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Tax foreclosures, affordable housing top of mind in advance of Duggan's State of the City address
Detroit Mayor Mike Duggan will deliver his sixth State of the City speech on Tuesday, March 5. Duggan's office has not released any details of the planned speech, but in the past, he has focused on issues like affordable housing, jobs, and education.
But he's expected to hit key issues like jobs and affordable housing. Jerry Paffendorf is with Loveland Technologies. The group maps property use and foreclosures in Detroit. He hopes Duggan tackles the problem of tax foreclosures head on in his speech.
"The first thing I'd love to hear the mayor say about tax foreclosure is that he's going to work to make sure there's a policy that no occupied homes get sold at the auction any longer," says Paffendorf.
The number of properties auctioned to pay taxes has gone down year after year. Paffendorf says he hopes that Duggan doesn't present those numbers without acknowledging it as a continuing problem.
"I think that would be an attempt at spin, which will eventually catch up to all of us in the city," says Paffendorf.
Last year in his State of the City address, Duggan promised to demolish, renovate, or board up every remaining abandoned house in Detroit. He also highlighted decreasing crime, and plans to improve the roads.
A spokesperson for the city did not respond to a request for comment.


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29 October 2018
As the programme for the upcoming St. David’s Day annual conference is finalised, Wales Trainee Representative, Abby Parish, shares an insight into her rationale for the day’s theme, and what you can expect on the day.
25 October 2018
Kunal Babla, ST6 in neonatology at the London School of Paediatrics, explains why he loves working in a specialty that is intense and challenging, but flexible, open-minded and... fun!
23 October 2018
In his latest blog, Russell reflects on this year’s party conferences and the fight to prioritise child health.
9 October 2018
Read about child health and the political landscape, the new ICYP Engagement committee, new course series, neonatal care findings and more…
26 September 2017
Four young people, Bethany, Robyn, Charlie and Jay, took over this edition. Take a flip through and see what they have to say on mental health, transgender, helping to develop the new curriculum and lots more.
21 September 2017
The latest National Neonatal Audit Programme report (NNAP), published today by the Royal College of Paediatrics and Child Health (RCPCH), shows improvements in care for preterm babies in England, Scotland and Wales, but also reveals variations in service delivery which means many babies are still no...
Research published in the Archives of Diseases in Childhood finds overall improvement in survival rates of preterm babies
8 September 2017
Professor Neena Modi says this is a tribute to the dedication of healthcare professionals around the country.

domain: news


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We love New York Food Trucks, so when a national list goes out looking for people to vote for the best food trucks, it’s up to us to get the people to the polls. Vote for New York City, baby!
The Daily Meal recently came out with a list of the 101 Best Food Trucks In America. There are 11 food trucks from New York City, with the Big Gay Ice Cream Truck the top ranking NYC truck at #3. Although the BGICT is off the road for the winter, you can check out some amazing creations at their new store in the West Village. How does soft-serve vanilla with ginger syrup and curry powder sound?
Click through to see the rest of the New York food trucks included on the list, to see the whole list, and to vote for the best food trucks in 5 different regions around the US, including the East Coast.
Moving up the list, the other NYC food trucks are:
#11 – Red Hook Lobster Truck – They had us at lobster mac & cheese. Their Washington DC truck is at #18. Wonder what the difference is?
#14 – Wafels & Dinges – 1 word says it all – spekuloos. 2009 Best Dessert Vendy Award Winner.
#20 – The Cinnamon Snail – We’re hardcore carnivores, but love The Cinnamon Snail’s creative cuisine. 2012 People’s Choice Vendy Award Winner.
#28 – Schnitzel & Things – The very 1st food truck we ever tried back in 2009, and the 2009 Rookie of the Year Vendy Award Winner. Just look at that golden schnitzel below.
#30 – Korilla BBQ – The 1st Korean taco truck in NYC, and guaranteed to be the longest line at any event they attend. 2011 Rookie of the Year Vendy Award Winner.
#37 – Country Boys/Martinez Taco – A virtual unknown outside the Red Hook Ballfields, but their 2009 Vendy Cup win put them on the map.
#41 – Luke’s Lobster – Great lobster rolls, but we love their clam chowder too.
#55 – Taïm Mobile – One of the best falafelists in NYC, and 2011 Vendy Award Finalist for Rookie of the Year.
#75 – Souvlaki GR – Delicious souvlaki on pillow-soft pita bread. We’re proud to call them our friends. 2011 People’s Choice Vendy Award Winner & 2010 Rookie of the Year Winner.
#77 – Solber Pupusas -Another Red Hook Ballfields sensation. Who knew what a pupusa was until they won the 2012 Vendy Cup.
This is a solid list, with only a few bones we could pick. We’re not going to worry about relative rankings, just omissions.
If Big Gay Ice Cream Truck is on the list, so should Coolhaus, a true innovator in the field who started in LA. Bistro Truck anyone? Okadaman’s okonomiyaki and takoyaki are off the hook, and unlike anything else on the NYC streets.
It’s easy to sit back and nitpick, so now it’s up to you to vote for your favorite (NYC of course) food truck. This isn’t just a 1-click vote. There are 4 categories: truck design, freshness quality/taste, twitter presence and menu innovation. If your favorite food truck is not on the list, there is a place for a write-in candidate at the bottom.
The voting list starts out west and works east, so you have to click through 4 other regions before getting to the East Coast.
Maybe after the regions are announced, they can pit the winners of each region against each other in a Virtual Food Truck Death Match. That would be cool, although not as amazing as a matchup between the winners IRL.

domain: food


Despite losing its founder and head coach in February, members of the Mandeville High School Lacrosse Club (LAX) and their parents are continuing to follow the dream of the late
Despite losing its founder and head coach in February, members of the Mandeville High School Lacrosse Club (LAX) and their parents are continuing to follow the dream of the lateGregg L. Spyridon this school year.
The 2011-12 LAX and Booster Club are dedicating this season to Spyridon, who was named "Man of the Year" for 2011 by the Louisiana High School Lacrosse League (LHSLL).
"This is the highest honor bestowed by the LHSLL and is a fitting tribute for a man who was always there for the club. Gregg’s personal commitment set an example for all to follow and with his presence he represented our club with the utmost class and professionalism," said Babette Rader, Booster Club president and parent of LAX member Eric Rader.
Club sponsor and head coach is Mark "Doc" Hazlett. Last season the team had the supplemental support of coaches Scott Avanzino and Brendan Saxon. Team parents lend a helping hand as well.
"A big trend in this sport, like others, is to have a lot of parental coaching assistance. Some of the dads have been attending clinics this summer," Rader said.
This is the fourth year for LAX at Mandeville High, the only public high school team in St. Tammany Parish. There are more than 200 college lacrosse programs across the United States.
"This is the fastest-growing sport in the U.S. and it is catching on like wildfire," she said.
Due to Louisiana High School Athletic Association (LHSAA) guidelines, the team is considered a club, and in order for lacrosse to become a sanctioned sport there must be at least 50 high school LAX teams in the state.
"We are committed to fulfilling Coach Spyridon’s dream of seeing lacrosse become sanctioned as a LHSAA sport. Coach Spyridon had a way with words and his ‘stay put and fight for it’ motto has become our club’s vision," Rader said.
The club participated in the pregame tailgate party and cheered on the MHS Skippers football team during its game this past Friday. MHS fans celebrated a "Blue Out" night in tribute to the school color.
"One of the best things about this sport is the opportunity to interact with so many other schools, players and families. Eric has made so many new friends this year through LAX. We interact with families from Lafayette, Ocean Springs (Miss.), Metairie, New Orleans, Covington, Atlanta and more," she said.
Pontchartrain Elementary School will hold Patriot Day on Friday in memory of those who lost their lives during the 9/11 terrorist attacks. Students are invited to make cards or letters to thank the patriots, and several community service helpers and local first responders will visit and greet students as they arrive.
The school also will host a community blood drive Friday from noon to 6 p.m. Principal Kim Thomas said she would like to share the goal of saving lives for those that were lost on 9/11.
The PES Café will launch its "Moo Dat" celebration on Sept. 16 to promote drinking milk. Math Night will be held Sept. 22 at 6:30 p.m. and will incorporate the theme "Drink Milk, Grow Strong, Throw Far, Moo Dat!"
Grandparents and Special Friends Week will be celebrated at the school the week of Oct. 10. Red Ribbon Week, a parishwide celebration to encourage healthy, drug-free lifestyles, will be held the week of Oct. 24. Students are invited to show their spirit by wearing silly socks, backwards shirts and red ribbon bracelets, badges or other insignia.
Storybook Character Day will be celebrated on Oct. 31. Students and staff are invited to dress as their favorite storybook character.


