun Kapoor and Rakul Preet Singh was unveiled on Thursday.
Updated : 9 months, 3 weeks ago IST
New Delhi [India], April 12 (ANI): Get ready to dance those blues away with 'Dil Hai Deewana' the newest single from Bhushan Kumar's T-Series starring Arjun Kapoor and Rakul Preet. The romantic dance track that was recently shot in Mumbai by director duo Radhika Rao and Vinay Sapru will have
Updated : 11 months ago IST
New Delhi [India], March 1 (ANI/NewsVoir): Renowned Punjabi Actor, Singer and Music Director, Bhinda Aujla whose soul stirring song titled 'Teri Pyari Pyari Do Akhiya' touched millions of hearts, has launched a new romantic single 'Na Na Na Na' under the banner of T-Series.
Updated : 11 months, 2 weeks ago IST
New Delhi (India), February 17 (ANI): The highly-anticipated romantic number 'Lut Gaye' featuring actor Emraan Hashmi and model Yukti Thareja is finally out and it is the pair's undeniable chemistry that makes the music video an absolute treat to watch.
Updated : 12 months ago IST
New Delhi [India], February 3 (ANI/NewsVoir): One of the largest and most awarded private radio networks in India, 93.5 RED FM and the country's largest music label T-Series, also the world's largest YouTube Channel have come together to launch 'Indie Hain Hum - Season 2'. The show is back i
Updated : 1 year ago IST
New Delhi [India], January 1 (ANI): Filmmakers Bhushan Kumar, Sandeep Reddy Vanga and Murad Khetani began the year 2021 with the announcement of their next film 'ANIMAL' starring Ranbir Kapoor.
Updated : 1 year, 1 month ago IST
New Delhi [India], December 8 (ANI/NewsVoir): Keeping in mind the changing models and to cope with the new challenges posed by COVID-19 pandemic, Gulshan Kumar Film & Television Institute of India (GKFTII) running programs in Journalism & Mass Communication and Fashion Design under t
Updated : 1 year, 7 months ago IST
New Delhi [India] June 16 (ANI/India PR Distribution): Good news for the Punjabi music lovers especially the ones in love with the soulful voice of Ammy Virk! His new song 'Main Suneya' is out and has already won more than 33 million hearts worldwide.
Updated : 1 year, 11 months ago IST
New Delhi [India], Mar 5 (ANI): Bhushan Kumar and Aanand L. Rai's next project 'Atrangi Re' starring actors Sara Ali Khan, Akshay Kumar and Dhanush went on the floors on Thursday.
Mumbai (Maharashtra) [India], Feb 24 (ANI): Sunny Hindustani from Punjab's Bathinda has won the 11th edition of Indian Idol, along with the prize money of Rs 25 lakh, a car and a singing contract with T-Series.


