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Oct. 1, 2020
Nebraska Medicaid Expansion Is Progress for Rare Disease Patients, Highlights Critical Need to Support Medicaid During COVID-19
Posted by Corinne Alberts
Today, Nebraska’s Medicaid expansion begins to take effect. This milestone—two years in the making—means that thousands more low-income people, including many who have a rare disease, now have access to health care coverage.
Nebraska is the latest in the long line of successful ballot initiatives to expand Medicaid. Since the passage of the Affordable Care Act, states have had the option to expand Medicaid eligibility to all adults with incomes below 138% of the federal poverty line ($29,974 for a family of three and $17,236 for an individual in 2020). To date, 39 states and Washington, DC have expanded their Medicaid programs—many due to voters demanding to be heard on this important health care issue.
Medicaid expansion helps to close what is known as the coverage gap, when people earn too much money to qualify for Medicaid, yet not enough to afford private insurance. In states that have not expanded, on average, a family of three in 2019 must have earned less than $8,532 to qualify for Medicaid – but federal insurance subsidies through the Affordable Care Act marketplace did not begin until 100% of the federal poverty line ($21,720). An adult without children may have no coverage support options available to them at all.
The National Organization for Rare Disorders (NORD) advocates for Medicaid expansion to ensure that all rare disease patients can access quality, affordable health care coverage regardless of their income. Most recently, we spent the summer working alongside other patient advocacy groups to help successfully pass Medicaid expansion in Oklahoma (on June 30) and Missouri (on August 4). These efforts are expected to expand health coverage to more than 230,000 currently uninsured Missourians and 200,000 currently uninsured Oklahomans. (Find state-by-state information about Medicaid expansion and other key policy issues affecting rare disease patients on NORD’s Rare Action Network website.)
The benefits of Medicaid expansion highlight many of the burdens that come with having a rare disease, which affect more than 25 million Americans—nearly 10% of the population. Many people with rare diseases have complex and costly needs for care and may also struggle to work due to their medical condition. According to NORD’s recent Barriers and Facilitators to Rare Disease Diagnosis, Care and Treatment: 30-year Follow-up survey, 76% of rare disease patients report some or great financial burden and 62% of adults have had to miss work as a result of their rare disease.
Notably, these responses were collected before the coronavirus pandemic, which has created many new hardships. NORD’s COVID-19 Community Surveys found that 27% of households have experienced job loss, 9% of whom have also lost health insurance, because of COVID-19.
When a state expands Medicaid, low-income people with a rare disease gain access to primary and preventive care, including cancer and rare disease screening, routine doctor visits, in-home therapies including speech/occupational therapies, prescription drugs, and other treatments and services that patients need to maintain their health. Research suggests that Medicaid expansion results in significant reductions in out-of-pocket medical spending; fewer people struggling to pay their medical bills; reduced medical debt; the reduced likelihood that someone will go without necessary health care because of costs; helps to keep rural hospitals open, ensuring that rural patients do not have to travel enormous distances to see their doctor or in an emergency; and generates more money for states than their programs cost.
During the pandemic, Medicaid enrollment has increased by 8.4%. In response, as part of the Families First Coronavirus Response Act, the federal government is contributing a 6.2% federal funding increase to state Medicaid programs. NORD has advocated for that number to be even higher, as we foresee painful Medicaid cuts looming due to the economic effects of COVID-19. As of this week, House Democrats have put forward another COVID relief package that increases federal Medicaid funding by 14% through September 2021.
As Nebraskans with rare diseases enter this new era of improved access to health care, their progress highlights our need for continued advocacy to support Medicaid across the country. Now, more than ever, rare disease patients need access to safe and affordable health care for both routine and COVID-19 related treatments.
Your voice can help make a difference on this issue. Sign up to receive Rare Action Network updates to learn more on and join NORD’s policy efforts at the state and federal levels.

domain: news


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Chelsea news: Higginbotham thinks West Brom will pick up a point against the Blues
That is according to Sky Sports pundit and former Stoke defender Danny Higginbotham.
Chelsea visit West Brom tomorrow (3pm) as Premier League football resumes following the international break.
Baggies manager Pulis is under severe pressure having not won a Premier League game since August 19 against Burnley.
Reports claim the Welshman has two games to save his job, with a trip to Tottenham following tomorrow’s visit of Antonio Conte’s side.
It could be a low-scoring game, West Brom will allow Chelsea to do all the running. I’m going to go with a draw
Having not picked up a clean sheet for six matches, Higginbotham believes that will be Pulis’ first priority going into the match.
“I expect this to be a tight game,” Higginbotham said.
“I think the biggest thing that will be frustrating Tony Pulis is they haven’t had a clean sheet in their last six. I think he will go back to basics.
“We know that West Brom or wherever Tony Pulis is are very good with set pieces.
Chelsea news: West Brom have not won a Premier League game since August
“It could be a low-scoring game, West Brom will allow Chelsea to do all the running.
“I’m going to go with a draw.”
Chelsea will look to narrow the gap to Manchester City at the top to six points.
City travel to the King Power Stadium to face Leicester at the same time.


Application Of Memristive Device Arrays For Pattern Recognition
Artificial intelligence (AI) technology like deep learning is powering our daily life in many areas such as pattern recognition. The artificial neural network (ANN) is one of the deep learning models to achieve pattern recognition. A well-trained ANN can recognize images with precision over 98%. Although traditional two terminals memristors like phase changing memory (PCM) are already used to build ANNs. But those devices typically suffer from nonlinear, asymmetric conductance tuning problems. The novel memristive device Ionic Floating Gate memory (IFG) could potentially solve those problems. In this paper, a compact Cadence model of fully connected ANN using IFG is presented. The devices are tuned to an optimized state and formed a well-trained network. The recognition accuracy reaches 93.8%. This work demonstrates the IFG device also has the potential to be further utilized into other deep neural networks as synaptic memory.


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There are several reasons why an economic citizenship program is a popular choice when acquiring a second passport. A second citizenship from a reputable country can offer several benefits such as visa free international travel to many first world countries, increased security while traveling, and act as an insurance in times of political, personal or economical turmoil.
A second citizenship can also offer significant tax advantages, as well as lead to increased protection and privy of your assets.
The normal way of acquiring a second passport is by applying for a citizenship in another country. If your parents or grandparents are citizens of another country you may qualify for citizenship, or you may qualify by marrying a national of that country. If you don’t qualify in any way most often the only way to acquire citizenship is by going through a period of naturalization, which often requires several years of residence in the country.
Get Free Economic Citizenship Updates
Citizenship by Investment
There’s a quicker way though for those who don’t what to wait, which is where economic citizenship programmes comes into the picture. Citizenship by investment is not as common now as it were a decade or two ago, and there are only a few countries left who offers this kind of program. The way these programs work is that Governments of those countries can grant citizenship to individuals who make a substantial investment in the country. Often a range of choices are given, from investing in real estate to contributing to a development fund.
Instead of having to wait for several years before being able to apply for citizenship, through an economic citizenship program you can receive your new citizenship and second passport within months. Be prepared to go through a criminal background check when you participate in such a program, because there’s no such thing as under the counter passports these days and these countries does not grant citizenship to criminals no matter how much money is offered.
As mentioned earlier, very few countries offer economic citizenship programmes, and those who do require a substantial fee if you want to participate. The only two official and legal economic citizenship programmes today can be found in the countries of St. Kitts & Nevis and the Commonwealth of Dominica. St. Kitts & Nevis is likely the most famous country, and require a minimum $350,000 investment OR you can choose to donate $200,000 to the Sugar Industry Diversification Foundation.
EU Economic Citizenship
While Austria don’t officially have an active Economic Citizenship programme, it is possible to acquire a second citizenship if you invest substantially in the country. A few cases are approved each year so if you’ve got the cash and would like an EU passport it can be worth looking into(expect to invest at least a few million US$ to qualify).
Certain lesser known European countries also offers a fast track to EU citizenship through real estate investment programs. You can learn more about that and other Economic Citizenship programmes if you sign up for the free newsletter Sovereign Man: Notes From The Field below.
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domain: law