After a heartbreaking press conference last Friday, in which the Dutch government decided to lock up the country for three weeks, which meant that Qlimax had to be canceled. But, Q-dance is still putting their heads together. Today, they announced that a Qlimax experience will be held this Saturday on the Q-dance network. Get ready for: Qlimax Distorted Reality.
Earlier this week, they already let us know that they will do everything they can to put something together for us despite the devastating news. It sounds almost impossible, but Q-dance will take up the challenge to create a Qlimax experience within one week. “With the preparations well underway, we call upon you to take part in the ritual this Saturday”.
“Disciples, a new kind of trip into the unknown awaits this Saturday. Prepare to escape from this Distorted Reality with Qlimax.
In times like this, we must make a stand. Distorted Reality takes us to a realm where we make the rules, a place of freedom, self-confrontation and healing. Gather your friends, create your sacred rave space and share the sound of Qlimax with the world. Together, we shall light a fire that will never die.
Join the ritual this Saturday. Qlimax Distorted Reality takes place from 20:00 till 01:00 and will be completely free to watch on Q-dance Network“
ALSO READ: NEW COVID-19 MEASURES IN THE NETHERLANDS: A THREE-WEEK PARTIAL LOCKDOWN


AAP, Cong stage protests
The Aam Aadmi Party and the Congress on Monday staged protests seperately as part of a pan-India stir against demonetisation seeking answers from Prime Minister Narendra Modi on the amount of black money unearthed.
“We have gathered here to expose Narendra Modi-led Centre as the government has completely failed to fulfill its promises. it was “very strange” that during demonetisation BJP leaders were caught with large amount of old and new currency notes, and chanrged that they had “prior information” of the government’s move,” said Dilip Pandey, AAPs’ Delhi convenor.
Delhi Congress chief spokesperson Sharmistha Mukherjee said people were waiting for Prime Minister to give details of the black money unearthed due to the massive exercise during his address to the nation on New Year Eve, but he “kept mum”.
She claimed 115 people died during the 50 days Modi had sought to stabilise the situation his sudden announcement on November 8 to demonetise high-value bank notes had triggered. People expected Modi to announce compensation to affected families, but he “did not mention” them in his address, said Mukherjee.


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Alex Pentek, 2011
Orchids celebrates the natural heritage of Burlington through the diversity and delicacy of wild orchids (Dragonʼs Mouth, Three Birds Orchid and Pink Ladyʼs Slipper) all of...
Studio F Minus (Toronto, Ontario), 2018
Mixed media sculpture
Portal, a sculpture by acclaimed Canadian art and design collective Studio F Minus (Brad Hindson and Mitchell F. Chan) uses colour...

domain: design


Allied is a leading manufacturer of ruggedized circular connectors for the rail market. As rail equipment becomes more intelligent, we work with our customers from prototype design to mass production to solve connectivity challenges both within and outside trains.
We offer a wide range of internationally compatible connectors for railway locomotives of different origins - diesel as well as electric. Applications include locomotive control systems, safety systems, communication systems, signalling systems, air-conditioning systems, critical braking systems, amongst many others.
Featured Product Range:
Range MGR : Click here
- Can be supplied with halogen free/low smoke toxicity insulators which are tested and certified as per various international rail fire safety standards
- Highly ruggedized Bayonet coupling connectors which are easy to use for all types of control/command applications
- Usually supplied with gold plated crimp termination contacts to optimise high volume assembly, and to provide reliable long-term electrical performance in both in-car and undercarriage applications
- Customised contact termination sizes to suit customer specific cables
- Audible and tactile indication of mating, a crucial feature in difficult-to-access areas
- The series is built around 12 shell sizes, with various power/signal contact possibilities
- Specific design features ensure high vibration resistance and significantly enhanced endurance (2000+ mating cycles)
- Can be provided with a wide range of custom/standard backshell options to suit various cable options, and to provide a high degree of ingress protection in under-carriage applications.
- Overmoulded coupling nuts available as a special customised option to improve ease of mating and overall ruggedness of the connector.


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"However, the depth of the personal layers surrounding such a powerful being is immense, and issue one promises future complex storylines to converge in an action-packed way. "
“Valiant Heroes” Collectible Card Game App Now Available on iOS Devices
Check out this announcement about Valiant's upcoming The Forgotten Queen!
"On December 19th, Vita Ayala and artists Raúl Allén and Patricia Martín – the critically acclaimed duo behind SECRET WEAPONS – forge a new path for one of Valiant’s most complex and courageous characters in LIVEWIRE #1! "
"...INCURSION represents the latest series in Valiant’s BEYOND initiative, carrying the critically acclaimed publisher forward into 2019 with an exploration into the Valiant Universe’s hidden depths!"
Livewire hits stores this December. Get ready.
Check out this exclusive Valiant NYCC 2018 merch!


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KINGSTON, Jamaica, Tuesday September 27, 2015 – Despite a spike in violent crime in western Jamaica, Prime Minister Andrew Holness says the government is not considering declaring a limited State of Emergency – at least not yet.
He said he remains confident the security forces have the capacity to effectively address the problems.
Over the past few weeks, there has been a spike in gun violence – resulting in death in some instances – in the western parish of St. James.
“The Government is not afraid to call a State of Emergency but at this point, a State of Emergency, in my mind, is not a tool that needs to be deployed. I think the police force has the capacity, our army has the capacity…I think with the other strategies and plans we have in place, we will be improving the capacity of the police and the army to respond,” Holness said at a press conference that followed a meeting between the Prime Minister and the leadership of the Jamaica Constabulary Force, Jamaica Defence Force and other key security stakeholders to discuss crime-fighting strategies.
He added that he did not want a sense of siege to take over Jamaicans through the implementation of a State of Emergency, but will be keeping that option open.
“If the Government deems it necessary, we will, but we are not at that point so I don’t want criminals to feel that we have any hesitation if it is required. Jamaica is a functioning state, we do have elevated levels of crime…It is associated with the phase of development that we find ourselves in. The truth is that much of our crimes is driven by economic motives.”
Holness pointed out that once the country’s economy starts growing at an acceptable rate, crime should fall.
“One has to be careful, however, that in tackling crime you don’t shut down the entire economy…you need to be pulling people out of crime and into jobs and so the Government is putting into place those strategies,” he said.
Meanwhile, Prime Minister Holness is appealing to citizens to take information about criminals and their activities to the police.
“Information is probably the greatest weapon against the criminal. The criminal exists and thrives in areas where he is protected because citizens don’t share the information,” he argued.
“Someone knows the gunman that did the killing…probably washed his bloody clothes…probably hid him somewhere, transported him somewhere and someone is probably there giving him succour and protection. That gunman is not your friend. In the same way that he killed someone, he could kill you, and I think communities…need to look into themselves.”
The Jamaican leader pointed to the need for citizens and the police to build a bond of trust in an effort to stamp out crime and violence.
He said he has also had discussions with Commissioner of Police Dr. Carl Williams to undertake measures to ensure the integrity of the police force in Montego Bay.

domain: sociology


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BUBBA burger® Returns To World Food Championships As Presenting Sponsor For Burger Category
ORANGE BEACH, Ala. – BUBBA burger® will again be a presenting sponsor in the burger category of this year’s World Food Championships, held at The Wharf in Orange Beach, Alabama Nov. 8-15.
Competitors in WFC’s Burger category – one of WFC’s most hotly contested and fan-favorite events – will be using BUBBA burgers in the “Structured Build” part of the competition, where they will be challenged to create the perfect “backyard burger."
“Fans of World Food Championships turn out in droves for the Burger competition,” said Mike McCloud, CEO of World Food Championships. “Having BUBBA burger® again be part of the World Burger Championship gives competitors a quality product onto which they can unleash their creativity.”
Scores from the “Structured Build” and “Signature Dish” portions will be combined into a single qualifying round score, with the top 10 competitors moving on to second, single-dish round. The scores from both the qualifying and Top 10 rounds will be combined, and the top finisher will be named the 2016 World Burger Champion, collecting a $10,000 prize.
The World Burger Champion will go onto compete against the other eight category champions – Bacon, Barbecue, Chili, Dessert, Recipe, Seafood, Steak and Sandwich – at WFC’s ultimate event, The Final Table. The winner of that competition takes home $100,000 and the overall title World Food Champion.
“To have BUBBA burgers in this competition is so great and makes complete sense. With the quality, convenience and consistency that is a BUBBA burger, it gives all of the competitors a level playing field to showcase their talents,” said Andy Stenson, Vice President of Marketing. “Our burgers are so juicy and flavorful but consistent every time so it’s actually very interesting to see what all of the competitors come up with!”
Now celebrating its 5th Anniversary, WFC will be held Nov. 8-15 at The Wharf, a resort destination with a full-service marina, retail, dining and entertainment options anchored by a multi-use event center and a 10,000-seat amphitheater. The majority of WFC’s food fights occur in Kenmore Kitchen Arena, the largest outdoor kitchen in the world, which measures a full city block with Kenmore brand equipment and $100,000 worth of professional grills from Bull Outdoor Products.
BUBBA burger® is sold in grocery stores nationwide throughout the United States as well as world-wide through the U.S. Military Commissary system. BUBBA burger® is a natural choice for quality and convenience, using only the highest quality ingredients to produce our uniquely shaped, gluten-free BUBBA burgers. You can take them right from your freezer to your grill or skillet and BUBBA burgers come in many varieties to fit any taste. For more information, please visit www.bubbafoods.com.
About the World Food Championships
The World Food Championships (www.worldfoodchampionships.com) features hundreds of competitors seeking food fame and fortune. The fifth annual event, scheduled for Nov. 9-15, 2016 at The Wharf in Orange Beach, Alabama, invites the champions from the biggest and best food competitions around the world into a single high-stakes culinary showdown for $350,000 in cash and prizes. Follow WFC on Twitter (@WorldFoodChamp), Instagram (@WorldFoodChampionships) and Facebook (www.facebook.com/worldfoodchampionships).
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The Delhi High Court on Monday (October 22) rejected a plea which challenged the state government’s decision to procure 500 standard floor buses (SFBs) for the Delhi Transport Corporation (DTC).
The proposed procurement was opposed by a differently-abled person, Nipun Malhotra, who has moved two PILs challenging the Delhi government and the DTC’s decision to buy 2,000 standard floor buses (SFBs) instead of the low floor buses (LFBs) for the national capital. After hearing arguments of both sides, the high court had earlier reserved its decision on the procurement of 500 SFBs.
On October 10, the AAP government and DTC urged the Delhi high court to permit procurement of 500 standard-floor buses for the national capital, saying that these vehicles were primarily meant for rural areas on the city outskirts where the roads were poor.
Malhotra, represented by advocate Jai Dehadrai, contended that SFBs were not disabled friendly as they were mounted on truck chassis and their height prevented differently-abled persons from boarding them. Read More
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domain: law