text:
For Immediate Release
Polish Prosecutor Will Investigate Torture Of Guantánamo Prisoner
NEW YORK - The
Polish prosecutor will investigate the detention and torture of Abd
al-Rahim al-Nashiri at a black site in Poland after he was kidnapped and
transported there by the CIA. This is the first time an extraordinary
rendition victim's claims have been recognized in an official
investigation in Poland. In response to the announcement, the American
Civil Liberties Union called for accountability in the U.S. for
top-level officials who may have known about and authorized torture, and
for cooperation with the Polish prosecutor in securing documents and
witnesses in the ongoing investigation.
In civil litigation, the Obama
administration has continued to shield the Bush administration officials
who knew about and authorized torture, most recently using the state
secrets claim to block an ACLU lawsuit on behalf of five rendition
victims. And while some low-ranking soldiers have been sent to prison
for their roles in torture, no senior official has thus far been charged
with any crime in connection with the torture program.
Al-Nashiri, who is accused in the
2000 U.S.S. Cole bombing, was granted the status of "injured party" in
Poland's ongoing investigation into torture in response to a September
21 petition from his lawyers.
The following can be attributed to Jameel Jaffer, Deputy Legal Director at the ACLU:
"Today's announcement that Poland
will investigate the torture of Mr. al-Nashiri serves as a stark
reminder of how little has been done in the U.S. to hold top officials
accountable for torture. Holding torturers accountable is essential to
restoring American credibility at home and abroad – the U.S. can no
longer remain silent as, one by one, other nations begin to reckon with
their own agents' complicity in the torture program through prosecutions
and judicial inquiries."
This is the world we live in. This is the world we cover.
Because of people like you, another world is possible. There are many battles to be won, but we will battle them together—all of us. Common Dreams is not your normal news site. We don't survive on clicks. We don't want advertising dollars. We want the world to be a better place. But we can't do it alone. It doesn't work that way. We need you. If you can help today—because every gift of every size matters—please do. Without Your Support We Won't Exist.
Please select a donation method:
The American Civil Liberties Union (ACLU) conserves America's original civic values working in courts, legislatures and communities to defend and preserve the individual rights and liberties guaranteed to every person in the United States by the Constitution and the Bill of Rights.

domain: politics


text:
Capcom just put out the fourth Monster Hunter: World development video, and it’s an interesting watch. The video focuses on how Capcom focused on making this entry have international appeal. It’s certainly worked, as the game has been one of Capcom’s best-selling titles.
Check out the Monster Hunter: World development video below:
For even more on Capcom’s action role-playing game, check out my Monster Hunter: World review. Here’s what I had to say about the new release:
One of the coolest additions to World is that the story quests can be done in multiplayer, rather than just additional ones. That said, there are some arbitrary restrictions that show that Monster Hunter hasn’t been fully modernized to the extent it could be. For example, if a story mission has a cutscene in it, a player must encounter the cutscene first by themselves, then the other player can jump in. That coupled together with an overly confusing menu system to simply play with a friend makes things more of a hassle than it should be.
Those multiplayer quirks are overcome quickly, though, and I enjoyed my time the most when I was playing with friends. It should be noted that the monsters get considerably more difficult in multiplayer, but it really makes the hunts feel like a team effort when completing them. It all results in a really satisfying gameplay loop of gaining different types of armor, collecting specific drops, and learning your weapons. There’s always something more to do in Monster Hunter: World.
This is the modernization that Monster Hunter definitely needed. Not only is it the most dynamic title in the series to date, it’s just a fantastic action role-playing game. Even if you’ve bounced off the series in the past, I highly recommend giving Monster Hunter: World a try. It’s where the series finally truly clicked for me, and that is very much by design. Capcom has updated their formula for a new generation, and it’s a real treat for all.
Monster Hunter: World is available now on PlayStation 4 and Xbox One.


text:
Large Vintage Glass Apothecary Jar 18" Tall Dakota ?
This item has been shown 0 times.
Large Vintage Glass Apothecary Jar 18" Tall Dakota ?:
Up for sale we have a beautiful vintage glass Apothecary jar. Measures approx, 18" with lid. Very nice condition, no cracks, A couple very tiny nicks on lid, see photo. This glass has a few factory bubbles and wrinkles but they are not cracks. This is not marked, is it made by Dakota, you be the judge. Beautiful design, a great piece. Good luck and happy offerding.


text:
FROM First Aid Kit
Nite School Klik: Posse In 2012, DJ Shadow started rummaging through different music platforms to find some new music to play in his sets. G Jones was one of his favorite finds, and soon after they teamed up as Nite School Klik.
Gepe: Hambre (feat. Wendy Sulca) This week's Today's Top Tunes are focused on LAMC, the annual Latin Alternative music festival held in NYC, with selections from artists performing at this year's 16th edition. We start with Chilean artist Gepe, whose sound is characterized by an innovative fusion of folk and electronica.