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Joe Copalman is an expert on aviation history. F3D/EF-10 Skyknight Units of the Korean and Vietnam Wars (Osprey, 96 pp. $24, paper; $9.99, Kindle), his first work for Osprey, is a thorough rundown of an aircraft that was hitherto unfamiliar to me. Along with accounts of its role in two wars, Copalman includes views of the Skynight’s activities throughout the Cold War. Jim Laurier provides the book’s artwork, the usual first-class Osprey combination of drawings and photographs.
The Douglas F3D Skyknight was in action with the U.S. Navy and Marine Corps as a night fighter jet from 1950-70. A pilot and radar operator manned the plane. Copalman calls the aircraft “the most unsung hero of its two major wars.”
In Korea, twelve F3Ds Skyknights (nicknamed “Nightmares”) replaced the F4U-5N Corsair and F7F Tigercat in August 1952. Copalman describes missions of crews inexperienced in combat against both Korean and Chinese aircraft and high caliber antiaircraft fire. The pilots developed complicated maneuvers and struck ground targets of opportunity. Lacking formal training in tactics, they learned by doing.
With detailed accounts of air warfare, Copalman explains Nightmares’ difficulties tryin to avoid becoming bait for MiGs and searchlight traps, as well as the rigors of escorting outdated B-29s. The Nightmare pilots were pragmatic and understood that their jamming was effective when tracking AAA began firing erratically as their aircraft broke enemy radar locks. The Nightmares’ confrontations with slow-moving North Korean “Bedcheck Charlie” biplanes steal the Korean War show.
Two years after the Korean War, the F3D upgraded to the F3D-2Q, re-labeled the EF-10B in 1962. In the Cold War the plane performed photographic and electronic surveillance against Soviet-designed radar in North Vietnam, China, and the Soviet Far East. The EF-10Bs and MiGs looked each other over, but never fought.
The Vietnam War required a full-scale array of new tactics by EF-10B crews. They deployed as squadron VMCJ-1 to Da Nang in April 1965 and operated over South and North Vietnam, Cambodia, and Laos. Copalman offers a full picture of the squadron’s actions during five years in-country. Renaming the aircraft “Whale” and “Super Whale,” crewmen again basically learned the best tactics for themselves through on-the-job training.
The men’s primary task was hunting and jamming North Vietnamese ground-controlled interception sites electronically or with chaff to outwit surface-to-air missile launch teams. In support of fighter-bombers, EF-10B crews were the first on target and last to leave. Overloaded with jammers and carrying maximum fuel, Whale pilots could barely get airborne and often shut down an engine to save fuel and lengthen their time over targets.
Whale and enemy SAM crews both developed new tactics. SAM crews tended to improve slightly faster because Soviet technical advisers helped them; at the same time, Pentagon rules restricted EF-10B attacks on SAM sites for fear of killing Russian advisers and escalating the war.
EF-10Bs escorted Navy A3Ds on straight-and-level, slow-speed bombing missions that one Skyknight pilot likened to World War B-17 raids on Germany. Every day offered a new experience.
Copalman describes almost unimaginable highlights of the EF-10B’s flying from aircraft carriers. More than likely, he could write an entire book about the uniqueness of that potentially self-destructive practice.
I enjoyed F3D/EF-10. Like every Osprey book, its research uncovered new facts about warfare—in this case, the work of an aircraft unfamiliar to me. Heroics also are part of the drama.
Copalman portrays the resilience of American flyers by showing how they had to learn for themselves the best ways to execute their mission.
They relearned old lessons that hadn’t been passed down by people in similar dilemmas. Copalman clearly shows that the pilots came up with tactics that helped others more than themselves.

domain: history


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text:
Michal Kravcik galvanized support to halt a dam planned during the Communist era by proposing effective democratic alternatives, including smaller dams, decentralized water management, and restored farmlands.
After the Velvet Revolution in 1989, Slovakia's old communist regime was replaced by a democratic government. However, the task of overthrowing the government was rather simple compared to the difficulty of changing the mindset of the citizens and officials. Centralized power continued as the means of ruling the country. In 1992, the government of Slovakia revived an old plan to build a large dam at Tichy Potok on the Upper Torysa River in order to supply drinking water for East Slovakia's cities and to protect against future water shortages. The proposed dam would have destroyed the natural rural environment and forced the evacuation of four 700-year old villages. Hydrologist Michal Kravcik had long disagreed with the national water management plans and maintained that in Slovakia policies were outdated. In 1993 he proposed Water for a Third Millennium, an alternative water management concept for the nation. In response to the proposed dam at Tichy Potok, Kravcik helped establish People and Water, a local grassroots organization. He began to show that existing drinking water reservoirs had not been used to their fullest extent, the water consumption rate was decreasing in the cities, and much water was being wasted by a distribution system in great need of repair.
In 1993, a referendum in local villages revealed that 90 percent of the villagers were opposed to the proposed dam. Despite this reaction, the government persisted with its plan. Kravcik not only voiced opposition against the proposed dam, he also presented an alternative plan in 1994. The "Blue Alternative" provided means to obtain the same amount of drinking water for approximately 20 percent of the cost of the proposed dam, while minimizing the destructive impacts on the environment. One of its key components was that resources were to be managed by a local association of villages, requiring de-centralization of power, a challenge to the old style of government. The alternative included the creation of 35 microbasins in the regions and a series of small weirs and dams on the streams, as well as plans to restore agricultural lands and protect the historical villages.
The Ministry of Environment refused to consider the alternative proposal. Advocates of the government's dam worked hard to discredit Kravcik's plan, using unethical attacks in the press. In response People and Water organized summer camps in 1995 and 1996. A number of catch basins were constructed and then the media was invited to view the results. The pilot project gained more publicity when the ministry fined People and Water for undertaking work without a permit. Under Kravcik's leadership, People and Water helped organize a series of public meetings and gradually communities began to gain confidence in their ability to influence the decision making process. Slovakians had the chance to test the fledgling Environmental Impact Assessment (EIA) law. Village meetings linked to the EIA were organized. For many citizens it was their first experience of democracy in action. As a result of the successful local campaigns, the government canceled plans for the dam in 1996.
Kravcik and People and Water have continued to work in the region via Villages for the Third Millennium, a sustainable development program involving 24 villages. With full community participation, the focus has been on preserving the regional cultural heritage while providing environmentally sensitive economic development. Current activities include an organic farm, agro-tourism, local handicrafts marketing, a fish farm and a reed bed water treatment plant. The program has provided much needed economic revitalization for the region. Kravcik took his ideas to the national level in 1998, by helping to organize a non-partisan national voter education campaign that resulted in unprecedented citizen participation in national elections. People and Water organized the Village and Democracy project in 164 villages in the Levoca mountain region to support democratic processes and build a sustainable open society. Of Slovakia's citizens, 84 percent voted and helped defeat the prime minister who had advocated the dam at Tichy Potok.
Watch in high resolution on YouTube.

domain: sociology


Reports: Bates College student from Rye found dead in Rome
February 22. 2014 1:28PM
John Durkin, 21, of Rye, who was studying abroad in Italy, has been missing since late Wednesday night, and CNN is reporting he was found dead inside a railroad tunnel in Rome, according to police there.
Gov. Maggie Hassan issued a statement about the young man's death: "I am deeply saddened to learn of the tragic loss of John Durkin. My thoughts and prayers are with his parents, family and loved ones during this extremely difficult time."
And Sen. Jeanne Shaheen, D-NH, posted this statement on Facebook: "Tragic news about Rye student John Durkin. My thoughts are with his family during this difficult time."
Sen. Kelly Ayotte, R-NH, said on Twitter, "My heart goes out to the family & friends of John Durkin. They are all in our thoughts & prayers."


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THE LAST ONE
THE LAST ONE
Spent the whole night looking up celebrity deaths and conspiracy theories with a friend. We are just too cool like that.
Eiko Ojala is a illustrator and graphic designer. He lives
in Tallinn, Estonia. He works mostly digitally and draws
everything by hand. Within his work process Eiko likes
to study the forms of shapes, and to work closely with light
and shadow. He likes to keep his illustrations minimal and
well-advised. Eiko combines consummate craftsmanship
with a healthy sprinkling of wit.
Eiko has worked with Wired, New York Times, New Yorker,
Sunday Times, Harvard Business Review, V&A Museum,
Dwell magazine, Le Monde and Intel.
3. Intel ” It’s what’s inside “
Thanks to http://www.faithistorment.com/
The making of Wes Anderson’s The Grand Budapest Hotel(2014)
Illustrations by Canadian Digital artist, Illustrator and Art Director
Paintings and illustrations by Robert MacKenzie:
the oscars were fun and all but is it eurovision yet
I just updated Adele Dazeem’s wikipedia page.
The Steps in the Snow, Whitby, North Yorkshire, England
REBLOG FOR YORKSHIRE!
The Steps at Whitby are like a childhood memory!
The film is now out on DVD in Europe, but there is yet to be a DVD that fits the US region code, and therefore no legal way, that I know of, to watch the film. Hopefully one will be released in the US sometime this year.