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LOL, well I have officially reached girlfriend status and it felt more like I was pulling his teeth.
He is the first and only guy in my entire dating life that has NOT seemed to really want to be my boyfriend! WTF is that? Is he too good for me to be my boyfriend? Ummm, I think not!
Either way after a long talk he asked and I accepted.
Dunn Dunn Dunn…

domain: psychology


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“All that remains after a life has been lived are the ghost stories.”
A Haunted House Story
I’ll admit it, I scare easy. My low threshold for horror can be a bummer as a lover of immersive theater, as some of the best pieces are often quite scary. But after drooling over the intricacies and stunning imagery of the E3W Productions Instagram for the past month, I decided to take a chance, be a tough cookie, and go see “In Another Room”. I’m really glad I did.
Although they are new to the aspects of immersive creation, the team behind this experience are veterans of telling a compelling narrative, and it shows. Crafting an immersive production is one of the most difficult things one can undertake. This experience is built upon a solid immersive theater foundation of sound design (music building to crescendos / jump scare noises from both actors and the speakers), supernatural elements in the story, and one-on-one interactions. Yet, while the company should be commended for these aspects, it was the small unique differences that set this show apart and made it shine.
There were things that were new to this production that really set it apart, and the reason why it differentiates itself from other any haunted house you’ll experience.
The acting was stellar. All the characters felt real — really real. You can’t cheat during one-on-one performances; either you have it or you don’t. The various ages of the cast felt incredible too; so many immersive theater experiences are just filled with young hot things (don’t worry, there are also young hot things), but you’re limiting yourself artistically by doing this. One board game scene in particular felt unbelievably real, and I forgot for a few minutes that I was in a play.
Immersed in a Narrative
I don’t want to give away spoilers, but let’s say that a part of you will in fact remain in the house after you leave. The cast also gives you an object to take with you, which was a really nice touch. It’s always fun to find an object from a compelling immersive theater experience on your coffee table the next morning. Like a note from a lover. Or an empty pizza box from when you got drunk and ordered a pizza at 1am. The personal touch is aided by the fact that with only 3 audience members allowed in at a time, you’re guaranteed to feel special.
Why haven’t more immersive productions played with this variable?! It is such a powerful tool to induce memory and feeling in your viewer. Just a few of the cacophony of smells in the house include: beeswax candles, old newspaper, vintage perfume, and flowers. Not only was each room spectacularly designed but had different lighting and scents enveloping it. It was easy to be transported with so much stimuli surrounding you.
Set design is everything in immersive experiences, and designer Patrick Blanchard knocked it out of the park. The room at the center of the experience is outstanding. There’s basically not a spare inch of wall or surface that isn’t covered by various documents, giving you clues of the people that resided inside the house. You are surrounded by doors as soon as you walk into the house, and the barrage of documents, all written in black white and red — are terrifying and also perfect. The color scheme matches the fabulous instagram account, so I felt primed. But instead of dozens of digital images, seeing literally thousands of documents in one small space was overwhelming in the best way.
A Deeper Message
The company drove home the idea of the real emotions / people that lay beyond the phantoms of ghost stories. In fact, even the audience members will one day be “ghosts.” The ending of the show slightly hit you over the head with this message — it would have been more successful/resonant if the show had culminated with the attic scene, which tied together all threads very nicely. However, I’m glad that the writers attempted to go deeper with this story than a typical haunted house experience. It helps the medium as a whole for creators to take these types of risks.
Overall, “In Another Room” is a great addition to the Los Angeles immersive theater scene. I was scared, but never terrified, so it was nice to get a haunted house experience that was more rooted in story than haunts. For this reason, I would recommend this to horror and traditionally non-horror enthusiasts alike, as there’s something in this for everyone.
Unfortunately, at the moment the first run of the show is sold out, but there may be a few spots opening up near the end of their run. Email email@example.com and they’ll add you to the waitlist. I’m incredibly excited to see what this talented team dreams up next.
You can check them out on instagram here.
Written and Produced by:
Aaron Keeling, Austin Keeling, and Natalie Jones
Aaron and Austin Keeling
Score Composed by:
Nathan Matthew David and Jeremy Lamb

domain: entertainment


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But for permanent settlement on Mars, there are three further challenges: First, high levels of radiation rule out simply staying on the planet's surface. Second, al- most no building materials can be taken to Mars. And third, astronauts will probably call their Martian houses home forever.
That is why Luciana Tenorio, 27, an architect from Peru, got involved in the Mars Society, an organisation dedicated to bringing humankind to Mars. Scrolling through the list of the people involved, she noticed a gap. “I realised that the only people who applied for these kind of programmes were biologists or engineers. I was disappointed not to see any architects or designers,” she says. “In the end, if you are going to design something on Mars – create some houses, for example – you need architects.”
Four years later, she’s working together with NASA scientists to design our Martian future. Tenorio focuses on how to keep astronauts happy, healthy, and dedicated to their tasks. Her design addresses the fact that astronauts cannot live on the surface of Mars without shelter since they would die from radiation poisoning. So far, many solutions to that have focused on underground living. That might address the physical problem but could cause mental health problems for the astronauts instead, Tenorio says.
To provide Mars residents with light, Tenorio designed a shelter that allows astronauts to live on the surface. She had to think out of the box: It will be almost impossible to bring anything big enough to construct a shelter on the space mission.
Mars has soil and rocks, but also frozen water deep underground. Water contains hydrogen, which is the best shield against radiation. “So I thought, why not print water walls?” Tenorio says. Tenorio is proposing a dome-like structure made of frozen water, drawn from underneath the red soil and printed with a 3D printer. The ice layers would be kept frozen by a very thin type of plastic.
“You would live underneath ice and have a blue-tinted view of the outside world,” Tenorio says. The ice houses are constructed like snail shells; they look like translucent spirals. She can even change the structure to make some windows: the settlers can look out on the Martian landscape. At the heart of the home is a greenhouse, so people can grow food for themselves. Around that, various rooms are built. Like normal houses, the struc- tures can differ in size and height.
Within two to three years, Tenorio will present her first prototype home in the desert of Peru, which has soil that is similar to the Martian soil. After that, it will take another twenty to thirty years of testing before they will be able to start building on Mars.


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"The Woods," the BOOM! Studios series by James Tynion IV and Michael Dialynas, has won the 2017 GLAAD Media Award for Outstanding Comic. Presented Saturday during a ceremony held in Los Angeles, the awards honor outstanding portrayals of the gay, lesbian, bisexual and transgender communities.
Debuting in 2014, "The Woods" is a sci-fi drama about an entire high school -- 37 students, 52 teachers and 24 staff members -- that vanishes from suburban Milwaukee, Wisconsin, only to reappear light years away at the edge of an ancient, primordial wilderness filled with dangers at every turn. The publisher's bestselling comic of 2014, "The Woods" was optioned for television in 2015.
This marks the first GLAAD Media Award nomination and the first win for "The Woods." The BOOM! Studios series "Lumberjanes" won the award in 2016.
"The Woods" edged out fellow comic book nominees "All-New X-Men," "Black Panther," "DC Comics Bombshells," "Kim & Kim," "Love Is Love," "Lumberjanes," "Midnighter"/"Midnighter and Apollo," "Patsy Walker, A.K.A. Hellcat!" and "Saga."
Saturday's ceremony will be broadcast Thursday, April 6, at 10 p.m. ET/PT on Logo. A second GLAAD Media Awards ceremony will take place May 6 in New York City.


