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Treatment was successful in nine patients with closure of the fistulae in 2-15 days (mean, 7 days). Gibbs energies of binding and distribution of dye between the bulk water and surfactant micelles were estimated. A cross-sectional survey in an urban slum and surrounding rural areas in field practice area of a medical daily cialis prices college. Early evidence has indicated that endovascular Onyx embolization is safe and effective at achieving an initial angiographic cure. Efficient synthesis of a GABA A alpha2,3-selective allosteric modulator via a sequential Pd-catalyzed cross-coupling approach.
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Cite this as: A. M. B. Menezes,P. C. Hallal, A. M. Matijasevich,A. J. D. Barros, B. L. Horta, C. L. P. Araujo,D. P. Gigante, I. S. Santos, G. Minten,M. R. Domingues, S. C. Dumith and F. C. Barros, Clinical & Experimental Allergy, 2011 (41) 218–223.
Background There is evidence from two meta-analyses that children born through caesarean section (C-section) may have an increased risk of developing asthma compared with those born through vaginal delivery.
Objective To evaluate the association between mode of delivery and wheezing (current and persistent) in childhood and adolescence, in two birth cohort studies in Brazil.
Methods The outcome variable was based on the International Study of Allergy and Asthma questionnaire, which collects information about wheezing within the 12 months before the interview. Persistent wheezing was defined when it was present in more than one follow-up at different ages, in the 1993 cohort. The questions were asked to mothers when children were aged 4 years (1993 and 2004 cohorts) and directly to cohort participants at 11 and 15 years (1993 cohort). Mode of delivery was collected by the research team of each cohort when children were born.
Results Response rates in the last follow-up visit of the 1993 and 2004 cohorts were 85% and 92%, respectively. The prevalence of current wheezing increased from 20% to 28% at 4 years from 1993 to 2004; at 11 and 15 years, the prevalence was around 14% and 12%, in the 1993 cohort. The proportion of C-sections increased from 30.5% to 45% between 1993 and 2004. In each cohort, the prevalence of current wheezing was similar among children born through vaginal and C-section. The risk for persistent wheezing in the 1993 cohort was higher among girls born through C-section than boys.
Conclusion Despite the increase in the proportion of C-section in two cohorts in Southern Brazil, we found no evidence of an association between mode of delivery and the subsequent risk of wheezing. Among girls, although there was no statistical significance, the risk was higher for those born by C-section, especially regarding persistent wheezing.
Caesarean sections (C-sections) are estimated to be required in 5–15% of all deliveries . Wide differences in the prevalence of these operations are described in low- and middle-income countries: a study showed that in 20 out of 42 countries, C-sections were performed in <1% for the poorest quintile of women, whereas an excess of operative deliveries was shown in seven countries, mostly from Latin America . Lack of C-section when they are needed, are associated with an increased mortality of mothers and babies , and excess rates without medical indication are also linked to an increased morbidity and mortality .
There is evidence from two meta-analyses [4, 5] that children born through C-section may have an increased risk of developing asthma in comparison with those born through vaginal delivery. Pooled effects were 1.18 and 1.20 in the two available meta-analyses [4, 5]. Most studies included in the meta-analyses, however, were carried out in high-income countries, thus limiting the extrapolation of the findings to low- and middle-income societies.
In Pelotas, a southern Brazilian city, an epidemic of C-sections was reported some years ago [6, 7], and the existence of two population-based birth cohort studies [8, 9] enables us to explore this association using point prevalence of current wheezing at different ages. Not only Brazil has a high percentage of C-sections but also its prevalence of symptoms of asthma is as high as reported from known high-prevalence countries such as Australia, New Zealand and United Kingdom .
The aim of the present study was to evaluate the association between mode of delivery and current wheezing or persistent wheezing in childhood and adolescence in two birth cohort studies in Brazil. Our original hypothesis was that individuals born through C-section would be at greater risk of wheezing in comparison with those born through vaginal delivery.
Material and methods
Pelotas is a 340 000 inhabitant city located in the extreme south of Brazil. Two birth cohort studies were launched in the city within the interval of 11 years [8, 9]. The 1993 Pelotas birth cohort and the 2004 Pelotas birth cohort comprised, respectively, 5249 and 4288 individuals. Both cohorts included all children delivered in Pelotas in these respective years. In each study, mothers were approached at the hospital, and a structured interview was carried out. Subjects belonging to each cohort were re-visited at several occasions. Detailed methodological information on the Pelotas birth cohort studies is available elsewhere [8, 9].
The outcome variable current wheezing was defined based on the International Study of Allergy and Asthma (ISAAC) questionnaire [10–12], which collects information about wheezing through the following question: did you have wheezing within the last 12 months? The questions were asked to mothers when children were aged 4 years (1993 and 2004 cohorts) and directly to cohort participants at 11 and 15 years (1993 cohort). Persistent wheezing was defined by the presence of wheezing in more than one follow-up in the 1993 cohort (at 4 and 11 years and at 11 and 15 years). It was not possible to analyse wheezing at 4, 11 and 15 years due to the small number of cases. Mode of delivery was collected by the research team of each cohort when children were born.
Confounding variables were defined on the basis of the current literature on the association between mode of delivery and current and persistent wheezing [4, 5, 13–21]. These include child, parental and family variables.
Child variables: Birth weight (measured by the research team at the time of delivery), sex, gestational age (based on the date of the last period), intrauterine growth restriction (birth weight for gestational age <10th percentile based on the Williams' curves) , skin colour (as observed by the interviewer) and birth order (maternal report).
Maternal variables: Age and education at the time of delivery, smoking during pregnancy (yes/no, regardless of the amount), smoking at the age of follow-up (except for the 2004 cohort, when smoking was collected when children were aged 12 months) and current wheezing (self-report).
Paternal variables: Smoking at the age of follow-up and current wheezing (self-report). These variables were collected for the person living with the mother, regardless of being the natural father of the cohort member or not.
Family variables: Socio-economic position was based on the possession of different household assets. Continuous variables were created using principal component analyses. This variable was collected at birth, and divided into tertiles for stratified analyses.
Initial statistical analyses included the calculation of the prevalence and respective 95% confidence intervals (CI) of current wheezing according to type of delivery. Later, the odds ratios (ORs) were calculated in a logistic regression adjusted for confounding variables, using the statistical package Stata version 9.2 (StataCorp, College Station, TX, USA).
In all analyses, the vaginal mode of delivery was set as the reference category. The visit at 4 years of age of the 1993 cohort was weighed given the oversampling of low birth weight children . Analyses were later stratified by sex and socio-economic position at birth , and tests for interaction were performed.
The Federal University of Pelotas Medical School Ethics Committee approved all phases of each cohort. Informed consent was obtained from parents.
Response rates in the last follow-up visit of the 1993 and 2004 cohorts were, respectively, 85% and 92%. In Table 1, we present descriptive data on the outcome variable, exposure of interest and confounding factors. The prevalence of current wheezing increased from 20% to 28% at 4 years from 1993 to 2004. In the 1993 cohort – at 11 and 15 years old – the prevalence was 13.5% and 12%, respectively; persistent wheezing was less prevalent: 6% for those who reported wheezing at 4 and 11 years, 4.5% for those who reported wheezing at 11 and 15 years old and 2.7% for those who reported wheezing at all follow-ups.
|1993 (n=5249)||2004 (n=4288)|
|% Current wheezing|
|% Persistent wheezing|
|4, 11 and 15 years||2.7||NA|
|Mode of delivery|
|Birth weight, g (mean ± SD)||3176 (521)||3172 (530)|
|Gestational age, weeks (mean ± SD)||38.1 (1.6)||38.5 (2.3)|
|Intrauterine growth restriction|
|Fourth born or more||19.2||17.6|
|Maternal age (mean ± SD)||26.1 (6.4)||26.2 (6.8)|
|Maternal schooling (mean ± SD)||6.7 (3.5)||8.1 (3.4)|
|Maternal smoking in pregnancy|
|Maternal smoking after pregnancy|
|Maternal current wheezing|
|Paternal current wheezing|
The proportion of C-sections increased from 30.5% to 45% between 1993 and 2004. Mean birth weight was stable over time. Mean gestational age was slightly reduced, as well as the proportion of intrauterine growth restriction. Mean maternal age remained almost the same over time, and maternal schooling increased considerably in the 11-year period. Maternal smoking during pregnancy decreased from 33.3% to 27.2%, whereas maternal current wheezing increased from 15.7% to 20.8%, as is shown in Table 1.