domain: design


Appnext iOS SDK
Appnext is App Discovery Powered by Technology of scale. The Appnext SDK is available with the requirement of you creating an account on the platform.
iOS Apps With Appnext SDK
Appnext is currently installed in 436 apps. As of 2020-12-01, it was installed in 471 apps. That is a change of -7% over six months.
Monthly Installs And Uninstalls of Appnext SDK
Appnext was installed in 0 apps and uninstalled in 0 apps last month. That's a net change of 0 apps over the last month.
Appnext SDK Market Share in the Monetization Category
Appnext currently owns 0% of the Monetization SDK market. As of 2021-04-01, it owned 0% of the Monetization SDK market. That is a change of 0% over six months.
0 apps in the top 200 apps
Appnext has 0% of the top 200 apps, for a total of 0 apps.
Want more insightful reports
on current trends?
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Fijians and international visitors travelling through Nadi International Airport will see from today, new big bright posters spotlighting the FIJIAN HOSTS program. Supported by the eight organizations that are responsible for processing travelers at the airport, the Ministry of Tourism launched the Fijian Hosts program in September last year to award top-performing front-line staff at Nadi International Airport.
Winners are selected on the basis of comment cards filled out by international visitors, and placed in Fijian Hosts kiosks located in the airport’s secured areas.
Also today, three hard working frontline staff members at Nadi Airport were awarded FIJIAN HOSTS of the Month for their excellent customer service to arriving and departing passengers.
Rakesh Mudaliar (FRCA), Mereani Naiveli (FRCA) and Rusiate Waqa (AFL), were given their awards for Fijian Hosts of the Month for March, April and May respectively by the Permanent Secretary for Tourism, Ms Elizabeth Powell, at a presentation ceremony at Nadi International Airport.
Permanent Secretary for Tourism, Ms Elizabeth Powell congratulated the three winners for their valued contributions to the Nadi Airport experience for international visitors and Fijians travelling to and from overseas.
“It is our airport front-line staff who greet our international visitors as soon as they arrive, and who farewell them on their departure from Fiji. It is their dedication and their friendliness that make all the difference to the visitor experience,” Ms Powell said.
“The Fijian Hosts program is designed to raise public awareness of the importance of the role of the teams who greet and farewell our visitors at Nadi International Airport, Fiji’s gateway, and their significant contribution to the tourism industry.
“It is encouraging to see the support of our visitors who participate in the Fijian Hosts program by submitting comments about individual members of our airport teams. We are pleased to learn that travellers are very much impressed by the service our Nadi Airport teams provide and that our tourism industry has been so generous and consistent in their support for this important program,” she added.
Each of the winners received a FIJIAN HOSTS of the Month certificate that is signed by the Minister for Tourism acknowledging their exceptional service, a $250 grocery shopping voucher, and a dinner for two (courtesy of Tanoa Hotels, Captain Cook Cruises and Jacks) with ground transfers provided by Tourism Fiji.


text:
Love Talk Workbook for Men
Publication Date: September 21, 2004
Number of Pages: 80
Dimensions: 9.00 × 6.00 (inches)
A breakthrough discovery in communication for transforming love relationships Over and over couples consistently name “improved communication” as the greatest need in their relationships. Love Talk—by acclaimed relationship experts Drs. Les and Leslie Parrott—is a deep yet simple plan full of new insights that will revolutionize communication in love relationships. The first steps to improving this single most important factor in any marriage or love relationship are to identify your fear factors and determine your personal communication styles, and then learn how the two of you can best interact. In this no-nonsense book, “psychobabble” is translated into easy-to-understand language that clearly teaches you what you need to do—and not do—for speaking each other’s language like you never have before. • The Secret to Emotional Connection • Charts and sample conversations • The most important conversation you’ll ever have • A short course on Communication 101 • Appendix on Practical Help for the “Silent Partner” Two softcover ”his and hers” workbooks are full of lively exercises and enlightening self-tests that help couples apply what they are learning about communication directly to their relationships. Love Talk is also available as an abridged Audio Pages® CD.

domain: psychology


text:
This year for Halloween I was inspired by the vibrant colors of the traditional Day of the Dead designs.
Those colorful skulls were so fun to work with and I enjoyed making all the colors pop !!
I hope you get inspired by the pictures !
For this party I used items from Day of the Dead partyrange from Oriental Trading.
Styling and Photography: That Cute Little Cake
Disclosure: All words and opinions are my completely my own. Items for review were provided by Oriental Trading at no cost. No other type of compensation was received for this review.

domain: artistic


text:
Good Karma Cafe
Raj and his wife came to Eudunda in 1998 after they fell in love with the area. They decided to settle there on a 17 acre block, and since then have started to grow their own produce. They grow their own organic fruit, vegetables and flowers. They also have free range chickens and amongst their native trees and shrubs, the local lizards and birds are also encouraged to make it their home as well.
Raj has been involved in the food industry since 1991, when he started working for an Indian restaurant in Unley. Later he joined Ayres House and was with Hyatt Regency for few years as well.
Raj started Good Karma Cafe 2007, making Indian food using good, wholesome, local, organic and ethically grown produce which intensifies the eating experience of his products. Cooking is his passion, translating the traditional flavours that he has enjoyed since his childhood.

domain: agronomy


text:
Britney Spears was dumped by her record label, Jive Records, in a not surprising move. The former pop princess has not had a hit album or single, and sales of her older recordings have stagnated.
Spears has been in the studio working on a new album, which now has no distributor and no company to pay production costs.
"I'd give the shirt off of my back right now to get that album finished," said Spears.
When asked if she would be wearing a bra underneath that shirt, Spears did not comment directly but said that: "I've worked my pants off for this industry, and look at the way they've treated me!"
"I'm sure I'll find another label that wants me," said Spears. "I know I can always go to Virgin Records."


text:
H.P. Hansen mid century Danish teak sideboard. It features a bank of five smoothly operating drawers on the right and one adjustable shelf behind each sliding door on the left and center sections. The cabinet sits gracefully on tall legs with a stretcher base. It is in excellent vintage condition with minor wear for age and use. Stamped on the back "made in Denmark".
71" wide, 19" deep, 33" high.


Adekunle Gold – Party No Dey Stop Ft. Zinoleesky Mp3 Download
Party No Dey Stop featuring Zinoleesky is a leading track off Adekunle Gold latest EP Album “Tio Tequila Ep” which was released few weeks ago.
Tio Tequila is a new body of work by superstar singer and songwriter Adekunle Gold, this EP contains 3 solid tracks which house a single featuring on the lead single titled “Party No Dey Stop” which he collaborated with fast rising Nigerian singer and songwriter Zinoleesky.
Adekunle Gold whose real name is Adekunle Almoruf Kosoko, known professionally as Adekunle Gold and AG Baby, is a Nigerian Afrobeats singer and songwriter currently signed to Def Jam Recordings. He gained widespread attention after releasing the 2015 hit single “Sade“, a highlife cover of One Direction’s “Story of My Life“.
Tio Tequila Ep contains 3 solid tracks, “Do You Mind“, “Omo Eko” and “Party No Dey Stop” featuring Zinoleesky, whose real name is Oniyide Azeez (born November 21, 1999) is a trailblazing artiste in Nigeria’s Street Pop music scene. The talented rapper, singer and songwriter is known professionally as Zinoleesky.
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Straight Outta Shape Kids T-Shirts
Straight outta shape, donuts, Doughnut, exercise, cardio, hiit t-shirt, High-intensity interval training, bodybuilding, weight lifting, deadlift, squat, Funny, funny pics, meme, jokes, funny jokes, funny memes, hilarious, laughing, comedy
Tags: donuts, jokes, exercise, weight-lifting, straight-outta-shape
He may be Sultan now, but Aladdin never forgot his roots. Show your street rat cred with this "Straight Outta Agrabah" t-shirt. It's hard on the streets, but one rub of a magic lamp could make the difference for you.
Tags: princess, disney-princess, walt-disney-world, disney-world, genie

domain: entertainment


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Ten tips to ace your final year OSCE
Mohammed Qureshi, a foundation year 2 doctor offers advice on how to prepare for your practical exams
By spending time on the wards you will gain insight into how to manage patients holistically and identify clinical signs first hand. Do this from the start of your clinical years. Be proactive and ask junior doctors to direct you to patients with classic histories and common clinical signs that are relevant to your exams, and visit a variety of specialty wards.
Practising objective structured clinical exam (OSCE) scenarios with friends on the wards, and also away from them, can help you to see each other’s strengths and weaknesses, and you can offer constructive feedback. Test each other under strict exam conditions. Designate roles of examiner, patient, and medical student. Away from group revision, you need to decide on the framework that you will use at each station and memorise a list of common symptoms to ask for, relating to each system. It is also worth recording yourself so you

domain: medical


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BEAVERCREEK — Citizens heard from various perspectives on the legalization of marijuana at a community forum in Beavercreek Thursday night. Forum panelists addressed the issue in light of Ohio Issue 3, a marijuana legalization initiative that is on the ballot in the Nov. 3 election.
Panelists included Ohio Patient Network President Robert Ryan, Ohio Attorney General Mike DeWine, Greene County Sheriff Gene Fischer, Cedarville University nursing professor Janet Neal, Cedarville University economics professor Bert Wheeler and Cedarville University pharmacy practice professor Mark Pinkerton.
Neal noted that levels of THC, the active ingredient in marijuana, (which controls pot’s potency and intensity), have increased since the 1960s and 70s: “Back in the day when Baby Boomers were interested in marijuana, the THC level was 1 percent,” she said. “Now the level is 14 percent, upwards to nearly 25 percent. The goal [of marijuana producers] is to improve the agricultural methods so that those numbers can climb higher and higher.”
Neal also mentioned negative effects of marijuana, including the exacerbation of bipolar disorder and schizophrenia and said that “people that are smoking marijuana can expect to be at least moderately depressed and anxious from time to time just because marijuana is also a depressant.”
Pinkerton cited the adverse effects of marijuana, including hypertension, dizziness, decreases in reaction time, diminished cognitive ability, impaired memory, increased anxiety, among others.
Ryan, a proponent of the legalization amendment, said, “Primarily almost 95 percent of our studies are all geared towards finding some sort of negative effect. It’s very, very hard for a clinician to study anything that says this is a positive effect.”
Ryan also cited a 2014 study that found that states that had legalized medical marijuana had a 25 percent lower opioid drug overdose death rate than states where medical marijuana was illegal.
“Marijuana is a substitute for some of these heavy-duty narcotics that people use,” he said. “I used to be on the Ohio Patient Network hotline for two years and I heard from people all over the state of Ohio where these deep, deep pain patients, they would take massive amounts of opiate drugs, that would literally kill me and you probably. They told me over and over again that the more marijuana they had, the less of the heavy-duty narcotics they need and the more functional they were with their families. Frankly maybe marijuana is a gateway. It’s a gateway off these heavy-duty narcotics.”
Fischer said if Issue 3 passes, he would see the need “probably … for additional officers” as well as additional training for law enforcement. DeWine said that legalization would create a “logistical nightmare” for law enforcement.
After warning of dangers of marijuana to young adults, DeWine called the initiative an “absolutely crazy” way to legalize marijuana, pointing to what has been described as the “monopoly” structure of the legalization amendment proposed by ResponsibleOhio.
Ballot language for the proposed legalization amendment states that exclusive rights to marijuana growth, cultivation and extraction would be endowed to landowners in 10 locations throughout the state. Recreational sale of marijuana would then be permitted at “approximately 1,100 locations statewide.”
Wheeler concurred with DeWine by calling the proposal an “economic abomination.” While he said a report by ResponsibleOhio overestimates the potential economic impact of the amendment, he also said he believed that “on net Issue 3 will have a positive impact on the economy.”
DeWine also addressed the situation brought about if Issues 2 and 3 were to pass together. Issue 2, which was crafted in response to Issue 3, would prohibit any petitioner from using the Ohio Constitution to grant a monopoly. DeWine said that situation would have to be addressed by the Ohio Supreme Court.