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Roxanne Jones has found it much easier to say no as she’s gotten older. What a relief it is! Read more from Roxanne on her blog.
One of the best things about getting older is letting go of the need to please or impress other people at the expense of your own wellbeing. It’s kind of the emotional equivalent of f***-you money—having the psychic wherewithal to do and say what you want.
At 62, I’ve finally realized that the world won’t end if you say “no” when you don’t want to do something!
I didn’t get that when I was younger. I was the consummate good girl/people-pleaser. And I cringe today when I think of some of the situations I allowed myself to be in because of my own insecurities and inability to set boundaries. To say no.
Like the awful dates I went on because I didn’t want to hurt a guy’s feelings. Or worse—the guys I slept with because I thought that if they wanted me, that validated me somehow. Never mind that they were assholes.
Like pretend-laughing at sexist or racist jokes instead of telling someone how offensive I found their so-called humor and walking away.
Like letting a deadbeat boyfriend continue to live with me after he repeatedly “borrowed” money and never paid it back—instead of kicking him to the curb the first time he reneged.
Like listening to my mother share intimate details of her dating life instead of telling her how uncomfortable it made me feel and to please stop.
Like taking on a freelance project from someone I knew would be a client from hell instead of politely declining and saving my sanity.
Saying no was hard
when their feelings mattered more
than mine. Now I count.
I’m not saying that we should blithely go about our lives without consideration for anyone else’s feelings. That’s akin to being a sociopath.
But we shouldn’t be doormats or martyrs either. Making your own peace of mind a priority isn’t self-involvement—it’s self-determination. And while there are many things in this life over which we have no control, I can certainly decide how I want to spend my time and with whom I want to spend it.
It’s taken me 60-plus years to learn this—and believe me, I still have times when I waver. Or make a conscious decision to endure something because it’s really important to someone I care about.
But certain things have gotten much easier. Like excusing myself from an excruciatingly boring conversation at a cocktail party. Or refusing to spend any more time with a relative who keeps multiple loaded guns in his house and accidentally fired one when we were staying with him. Or ignoring hints from folks who would love to visit Maine next summer (and just want a place to stay). Or turning down an invitation to do something I’m simply not interested in. Or not feeling compelled to spend two hours on the phone with a drama-addicted friend who only calls when there’s a crisis in her life (thank God for caller ID).
A big part of my unwillingness to tolerate these situations or people anymore is the growing realization that life is short, so why should I spend it being uncomfortable, pissed off, bored, resentful or in danger of being shot? As Bonnie Raitt put it in her song Nick of Time, “Life gets mighty precious when there’s less of it to waste.”
Think about it…what’s the worst that could happen if you tell someone no? That they get mad at you and stop calling or requesting or doing whatever it was you said no to? Hey—problem solved!
So what do you have the hardest time saying no to? Or is there a situation you’ve successfully navigated out of? Please share…


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Elite Group of Artists Take the Baton from 'Young Guns'
Posted by Brigid Alverson on October 5, 2020 @ 6:55 pm CT
The inaugural group of Stormbreakers are Natacha Bustos (Moon Girl and Devil Dinosaur), Juann Cabal (Guardians of the Galaxy), Carmen Carnero (Hellions), Josh Cassara (X-Force), Iban Coello (Venom), Patrick Gleason (Amazing Spider-Man), Peach Momoko (cover artist), and R.B. Silva (Fantastic Four, Powers of X).
For the next two years, Marvel will assign these artists to high-profile series and storylines, give them exclusive opportunities, and promote their work on a special section of their website. The artists were selected by portfolio review. Four of the artists (Bustos, Cabal, Carnero, and Coello) are from Spain; Cassara and Gleason are from the U.S.; Momoko is from Japan; and Silva is from Brazil.
The Stormbreakers program picks up from Marvel’s Young Guns, which the publisher launched in 2004 and ran until 2014, then picked up again in 2018 (see "Marvel’s Young Guns").
The program is named after Stormbreaker, a hammer forged from the same metal as Thor’s hammer Mjolnir, which became an important factor in a number of Marvel stories; the writer Walter Simonson introduced Stormbreaker in Thor #339 in January 1984.

domain: artistic


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A looming deadline threatens Social Security checks, the solvency of the U.S. government, and the stability of the global economy that we engineered post-WWII to revolve around the U.S. dollar: The US “debt ceiling” was reached on August 1, 2021, and needs to be raised yet again by Congress before the “extraordinary measures” the Treasury is using to temporarily manage debt near the ceiling are exhausted in early 2022.
Raising the "debt ceiling" is a recurring charade, necessary but only because Congress ignores that it has the Constitutional authority to take back the power to create our money from the commercial banks to which Congress ceded this most fundamental sovereign power when it passed the Federal Reserve Act in 1913. In this time of escalating public and private debt, inequity, infrastructure needs, resource depletion, climate change, societal divisions and violence, Congress has the responsibility now more than ever to take back this power.
Some think the “debt ceiling” limits public spending. But the Government Accountability Office (GAO) explains, “The debt ceiling does not control the amount of debt. Instead, it is an after-the-fact measure that restricts the Treasury’s ability to borrow to finance the decisions already enacted by Congress and the President” over the preceding three decades. As of December 17, 2021, the Treasury reports the federal debt was $29.2 trillion. This is up from $16 trillion in 2012. As long as Congress fails to take back the “money power” from commercial banks, which create it as credit whenever we the people and our companies and government agree to pay them that amount over time plus interest (and fees), the public debt will escalate.
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We all know it is bad business to incur obligations we cannot afford or will not earn enough to pay back as they come due. But it is far worse for our government to borrow from those to whom it gave the monetary prerogative that Constitutionally belongs solely to it, and from their wealthy shareholders. Nevertheless, doing so is business-as-usual in the modern economy. And it makes debtors out of all but the 1% and their associates.
Constitutionally, our federal government does have a choice. It could pass monetary reform legislation and issue all US money debt-free in amounts limited only by the productive labor and resources available in our economy to support the circulation of goods and services at stable prices over time.
The “debt ceiling" is an annoyance, but it is also a reminder of our now-108-year-old Federal Reserve System that requires the US government to obtain every dollar it spends either from taxing us or from borrowing it from those to whom it ceded its money creation powers, and from their beneficiaries. It doesn’t have to be this way; it just is. And as long as we passively consent to it, it will stay this way.
We in the Alliance For Just Money call all U.S. citizens and local and state lawmakers to learn about monetary critique and reform and to demand that Congress supersede the Federal Reserve Act through updating and passing the 2011-2012 National Emergency Employment Defense (the NEED Act, H.R. 2990) in order to create a stable, publicly accountable, sovereign just money system.
Then, instead of raising or, as Treasury Secretary Yellen, the GAO, and some lawmakers are now calling for, eliminating the debt ceiling entirely – either way saddling our grandchildren and theirs in perpetuity with the debts of their foreparents until the system collapses when there is not enough tax revenue to pay even just the interest on it – we can pay down the public debt as it comes due over 30 years’ time, eliminating it once and for all ever after.
In so doing, all private citizens and companies will also become less and less saddled with debt because, instead of using privately-created interest-bearing credit as our de facto legal tender, we will be using perpetually circulating full-fledged money – a public asset – as our means of exchange. We will also eliminate the ecologically unsustainable and unethical growth imperative that drives us and our economy today. Learn more and sign our petition for Just Money reform at www.monetaryalliance.org.
Lucille Eckrich is a board member of the Alliance For Just Money, Inc., and an emeritus Associate Professor of Education at Illinois State University


A Valley company known for its retail and commercial construction across metro Phoenix is expanding into the residential market.
Evergreen Devco Inc.'s new division is Evergreen Communities. It is planning a residential development on about 100 acres at the southeast corner of 51st Avenue and Baseline Road, as well as other developments in the southeast Valley.
The corner of the property is zoned commercial for a shopping center anchored with a Safeway. The remaining land is planned for 296 residential lots that Evergreen Communities will sell to home builders. Residential construction is planned for next year.
"We have some other pieces that are in escrow, but this is the first one that we signed a contract on," Evergreen Chief Operating Officer Gregg Alpert said.
"This project marks Evergreen's entry into the residential development arena, as it is the first of several residential parcels we intend to purchase, entitle and develop."
Evergreen Communities has plans for several other developments in the southwest Valley and in the southeast Valley, but Alpert declined to reveal details until contracts were final.
Alpert said his company decided about 18 months ago to add a residential division because of the Valley's continuous growth and the historic lows in mortgage rates.
"It's a unique time right now," he said.
Glendale promotes expansion
Valley business leaders and residents interested in learning more about new development opportunities in Glendale are invited to the city's first-ever information fair June 26 at the Glendale Civic Center.
Councilman David Goulet is hosting the two-hour event, supported by key city staff, at the civic center, 5750 W. Glenn Drive. Information about Glendale and its businesses will be available at booths sponsored by city departments and neighborhood and merchant associations.
The event starts at 6 p.m.
Discussion topics will include the Phoenix Coyotes arena southwest of Glendale Avenue and Loop 101; the multipurpose facility and stadium for the Arizona Cardinals south of the Coyotes arena; plans for commercial growth along the freeway; Grand Avenue corridor improvements; downtown economic development; Northern Crossing, the new retail center under construction at 59th and Northern avenues; special events; and chamber of commerce programs.
UTAZ designing more offices
Across the Valley, UTAZ has eight office projects under construction and eight more developments in the planning stage.
One of the company's recent purchases was for 3.3 acres at the northwest corner of 79th Avenue and Thunderbird Road for about $1 million. The property is the future home of Thunderbird Professional Village, which will have five single-story buildings totaling 26,000 square feet. The buildings will be designed as office condos for sale to businesses that prefer to build equity instead of pay rent. Construction is set to start in July.
UTAZ's other existing projects are Foothills Professional Village in Ahwatukee; Fairways Phase III next to Superstition Springs Golf Course, and Greenfield Professional Village, both in Mesa; Crossroads Professional Village in Tempe; an unnamed project at the northeast corner of Pecos and Lindsay roads in Gilbert; and Pinnacle Peak Professional Village in Scottsdale.
For more: www.utaz.com.
New project adds retail
Construction is starting on infrastructure for the retail and commercial parts of the 2,000-acre Johnson Ranch development in the southeast Valley.
Symphony Builders is starting work this summer on Bella Vista Village near the northeast corner of Hunt Highway and Bella Vista Road. Symphony also will be the leasing agent.
The intersection's southeast corner is planned for a Fry's Food & Drug Store as part of a retail center called Johnson Ranch Marketplace. Designer of the center is Saemisch De Bella Architects. Construction of Fry's is to start this summer, with completion in early 2004.
For leasing information, call John Appelbe at Grubb & Ellis/BRE, 602-224-4447.
NAU chooses Sundt
Sundt Construction Inc. is updating and expanding Northern Arizona University's School of Communications on the Flagstaff campus.
The $12 million contract, started last month, involves renovation of the 60,000-square-foot structure and adding another 36,000 square feet of space. Completion is expected by August 2004.
The work includes relocating the three-story building's main entrance, which faces a one-way alley, to Knoles Street, the university's main street.
Sundt also is working on two large projects with a total value of $48 million at the University of Arizona in Tucson.
One is the second phase of the Highland District Housing Project, which is to be finished in February 2004. The first phase was completed earlier this month. The housing will accommodate 760 students.
Sundt's second major work at the UA is Highland Commons, an 82,171-square-foot, three-story building for the university Campus Health Services and Disability Resource Center. It is scheduled to be finished in October.