Table 2 presents the prevalence of current wheezing in the 1993 and 2004 cohorts and persistent wheezing in the 1993 cohort according to mode of delivery. The prevalence of current and persistent wheezing was remarkably similar among children born through vaginal and C-section at all ages. The proportion of current wheezing at 4 years of age increased by 37% and 41% from 1993 to 2004 among those born through C-section and vaginal delivery, respectively. In the 1993 cohort, the prevalence of current wheezing decreased from childhood to adolescence. In Table 3, adjusted ORs for current and persistent wheezing among children born through C-section are shown. None of them were statistically significant. Maternal asthma was the most important confounding factor in the adjusted analysis, followed by birth weight. The lack of association between mode of delivery and current or persistent wheezing was confirmed in the analyses stratified by sex. No significant interactions were detected (Table 4), although the ORs for persistent wheezing among girls born through C-section were higher than among boys.
|Type of delivery||P|
|Vaginal % of|
|4 years of age (n=3798)||26.8 (24.7; 28.9)||28.7 (26.7; 30.7)||0.20|
|4 years of age (n=1270)*||19.5 (15.5; 23.4)||20.4 (17.8; 23.1)||0.70|
|11 years of age (n=4423)||14.4 (12.5; 16.3)||13.1 (11.9; 14.2)||0.24|
|4 and 11 years (n=1168)*||6.4 (3.8; 9.0)||6.2 (4.5; 7.8)||0.88|
|15 years of age (n=4325)||12.1 (10.3; 13.8)||12.1 (11.0; 13.3)||0.97|
|11 and 15 years (n=4225)||5.2 (4.0; 6.4)||4.2 (3.5; 5.0)||0.18|
|OR (95% CI)||P|
|4 years of age (n=2974)||0.96 (0.81; 1.15)||0.66|
|4 years of age (n=1215)†||1.16 (0.81; 1.68)||0.41|
|11 years of age (n=3210)||1.18 (0.94; 1.48)||0.16|
|4 and 11 years (n=855)†||1.23 (0.62; 2.47)||0.55|
|15 years of age (n=3086)||1.02 (0.80; 1.31)||0.85|
|11 and 15 years (n=3083)||1.19 (0.81; 1.75)||0.37|
|OR (95% CI)||P||OR (95% CI)||P|
|4 years of age||1.04 (0.81; 1.32)||0.77||0.88 (0.68; 1.14)||0.34|
|4 years of age†||1.18 (0.71; 1.96)||0.54||1.12 (0.66; 1.91)||0.67|
|11 years of age||1.15 (0.84; 1.58)||0.38||1.19 (0.85; 1.67)||0.30|
|4 and 11 years†||0.95 (0.43; 2.07)||0.89||1.54 (0.51; 4.64)||0.44|
|15 years of age||0.78 (0.53; 1.14)||0.20||1.25 (0.90; 1.74)||0.19|
|11 and 15 years||0.92 (0.53; 1.60)||0.78||1.59 (0.93; 2.71)||0.09|
The same was observed for socio-economic position (Table 5), i.e. none of them were statistically significant. However, the risk for persistent wheezing (at 11 and 15 years) among the wealthiest born through C-section was 82% higher than among less wealthy subjects, with a borderline P-value (0.06).
|First tertile (poorest)||Second tertile (intermediate)||Third tertile (wealthiest)|
|C-section, OR (95% CI)||P||C-section, OR (95% CI)||P||C-section, OR (95% CI)||P|
|4 years of age||0.74 (0.55; 0.99)||0.05||1.23 (0.91; 1.65)||0.17||0.83 (0.60; 1.16)||0.28|
|4 years of age†||1.09 (0.65; 1.84)||0.75||1.06 (0.51; 2.20)||0.87||1.16 (0.54; 2.49)||0.71|
|11 years of age||1.28 (0.89; 1.85)||0.18||1.02 (0.65; 1.55)||0.94||1.32 (0.86; 2.01)||0.20|
|4 and 11 years†||1.19 (0.38; 3.75)||0.77||2.17 (0.36; 12.9)||0.39||0.68 (0.16; 2.84)||0.60|
|15 years of age||0.94 (0.62; 1.42)||0.76||0.97 (0.61; 1.55)||0.89||1.14 (0.72; 1.79)||0.58|
|11 and 15 years||1.12 (0.55; 2.24)||0.76||0.80 (0.37; 1.73)||0.57||1.82 (0.98; 3.36)||0.06|
Using data from two population-based cohorts in southern Brazil, we found no evidence of a significant association between mode of delivery and the subsequent risk of wheezing. This relationship has been debated over the last years. Most original studies available found non-significant results, or slightly higher risk of asthma among those born through C-sections compared with those born by vaginal delivery [13–21]. Data from low- and middle-income countries on this association are virtually non-existent. Most recently, two meta-analyses were carried out on this topic, and both concluded that there is a moderate increase (18–20%) in the risk of asthma among subjects born through C-section [4, 5]. As only 1.5% of cases of asthma were attributable to delivery by C-section in the meta-analyses from Bager et al. , the authors believe it is unlikely that the increased use of C-section during the last decades contributed much to the increase of asthma in the same period.
There is a biological plausibility for an association between mode of delivery and asthma, because the development of the immune system may differ according to the type of delivery. Special attention has been paid to the production of types 1 and 2 T-helper cytokines . However, in addition to biological factors, the environment may play a role, and therefore, studies in low- and middle-income settings, such as ours, are desirable, mainly because, differently from what is reported in some high-income countries, asthma in Brazil is more frequent among subjects from low socio-economic groups [24, 25]. In Pelotas, the proportion of deliveries through C-section increased from 30.5% to 45% from 1993 to 2004 . This proportion reaches 82%, if we consider only private deliveries (paid for out of pocket by patients). Because in Brazil only rich families pay for their deliveries out of pocket, exposure to C-section is much more frequent among the rich . In order to overcome the possible confounding by socio-economic status in our analyses, we first adjusted the association between mode of delivery and wheezing to socio-economic position and maternal schooling. Because residual confounding could still be present using this approach, we also stratified our analyses by socio-economic position. Both approaches failed to modify the results, suggesting that the explanation for our null findings is not being confounded by socio-economic position. Despite the marked increase of 48% in C-sections between the 1993 and 2004 cohort in Southern Brazil, we did not find a statistical association between C-section and the presence of wheezing in the last 12 months.
Some methodological issues need to be highlighted. First, we rely on prospective data of two well-known population-based birth cohort studies [8, 9]. Second, by assessing the outcome at different ages, we minimize the likelihood of spurious findings. Third, data on the exposure were actively collected by the research team, data on the outcome were collected using an internationally accepted and validated questionnaire (ISAAC), and information on confounders was also prospectively obtained using standardized methods.
We also would like to point out some limitations of our study. We do not know whether C-sections in these two Brazilian cohorts were carried out by ‘doctor indication’ or due to other factors, such as doctor or patients convenience; it appears to us that the great majority of C-sections in our place are not a well-defined medical indication and most of these C-sections occur among rich families. This is relevant because in one of the meta-analyses the association between C-section and asthma decreased and was no longer significant when exposure was defined as birth by an ‘uncontaminated’ C-section (OR=1.17%, 95% CI 0.81–1.69) . We were not able to perform our analysis taking into account the type of C-section due to the absence of this information.
It could be argued that statistical power was also a limitation of our study. It was not possible to analyse persistent wheezing at the age of 4, 11 and 15 years old for the 1993 cohort stratified by sex and particularly by socio-economic position; the sample size was not enough for this analyses. We decided to maintain the stratification by sex due to the fact that the association found by Renz-Polster was gender specific, with a positive association only among girls (OR=1.53%, 95% CI 1.11–2.10) and not among boys (OR=1.08%, 95% CI 0.81–1.43) . We also found a higher risk for wheezing among girls born by C-section than boys, and especially persistent wheezing, but this did not reach significance. We cannot be sure whether or not this was due to sample size and its statistical power.
In conclusion, some findings of the present study were very similar to those presented in two recent meta-analyses [4, 13]. For example, in the 1993 cohort at the age of 4 and 11 years, we found an increased risk of current wheezing among those born through C-section of 16% and 18%, respectively, close to the 18–20% reported in the two meta-analyses. However, our effect measures (OR) were not significant, as well as other studies included in the meta-analyses, which also found similar effects, but without statistical significance. This might reinforce the hypothesis of insufficient statistical power to detect these associations.
A point to be highlighted in our study is that, regardless of the similar assessment of current wheezing across all ages, there was a lack of pattern in our results. For example, sometimes the OR of current wheezing among those born through C-section was higher than the unity, indicating an increased risk, but in other cases it was lower than the unity, indicating a decreased risk. This might suggest that the association between current wheezing and mode of delivery is not evident in Brazil. On the other hand, it appears that severe wheezing such as persistent wheezing, and particular among girls may be associated with C-sections. Other studies in developing countries are needed to confirm our findings.
The 1993 and 2004 Pelotas birth cohort studies are currently supported by the Wellcome Trust Initiative entitled Major Awards for Latin America on Health Consequences of Population Change. Previous phases of the studies were supported by the International Development Research Center, The World Health Organization, Overseas Development Administration, European Union, National Support Program for Centers of Excellence (PRONEX), the Brazilian National Research Council (CNPq), Brazilian Ministry of Health and Children's Mission. The authors declare no competing interests.
[*Correction added after online publication 14 September 2010: The tenth author's name is corrected from “M.R. Rodrigues” to “M.R. Domingues”.]