Property investors who have had real estate in Carlisle, 6101 should be unhappy with this WA suburb’s performance compared to the rest of the country. Over the last year it has seen median house prices decrease in value by -7.37%
Data for the last quarter indicates that, in the short term at least, the capital value growth rate for property investors in Carlisle has increased when compared to the 5 year average annual rate.
Carlisle, 6101 is offering WA ‘s 173th most discounted properties when looking at the average discount being offered by vendors. This puts it in the middle of discounts offered by this WA.
Using the current median advertised rental of $390 and the average annual increase in value of a median property of 2.92%, investors should hope to achieve an overall return of 3.86%
At number 1640th in the list of Australian suburbs ordered by increase in median house value over the last year, Carlisle, 6101 is in the BOTTOM 10% with a property value increase of -14.61% recorded in median house prices.
While Carlisle,6101 ranked number 59th in WA for increase in median house value (annualised) increase, it is ranked 48th over the last 5 years.
Carlisle, 6101 is offering WA ‘s 8th most discounted properties when looking at the average discount being offered by vendors. This puts it in the TOP 10% of discounts offered by this WA.
At number 1213 in a list of fastest selling suburbs, Carlisle is in the bottom 20% of suburbs in Australia with an average of days on market 105.7 for properties listed there.
A $365 per week rent on the median house gives suburb investors a gross yield of circa 4.36%, without taking into account capital value appreciation, which has been averaging out at -0.08%.
Located just 6km southeast of Perth, the suburb of Carlisle is becoming a hit with professionals and retirees.Full summary
Information supplied by:
Located just 6km southeast of Perth, the suburb of Carlisle is becoming a hit with professionals and retirees.Close
According to Kim Findlay, director of Grange Realty Group, its proximity to train lines and the CBD makes it a desirable place to live.
“It’s almost an inner CBD extension,” he explains.
"There are a lot of professionals living here because Carlisle is close to the city. For the many students in the area, its proximity to universities is a factor. For retirees, the café strip lifestyle is attractive.”
Historically, Carlisle was dominated by tenants. “But it’s changing now,” says Findlay.
“A growing number of owner-occupiers are taking advantage of the affordable prices currently. There are fewer investors than before because Perth is experiencing a downturn at the moment, and rents have dropped. But I believe it’s just a phase,” he says.
The suburb enjoys a range of amenities, including a vibrant café strip and a sports stadium.
The West Coast Eagles is also relocating its sports club to Carlisle.
“Carlisle is going through a transformation at the moment,” says Findlay.
“The Victoria Park café strip is being redeveloped, and the Crown entertainment strip is being upgraded."
The best buys, according to Findlay, are threebedroom, two-bathroom houses.
“These homes are built on 1,000sq m pieces of land. Most blocks can accommodate about three properties each,” he says.


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On the 21st of May, the Fascination of Plants Day will be arranged for the sixth time in Umeå, this time together with Curiosum. We invite you to a day filled with different activities around plants and plant research. Pass by and get fascinated by the world of plants!
The Fascination of Plants Day is an international event. More than 500 scientific institutions, universities, botanical gardens in more than 50 countries will open their doors to visitors. The goal is to get as many people as possible around the world fascinated by plants and enthused about plant science.
More information about the event in Umeå and the programme will be published closer to the event. Are you interested to read more about the Fascination of Plants Day? Have a look on these pages:

domain: hobby


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by Mon Exteriors
AIVY GLASS VASE
available in 2 sizes: 19.5 x 16cm / 24 x 17.5cm (height x diam)
a retro-inspired yellow glass vase that can be used for cut flowers, artificial foliage or as an objet
MØN offers a selection of sophisticated outdoor furniture, indoor pieces, as well as a curated range of interior accents to the design-conscious individual who wants to create unique, functional and attractive spaces both indoors and out.
We believe that good design transcends mere aesthetics: the furniture and decor used within a space should be practical enough to fit into daily life - all the while, remaining exceptionally well-made and timeless so as to enhance your unique way of living.FIND OUT MORE →


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The Real Cost of a Vacation Home
What if instead of buying that vacation home, you invested the money?
Have A Question About This Topic?
We all know the stock market can be unpredictable. We all want to know, “What’s next for the financial markets?”
Drinking may be a “rite of passage” for teens, but when it occurs in your home you may be held responsible for their actions.
Making the most of surprises is a great reason to work with us.