text:
Good morning, all!
? “Increasing numbers of children in Syria are being recruited by armed groups on both sides of the conflict”, according to Save the Children. Many Syrian children now have no health care, are traumatized, living in “unsanitary conditions” and in families “struggling for food”.
? “Tunisia’s new Islamist-led government won a confidence vote [from the Assembly] on Wednesday”. An election is supposed to be held later this year. Major multiple woes plaguing Tunisia at this time.
? Aung San Suu Kyi, long-imprisoned Burmese activist now part of the government, favors a “Chinese-backed copper mine in north-western Burma”–scene of major protests met violently by the Burmese government. Her position has enflamed activists who argue that the “welfare of their own people–poor local villagers–rather than good relations with China” should prevail.
? Initially it was 2,000; now it’s 6,000 dead pigs pulled out of the Huangpu River, major source of water for Shanghai.
? Ain’t Austerity Grand? “Majority of British children will soon be growingup in families struggling ‘below the breadline’ . . . because of welfare cuts, tax rises and wage freezes”. In addition, 1000s of British senior citizens and disabled are left to die in cold homes every year.
? Financial adviser in Switzerland, who “helped 60 [US citizens] hide $184 million in secret offshore accounts . . . mailed a list of his U.S. clients, including . . . incriminating details, which somehow wound up in the hands of federal authorities.”
? Italy has sold “its first issue of long-term debt since a rating agency cut its credit rating last week”, but at “higher rates, reflecting investors’ concerns about political and economic turmoil”.
Money Matters USA
? “The Obama administration is drawing up plans to give all U.S. spy agencies full access to a massive database that contains financial data on American citizens and others who bank in the country”. Emptywheel has more on “this batshit crazy plan”.
? Chutzpah much? The US government spent $182billion bailing out AIG. Former CEO, Maurice Greenberg, now with Starr International (which owned 12% of AIG), is suing the government over the bailout claiming it was “unconstitutional and wrongly cheated shareholders out of billions of dollars.”
? Heh. “States Crack Down on Top Earners Who Flee as Levies Rise: Taxes.”
? Retail sales were up 1.1% in February which “exceeded all projections”.
? The Federal Aviation Administration has approved “a set of fixes to the battery of the Boeing 787 Dreamliner”. [cont’d.]
Photo by Catholic Church (England, Wales) under Creative Commons license


"Super Bass" is a song by Trinidadian recording artist and songwriter Nicki Minaj, from her debut album, Pink Friday. The song impacted radio as the album's seventh single on April 5, 2011 and was released on May 13, 2011. Written by Minaj, along with Daniel Johnson and Ester Dean, the song includes additional vocals from Dean. Production of the song was done by Kane. According to Minaj the song's lyrics tell the story of a boy that you have a crush on and are about wanting to get intimate but instead taking a playful approach. The song draws from the hip hop, R&B genres while infusing elements of pop and Minaj's rap. "Super Bass" received mainly positive reviews from critics. The song was complimented for its memorable hook, lyrical context and for its chorus. It garnered attention by pop stars such as Taylor Swift and Selena Gomez. The song has peaked at number three on the United States Billboard Hot 100. A music video for the single was shot in March 2011, by director Sanaa Hamri. It was initially expected to premiere on BET's 106 & Park on April 27, 2011, but the video's premiere was later pushed to May 5, 2011 for unknown reasons. The video received generally positive reviews from critics, most of whom complimented the "eye candy" and colorful visuals seen throughout the video. User-contributed text is available under the Creative Commons By-SA License; additional terms may apply.