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KARACHI: Recalling the day when the 1992 army operation in Karachi began, Muttahida Qaumi Movement (MQM) chief Altaf Hussain called it a black day in Pakistan’s history. “June 19, 1992, was the day when an atrocious state operation was started against a peace-loving and patriotic party,” said Hussain in a press statement. Claiming that over 18,000 workers became victims of extrajudicial killings with thousands of others arrested and tortured, he said that the operation still could not suppress the party or shatter the spirit of its determined workers. “The operation that started in June 1992 continues in some form or the other to this day,” he added. Meanwhile, the MQM held prayers for its deceased workers at the Lal Qila Ground on Friday.
Published in The Express Tribune, June 21st, 2015.
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text: Varkala Cliff provides a splendid view of the seashore and sea. A perfect place to watch the sunset, the cliff is famous for the beautiful walkway that excites vacationers. Sightseers can go for a stroll enjoying the gentle breeze and fascinating sea-view. The open restaurants are another attraction of the cliff where tourists can enjoy a candlelight dinner listening to the lullaby of the waves. Unlike other beaches, the cliff and its premises are silent and are not crowded, providing relaxation and enjoyment to the fullest.

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Home Secretary Suella Braverman has said the hundreds of thousands of people taking to the streets in support of Palestine were taking part in "hate marches".
She urged officers to take a "zero-tolerance approach to antisemitism" after attending an emergency Cobra meeting chaired by Rishi Sunak on Monday.
Metropolitan Police Commissioner Sir Mark Rowley has previously suggested the laws may need to be redrawn so that officers have greater powers to tackle chants deemed to be extremist.
Report by Covellm.
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Health workers who left western Angola (search) after they were attacked by residents fearful of a deadly Ebola-like virus have resumed efforts to contain the disease, the World Health Organization (search) said Sunday.
Residents in Uige province had mistakenly feared the WHO teams were spreading — instead of helping contain — the rare Marburg virus (search), which has killed 184 people out of a total 200 people infected, WHO's spokesman in Angola, Dave Daigle, told the Associated Press by phone.
"Three teams have already resumed activities and are now following up on anyone who had contact with infected people recently," Daigle said.
Like Ebola, which also has hit Africa, Marburg is a hemorrhagic fever. It spreads through contact with bodily fluids and can kill rapidly. There is no vaccine.
Daigle said the WHO had launched an education campaign to help contain the virus and prevent a recurrence of Thursday's attacks.
"We're doing radio announcements, meeting with church leaders and local authorities, to reach out to people and not only explain to them what we're doing but get their support," Daigle said.
Meanwhile Doctors Without Borders, a global relief organization that runs an isolation ward at a hospital for victims of the virus, has advised that the hospital should be closed to contain the spreading of the virus.
The organization's emergency coordinator in Uige, Monica de Castellarnau, characterized the situation as "very worrying" and said Sunday by phone that "the hospital be shut down temporarily, until the outbreak is controlled."
She said Doctors Without Borders (search) was also attacked on Thursday and said hostility toward medical workers was due to a lack of information.
"We are doing the best to inform people because they are afraid and not only become hostile, but fail to report cases of the disease to us, making it harder to contain the virus," she said.
Several deaths attributed to the virus have been reported in four other provinces, but the only confirmed Marburg deaths can be traced back to Uige.
Two cases have been confirmed in Angola's capital, Luanda, but there has been no transmission of the virus there.
The worst previously recorded outbreak of the virus killed 123 people in neighboring Congo between 1998 and 2000, the last known outbreak of Marburg.