domain: economics


US 5180196 A
A gasket adapter for providing a sealing surface on a ribbed conduit is disclosed. The adapter is fabricated from an elastomeric material and includes a smooth, cylindrical outer surface adapter to mate with a conventional gasket employed between an opening and a conduit, or between aligned conduits. The inner surface of the adapter comprises a series of peaks and valleys which are adapted to nest with the peaks and valleys of a conduit surface. The adapter is initially fabricated with its cylindrical surface as its inside surface so that the adapter may be installed on the ribbed conduit and then inverted to provide the smooth outer sealing surface.
1. A method of installing a gasket adapter on a conduit comprising the steps of providing a conduit having a surface characterized by a multiplicity of peaks and valleys, providing a gasket adapter having a smooth, cylindrical inner surface, and an outer surface having a plurality of peaks and valleys substantially complementary to the shape of the peaks and valleys of the conduit, the inside diameter of said adapter being slightly less than the outside diameter of the peaks of said conduit, axially inserting said gasket adapter on said conduit so that the smooth, cylindrical surface tightly embraces the peaks of said conduit, inverting said gasket adapter by axially and radially pulling one end of said gasket adapter until the adapter is turned insideout with the peaks of said adapter entering the valleys of said conduit and with the cylindrical valley portions of said adapter tightly embracing the peaks of said conduit.
This invention relates to sleeve gaskets for pipes and, more particularly, to adapters for providing a smooth sealing surface on a pipe which has external reinforcing ribs so that the surface of the pipe comprises a multiplicity of peaks and valleys.
Fluid conduits and, more particularly, sewer pipe, have been made from concrete. In recent years, there have been proposals to replace such concrete conduits with plastics due to the improved physical characteristics of plastic and the desirable strength-to-weight ratio compared to concrete. A major drawback in employing plastic conduit as a substitute for concrete is the cost of the plastic, particularly when employing smooth-walled plastic tubing as a substitute for smooth-walled concrete tubing having equivalent mechanical strength.
While corrugated tubing offers increased stiffness in the tube wall, the corrugated interior of the pipe presents undesirable flow characteristics within the conduit. An acceptable plastic conduit having desirable strength-to-weight ratios and acceptable cost factors is plastic tubing having a smooth-walled interior with external projecting reinforcing ribs which provide desirable hoop strength characteristics to the tubing and which do not add materially to the weight or cost of the conduit. Since pipe joint sealing gaskets are designed to provide a fluidtight joint between smooth-walled conduits and openings in rigid concrete structures, such as a manhole, a pipe section, a septic tank, or the like, the conventional sealing gaskets cannot perform their sealing function with respect to a ribbed conduit.
This invention provides a gasket adapter for providing a smooth, cylindrical sealing surface on a ribbed conduit which will enable use of conventional sealing gaskets between the conduit and openings in concrete or other structures and which will enable use of conventional coupling members to join ribbed conduits in an end-to-end fashion. According to this invention, a gasket adapter has a smooth, cylindrical outer surface and tapered end portions which facilitate the use of the adapter in jab-joint connections. A particularly advantageous feature of this invention is that the adapter is symmetrical about a plane bisecting its central axis so that the adapter cannot be mounted on a ribbed conduit improperly. The beveled edges of the adapter provide for compression of both the adapter and the gasket in the opening to be gradually increased during insertion of the pipe.
The gasket adapter is provided with an inner surface having a plurality of peaks and valleys which substantially complement the shape of the peaks and valleys of the ribbed conduit along the axial extent of the portion of the pipe to be sealed. These peaks and valleys are in the form of axially spaced semitoroidal lobes which add rigidity to the outer cylindrical surface of the adapter.
The gasket adapter according to this invention is manufactured by conventional extrusion techniques from suitable elastomeric material. The extrusion is vulcanized and cut to predetermined lengths, and each length is fused or cemented end-to-end to form a tubular configuration. The gasket adapter may also be manufactured by compression or injection molding techniques. The adapters are formed with the smooth cylindrical surface inside, with the internal diameter of the adapter being slightly less than the diameter of the ribs on the conduit. Each adapter is then axially fitted onto the conduit with a slight interference fit and in a location which is axially offset from the desired final position of the adapter. Since the beveled ends of the adapter are initially located on the inside of the adapter and flare from the inside cylindrical surface, those portions facilitate the initial placement of hte adapter on the conduit. To properly position the adapter for use with a conventional gasket seal, the adapter is turned inside-out from its initial form so that the circumferential lobes enter the spaces between the ribs on the conduit. This operation may be accomplished in the field by the installation crew. It may also be advantageous to have the adapters mounted in their preinverted positions on the conduit during shipment to the job site to prevent the conduit from abrasion damage.
FIG. 1 is a fragmentary, cross-sectional view of a gasket adapter mounted on a conduit in its operative position for receiving a sealing gasket;
FIG. 2 is a fragmentary, cross-sectional illustration of the sealing gasket in a preliminarily mounted position on the conduit;
FIG. 3 is a fragmentary, cross-sectional view of an adapter being inverted to its operative position from the position illustrated in FIG. 2 to the position illustrated in FIG. 1;
FIG. 4 is a cross-sectional view of a gasket adapter according to this invention illustrating the adapter in use with one type of seal between a conduit and a manhole;
FIG. 5 is an illustration similar to FIG. 4, but showing the adapter in use with another form of seal;
FIG. 6 is a cross-sectional view of a gasket adapter according to this invention illustrating the adapter in use with a splice connector to join ribbed pipes in an end-to-end fashion; and
FIG. 7 is a cross-sectional view similar to FIG. 6, but showing the adapter in use in a splice connection between a ribbed pipe and a concrete pipe.
Referring now to the drawings, and particularly to FIGS. 1 through 3, there is illustrated a gasket adapter 10 according to this invention. The adapter 10 is extruded from an elastomeric material, and is joined at its ends to form a cylindrical sleeve configuration having a smooth, cylindrical surface 12 and an opposite surface 14 having a series of semitoroidal protuberances 16. The protuberances 16 are axially spaced by cylindrical sealing surfaces 18. The ends of the adapter 10 are defined by frustoconical beveled edges 20.
The ends of a flat length of extruded, elastomeric material are cut to a predetermined length and formed into a cylinder, with the smooth cylindrical surface 12 constituting the interior surface of the adapter 10 as originally manufactured. The length of the extrusion is determined so that the circumferential extent of the surface 12 defines a diameter which is slightly less than the diameter of the ribs on a conduit to which the adapter is applied.
Referring particularly to FIG. 2, the inside diameter of the surface 12 is slightly less than the outside diameter of radially projecting ribs 22 on a length of plastic conduit 24. The conduit 24 illustrated herein is conduit produced by Extrusion Technologies, Inc., of Roswell, Ga., and marketed under the trademark ULTRARIB in various diametrical sizes. As may be seen in FIG. 2, the adapter 10 is initially positioned on the ribs 22 of the conduit 24, with a slight interference fit. In this state, the surface 12 is in compression and the surface 14 is in tension. The conduit 24 is further reinforced by a series of circumferential ribs 26 between the ribs 22.
When the conduit 24 arrives at the job site and is to be installed in a fluidtight relationship with a portal opening, the adapter 10 is positioned for sealing engagement with a gasket in the following manner.
Referring now to FIG. 3, one end 30 of the adapter 10 is grasped and pulled radially and axially in the direction of the arrow so that the adapter 10 inverts itself to assume the position illustrated in dotted outline in FIG. 3 and as illustrated in FIG. 1. In this position, the adapter 10 provides the cylindrical surface 12 on the outside of the adapter. The semitoroidal projections 16 occupy the spaces between the conduit ribs 22 and the cylindrical spaces 18 press tightly on the ends of the ribs 22 to provide a plurality of sealing surfaces at the interface between the adapter 10 and the conduit 24. The adapter 10 should be positioned on the conduit 24 in a location which will permit the adapter 10 to be finally located after inversion at its final sealing location on the conduit 24, since it would be difficult to reposition the adapter after it is locked in place. Such repositioning would thus be accomplished by reinverting the adapter 10 and sliding the surface 12 on the ribs until a proper preinversion position is attained.
One application of the adapter is illustrated in FIG. 4. Referring to that figure, a pipe-to-manhole seal is illustrated wherein the pipe-to-manhole seal includes a radially expandable locking sleeve 40 which is adapted to form a seal between a pipe receiving opening 42 in a reinforced concrete manhole 44. The seal illustratrated in FIG. 4 is set forth in more detail in U.S. Pat. No. 4,478,437, the disclosure of which is incorporated herein by reference. The sleeve 40 is a resilient, elastomeric material, such as rubber, neoprene, or suitable plastic, and is provided at one end with at least one annular groove 46 for receiving a conventional screw-type, annular clamping band 48, as disclosed in U.S. Pat. No. 4,242,164. The other end of the gasket 40 is provided with an internal cylindrical seat 50. The conduit 24, having the adapter 10 in place thereon, is received through the gasket 40, and the clamping band 48 is tightened to provide a seal between the inner surface of the gasket and the cylindrical surface 12 of the adapter 10. A sealing surface is also provided between the annular spaces 18 and the ribs 22. A radially expandable split sleeve 52 is coaxially received within the gasket 40 and, more particularly, within the cylindrical seat 50, and the sleeve 52 is expanded radially to sealingly compress the gasket against the wall of the opening 42, as shown.
Another pipe-to-manhole seal arrangement is shown in FIG. 5. The particular seal illustrated is a "jab-joint" or interference fit manhole connector of the type disclosed in U.S. Pat. No. 4,809,994, the subject matter of which is incorporated herein by reference. The pipe-to-manhole seal illustrated in FIG. 5 comprises a circular gasket 60 which provides a fluidtight joint between an opening 62 in a cylindrical manhole riser 64 and the conduit 24. The gasket 60 is provided with a generally T-shaped anchoring projection 66 which is cast in place in the manhole riser to securely anchor the gasket 60 therein. The conduit 24, with the gasket adapter 10 properly mounted thereon, is axially inserted into the opening 62 in the direction of the arrow so that the gasket 60 engages the cylindrical surface 12 of the adapter 10. The beveled edge 20 on the adapter facilitates the insertion.
A further use of the adapter 10 is illustrated in FIG. 6. An adapter 10 is positioned on each facing end of aligned conduits 24. A flexible elastomeric sleeve or splice coupler 70 is positioned over each adapter 10 and is clamped thereon by conventional screw-type annular clamping bands 72.
A still further use of the adapter 10 is illustrated in FIG. 7 for joining a ribbed conduit 24 to a concrete pipe 80. A preformed elastomeric sleeve 82 having an enlarged end portion 84 is positioned on the pipe 80 and one end of the conduit 24. Conventional screw-type clamping bands 72 apply clamping pressure to the pipe 80 and the adapter 10.
Although the preferred embodiment of this invention has been shown and described, it should be understood that various modifications and rearrangements of the parts may be resorted to without departing from the scope of the invention as disclosed and claimed herein.


High Street clothing retailer Ted Baker is expanding into the mobile phone arena.
The company has revealed that it is working with Carphone Warehouse for the launch of two Ted Baker-branded mobiles next month. This will see it follow in the footsteps of other luxury fashion labels such as Prada and Armani, which both recently stepped into the mobile phone market.
Ted Baker has also recently moved into children's wear - the Baker label is exclusive to 69 Debenhams department stores and has been performing well.
The mobile announcement came as the firm revealed half-year revenues had grown eight per cent to £66.2m, although pre-tax profits were flat at £7m amid contrasting fortunes for its retail and wholesale divisions.
The group's shift towards retail and licensing will mean that the firm will see most of its annual profit stem from the second half.
Ray Kelvin, Ted Baker's chief executive, said the company had thought long and hard about its brand expansion. "We're not going to stick our name on absolutely everything. Armani have one coming out and Prada have had one," he said on the mobile phone move.


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Ecoalf Elioalf Knit Sneakers - White
The Elioalf sneakers are made from recycled polyester, partly from bottles recovered from the sea, thus giving a second life to these recovered materials. In a comfortable and sporty design, they are the perfect fit for a sustainable lifestyle.
Main fabric: 50% Recycled polyester (UTO) / 45% Recycled polyester / 5% Elastane
Insole: 100% Polyester
Sole: Recycled rubber / 5% Rubber
Laces: 100% Polyester


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The two stars tweeted out their thanks to the wonderful fans for coming to see them after participating in a Q&A session.
Jackson shared just before the premiere, “Loving being here in Copenhagen for #Twilight #BreakingDawn2 premiere! What a beautiful city with beautiful people! ..and delicious coffee.”
“The premiere in Copenhagen was so incredible! I want to thank all of the fans for coming out! Thank you thank you thank you!!!” Nikki wrote.
FYI: Nikki wore an Oscar de la Renta gown with a Stark clutch and Norman Silverman hoops/bangles.