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This description of the Book of Ruth is from Easton's Bible Study.
"Ruth, The Book of: was originally a part of the Book of Judges, but it now forms one of the twenty-four separate books of the Hebrew Bible.
The history it contains refers to a period perhaps about one hundred and twenty-six years before the birth of David. It gives
The author of this book was probably Samuel, according to Jewish tradition.
"Brief as this book is, and simple as is its story, it is remarkably rich in examples of faith, patience, industry, and kindness, nor less so in indications of the care which God takes of those who put their trust in him.""

domain: library


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Miley Cyrus To Be Coach On “The Voice” Season 11
Miley Cyrus will be a coach on season 11 of “The Voice.” She announced on Twitter Friday night, “It’s true! I am going to be the newest judge on Season 11 of The Voice @NBCTheVoice #thevoice.”
The NBC music competition is currently in the midst of its 10th season, and Cyrus will actually be featured on the show next week. As Gossip Cop reported, it was announced in February she would be this cycle’s key advisor, mentoring the contestants for all four teams as they compete in the “Knockout Round.” The footage, which taped last month, will play out on episodes broadcast over the next two weeks.
Joining Cyrus as a full-fledged coach will be Alicia Keys, who previously served as a Team Pharrell advisor in season 7. He is now leaving the show, though Blake Shelton and Adam Levine are expected to return. This would be the first time there are two female coaches on the panel.
Christina Aguilera is currently the lone female coach for season 10, but it’s become tradition for her to switch off seasons. During Aguilera’s last two “off” cycles, Gwen Stefani stepped in. Previously, Shakira also took over the position. But now it seems neither veteran will return, at least not this fall.
Gossip Cop has reached out to reps about the coaching changes. We will have updates.