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Penland...two incredible weeks at a place like no other. Nestled, (I'm not kidding, Mapquest gets lost in all the nestling between mountains.) in the mountains of western North Carolina, it is one of the foremost craft schools in the US, hosting international and national artists to teach courses year round. As I last posted back in June, I signed up for the Figurative Ceramics class with Steve Dixon of the UK. We focused on the idea of "hero" or even "anti-hero" in our personal lives. In today's world, do we have heroes? What defines a hero? I was always a huge fan of Wonder Woman and the Bionic Woman...but in reality, heroes don't always come with super powers, instead, they come with presence and the presence of mind to sit still in the insanity of daily life and the unfolding traumas. In my life, the women in my mother's family have kept me sane, they are the bumpers on life's road, keeping me pointed forward. Not wanting to make a portrait of one particular woman, the bust became my Grandmother, Mother, and Aunt Janie. Little tchotskies representing all the sisters were placed within the giant curls of what was my Grandmother's "set." (I remember her getting her her "done" once a week.) At the front of her head is a tiny dining room table with 6 chairs...the most important place in the house. In remembering the table, as a child it seemed at least 20 people could sit around it. Originally I made 8 chairs, but was told there were only 6 chairs!! It was the place we always gathered and it seemed very fitting to put it at the front.
In her hair are: mascara and lipstick, a rolling pin, a lady finger and crochet hooks, a blue spiral representing "free spirit" and chocolate chip cookies, a log cabin with a bluebird of happiness at the top, a pair of orange pumps and a wine bottle, a big red heart, a baby and rubber ducky, as well, as the vodka slush container and a sacred heart.
Around her neck is a collar of pierogies and 11 philodendron leaves for the 11 kids in the family. It seems our family centers around eating, drinking, and looking good. My biggest struggle was to find a way to represent these very strong women who's very essences are intangible but very much who they are. I think it is the struggle of any artist trying to symbolize humanity. The hardest thing I learned about this particular piece of art was this...it was only a precursor to the next version. While still working out all these ideas in my head, trying to move from what is a literal representation to one filled with symbolism of more complicated ideas, the piece was unfortunately rushed into the kiln with an even more unfortunate ending. (Insert explosion and expletives here.)While contemplating how long it would take my school district to find my face on the front page of a North Carolina newspaper accused of murdering the studio assistant, I remembered a great friend once saying, "Never get attached to your pots." I applied the same wisdom, and set about building some little houses and heart rattles ( not shown). While I didn't bring home what I expected, I did bring home a new batch of friends, great memories and lessons still revealing themselves.
Back to the present...I've been home two weeks now, and what have I been doing??? Making pots of course!! "A Fair in the Park" is coming up in September. Cake plates are always fun to make and with the food channels fussing over cakes these days, why not? Penland artists made some of the most beatiful large food servers for the caferteria buffet line. I was inspired to make a few homages to these food boats, as well as, tall vases, canister sets and casseroles and brie bakers.
I know, I know, it's 97 degrees and the humidity is dripping, who wants to think about baking?? But autumn is just a cricket's chirp away. Soon I'll be craving baked artichoke dip and wool sweaters. In the mean time, I'll keep making pots and watering the garden, and cranking up the air.