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Miraclesuit Gilty Pleasures Jubilee Soft Cup Tankini Top
Out of stock
Tankini Top Separate
Show off your unmistakable style in the Miraclesuit Gilty Pleasures Jubilee Tankini Top, #6511387, a uniquely bold separate offering the utmost glamour and coverage with front, flowing layers and a magnificent, eye-catching and foil embossed animal print design. Adjustable shoulder straps meet at a full straight back while a soft cup bra and flattering square neckline firmly support the bust. Pair this pop of pretty with many of our coordinating bottoms.
|Highlights||• Soft Cup Bra • Bra Can Accommodate Up To A D-Cup • Square Neckline • Adjustable Straps • Full Straight Back • Bottom Sold Separately • 82% Nylon, 18% LYCRA® Spandex|
|Fabric & Care||Wear and Care Instructions|
|Fit Tip||Many customers order a swimsuit in their usual pant size for the most comfortable fit. See our
Fit Guide or consult our size chart.
|Fit Solutions||Add Curves|


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LOS ALTOS Calif. The Black Angus Steakhouse chain said it has shuttered seven locations this week because of “disappointing sales.”
The closures were in Thousand Oaks, Calif.; Scottsdale, Ariz.; Las Vegas; and two each in the Salt Lake City and Denver markets. Seventy-five locations remain in eight states. Officials said employees at the shuttered restaurants would be offered the opportunity to transfer to other locations.
Bruce MacDiarmid, Black


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Bill C-8 [electronic resource] : an Act to Amend the Canada Transportation Act (Railway Transportation) / David Johansen
- Johansen, David
- Additional Titles:
- Act to Amend the Canada Transportation Act (Railway Transportation)
- [Ottawa] : Parliamentary Information and Research Service, 2008.
- Rev. 27 June 2008.
- Additional Creators:
- Canada. Parliamentary Information and Research Service
- Restrictions on Access:
- Free-to-read Unrestricted online access
- Report Numbers:
- Canada. Canada Transportation Act
- Canada. Loi sur les transports au Canada
- Railroads—Freight—Rates—Law and legislation—Canada
- Railroad law—Canada
- Railroad sidings—Law and legislation—Canada
- Transports ferroviaires—Marchandises—Tarifs—Droit—Canada
- Chemins de fer—Droit—Canada
- Voies d'évitement (Chemins de fer)—Droit—Canada
- Distributed by the Government of Canada Depository Services Program.
Issued also in French under title: Projet de loi C-8, Loi modifiant la Loi sur les transports au Canada (transport ferroviaire).
- Bibliography Note:
- Includes bibliographical references.
- Type of File/Data:
- Electronic monography in PDF format.
View MARC record | catkey: 25346255

domain: library


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The polish I have to show you today is just as amazing on the nails as it is in the bottle! It's Models Own Indian Ocean. Since it's a sheer, duochrome, shimmer polish, I chose to layer it. My base of choice? Hard Candy Sky--a pretty, light blue creme.
Indian Ocean has a blue tint, so it made Sky appear more vibrant than usual. The pink shimmer was also quite evident, although I had a hard time capturing its actual vibrancy on camera. I shoot my pictures by a window, and the light totally out the shimmer :( Oh, I recently made a lightbox using Sarah's super easy tutorial, so look out for my more consistent lighting scheme soon! :D
For another variation on layering Indian Ocean, check out my girl LB's blog here! She comes up with some of the sickest layering combos, and her blogging voice is always so much fun to read (:


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I am pleased to announce the publication of my new book, Lawyering an Uncertain Cause: Immigration Advocacy and Chinese Youth in the U.S.(Vanderbilt University Press).
With public outrage rightfully centering on the U.S.’ treatment of young migrants and their families, this book explores critical and timely—yet largely unconsidered—dimensions of mobility and advocacy:
- What are the motivations and perspectives of young migrants from regions other than Central America?
- What compels (and constrains) the legal advocates who work on these youths’ behalf?
- What are the long-term experiences of young migrants post-release—including the unanticipated consequences of a "successful" legal case?
Contextualized through histories of Chinese emigration, U.S. immigration policy, and ideologies of age and childhood, Lawyering an Uncertain Cause ethnographically traces the practices and aims of immigration cause lawyers alongside the transnational negotiations of their clients: young Chinese migrants who have been apprehended, designated “Unaccompanied,” and placed in removal proceedings. Bringing these perspectives together for the first time, this book subtly illuminates the consequential uncertainty at the heart of lawyering for and around youth mobility.
Written to be accessible and widely read, Lawyering an Uncertain Cause will appeal to scholars and students of immigration, the anthropologies of law and/or childhood, sociolegal studies, labor studies, rural “new destinations,” and Asian studies. It will also be useful to legal practitioners and law students, particularly those interested in immigration law, child welfare, and the legal profession.
"A humanistic, wonderfully written, engaging, and terribly important work of scholarship in a crucial area of research."
—Robert Barsky, author of Undocumented Immigrants in an Era of Arbitrary Law: The Flight and the Plight of People Deemed "Illegal”
List Price: $27.95


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Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently recognized non-Hodgkin lymphoma of T-cell origin. Despite the low incidence of this new disease, the increasing use of breast implants for cosmetic or post-mastectomy reconstruction purposes places BIA-ALC as an emerging and compelling medical challenge. The real BIA-ALCL pathogenesis has not been fully uncovered so far, while different putative causal factors have been proposed. Breast implants with textured surfaces seem to be associated with nearly all cases of BIA-ALCL, while the real the risk of disease development has not been well estimated so far. Late onset, persistent seroma around breast implant represents the classical clinical presentation. Most of the BIA-ALCL patients presents with localized disease, which confers an excellent prognosis. Unlike other non-Hodgkin lymphomas, surgical excision of the mass has a key role in the treatment. For patients with advanced and disseminated diseases, the treatment did not differ from other types of T-cell lymphoma. For these reasons, BIA-ALCL represents an emerging disease which requires multidisciplinary team approach to well define diagnostic workup and treatment for each patient. This review article aims to summarize available data on BIA-ALCL. First, we will outline available data on BIA-ALCL epidemiology, pathogenesis, diagnostic work-up, and treatment. Second, we will point out the potential psychological implications as well as the risk of perception distortion for women with breast implants, especially for those with previous breast cancer. Lastly, we will summarize the current national recommendations regarding textured breast implants and discuss the diagnostic-therapeutic algorithm for BIA-ALCL management.
- Breast implant-associated anaplastic large cell lymphoma
- Breast implants
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging

domain: literature


text:
Woman arrested over 'abuse' of snake in Aberdeen street
Police and animal charity called after video circulated on social media.
A teenager has been arrested over the alleged abuse of a snake in an Aberdeen street.
Police were called after a video began circulating on social media allegedly showing a woman waving the boa constrictor in the air and repeatedly throwing it to the ground.
On Wednesday evening police confirmed an 18-year-old woman had been charged in relation to alleged animal cruelty.
She will be reported to the procurator fiscal and will appear at court a later date.
Sergeant Jonathan Spence said: "Enquiries were carried out involving police and the Scottish SPCA and we are grateful to members of the public who have assisted."
The snake died on Wednesday afternoon, and a postmortem has been carried out.


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Taken at Healesville Sanctuary, Victoria, Australia, the Fairy Wren is still one of my favourite subjects to photograph.
Terrific fine detail in wren image nice an sharp.
Quote: Terrific fine detail in wren image nice an sharp
Thanks for your comment Frank unfortunately, a long lens and a short distance to subject has meant not much DOF but at least the eyes are sharp
Complaining he's too close..eh? I wish I had that problem more often. Today dragon flies were too close part of the time. Your image here is really very good. Yellow mask red beak blue tail. We never see that here in BC Canada. TG
Quote: Complaining he's too close..eh
Not complaining really but she wouldn't hang around whilst I changed lens
A rather stunning point of view in which to capture this superbly detailed, pin sharp little fella, simply gorgeous.
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1st November 2015 - 30th November 2015
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January 14th, 2010
Airing two nights before its American premiere (Sunday at 8pm ET) may seem like a big deal for Canadian viewers of FOX’s new series Human Target, but it’s not as if the show’s pilot has been an unknown quantity. The pilot was basically presented in a condensed form as the show’s trailer back when it debuted at last Spring’s upfronts, and since the show was held for midseason it’s been “out there” for long enough that every beat of the show’s first episode was predictable.
Of course, part of the show’s charm is that every part of it is predictable: even if you had never seen or heard of the show before, chances are you knew that the inaugural voyage of a futuristic bullet train was not going to go smoothly. It is a show that has no intention of being surprising, nor upending expectations based on its genre: this is a lightweight action thriller of a television show that creates weight through intense action sequences and strong production values as opposed to subtle character development. By building that show around three very likeable and talented actors, and by crafting a relationship between them that has just the right balance of mistrust and respect, the show creates the kind of “setup” that promises to be exactly what you expect it to be.
There’s something comforting about that, something that has proved to be an admirable quality with other series that I’ve grown to be quite a fan of – I’m hopeful the same happens here.