text:
Kyle Habet, MD, is a physician at Belize International Institute of Neuroscience where he is a member of a multidisciplinary group of healthcare professionals involved in the care of patients with an array of neurological and psychiatric diseases. He is a published author, researcher and instructor of neuroscience and clinical medicine at Washington University of Health and Science.
United States of America
In 2007, the American Thyroid Association (ATA) assembled a group of experts to recommend evidence-based guidelines for the diagnosis and management of medullary thyroid cancer (MTC). In 2015, the ATA Task Force reconvened and updated its recommendations.1 These are the most comprehensive ATA guidelines currently available, and some important recommendations in the 2015 revision are summarized below.
Recommendations for MTC as Part of Multiple Endocrine Neoplasia Type 2 Syndrome
The recommended method of initial testing for multiple endocrine neoplasia type 2A (MEN2A) is either a single or multi-tiered analysis to detect RET gene mutations in exon 10 (codons 609, 611, 618, and 620); exon 11 (codons 630 and 634); and exons 8, 13, 14, 15, and 16. Patients with presumed sporadic MTC should undergo genetic testing to detect a germline RET mutation. If one is found, the patient should undergo further genetic testing.1
In the very rare cases of families who meet the clinical criteria for MEN2A or MEN2B, even if the results of sequencing the entire RET coding region are negative, the relatives at risk should be periodically screened by conventional methods for MTC, pheochromocytoma (PHEO), and hyperparathyroidism (HPTH). After the initial evaluation, screening should continue at 1- to 3-year intervals.1
Recommendations for Diagnosis
Clinicians should be aware that falsely high or low serum calcitonin (Ctn) levels may occur in a variety of clinical diseases other than MTC. They should consider this possibility when the serum Ctn levels are out of proportion to the expected clinical findings. In interpreting serum Ctn data, clinicians should be aware that Ctn levels are markedly elevated in children younger than 3 years of age, and especially 6 months of age. Also, Ctn levels are higher in males than in females. Basal serum levels of Ctn and carcinoembryonic antigen (CEA) should be measured concurrently. In patients with advanced MTC, a normal or markedly elevated serum CEA level that is out of proportion to a lower serum Ctn level, or low serum levels of both Ctn and CEA, indicate poorly differentiated MTC.1
The assessment of a thyroid tumor with any features suggestive of MTC should include immunohistochemical (IHC) analysis to determine the presence of markers such as Ctn, chromogranin, and CEA and the absence of thyroglobulin. Nodules that are 1 cm in size or larger should be evaluated with fine-needle aspiration (FNA), depending on the ultrasound characteristics. When the FNA findings are inconclusive or suggestive of MTC, the Ctn level should be measured in the FNA washout fluid, and IHC staining of the FNA sample should be performed to detect the presence of markers such as Ctn, chromogranin, and CEA and the absence of thyroglobulin. Realizing that the opinions of experts vary regarding the usefulness of measuring serum Ctn levels in patients with nodular goiters, the Task Force recommends that physicians should decide whether the technique is useful in the management of patients in their clinic.1
Patients presenting with a thyroid nodule and a cytological or histological diagnosis of MTC should undergo a physical examination, serum Ctn and CEA measurement, and genetic testing for an RET germline mutation. The presence of a PHEO and of HPTH should be excluded in patients with hereditary MTC. Ultrasound examination of the neck should be performed in all patients with MTC. Contrast-enhanced computed tomography (CT) of the neck and chest, 3-phase contrast-enhanced multidetector CT of the liver or contrast-enhanced magnetic resonance imaging (MRI) of the liver, and axial MRI and bone scintigraphy are recommended for patients with extensive neck disease and signs or symptoms of regional or distant metastases, and for all patients with a serum Ctn level above 500 pg/mL. Neither fluorodeoxyglucose F 18 positron emission tomography/computed tomography (FDG-PET/CT) nor [18F]DOPA-PET/CT is recommended to detect distant metastases.1
Recommendations for Management