domain: hobby


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The books that the Fishers Island Library Book Group has chosen to read and the dates they are to be discussed for the next few months.
Wednesday, September 8: A Woman of No Importance, a novel by Sonia Parnell
A Woman of No Importance is the story of Virginia Hall, an American spy who changed the course of World War II, whose story has never been told before. It reads like a thriller: ‘a suspenseful, heartbreaking and ultimately triumphant tale of heroism and sacrifice’. (BookPage) and has been very well reviewed.
Weather permitting, the Library Book Group will be meeting in the Madden Garden behind the Library, this Wednesday, September 8, at 5:30 pm to discuss A Woman of No Importance by Sonia Purnell. Note that we are meeting earlier than usual so we can hopefully miss the mosquitos.
We generally meet at 7:00 pm on the 2nd Wednesday of the month. Join the discussion as a longtime, new, or one-time member, and please reach out to us at email@example.com for log in instructions.
Hope to see you on Zoom on the second Wednesday of each month (except in July) at 7:00 pm – to discuss the books! 2021 dates include September 8, October 13, November 10, and December 8.
Lighthouse Works is having some of its alumni authors back via Zoom to discuss their books so if times can be coordinated we may switch in their books as the last collaboration with Lighthouse Works was very much enjoyed by all the Library Book Group members who attended.
Other books that have been suggested include: The Great Alone by Kristen Hannah, Winter in Paradise (and sequels) by Elin Hildebrand, Magic Hour by Kristen Hannah, Moby Dick by Herman Melville, All the Single Ladies by Dorothea Benton Frank, Grapes of Wrath by John Steinbeck, A Tree Grows in Brooklyn by Betty Smith, The Splendid and the Vile by Erik Larson, The Nineteenth Wife by David Ebershoff, Middlemarch by George Eliot and The Gun Monkey by Victor Gischler. And, other possibilities suggested were Magic Hour by Kristin Hannah, Celine by Peter Heller, The Secret Life of Lobsters by Trevor Corson, Last Day by Luanne Rice, and The Splendid and the Vile by Erik Larson. Another suggestion was either of Isabel Wilkerson’s books, The Warmth of Other Suns or Caste.
It allows one (one may need a NYS address) to become a member of the New York Library system and borrow digital and audiobooks for free.

domain: library


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How big should a 6-month-old German Shepherd be? A six-month-old German Shepherd puppy will be quite large as many German Shepherds undergo massive growth spurts between two and five months old. By six months, a male German Shepherd will weigh 53 pounds on average, whereas a female will weigh about 46 pounds.
What is a healthy weight for a German Shepherd?
- The average German Shepherd can weigh between 70 and 100 LBS when they are fully grown. In order to maintain a healthy weight and support the joints and bones, you should ensure their diet is rich in fats, vitamins, minerals, proteins and carbs.
- 1 What should I expect from my 6 month old German Shepherd?
- 2 What is a healthy weight for a German shepherd?
- 3 How much exercise does a 6 month old German Shepherd need?
- 4 Is 6 month old dog still a puppy?
- 5 How do I get my 6 month old German Shepherd to stop biting?
- 6 How can I tell if my German Shepherd is overweight?
- 7 Are German Shepherds supposed to be skinny?
- 8 Can German Shepherds be 100 lbs?
- 9 How much does it cost to feed a German Shepherd per month?
- 10 How long should I walk my 6 month old German Shepherd?
- 11 Do German Shepherds like to cuddle?
- 12 Do German Shepherds like to run?
What should I expect from my 6 month old German Shepherd?
At six months of age, your GSD is becoming independent. They explore more areas and develop new ways to engage with their world. While this is cute when they are small, at 6-months-old they can weigh upwards of 50 pounds or more and are 75% of their adult size! These are powerful dogs, even at a young age.
What is a healthy weight for a German shepherd?
6 Month Old German Shepherd Ingredients like crushed animal bones, pieces of chopped liver, and raw eggs are all vital to helping your puppy build up natural immunities, and provide them with the nutrients that they’re not going to be getting from their dry food diet.
How much exercise does a 6 month old German Shepherd need?
As a rule of thumb, puppies will need five minutes of formal exercise (such as walkies) for every month of their age. These walks should be opportunities to explore their environment, work on training and good behaviour outdoors, and socialise with other people and dogs in a controlled manner.
Is 6 month old dog still a puppy?
If your puppy is six months old, you have likely watched them go through their fast-growing juvenile stage from age three to six months. Now that your puppy has reached six months of age, they can be considered an adolescent. 7
How do I get my 6 month old German Shepherd to stop biting?
Take back control of their behavior using these quick and easy solutions to stop German Shepherd biting that actually works.
- Use Special Toys for Play.
- Say OUCH!
- Use Daily Leadership Skills.
- Take the Quiet Approach.
How can I tell if my German Shepherd is overweight?
3 Signs Your German Shepherd Is Overweight
- #1 – Can’t Feel Ribs. You should be able to feel your German Shepherd Dog’s ribs when you run your hand over their middle.
- #2 – Panting. Unless your German Shepherd is stressed or too warm, panting is another sign he has too much weight on his body.
- #3 – No Definition.
Are German Shepherds supposed to be skinny?
Fit German Shepherds may at first seem slightly underweight. But if you see their ribs protruding or their hip bones raised and easily felt when petting, this is a sign of being underweight. You should first check with your vet for possible medical issues.
Can German Shepherds be 100 lbs?
German Shepherd females are typically 60-75 pounds with the males sometimes reach 100 pounds. Combine this weight with their power and speed and, in the wrong hands, they can be a big handful and dangerous for young children. many apartments and rented homes set weight limits on the dogs they allow.
How much does it cost to feed a German Shepherd per month?
This rescue indicates that the cost of owning a German Shepherd will range between $1,200-$1,500 a year, which means $12,000-$15,000 if the GSD lives for ten years. Here’s the rescue’s breakdown of expenses: Food, Supplement (Nupro) and Treats – $35 per month.
How long should I walk my 6 month old German Shepherd?
German Shepherd puppies should stick to only five minutes of continuous, on-leash leisurely walking at a time based on their age in months. So, an 8-week-old puppy can walk for 10 minutes at a time on a leash while a 6-month-old can walk on leash 30 minutes at a time.
Do German Shepherds like to cuddle?
3) They often snuggle or cuddle. Apart from following you around, German Shepherds like to feel physically close to you. Snuggling or cuddling is one of the best signs that your GSD is being affectionate because this is one way they treat you as part of their pack.
Do German Shepherds like to run?
German shepherd dogs are known for having many talents, and running is one of them. Strong and durably built, this breed can keep pace with the best of them.