domain: celebrity


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Renal biopsy remains the gold standard for diagnosis of renal function deterioration, including native and allograft kidney. In addition to diagnosis, pathological data can provide nephrologists with useful information regarding disease severity, activity, and chronicity, which can be used to guide treatment. Renal biopsy has been widely used in clinical practice for more than 100 years.1 This procedure is considered to be safe with acceptable complications. Percutaneous biopsy was introduced in the 1940s,2 and ultrasound-guided biopsy has been used since the 1950s.3 During the late 1980s, manual needles were gradually replaced by automated spring-loaded biopsy device,4 which made renal biopsy much safer and thus rapidly found wide acceptance by clinicians. The safety and complications in native kidney biopsy were established in a systematic review and meta-analysis,5 which included 36 studies conducted after 1990. However, the complications were highly dependent on techniques and protocols in different countries. Even in a study using data from a database of a single country,6 the Norwegian Kidney Biopsy Registry (1988–2010), a number of factors were still affected by the different protocols and techniques used. Percutaneous biopsy in native kidneys is thought to be a low-risk procedure without major complications. However, the risks and complications associated with allograft kidney biopsy are less well understood and should be clarified for the following reasons. First, organ shortage is a common problem worldwide, so there are relatively few studies which include data on allograft kidney biopsy. Second, recipients only have a solitary functioning kidney with less well preserved renal function. Third, studies on allograft kidney biopsy mostly date back 25 years7 and there are scant data from recent studies. Progress in biopsy safety was made with the introduction of the automated spring-loaded biopsy device and ultrasound guidance. The rate of complications varied according to different eras. In the past 10 years, no studies with large case numbers have been conducted to investigate allograft kidney biopsy. Fourth, the safety of allograft biopsy in children and adolescents was investigated by Franke et al,8 but adults were not included in the study. Finally, in the past 15 years, the largest study on adult allograft kidney biopsy was published in 2003,9 and reported on the safety of “protocol” biopsy in allograft kidney, rather than “indication” biopsy in allograft kidney. There are considered to be fewer complications associated with protocol biopsy than with indication biopsy because biopsy for allograft kidneys in normal situation (protocol biopsy) is safer than in problematic kidney (biopsy with indication). However, there is currently no evidence to prove this. Therefore, we conducted this retrospective study to clarify the safety of adult allograft kidney biopsy with indication in the modern era and to identify any risk factors.
SUBJECTS AND METHODS
Kidney biopsy is encouraged for patients with unexplained proteinuria or renal function deterioration in Taichung Veterans General Hospital. We recruited all renal transplant recipients who underwent “allograft” biopsy between January of 2009 and December of 2014. All subjects in this study were 20 years of age or older. Patients were free from infectious disease, inflammatory disease, liver disease, or malignancy, and all were nonsmokers. All of the study procedures were conducted in accordance with the ethical standards of Taichung Veterans General Hospital and were approved by the institutional review committee (CE14172, Taichung Veterans General Hospital). It was approved after expedited review procedures in Taichung Veterans General Hospital.
We collected the participants’ clinical parameters including gender, age (years), body weight (kg), timing of kidney biopsy (months after transplantation), cause of end-stage renal disease, and living donor or cadaveric donor. All diabetes mellitus (DM) patients were diagnosed according to the DM guidelines of the American Diabetes Association in 2013.10 Hypertension was defined as an average home systolic blood pressure greater than 140 mm Hg and a diastolic blood pressure greater than 90 mm Hg before medication, according to the definition for stage I/II hypertension set forth in the JNC-7 guidelines.11 Hepatitis B or C infections were confirmed by medical records, which were examined before transplantation in all recipients. Serum data were collected, serum creatinine (SCr) (mg/dL), estimated glomerular filtrate rate (eGFR)12 (mL/min per 1.73 m2), hemoglobin (g/dL), platelet (/μL), prothrombin time (seconds), and activated partial thromboplastin time (seconds). The index eGFR was calculated using the modification of diet in renal disease equation:12 eGFR (mL/min per 1.73 m2) = 186 * SCr−1.154 * Age−0.203 * 0.742 (if female). PCR was defined by spot urine test ratio of protein and creatinine (mg/g). Immunosuppressants were defined if any drug was used for at least 3 months before renal biopsy. Postbiopsy urinary tract infection was defined as symptoms of frequency, urgency, or pyuria in recipients. Hematoma, hydronephrosis, and arteriovenous fistula were detected by ultrasound. Deep biopsy to the medulla was defined according to the results of the pathological report. Also, the diagnosis of allograft biopsy and number of glomeruli were also performed according to the pathological report.
Allograft kidney biopsy protocol is frequently performed in Taichung Veterans General Hospital in all recipients with unexplained proteinuria or elevation of SCr. All patients were admitted for graft kidney biopsy. Before biopsy, recipients should control systolic blood pressure below 180 mm Hg. Antiplatelet or antithrombotic agents (eg, aspirin, omega-3 fatty acids, GP IIb/IIIa inhibitors, dipyridamole, and nonsteroidal antiinflammatory drugs) should be discontinued at least 7 days before biopsy, and warfarin should be discontinued at least 3 days before biopsy or the prothrombin time should be normalized. Pentoxifylline cannot be taken within 1 day before biopsy. Patients are instructed not to take the abovementioned drugs 7 days after biopsy. One day before biopsy, platelet, prothrombin time, and activated partial thromboplastin time should be normal. Biopsy is not performed in patients with SBP more than 180 mm Hg or abnormal coagulation function. It is important to note that Desmopressin 4 unit is infused 30 minutes before biopsy in all patients. All biopsies were performed by real-time ultrasound guidance by nephrologists. Before biopsy, the skin overlying the biopsy site should be free of signs of infection. The patient should also be able to follow simple directions (such as holding breath for at least 5 seconds). Under ultrasound guidance (3.5 MHz transducer with real-time visualization of the needle), a spinal needle was used to locate the capsule of the upper pole and to provide anesthesia for the biopsy needle tract. Two cores of renal tissue measuring 1 cm in length were generally recommended. We used an automated spring-loaded biopsy device (Bard Max-Core Disposable Core Biopsy Instrument) and the size of needle used varied between 16 and 18 G. Immediately after biopsy, we checked for any bleeding, hematoma, or arteriovenous fistula by ultrasound. All patients were required to rest in bed for at least 2 hours post-biopsy. Patients were instructed to maintain a supine posture in bed for 2 hours, and bed rest overnight was further recommended. The duration of the procedure was typically 23 minutes. To help detect bleeding and other complications, vital signs were closely monitored within 6 hours after biopsy. Blood pressure were controlled as well as possible (goal < 140/90 mm Hg). If any gross hematuria, back or abdominal pain, or dizziness or nausea were noted, urinalysis, hemoglobin, and serum sodium examinations were conducted. Ultrasound was also done to detect any complications. All patients received ultrasound regularly 1 day after biopsy without exception. That is to say, patients were under observation for at least 24 hours after biopsy. All patients were followed up to check for any complications for at least 1 year after biopsy. Complications (hematoma, hematuria, hydronephrosis, arteriovenous fistula, blood transfusion, hemoglobin decline, angiographic intervention to control bleeding, nephrectomy to control bleeding, and death) and any treatments were all recorded.
Data are expressed as mean ± standard deviation for continuous variables and as frequency/percent for categorical variables. Demographic and clinical characteristics of the entire cohort were recorded according to years. The basic characteristics of recipients and complications divided by year of biopsy were compared by Mann–Whitney U test (for continuous variables) or Chi-square test (for categorical variables). Univariate logistic regression model was used to analyze the possible factors associated with complications after renal biopsy. A P value <0.05 was considered statistically significant. All statistical procedures were performed using the SPSS statistical software package, version 17.0 (Chicago, IL).
All 1563 biopsies were selected, of which 269 allograft biopsies were selected for analysis. All basic parameters of this cohort are summarized in Table 1. The adult recipients’ cohort had a mean age of 50.3 years old and 49.4% were male. Renal functions were poor (4.02 ± 3.20 mg/dL of SCr, 26.04 ± 14.71 mL/min 1.732 m2 of GFR, and 6.96 ± 10.19 of PCR) because of “indication” biopsy. The timing of allograft biopsy was variable because of “indication” other than “protocol” biopsy. Most recipients (36.8%) received renal replacement therapy due to DM and were with well-controlled blood pressure (137.2 ± 16.4 mm Hg) with enlarged graft kidney size (112.4 ± 12.7 mm). Before biopsy, as mentioned in biopsy protocol, we made sure the normal coagulation functions (189,565.1 ± 60,285.7 /μL of platelet, 10.3 ± 0.9 s of PT, and 25.1 ± 3.3 s of aPTT). More than half (61.3%) of the biopsies were performed via 16-gauge automated spring-loaded biopsy needle.
Of all the 269 allograft kidney biopsies, there were 14 complications (5.2%) (Table 2). There were no statistically significant differences in all complications in the 6-year study period. The total complication rates remained unchanged during the study period (P = 0.236). In 2010, 2 recipients had hematomas (1 * 2 cm and 1 * 3 cm). Desmopressin was maintained for 2 more doses and follow-up sonography showed spontaneous resolution. No patient needed blood transfusion. Two recipients had gross hematuria and one of them resolved spontaneously. However, one of them suffered from allograft hydronephrosis. Percutaneous nephrostomy was performed 1 day after transplantation to rescue the renal function. Seven days after nephrostomy, urinary function was restored and antegrade intravenous pyelography revealed no stenosis. The catheter was removed soon afterwards. She did not receive renal transfusion in the whole course and renal function did not deteriorate due to this complication. In 2014, 1 recipient had hematoma (1 * 1 cm) with spontaneous resolution after 2 more doses of Desmopressin 2 days later. Four recipients had gross hematuria and 2 of them needed 2 units of packed red blood cell transfusion because of a decline in hemoglobin (10.2 → 7.0 g/dL and 8.4 → 7.7 g/dL, respectively). No more invasive procedures were necessary. In total, complications comprised only 3 cases of hematoma (1.11%), 6 gross hematuria (2.23%), 1 hydronephrosis (0.37%), and 2 hemoglobin decline (0.74%). No patient had nausea or vomiting so there were no cases of hyponatremia. The total complication rate was 5.20%. With respect to all treatments, 1 needed percutaneous nephrostomy (0.37%), 8 needed Desmopressin (2.97%), and 2 needed a blood transfusion (0.74%). No arteriovenous fistula, graft loss, or patient death was noted and no patients needed angiographic invention or nephrectomy to stop bleeding.
Recipients with or without complications were analyzed in Table 3. Of all the potential factors, a pathological report noting “medullary tissue only” was a risk factor for postbiopsy complications (P < 0.001, 1.8 of relative risk) by univariate logistic regression. Other recipient conditions or biopsy-related factors did not appear to affect the risk of postbiopsy complications.
Renal biopsy is the final diagnosis for kidney disease, including native and allograft kidneys. It is an essential tool for diagnosis and treatment, especially in cases of renal transplantation. The safety and complications in native kidney biopsy have been well defined.5 However, studies on allograft kidney biopsy are still lacking. The largest study on allograft kidney biopsy was conducted in 2003,9 which included 2127 cases. The study reported that the incidence of clinically significant complications after protocol biopsy of a stable renal transplant was low. However, the study was conducted than 10 years ago and all of the studied cases were protocol allograft kidney biopsy. Recently, but also already 10 years ago, a study with transplant protocol biopsies was done and there were 508 patients.13 Patients receiving protocol biopsy are more stable than patients receiving biopsy with indication. Biopsy with indication was always performed due to renal function deterioration or proteinuria. The association between renal dysfunction and bleeding was observed more than 200 years ago and the causes are believed to be multifactorial, including defects intrinsic to the platelet and abnormal platelet-endothelial interaction.14 That is, the complication rate following allograft biopsy with indication can be expected to be greater than that following protocol allograft biopsy. Moreover, most centers performed allograft kidney biopsy with indication, rather than protocol kidney biopsy. Unfortunately, there are relatively few data on the safety and complications in allograft kidney biopsy with indication. Also, the complication of allograft kidney biopsy is time-dependent owing to the need for application of medical devices, including sonography to guide biopsy, automated spring-loaded biopsy device, and usage of Desmopressin. Therefore, there is a need to determine the risks and complications rates of allograft indication kidney biopsy in the modern era. A meticulous review of the recent literature within the past 10 years only described 1 study on the safety of allograft kidney biopsy.8 Furthermore, the study only included children and adolescents and did not differentiate between indication and protocol biopsy. Our patient population is the largest indication allograft kidney biopsy cohort in the modern era. Consequently, the results of the present study may be of value to clinicians.
As compared to allograft “protocol” biopsy,9 the complications of allograft indication biopsy are as follows: hematoma (1.11% vs 2.6%), gross hematuria (2.23% vs 1.9%), arteriovenous fistula (0 vs 2.4%), graft loss (0% vs 0.04%), blood transfusion (0.74% vs 0.14%), radiological intervention (0.37% vs 0.04%), bowel perforation-related peritonitis (0 vs 0.09%), and surgical intervention (0 vs 0.09%). For the allograft indication biopsy cohort, there was a greater number of patients with gross hematuria, need for blood transfusion, and radiological intervention. Despite the higher incidence of radiological intervention in the indication allograft biopsy group, the number of such cases in both studies was just one. We believe it is very rare to require radiological intervention regardless of the type of biopsy. Much more severe complications, such as graft loss and bowel perforation, were also much lower in this indication study. In summary, we believe that even with a greater need for blood transfusion, allograft biopsy with indication did not have more severe complications than those of allograft protocol biopsy. Unexpectedly, these results showed that the risk of severe complication following a biopsy of a “normal kidney” was higher than that following a biopsy of an “inflamed kidney.” In a study by Furness et al,9 318 patients (15.0%) were only observed for 4 hours after allograft biopsy, which we think is inadequate. In the present study, all patients were kept under observation in the hospital for at least 24 hours and followed up for up to 1 week in the outpatient department. As such, we suspect that the complication rate in the aforementioned [?] study may have been underestimated. Allograft kidney biopsy with indication in our protocol had a very low complication rate. Compared to another study on protocol allograft kidney biopsy,15 7 patients (2.7%) experienced severe complications: gross hematuria with obstructive acute renal failure in 6 cases and isolated gross hematuria in 1 case. The complication rate was also more than our study (2.7% vs 2.23%).
Within the past 15 years, the only study on allograft kidney biopsy with “indication” was conducted by Nicholson et al.16 All of the biopsies were performed for acute kidney injury or to monitor the response to antirejection treatment. Size of biopsy needle (14, 16, or 18 gauge) was not a risk factor for complications.16 The macroscopic hematuria rate was 8%, which was higher than ours (2.23%) but similar to other previous reports from 15 years ago.17–22 Two studies reported the rate of gross hematuria was around 3%,23,24 but they were done more than 30 years ago. Therefore, in the current era, our study had the lowest complication rates following allograft kidney biopsy with indication. In the past 30 years, there were 7101 renal biopsies, which is the highest number among medical institutes nationwide. Our hospital also has the 3rd highest number of cases of renal transplantation in the country.
Regardless of the type of biopsy, allograft with “indication” or “protocol” kidney biopsy, our protocol had the lowest complications rates. There are a number of reasons which may explain this excellent outcome. First, allograft kidney biopsy was always performed by experienced nephrologists in our hospital. All biopsies were done with the help of real-time sonography-guidance and automated spring-loaded biopsy device. Second, before allograft kidney biopsy, we normalized blood pressure and coagulation function to the greatest extent possible. Any anticoagulation medication was strictly restricted before and after allograft kidney biopsy. Last, every recipient received 4 vials of Desmopressin 30 minutes before biopsy. This is the 1st study to report the use of regular prophylactic Desmopressin, which is an analog of antidiuretic hormone with little vasopressor activity. It can improve the bleeding time or in vitro tests of platelet dysfunction by increasing the release of large factor VIII:von Willebrand factor multimers from endothelial cells.25 To date, there have been no studies on the use of Desmopressin in allograft kidney biopsy, but use of this drug was reported in a study of native kidney biopsy.26 It was a single-center randomized placebo-controlled trial in which 162 patients were randomly assigned to either Desmopressin or placebo prior to biopsy. The result revealed Desmopressin can decrease the risk of bleeding and hematoma size even with better renal function: all patients had an eGFR greater than 60 mL/min per 1.73 m2, blood pressure less than 140/90 mm Hg, and normal coagulation parameters. However, adverse effects of Desmopressin, such as thrombosis or hyponatremia, were not discussed in that study. Moreover, no studies have mentioned the application of Desmopressin in allograft kidney biopsy. Our study is the 1st to report the routine administration of Desmopressin before allograft biopsy and to date we have had the lowest rate of complications. No thrombosis or hyponatremia was noted in our study.
To the best of our knowledge, no study has shown potential predictors of postbiopsy bleeding complications in allograft kidney biopsy in the current era. In the univariate logistic regression model, under the condition of normal coagulation, no recipient conditions, biopsy report findings, or size of biopsy gun were associated with postbiopsy bleeding. Pathological tissue containing “medulla only” was the only factor predicting postbiopsy bleeding (P < 0.001), which is compatible with the result of a study by Beckingham et al.22 “Medulla only” suggests no clear identification of the renal capsule. The needle possibly punctured through the entire cortex to the border of the medulla. There are many large branches of vessels and collecting tracts over the inner medulla. The reason that an insufficiently thick renal cortex may be a risk factor in renal biopsy could be due to the potential for medullar injury. Therefore, in order to avoid complication it is vital to identify the renal capsule, differentiate between the renal cortex and medulla by sonography, and then make a very superficial pass of the needle. Once the needle tip has been clearly shown to be located near renal capsule and avoid any medullar injury, other factors will not be associated with postbiopsy bleeding.
There were some limitations in this study. First, the study size was relatively small. However, our study size was the biggest within 20 years for allograft kidney biopsy. Second, to clarify the benefit of Desmopressin, a prospective double-bind study to compare the Desmopressin group and placebo group is needed. Third, we did not routinely collect the serum sodium before and after biopsy. To determine any possible complications of Desmopressin, we recommend that future studies measure serum sodium. However, hyponatremia is seldom reported after administration of 1 dose of Desmopressin. Also, we checked serum sodium if patients complained of nausea or vomiting. Last but not least, we did not record the path-histological results in this article. Some people may wonder that path-histological findings may be associated with the complications of allograft biopsy. However, pathologists read the allograft kidney biopsies based on “Banff classification,” which was modified in 2013.27,28 In other words, it is still evolving and changing and there are no absolutely definite criteria for diagnosis. Thus, we did not record the variables of pathological diagnosis in this article.
In the modern era, allograft kidney biopsy with indication is safe with acceptable complication rates. Our meticulous survey of coagulation function, routine use of prophylactic Desmopressin, and sonography guidance to avoid biopsying deep in the medulla or medullar tissue only showed that our allograft indication biopsy protocol had the lowest complication rates compared with previously reported rates.
The authors thank TCVGH-T1057804 from Taichung Veterans General Hospital and Tunghai University (Taichung, Taiwan) and TCVGH-1053603B from Taichung Veterans General Hospital for the support.
1. Cameron JS, Hicks J. The introduction of renal biopsy into nephrology from 1901 to 1961: a paradigm of the forming of nephrology by technology. Am J Nephrol
2. Iversen P, Brun C. Aspiration biopsy of the kidney. Am J Med Sep
3. Donovan KL, Thomas DM, Wheeler DC, et al. Experience with a new method for percutaneous renal biopsy. Nephrol Dial Transplant
4. Yoshimoto M, Fujisawa S, Sudo M. Percutaneous renal biopsy well-visualized by orthogonal ultrasound application using linear scanning. Clin Nephrol Aug
5. Corapi KM, Chen JL, Balk EM, et al. Bleeding complications of native kidney biopsy: a systematic review and meta-analysis. Am J Kidney Dis
6. Tondel C, Vikse BE, Bostad L, et al. Safety and complications of percutaneous kidney biopsies in 715 children and 8573 adults in Norway 1988–2010. Clin J Am Soc Nephrol
7. Wilczek HE. Percutaneous needle biopsy of the renal allograft. A clinical safety evaluation of 1129 biopsies. Transplantation
8. Franke M, Kramarczyk A, Taylan C, et al. Ultrasound-guided percutaneous renal biopsy in 295 children and adolescents: role of ultrasound and analysis of complications. PLoS One
9. Furness PN, Philpott CM, Chorbadjian MT, et al. Protocol biopsy of the stable renal transplant: a multicenter study of methods and complication rates. Transplantation
10. American Diabetes A. Standards of medical care in diabetes – 2013. Diabetes Care
2013; 36 (Suppl 1:S11–S66.
11. Verdecchia P, Angeli F. [The Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure: the weapons are ready]. Rev Esp Cardiol
12. Levey AS, Coresh J, Greene T, et al. Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate. Ann Intern Med
13. Schwarz A, Gwinner W, Hiss M, et al. Safety and adequacy of renal transplant protocol biopsies. Am J Transpl
14. Koo JY, Kadonaga JN, Wintroub BV, et al. The development of B-cell lymphoma in a patient with psoriasis treated with cyclosporine. J Am Acad Dermatol
1992; 26 (5 Pt 2):836–840.
15. Fereira LC, Karras A, Martinez F, et al. Complications of protocol renal biopsy. Transplantation
16. Nicholson ML, Wheatley TJ, Doughman TM, et al. A prospective randomized trial of three different sizes of core-cutting needle for renal transplant biopsy. Kidney Int
17. Waltzer WC, Miller F, Arnold A, et al. Value of percutaneous core needle biopsy in the differential diagnosis of renal transplant dysfunction. J Urol
18. Pillay VK, Kurtzman NA. Percutaneous biopsy of the transplanted kidney. JAMA
19. Buselmeier TJ, Schauer RM, Mauer SM, et al. A simplified method of percutaneous allograft biopsy. Nephron
20. Nagar D, Wathen RL. An improved method for renal allograft biopsy. Kidney Int
21. Horowitz MD, Russell E, Abitbol C, et al. Massive hematuria following percutaneous biopsy of renal allograft. Successful control by selective embolization. Arch Surg
22. Beckingham IJ, Nicholson ML, Bell PR. Analysis of factors associated with complications following renal transplant needle core biopsy. Br J Urol
23. Appel GB, Saltzman MJ, King DL, et al. Use of ultrasound for renal allograft biopsy. Kidney Int
24. Tilney NL, Strom TB, Vineyard GC, et al. Factors contributing to the declining mortality rate in renal transplantation. N Engl J Med
25. Zeigler ZR, Megaludis A, Fraley DS. Desmopressin (d-DAVP) effects on platelet rheology and von Willebrand factor activities in uremia. Am J Hematol
26. Manno C, Bonifati C, Torres DD, et al. Desmopressin acetate in percutaneous ultrasound-guided kidney biopsy: a randomized controlled trial. Am J Kidney Dis
27. Haas M. The revised (2013) banff classification for antibody-mediated rejection of renal allografts: update, difficulties, and future considerations. Am J Transpl
2015; doi: 10.1111/ajt.13661. [Epub ahead of print].
28. De Serres SA, Noel R, Cote I, et al. 2013 Banff Criteria for chronic active antibody-mediated rejection: assessment in a real life setting. Am J Transpl
2015; doi: 10.1111/ajt.13624. [Epub ahead of print].