Patients with MTC and no evidence of neck lymph node metastases on ultrasound examination and no evidence of distant metastases should undergo a total thyroidectomy and dissection of the lymph nodes in the central compartment (level VI). Patients with MTC confined to the neck and cervical lymph nodes should have a total thyroidectomy, dissection of the central lymph node compartment (level VI), and dissection of the involved lateral neck compartments (levels II-V).1
In the presence of extensive regional or metastatic disease, less aggressive surgery in the central and lateral regions of the neck may be appropriate to preserve speech, swallowing, parathyroid function, and shoulder mobility. External beam radiotherapy (EBRT), systemic medical therapy, and other nonsurgical therapies should be considered to achieve local tumor control.1
Following unilateral thyroidectomy for presumed sporadic MTC, completion thyroidectomy is recommended in patients with an RET germline mutation, an elevated postoperative serum Ctn level, or imaging studies indicating residual MTC.1
The serum thyroid-stimulating hormone (TSH) should be measured within 4 to 6 weeks postoperatively. Replacement therapy with levothyroxine should be administered with the goal of maintaining serum TSH levels in the euthyroid range. Serum calcium levels should be monitored postoperatively. Oral calcium and vitamin D should be administered to patients in whom symptomatic hypocalcemia develops. Long-term replacement therapy is indicated for patients who cannot be weaned from medication.1
Children with an M918T RET mutation or MEN2B should undergo a thyroidectomy in the first year of life, perhaps even in the first months of life. Experienced physicians and surgeons in tertiary care centers should be responsible for the management of children with MEN2A or MEN2B.1
United Kingdom and Japan
The United Kingdom National Multidisciplinary Guidelines (UKNMGs) specify 6 clear goals for the treatment of differentiated thyroid cancer. These are to remove the primary tumor and involved lymph nodes, minimize treatment-related morbidity, allow accurate staging of the disease, facilitate postoperative treatment with radioactive iodine in appropriate patients, enable long-term surveillance for disease recurrence, and minimize the risk for disease recurrence and distant metastases.2
The Japan Society of Thyroid Surgery, along with the Japan Association of Endocrine Surgeons (JSTS/JAES), published a set of revised clinical practice guidelines for the treatment of thyroid cancer in 2020. They outline 2 main goals to improve health-related outcomes in patients with thyroid cancer. Firstly, clinical decision making should involve both patients and physicians and should be evidence-based. Secondly, the guidelines should facilitate physician implementation of standardized clinical practices for the management of thyroid tumors.3 These guidelines are very similar to the ATA guidelines.
The UKNMGs recognize that the ATA guidelines are comprehensive and agree with most of the ATA recommendations, with some minor differences. The JSTS/JAES guidelines are also very similar. Two differences are outlined below:
- The UKNMGs recommend that prophylactic thyroidectomy be offered to all MTC patient family members with an RET mutation.2 The ATA guidelines offer prophylactic thyroidectomy only to children with MEN2B syndrome.1 The Japanese guidelines do not recommend routine prophylactic thyroidectomy for RET carriers.3
- The UKNMGs recommend that all patients with proven MTC larger than 5 mm undergo total thyroidectomy and central compartment neck dissection.2 The ATA does not use tumor size as a threshold for total thyroidectomy and recommends the procedure for all patients with MTC and RET germline mutations.1 The JSTS/JAES guidelines recommend subtotal thyroidectomy for patients with sporadic MTC confined to 1 lobe.3
1. Wells SA, Asa SL, Dralle H, et al. Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma. Thyroid. 2015;25(6):567-610. doi:10.1089/thy.2014.0335
2. Mitchell AL, Gandhi A, Scott-Coombes D, Perros P. Management of thyroid cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016;130(S2):S150-S160. doi:10.1017/S0022215116000578
3. Ito Y, Onoda N, Okamoto T. The revised clinical practice guidelines on the management of thyroid tumors by the Japan Associations of Endocrine Surgeons: core questions and recommendations for treatments of thyroid cancer. Endocr J. 2020;67(7):669-717. doi:10.1507/endocrj.EJ20-0025
Article reviewed by Harshi Dhingra, MD, on July 1, 2021.

domain: biology