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The Rogers Fire Department and Centerton Fire Department will celebrate the life of Captain and Paramedic Mike Cerasale with a public procession on Thursday, May 7. The procession will leave Rogers Fire Station 2 at 1 p.m. and end at Centerton Fire Station 1.
As COVID-19 is still a threat to our community, it is very important that those that wish to participate in the procession do so strategically. In an effort to uphold the current social distancing directives in place, officials from the Rogers and Centerton Fire Departments are asking those that are planning to pay respects to Captain Cerasale and his family to accumulate along the procession route in areas that maintain at least a 6-foot distance from other parties. Please do not gather in groups of more than 10 persons, and you are strongly encouraged to wear a mask. Participants are encouraged to park in parking lots along the route and get out of their vehicles to show their respects.
After leaving Rogers Fire Station 2 (located at 1800 W New Hope Rd.) at 1 p.m., the route will proceed west on New Hope and turn north on Dixieland Road. The procession will continue north on Dixieland to Hudson Road (Highway 102/14th Street in Bentonville), then continue west on Hudson Road/Highway 102 to Centerton Fire Station 1 (located at 755 W. Centerton Blvd.). Please see the attached map for more details.
“Unless you have worked within a fire department or have a family member that is a firefighter, it’s hard to comprehend how close we all grow to know one another,” Rogers Fire Chief Tom Jenkins said. “We are a family, and Mike played a huge role in our family. While he will be greatly missed, we will always be thankful for the memories we made and lessons we learned from Mike. Both the Rogers and Centerton Fire Departments will be wearing black bands on our badges for the next month as we honor the life and legacy of Captain Cerasale.”
Captain Cerasale served the citizens of Rogers for nearly 23 years. He was assigned to Engine 2 on the “A” platoon at the Rogers Fire Department. Cerasale also served as Training Chief for the Centerton Fire Department during his off time.
For more information regarding details of the procession, please contact Chief Jenkins at 479-621-1179.


Whenever practical, members of the California Cadet Corps shall, under the supervision of the commandant of cadets, be permitted to utilize California National Guard rifle ranges for marksmanship practice when the ranges are not being used by the California National Guard.
Whenever practical, members of the California Cadet Corps shall
be permitted to utilize California National Guard facilities for training activities.
The legislature occasionally skips outline levels.
(3) A person may apply [...]
(4)(a) A person petitioning for relief [...]
In this example, (3), (4),
and (4)(a) are all outline levels, but
omitted by its authors. It's only implied. This presents an
interesting challenge when laying out the text. We've
decided to display a blank section with this note, in order
to aide readability.


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Posted , 9 users are following.
Hi, I have suffered from chronic headaches since about 10 years old and have always been fobbed off by doctors until I was 21 when I kept a headache diary. After trying a number of different medications (inc. Amitriptyline which did not work) and changing surgeries I've now been referred to a neurologist (I'm now 26). Three weeks ago I started Topirimate, starting at 25mg and to be increased weekly until I reach the max dosage of 500mg a day. So currently I'm on 75mg a day.
I am starting to be quite scatty and forgetful, I can find it quite hard to follow what people are saying. I'm getting pins and needles in my feet and I get really really itchy. I'm having mood swings, I quite often feel like I can't be bothered to do anything and today I'm feeling very down. I just want to know, is it worth sticking with? Will it get better? I'm on such a low dosage and have got a long way to go until I reach 500mg - on the plus side I'm down to 2 headaches a week so far...
I have read so much bad stuff about this medication! Has anybody had a good experience??
1 like, 12 replies

domain: health


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Stephen R Wilson
I’m a BABCP accredited Cognitive Behavioural Psychotherapist with over 35 years experience helping people manage emotional difficulties.
I specialise in anxiety disorders and in assisting people to overcome issues relating to low self-esteem and a harsh internal critical voice.
I also have a wealth of experience and skill in assisting people to deal with the implications of chronic pain issues.
I am also chair of the BABCP Independent Practitioners Special Interest Group
Please use the details below to contact me and book an appointment, between the hours of 8:30AM – 17:00PM, Monday to Friday.
What Is CBT?
Learn more about CBT and how I can help you.


Golfing in between the books
LINDA KOEHLER/TIMES NEWS
Members of the Teen Advisory Group of the Palmerton Area Library, have been working on their annual Mini Golf Tournament to be held at the library on Saturday, Sept. 10 from 4-7 p.m. It is open to all ages. There will be nine holes placed throughout the shelves of books. Setting up the "Alice in Wonderland" hole are, left to right: Tyler Riggio, Andrew Kmetz, Paige Kravetz, Stephanie Rizzio, Elizabeth Allen, Elizabeth Anthony, Maison Allen and Lenaick Zelienka.


- Doors and Seats
2 doors, 2 seats
5.2i, 10 cyl.
- Engine Power
Petrol (98) 12.7L/100KM
7 Spd Auto (DCT)
3 Yr, Unltd KMs
- Ancap Safety
2018 Audi R8 RWS review
It's the first-ever rear-wheel-drive Audi, but is a departure from quattro a good thing? Paul Maric drives the new Audi R8 RWS to find out.
- Incredible engine and throttle response
- You can live with this car every day
- Far more playful and fun to drive outside of the car's limits
- That exhaust note...
- Can't be optioned with carbon-ceramic brakes
- Limited to just 999 units
- Lack of central infotainment screen means any changes made by the passenger interrupt the driver's cluster
Work days don't get much better than this – over 400km on public roads and then half a day lapping one of the best racetracks in the world in a V10 road missile. It doesn't happen often, but when it does, you savour the moment.
The V10 road missile in question is the limited-edition 2018 Audi R8 RWS (Rear Wheel Series). Limited to just 999 units, the R8 RWS is the first Audi to ever be offered in rear-wheel drive, breaking from a tradition of front- and all-wheel-drive vehicles, plus a marketing campaign that leans on the benefits of quattro.
Available in both coupe and roadster, the Audi R8 RWS kicks off from under $300,000 (before on-road costs), just. The R8 RWS Coupe is offered from $299,500 (plus on-road costs), while the RWS Spyder bumps the price up to $321,000 (plus on-road costs).
To put that into perspective, they are $67,500 less than their all-wheel-drive siblings and almost $100,000 cheaper than their Italian cousin, the Lamborghini Huracan LP580-2.
Visually, you won't spot a great deal of difference between a regular R8 and an R8 RWS – unless you option the stripe package. The R8 RWS misses out on the quattro badges, gets a grille finished in matte black, 19-inch high-gloss black alloy wheels, rear air vents in matte black and exhaust outlets finished in high-gloss black.
Audi claims that up to 60 per cent of components are shared with the R8 LMS GT4 car, making this a close representation of the racetrack weapon.
Fifty kilograms of weight has been saved under the skin by removing the front and centre differentials. Further weight-saving was found by removing the forward and backward electric mechanism on the driver and front passenger seats, netting 550g per seat.
Changes were also made to the front and rear suspension geometry by increasing front rigidity by 10 per cent and adding camber to the rear wheels for added cornering stability. Finally, changes to the stability control were also implemented to allow extra slip angle for added dynamic feel.
Powering this mid-engined configuration is a mighty 5.2-litre naturally aspirated V10 engine that produces 397kW of power and 540Nm of torque, with torque sent via a seven-speed dual-clutch automatic gearbox. A sprint from standstill to 100km/h takes 3.7 seconds in coupe form, while the Spyder takes slightly longer at 3.8 seconds.
Our epic drive route commenced at Melbourne Airport and snaked its way through regional Victoria through to Phillip Island. These roads included a mix of highway, winding roads and poor-quality country roads. It gave us a great opportunity to sample some of the car's features and to see how it performs as a daily driver.
At low speeds, one of the things that immediately becomes obvious is how easy the R8 is to drive. It's fitted with a rear-view camera that pops up on the Virtual Cockpit screen ahead of the driver. It teams with front and rear parking sensors, plus adequately sized wing mirrors, to make placing the car quite easy.
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The Audi R8's interior really helps it stand out. It's elegant, minimalist and full of technology. A central infotainment system is replaced by Audi's Virtual Cockpit – a 12.3-inch colour screen that sits ahead of the driver and replaces traditional analogue gauges and a central infotainment screen.
The centre stack now just features climate controls, a gear selector and an MMI controller. It's clean and removes a litany of screens and buttons that could otherwise occupy that space. If you're going to use this car as a daily, it's worth considering the total storage on offer. There's 112 litres of cargo capacity in the front boot and 226 litres available behind the driver and front passenger seats.
The R8 is also available with Audi exclusive equipment, which allows the driver to customise the colour of their car and its components to the nth degree – everything from leather grades to stitch colours can be changed to suit the buyer's needs.
It's the noise that really sells this thing. Push the steering wheel starter button and the R8 RWS fires to life with an epic bark that can be heard from a distance.
While the dual-clutch gearbox can be a little fussy at low speeds, it loses its hesitation and mild jerkiness once the car is moving. Despite the engine not featuring any form of forced induction, the 5.2-litre V10 is incredibly responsive at any speed. The throttle remains razor sharp and it's ready to move with every flex of the right foot.
The steering wheel mounted drive-select button allows the driver to move between four drive modes – comfort, auto, dynamic and individual. Select dynamic mode and the engine slots back several gears, with the exhaust note becoming much louder. At the same time, the steering gets slightly heavier and the car is ready for an assault on the senses.
Four-wheel steering and adaptive dampers are dropped from the available features list to create a simplified and natural-feeling drive. The suspension is on the comfortable side of sporty. The suspension picks up most road imperfections, but doesn't crash through the cabin. The bumps are softly damped with little unsettling the ride mid-corner.
Steering feel is excellent with a wheel that sits perfectly in the hand and offers direct communication with the road. But, get ready to experience the cheapest-feeling paddle-shifters you've ever seen when you go to change gears manually. The plastic-clad paddle-shifters feel out of place in what is otherwise an amazing-looking cabin.
The tyres measure 245mm wide at the front and a whopping 295mm wide at the rear. This combination affords plenty of traction mid-corner. It's actually so good that you really need to work hard to unsettle the rear. A stack of mechanical grip is backed by a planted body that barely moves from a level plane when punted through corners.
Brake pedal feel is excellent with assuring stoppers that work hard to bring the R8 RWS up from speed. Unlike other models, the R8 RWS isn't available with carbon-ceramic brakes. Instead, it comes with steel stoppers that measure 366mm at the front and 356mm in diameter at the rear.
While it copes well with being driven on public roads – even as a daily driver – how does it fare on a racetrack, especially a fast one like Phillip Island?
To find out, our time at Phillip Island was spent chasing a pair of V8 Supercar drivers who were driving a set of R8 V10 Pluses. While I'm not a race driver or anything beyond average, I was happy to push the limits of the rear-wheel-drive R8 to see how much it could cope with before it started throwing in the towel.
And, much to my surprise, it required a fair bit of effort to unsettle the R8 RWS. It effortlessly holds tight lines around the track and slingshots out of corners like you wouldn't believe. It's easy to forget that this car is continuously sending torque to the rear.
Unlike a Mercedes-AMG GT S, for example, which struggles with traction if you lean on the throttle too hard out of a corner, the R8 RWS hooks up nicely. If you go beyond its grip limits, it will move to understeer before it shows any signs of wanting to oversteer.
Sure, point the wheel and punch the throttle and it'll hold an epic drift like the best of them, but in this regard it's really well composed and tailored to the driver that wants fun behind the wheel, but doesn't want to be spat off the racetrack with one wrong move.
The brakes held up surprisingly well, even after some fairly serious laps. I counted seven full-speed laps at one point, where we hadn't slowed down for a cool-down at all. The pedal still felt strong and delivered confident and aggressive stops time after time.
The noise that comes from those exhaust pipes as you wind through the gears is simply epic. It's loud, proud and willing to just keep rowing through gears – it feels unstoppable out on a racetrack.
I'm not sure about you, but the 2018 Audi R8 RWS feels like somewhat of a no-brainer for somebody with $300,000 to spend on a new sports car. It looks more expensive than its price tag would suggest, it's louder than anything else this side of a Ferrari, and it's limited to just 999 units.
If you're serious – head directly to your Audi dealer and lock one in. Then, call your friend Paul Maric and get me another drive.