domain: pet


A PLAN to reward youngsters in deprived areas with £12-a-month leisure pass cards has come under fire in Liverpool.
The "opportunity cards", which can be used to pay for admission to sports or leisure facilities, was branded a cheap government gimmick by the city's leisure chief today.
Warren Bradley, the city's executive member for sports and leisure, attacked the proposal, part of the Green Paper Youth Matters.
Cllr Bradley said the government must make sport statutory for young people and back the move with sufficient funding.
He said: "Our Summer Splash scheme got government money and in the first year it was great. But the same sponsor-ship money has been withdrawn over the past three years.
"This a gimmick. I'll guarantee in 12 months' time this will be nowhere and the press will fall on local authorities to deliver it."
But the proposals were welcomed by others in Liverpool.
Kieran Gordon, chief executive of youth support organisation Merseyside Connexions, said: "We need more young people who are active in their community and are able to grow and develop themselves as individuals."
Under the opportunity card scheme, youngsters will be able to earn extra credits for good behaviour but could lose credits, or even have their cards withdrawn, if they get involved in anti-social behaviour.
They will be tested in eight areas in a £55m pilot over the next two years, and if successful will be introduced across the country in 2008.


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The Big Five
These five watch boxes are inspired by the Big Five
African lion | African elephant | Cape buffalo | African leopard | Rhinoceros
Each box is crafted from wood and adorned with leather inlay. The images of the five most endangered species are intricately cut into the leather. With three cushions that can lay flat or stand upright, you can showcase your watches in these unique watch boxes. The boxes cost €400 each, excluding shipping costs and VAT.

domain: design


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Hotfrog NewZealand provides information regarding Alan Clarke Financial Services in Kerikeri Northland. Alan Clarke Financial Services is located at 43 Kerikeri Road, Kerikeri Northland and provides Financial services. Contact them on 09-407 7985 or by visiting them on their website http://www.acfs.co.nz.
Adding money to KiwiSaver over age 65 What kind of investor are you? Happy? Disappointed? Wait till things look better before investing Do it when the sun is shining The problem with capital gains

domain: economics


Open Box Item: Tested and Works Great
About this item
WIFI ENABLED AND VOICE ACTIVATED – Control your heater from your phone anytime. Turn the heater on/off, change temperature, create schedules, and more using the free Atomi Smart App. Also works via simple voice commands with Alexa or Google Assistant.
SAFETY & STABILITY - Receive an instant phone notification if heater tips over. Also has built-in overheat protection, cool-touch housing and handle, a wobble-free base, and a 360 degree tip-over safety switch. Works on any floor surface – including carpet. ETL Certified.
LARGE TOUCH SCREEN PANEL – Can use without the app. Digital display and manual control pad features buttons for turning the heater On/Off, changing the temperature, switching between 3 modes (High, Low and ECO), setting the timer, and turning oscillation On/Off.
HEATS QUICKLY – Whisper-quiet 1500W PTC ceramic heating technology warms the surrounding air to 70 degrees in two seconds flat. Provides heat for rooms up to 750 square feet. Wide-angle oscillation warms up every corner of your room.
Posted in: Household
Find out how close you are to this item!