domain: medical


From time to time, a guest blogger will appear on npENGAGE. Guest bloggers are industry experts contributing useful, relevant content to the conversation on npENGAGE. If you are interested in being a guest blogger, contact the editor.
Yes, it can be done! Here’s how: You will need the determination of a marathon runner.
Within a few years, your on premise accounting system will likely be as old hat as cassette tapes and roll-up car windows.
With so many more emails hitting our inboxes are we diluting the value of email?
The evolution of social media has been rapid and there is no indication that it’s going to slow down.
Online sustainer revenue increased 16.8% overall year-over-year.
61% of people have a better opinion of brands when they offer a good mobile experience.
Here’s how Sewickley Academy doubled their Instagram following in just 5 months.
Writing a successful fundraising appeal begins with a good plan.
Last year, 7 organizations were recognized at bbcon. Here are their inspiring stories.


text:
Tribute Games, the creator of such games as Scott Pilgrim vs. the World – The Game and Panzer Paladin, are back again with Shredder’s Revenge. This is an homage to the TMNT arcade beat ’em ups of the late 80s and early 90s. Me and my friend Anthony got some hands on time with the game and were able to ask the devs some questions regarding game and DLC plans.Continue reading “Teenage Mutant Ninja Turtles – Shredder’s Revenge Preview”
It’s an momentous occasion, Bethesda joins the Microsoft family. They discuss future plans in new roundtable livestream. Also in the news, Capcom requires it’s employees in office amidst cyberattack, Perfect Dark reboot team adds God of War producer to it’s team and YouTube personality and modder Bob Wulff turns Christopher Nolan’s Tenet into a Game Boy Advance movie and a new Teenage Mutant Ninja Turtles beat ’em up from the creators of Scott Pilgrim and Streets of Rage 4 gets a new trailer and it looks awesome.