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Program cautiously, have persistence, and you are sure to be rewarded. You can even exercise first on a wall not many people will see, like in the washing room or the basement. You can decorate a wall while exercising and raising your confidence.
Have a great time picking your picture pattern. You are able to possibly bring it yourself or pick a favorite picture from a kids’ guide, art book, or greeting card–anything really! If you will want more complex wall mural, you can make pictures from different options, like a line from a children’s book about a scene from a child’s birthday card.
Be innovative along with your design. Yard murals filled up with plants, ivy, holders and butterflies are a good way to brighten a kitchenette. Color faux stone, hardwood, or marble to decorate an entryway. An sea world with fish, a seaside, and palm trees could add whimsy to a bathroom. Color a world from a popular kids’ guide to pleasant a newborn. Or paint a baseball inspired home wall murals to produce a office at home seem more playful.
You can even use phrases in your mural. Wrap uplifting poetry about your dresser to assist you begin every day happily. Remind your kids how much you love them with kind words by their bed, as well as paint a playful memory by their doll box to place their toys. Remember, you’re making the home yours. Get odds to get something you love. And if you obtain tired of it, you are able to always color over it.
To the remaining of the entrance way may be the living room. When I went in I was awe hit by the much wall. They’d hung a complete wall mural called Treasury of Splendor. This mural is an artist interpretation of a thin stream with a white wooden bridge crossing in one side to the other. Meanwhile there is lavish foliage on both parties of the river’s shore. The shades are that of early drop with green, silver, yellow, lime and red leaves in a range that just nature can create. The fall wild flowers are in complete bloom. You will find large woods in the backdrop and in the front in the lake are 2 bright geese suspended on the river water. Needless to say they’d furnished the area in a fashion add up to the sweetness of that mural.
From there we achieved up with Dave in the household room. This space is what they call their amusement center. On the much wall was a sizable flat panel TV and under the TV was an walnut case chock full of audio and movie home theater electric components. A large micro fiber sectional couch in a rounded sample was positioned only much enough from the TV (about the midst of the room), so that the encompass noise speakers on all 4 edges of the room might be seen with peak precision. With walnut bookshelves and 2 oak platforms with corresponding seats and curtains in multi-colored planet tones, the only thing left to say was…
Yes, that room also features a lovely wall mural. That mural can be an artist’s rendition of downtown city with skyscrapers superimposed on each other. Now the shades are wonderful hues of browns, golds, maroons, black, orange, dull and white. That is contemporary downtown art beautifully done. So now they ask me to follow them into the kitchen. Here the units are walnut in a darling finish. Most of the counter tops are marble in a medium brown. The surfaces above the tables are mosaic mural tiles that picture fruit platters and wine bottles.
The kitchen desk and chairs are made of mahogany with a end close to the same end of the cabinets. There’s a stainless area counter in the midst of your kitchen with a tiny sink and a cutting board placed into the very best alongside the sink. Over the island is just a chandelier hanging container rack. This illuminated pot rack also illuminates the island counter to drop mild when preparing meals.


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Curebase has added real-world data and artificial intelligence experts to its advisory board in a bid to capture a greater share of the decentralized trials market.
San Francisco-based Curebase has appointed Aaron Kamauu, M.D., managing director of real world data consultancy of Ikaika Health, and Amir Lahav, Sc.D., head of strategic R&D for digital healthcare innovation at Mitsubishi Tanabe Pharma Holdings.
Spokesman Shawn Malloy told Fierce Biotech the appointments would bolster Curebase’s decentralized clinical trial (DCT) offerings, citing the addition of Kamauu’s real-world data expertise.
“With his guidance we are hoping to incorporate the best in class RWE approaches into our DCT strategy to capture studies that rely heavily on this type of evidence from medical records, wearables, etc. and translate that specifically into global drug studies," Malloy said.
He also predicted Lahav’s digital health expertise and experience would be invaluable.
“With Amir's guidance we are taking our expertise in digital health to the next level by applying many of the techniques we use in global drug studies that present specific regional and drug related challenges he has experience with," Malloy said.
The global decentralized clinical trial market was worth $7.2 billion in 2019 and is growing 6.95% a year, according to recently published research.
The overall aim of the appointments is to build Curebase’s share of the sector Malloy said.
Curebase markets itself as an “end-to-end DCT provider,” providing a range of eClinical tools and clinical trial management systems as well as virtual “sites” that allow patients to take part remotely. The goal is to make research fully decentralized.
“We do this by activating local care centres, community clinics, drive through test sites, pharmacies, imaging centres where patients may need to be seen in-person, but allows them to participate in any clinical study in and around where they live without going far," Malloy said.


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Sig Sauer P320/P250 9mm Extended Magazine - 30RD
This product may be restricted in some areas. Please check your local and state laws for regulations covering magazine capacity.
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Shoot longer between reloads with this reliable factory 9mm P320/P250 30-round extended magazine.
Unlike other extended magazines, this 30-rd mag offers the same reliability as the magazine that shipped with your pistol. Also included is a removable sleeve for enhanced comfort when used in a full-size grip module.
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Day 26 Painting: Oil on Panel 6x10
“Z” is for “Zinnias in the Field”.
• Original for sale, $165.00, call to purchase
• Limited prints available upon request.
• Gicleé on paper: 6” x 10” $24.00
• Canvas Gicleé, contact me to order
This is from a photo I shot just northwest of Potlatch. The last of the alphabet. Now I have a few more days this month to paint. Wildcard days, so I will get to paint things that are not constrained by the alphabet. Here we go.


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Bangladesh: Third Capital Market Development Program
Evaluation Document | 31 March 2023
The program was formulated to build on the stabilization measures introduced by the Second Capital Market Development Program (CMDP2), and to support the implementation of the Bangladesh Capital Market Development Master Plan, 2012–2022. The program focused on implementing the regulatory and institutional reforms mandated by the legislative acts introduced under CMDP2 and to address the remaining constraints.
This report validates the completion report's assessment of the program. IED overall assessment: Less than successful.

domain: finance