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I went to the scrabble doctor the other day, and told them I used to have a-l-i-e-n-a-t-e-d but now just had a-l-i-e-n.
They said it looked as if I was nearly half way to solving the problem, and well on the way to complete eradication of the problem.
However, they couldn’t give me a date, now I didn’t have the a-t-e-d any more!
They did recommend I exercise my a, l, i, e and n in a V-alen-t-i-ne poem, so inspired by my visit to the Atacama Desert in 1994, and seeing a story a couple of years ago about a mystery humanoid found there, named Ata, here’s a Folding Mirror poem divided between travel memoir and alien mystery.
The poem follows a few photos from the Atacama with relevance for the poem. There’s a slideshow of more of my photos from a happily surreal day in the desert on travel25years:
Atacama Photo Memory, Ata Alien Story
saw llamas and a vizcacha
on a day-trip to Atacama
from Arica on the Chilean Pacific
clear skies made Andes scenery terrific
leaving valleys greened by morning dew
grey mist still at scene providing clue
desert’s debatedly Earth’s driest plain
Yungay existed without hardly feeling rain
from Antofagasta to Salta
leaving Chile for Argentina
past salt lakes reflecting white-tipped mountains
run Lots ‘a las Nubes’ – ‘to the Clouds’ trains
I didn’t travel fifth highest railway on planet
bussed down from Peru and returned for exit
last been in Nazca ‘lines’, since heard of ‘alien’ Ata
did it arrive not knowing what it’d find
then perished after encounter of the fifth kind
Pima legend recall UFOs flying ‘Star Range’ – ‘Sierra Estrella’
a space highway wormhole over America
loving anteaters and coatis
flying south on Nortes
Ata survived until up to eight
fighting way above its weight
only had ten ribs on each side
human norm is twelve scientists decide
had visible tooth in Mandible jaw
human development takes year or more
Ata had only six-inches height
same as pencil or sprite
Vizcacha: South American rodent.
Yungay: Chile town.
Train to the Clouds: Tren a las Nubes
Lot salt story in Genesis 19, Bible.
Sirius: Ata research and above photo.
Men were said to have a rib less than women on one side, according to the Adam and Eve Bible story, where Eve was created from one of Adam’s ribs, but scientific study such as by 16th Century Flemish anatomist Veselius proved both genders normally have twelve each side.
Nortes: Americas wind.
Sierra Estrella native history: featured in Phoenix U.F.O. documentary on YouTube.


Watch Salma Hayek Eat a Cricket!
Salma Hayek's latest Instagram video backs Shailene Woodley's recent comment that bugs are "the future of food."
The 48-year-old actress shared an up close and personal video on Saturday, April 18, that showed her eating a cricket! Hayek opens her mouth to reveal the dead bug on her tongue before crunching it up and consuming it.
"These are crickets from Mexico, from Oaxaca, and they are eaten..." she explained to her 54,000 followers.
PHOTOS: Star Shots! What's On Instagram?
Hayek then shared a photo of her mini-meal, writing: "Close-up of the crickets."
If this is her secret to looking this good in a bikini, we'll take two!
The Fools Rush In actress wouldn't be the first A-lister to admit to eating insects. Divergent star Shailene Woodley also finds bugs to be a good source of protein. "I've eaten ants and that was great. And June bugs, that was great," she told Nylon magazine. "I think the future of food is in insects, so we'll see what happens."


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I love the idea of creating modern pop music using vintage analog gear.. I have a huge soft spot for old drum machines, vintage analog synths and gear in general..
Based in Copenhagen DK i´m currently signed at Sony Music Denmark as an artist with my band Young Tiger (links below)
I love the idea of creating modern pop music using vintage analog gear..
I have a huge soft spot for old drum machines, vintage analog synths and gear in general..
I will make a full production around any rough demo.. a simpel vocal recording and Bpm is enough
I specialize in modern pop and Indie music.
Besides producing tracks from scratch i play guitar, piano/synths, bass and drums..
I will always make sure that the tracks I produce are 100% original
Tell me about your project and what your, through the 'Contact' button above.
Songs produced by me for Young Tiger :
Videos by my group Young Tiger :
Facebook / https://www.facebook.com/youngtigerfacey
Contact me through the green button above and let's get to work.


Download Full Text (18.6 MB)
Foment de Pietat Catalana
Voice, organ or harmonium
A Catalonian hymn to Mary whose title translates to "Glory to Mary." This sheet music is for a chorus with two solo voices and organ or harmonium accompaniment. The music was composed by Joan B. Lambert, and the lyrics are a poem by Jacint Verdaguer.
sheet music, Virgin Mary, Madonna, hymns, Marian hymns
Lambert, Joan and Verdaguer, Jacint, "Glòria a Maria" (1905). Marian Sheet Music. 15.


Power Double USB-C/A Surface Mounted Socket
12-24 V DC / 5 V DC, 3.6 A with integrated power voltage converter. For charging and operating electronical devices that are suitable for charging by 5 Volt USB.
Fastening by enclosed screws. Pre-assembled cable connection approx. 15 cm.
Input voltage 8-34 Volt ,
E1 certificate, Current consumption < 1 mA.
Overload protection, overtemperature protection, reverse polarity protection, short curcuit protection, overvoltage protection at short voltage peaks.
Cable connection 15 cm,
Cable cross section 0.5 mm2,
Output current max. 3.6 A
Dimensions L x W x H: 85 x 35 x 33 mm


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The Central Valley Astronomers will provide the telescopes and lend expertise to the attendees, and the Fresno State Physics Outreach program will show hands-on demonstrations.
The rare total lunar eclipse, known as a blood moon as it turns dark red, will last for about one hour and 12 minutes.
The planetarium will have two special showings before the start of the eclipse at 5:30 p.m. and 6:15 p.m. Reservations for those programs are online at www.fresnostate.edu/csm/downing-planetarium/public-request.html and tickets are available for purchase at the door (adults $5, seniors $4, Children/Students $3).
Free parking will be available next to the planetarium in lots P15 and P16. Attendees are encouraged to bring their own chairs and blankets to the event.