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Well, a whole lot has been going on at our little homestead since I last had time to write! For starters, the girls and I have been preparing for our local farmer’s market for around two months, canning jellies and jams, making homemade cold process soaps and lip balms, crocheting doll dresses and dishcloths and potscrubbers, and trying out specialty cookie recipes such as “Nutter Betters” and “M’Oreos”, Marbled Chocolate Caramel Bars and Graham Crackers.
We’ve also been preparing for the arrival of two family cows! We were able to acquire an older Jersey cow named “Phyllis”–we call her “Philly”, and a 5 year old Ayreshire named “Missy”. They have been a wonderful addition to our livestock family. And on the evening of the first farmer’s market, Philly gave birth to a bouncing baby bull calf! They are both doing great, and yes, I’m so far surviving the early morning milkings. It’s the many buckets and containers that need washed and sterilized that’s killing me over here! We are huge fans of raw milk, and having our own milk cows is a dream come true, a long time coming! Missy is due to calve sometime around the end of May.
We’re raising baby chicks again, some for laying and some for the freezer. Our garden is double the size it was last year, we have a good stand of lettuce, onions, broccoli, cabbage, rainbow swiss chard, beets and about 60 or more tomatoes–I lost count. Green beans are coming up nicely, and I need to get out there and plant cukes and melons ASAP! Always plenty to do these days, as we finish up our school year, and work on labels for our market goodies.
The first farmer’s market was last week, and it exceeded our expectations and then some. We are trying to figure out how to make more baked goods while maximizing our efficiency. Oh for another stove! My 14 year old is the one baking the specialty cookies, which are very time consuming, but amazingly delicious, and big draws for the public. All of our baked goods are 100% made from freshly ground whole wheat berries…from our butter cookie pie crusts to our M’Oreo cookies.
Hope you enjoy the pics of our little farmstead!
Happy Spring to you!


Common Core Controversy Continued
Opposition to the Common Core State Standards is growing
Four states — Texas, Virginia, Alaska, and Nebraska — have not adopted the Common Core State Standards for public school curricula and testing. Minnesota chose to adopt only the English standards and declined the Mathematics standards.
Nine states which had previously adopted the Standards — Missouri, Kansas, Michigan, Georgia, Indiana, Pennsylvania, Alabama, South Carolina, Utah — are having second thoughts about it in one form or another. For example, in Missouri:
- HB 616 “Prohibits the State Board of Education from adopting and implementing the standards for public schools developed by the Common Core Standards Initiative” was introduced by Representative Kurt Bahr (R-102) although it did not come to a vote during the legislative session just ended.
- SB 210 “Requires the Department of Elementary and Secondary Education to hold public meetings in each congressional district on the Common Core State Standards” was introduced by Senator John Lamping (R-24) although it did not come to a final vote during the legislative session just ended.
In May, the Texas House of Representatives voted 140-2 to pass language prohibiting Texas from participating in the standards. Texas, however, has never adopted the standards and likely will not.
One flaw of Common Core seems to be around the assessment tests, and the maxim that “what gets tested gets taught.”
Critics also say that the whole Common Core effort is a backdoor way of establishing a national school curriculum, taking educational decisions away from the states. Amendment X to the Constitution of the United States, states that, “The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.” This is taken to mean, in this context, that a national educational curriculum mandate is in violation of the Constitution. Of course, proponents of Common Core point out that these Standards are developed and run by the states, not by the federal government. On the other hand, opponents of Common Core consider it as an end-run around having a federally mandated curriculum; in other words, while it is not officially a federal mandate, there are most certainly federal incentives (read “federal dollars”) for those states who implement it.
Without going any further into the pros and cons of the Common Core Standards themselves, we do want to watch out, however, for the first step down a fast slide toward the federal government telling teachers what should go on in their classrooms, and the conversion of schools and classrooms into the mental health clinics that the White House seems to desperately desire.
The President’s Fiscal Year 2014 Budget includes $205 million for programs to help identify children’s mental health concerns, improve access to mental health services and “support safer school environments,” including $55 million for Project AWARE (Advancing Wellness and Resilience in Education) to provide Mental Health “First Aid” training in schools and communities and to help school districts and their communities work together to ensure that students with mental health issues are referred to the services they need; $50 million to train 5,000 new mental health professionals to serve students and young adults, including social workers, counselors, psychologists, and other mental health professionals; and $25 million for Healthy Transitions, a new competitive grant to help support transitioning youth (ages 16-25) and their families access and navigate behavioral health treatment systems.
The federal government is even now working out how existing group health plans that offer mental health services must cover them at parity under the Mental Health Parity and Addiction Equity Act of 2008. In addition, the Affordable Care Act requires all new small group and individual plans to cover mental health.
For more information about the dangers of mandated mental health insurance coverage, download and read the CCHR report “The Vital Case Against Mandated Mental Health Parity.”
For more information about harmful psychiatric influences in education, download the CCHR report “Harming Youth — Psychiatry Destroys Young Minds — Report and recommendations on harmful mental health assessments, evaluations, and programs within our schools.”
As a result of psychiatric and psychological intervention in schools, harmful behaviorist programs and psychotropic (mind-altering) drugs now decimate our schools. These programs have trampled on the rights and roles of parents and have provided society with rising crime, drug abuse and suicide rates.
Contact your local, state and federal representatives and let them know what you think about turning our schools into mental health clinics and turning our children into mental health patients.
Forward this newsletter to your family, friends and associates and recommend that they subscribe.


text: Hi I'm new here and I hope to join your community. A few years ago I started experiencing pain in my hands and forearms that I attributed to computer use. A few weeks maybe months after that started I would wake up in the middle of the night with my pinky finger and ring finger numb along with that side of my hand. This happens when I sleep on my arm almost every night. I just change positions and the feeling returns in my hand. I always thought this happened because the muscles of my arms were so tight they partially compressed the nerve (causing the pain in my hands and forearms). I assumed that when I slept on my arm it would compress the nerve so much more that I would lose feeling in my hand. The pain in my hands and forearms have gotten better but my hand still gets numb at night. After reading To Be or Not to Be Pain Free I realize that there is something wrong with my understanding. Please explain to me what is really going on. I'm trying to reprogram my thinking!


The radiant panel systems for heating and cooling combine a high level of comfort to a significant energy savings.
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The radiant systems operate with water at low temperature (-25 40 ° C) and are therefore ideal for integration with heat pumps, Condensing boilers, biomass generators and with any technology that takes advantage of renewable energy sources.
The efficiency of a heat pump improves the 25% if combined with a radiating system compared to a system with fan coils, both in heating and in cooling.
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In radiant systems, in addition, the heat dissipation is much lower, thanks to a better insulation of the bearing elements.
The energy savings that can be achieved by a system of floor heating, Ranges from a 8% up to a 30%.
Each element of which the Rossato Group radiant system is composed is carefully designed, studied and tested by our technicians to ensure a long life of the system, without the need for maintenance.
Our radiant systems offer many advantages over traditional systems, and in particular:
more even temperature, increased use of living space without heating elements, no dust movements, aesthetics unaltered etc.
The radiant systems, as well as heating are also used in summer with cooling function.
Then you can use the radiating system for heating and cooling with the same pipe. In this case the heat pump It would become the only machine, with obvious savings over conventional air conditioners.
The heating and cooling function in radiant systems enables excellent system payback.
Best yields of heat pumps
The efficiency of the heat pump improves the 25% matching it to the radiant system rather than to fan.
Quick and easy to install
The system components are designed to allow simple installation and rapid and therefore more economic.
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High-quality components guarantee long life of the plant, no extraordinary maintenance.
technical assistance throughout Italy
The assistance Rossato centers covering the whole Italian territory and intervene promptly in case of problems.
types of radiant systems


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Issa went to Twitter Saturday (August 12) with quite possibly the best post-Bey meeting reaction – ever.
Just a couple of unsuspecting black girls getting their lives from Queen Bey. pic.twitter.com/Xs1CRlG8zO
— Issa Rae (@IssaRae) August 12, 2017
This weekend, Queen Bey gave rap star Kendrick Lamar some unexpected love.
A few days ago, Bey put some respect on vintage sports apparel company FILA’s name.
Just this week, footage emerged of Bey and her daughter Blue Ivy Carter turning up at a Kendrick Lamar concert.


For immediate release — April 2008Newsbrief
(DALLAS) — Members of the Dallas County Community College District board of trustees unanimously approved a proclamation during their regular April meeting that honored state Rep. Roberto Alonzo for his work on behalf of higher education and DCCCD. Alonzo, who attended the meeting and accepted the honor, thanked board members and the district for their support and reminded the audience that higher education is the key to the future for all Texans.
Jerry Prater, chair of DCCCD’s board of trustees, presented the proclamation and said, “Rep. Alonzo, we thank you for your support and your diligence on behalf of our district and for all colleges and universities in Texas. We are fortunate to count you among the members of the Dallas delegation who represent us in Austin.”
The proclamation cited Alonzo’s friendship with and support for higher education and DCCCD; it also mentioned two recent statewide honors he received: the 2008 Meritorious Service Award from the Texas Association for Chicanos in Higher Education and the 2008 Champion of Higher Education Award from the Texas Association of Mexican American Chambers of Commerce.


Both events have been warmly received and supported by Stirling Council, local residents and visitors from across the UK and the Council is disappointed to see them removed from our events calendar.
However, our attention is very much on the bright future for events in Stirling and discussions are at an advanced stage to bring exciting, new sporting spectacles for all the community to the area, continuing our long-standing reputation as one of Scotland’s most cherished events destinations.
A Stirling Council spokesperson said: “This is obviously a disappointing decision but our focus is already very much on bringing new events to Stirling with new and existing partners.
“The staging of these events in Stirling has further showcased the area’s credentials and quality as a top-class destination for sporting events.
“We’ve already been contacted by organisations looking to bring new sporting events to the area, which would fulfil our dual aims to boost tourism and promote health and wellbeing through participation opportunities.
“Our thanks go to all partners for their work over the past three years.”