Are you an outdoors enthusiast who loves to go fast? If so, you’ve probably thought about investing in a propeller for your sports and outdoors activities. But before you do, check out these ten FAQs on propellers of sports and outdoors.
How do propellers work on sports and outdoors vehicles
How do propellers work on sports and outdoors vehicles?
Propellers are one of the most essential components of sports and outdoors vehicles, providing the thrust that propels them forward. But how do they work?
At its most basic, a propeller is just a rotating wing. The blades of the propeller act like an airplane wing, generating lift as they rotate. But unlike an airplane wing, which generates lift in all directions, a propeller only generates lift in one direction—forward.
This is because the blades of a propeller are tilted at an angle, so that as they rotate they push air down. This downward force creates a reaction force that propels the vehicle forward. The faster the blades spin, the more thrust is generated.
Propellers come in all shapes and sizes, depending on the application. For example, propellers on model airplanes are typically much smaller than those on full-size aircraft. And while most propellers have between two and four blades, some have as many as eight or more.
The vast majority of propellers used today are made from aluminum alloy, although wood and composite materials are also used in some applications.
Whether you’re driving a boat, flying an airplane, or riding a snowmobile, understanding how propellers work can help you appreciate the amazing machines that we use to get around.
What are the benefits of using propellers on sports and outdoors vehicles
Propellers are often used on sports and outdoors vehicles because they offer a number of advantages over other types of propulsion. First, propellers are much more efficient than other types of propulsion, such as jets or rockets. This means that they require less fuel to operate, which reduces the overall cost of operating the vehicle. Additionally, propellers produce less noise than other types of propulsion, making them ideal for use in quiet areas. Finally, propellers are relatively simple and reliable, making them easy to maintain and repair.
How can propellers improve performance on sports and outdoors vehicles
Propellers can improve performance on sports and outdoors vehicles by providing additional thrust to help the vehicle move forward. The added thrust from the propeller can help the vehicle to accelerate faster and climb hills more easily. Additionally, the propeller can help the vehicle to maintain a higher speed when going downhill.
Are there any disadvantages to using propellers on sports and outdoors vehicles
There are several disadvantages to using propellers on sports and outdoors vehicles. Propellers can be dangerous if they come into contact with people or animals. They can also be damaged if they hit something while the vehicle is in motion. Additionally, propellers are noisy and can create a lot of vibration, which can be uncomfortable for passengers.
How do you choose the right propeller for a sports or outdoors vehicle
There are a few things to consider when choosing the right propeller for your sports or outdoors vehicle. The first is the size of the engine. You’ll want to make sure the propeller is the right size for the engine, so that it can provide the power you need. The second is the type of terrain you’ll be using the vehicle in. If you’re mostly using it on flat ground, you’ll want a different propeller than if you’re using it in rough terrain. Third, you’ll want to consider how fast you want to go. Different propellers will give you different speeds, so you’ll want to choose one that will let you go as fast as you want to go. Finally, you’ll want to think about how much noise you’re willing to put up with. Some propellers are louder than others, so if you’re looking for a quiet ride, you’ll want to choose accordingly.
How do you install a propeller on a sports or outdoors vehicle
Assuming you would like a blog titled “How to install a propeller on a sports or outdoors vehicle”:
Installing a propeller on a sports or outdoors vehicle is a relatively easy process that can be completed in a few simple steps. First, locate the propeller shaft on the back of the vehicle. Next, align the propeller with the shaft and insert it onto the shaft. Finally, tighten the propeller in place with the provided bolts or screws. That’s it! You’ve now successfully installed a propeller on your sports or outdoors vehicle.
How do you care for and maintain a propeller on a sports or outdoors vehicle
Assuming you are talking about a propeller on a boat, the best way to maintain it is to keep it clean. A good idea is to use a mild soap and warm water to clean the blades after every use. You should also check the propeller regularly for any damage or wear and tear.
What are some common problems that can occur with propellers on sports and outdoors vehicles
One common problem that can occur with propellers on sports and outdoors vehicles is that the blades can become bent or damaged. This can happen if the propeller hits something while the vehicle is in motion, or if it is not properly maintained. Another problem that can occur is that the propeller can become unbalanced, which can cause the vehicle to vibrate and be difficult to control.
How can you troubleshoot and repair problems with propellers on sports and outdoors vehicles
There are a few things you can do to troubleshoot and repair problems with propellers on sports and outdoors vehicles. First, check the propeller for any damage. If there is damage, you will need to replace the propeller. Next, check the engine and make sure it is running properly. If the engine is not running properly, it may be causing the propeller to not work properly. Finally, check the alignment of the propeller. If the propeller is not aligned properly, it will not work correctly.
Where can you find more information about propellers for sports and outdoors vehicles
Propellers for sports and outdoors vehicles can be found at many different retailers. Some common places to find these types of propellers are sporting goods stores, outdoor equipment stores, and online retailers. When shopping for a propeller, it is important to know the size and type of vehicle that the propeller will be used on.


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THOUSAND OAKS, Calif. – Rams center Brian Allen (thumb), defensive tackle A'Shawn Robinson (knee), linebacker Travin Howard (hip) and quarterback Matthew Stafford (concussion, neck) have been ruled out for Sunday's game against the Chiefs in Kansas City (1:25 p.m. PT, FOX).
Allen did not practice all week, while Robinson and Stafford were ruled out by McVay on Wednesday when McVay provided injury updates on both. Robinson tore his meniscus against the Saints last week and will miss the rest of the season. Stafford is still in concussion protocol and that there were no updates on him beyond that, per McVay.
McVay said Nsekhe's availability could come down to a gametime decision. If Nsekhe is unable to play, McVay said there are "a couple of different guys" who could start at left tackle, with rookie A.J. Arcuri being one of them.
For the Chiefs, wide receiver Kadarius Toney (hamstring) has been ruled out, while cornerback Chris Lammons (concussion), safety Juan Thornhill (calf) and guard Joe Thuney (ankle) are considered questionable.
Below are the final injury reports for both teams. Note: The Rams held a jog-through Thursday, therefore, participation for that day is an estimation.
LOS ANGELES RAMS
|Allen Robinson II||WR||Ankle||Limited||Limited||Limited||Questionable|
|Matthew Stafford||QB||Concussion, Neck||DNP||DNP||DNP||Out|
KANSAS CITY CHIEFS
|Jerick McKinnon||RB||Hamstring, Shoulder||Full||Full||Full||-|