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October 28, 2022 – The widely used disinfectant chlorhexidine gluconate (CHG) appears to be the most effective irrigation solution for use as part of the surgical treatment of bone tumors, suggests an experimental study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
Of the various solutions used to eliminate remaining tumor cells after surgery, a 0.05% CHG solution appears to be most effective in killing cultured bone tumor cells, according to the laboratory study by Matthew J. Thompson, MD, of the University of Washington, Seattle, and colleagues.
CHG shows highest cytotoxicity against chondrosarcoma and giant cell tumors
Some patients with bone tumors undergo a surgical procedure called intralesional curettage. In this procedure, the tumor is scraped away while preserving as much healthy bone as possible. A common adjuvant treatment is to irrigate the operative area of the bone with some kind of chemical solution. This irrigation is performed to reduce the number of remaining cells that could potentially lead to tumor recurrence and reseeding.
Several different solutions have been used for irrigation of the tumor bed, including saline, ethanol, and various disinfectants. Dr. Thompson and colleagues performed a series of experiments to determine which of these solutions has the greatest cytotoxic (cell-killing) effects against bone tumor cells.
The experiments used cultures of two types of bone tumors: giant cell tumor, a benign but aggressive tumor; and chondrosarcoma, a type of bone cancer. Tumor cell cultures were treated with one of six different solutions – sterile water, 0.9% saline, 70% ethanol, 3% hydrogen peroxide, 0.05% CHG, and 0.3% povidone-iodine. Cytotoxicity was compared for the different treatments.
Of the six treatments, only CHG had cell-killing effectiveness equivalent to a control solution with 100% cytotoxicity, and this outcome was observed regardless of the treatment period (i.e., 2 minutes or 5 minutes).
None of the other solutions approached the cell-killing effectiveness of CHG. Only two solutions (sterile water and hydrogen peroxide) were superior to a control treatment with low cytotoxicity. The other three solutions tested – saline, ethanol, and povidone-iodine – showed little or no cytotoxicity.
Chlorhexidine is a familiar disinfectant with various medical uses, including as a topical antiseptic agent before surgery. The researchers write, “[CHG] is commonly used and readily available, with demonstrated in vivo safety in other surgical applications and a lower predicted toxicity compared with some currently used agents.”
The new study shows that CHG is highly effective in killing bone tumor cells – at least under laboratory conditions. “Therefore, the use of a 0.05% CHG solution clinically could serve as a potential chemical adjuvant during intralesional curettage of chondrosarcoma and [giant cell tumors],” Dr. Thompson and coauthors conclude.
The researchers emphasize that further studies will be needed to evaluate the outcomes of CHG irrigation in patients undergoing surgery. Dr. Thompson comments: “We believe it is important to continue to explore better ways to achieve durable local control of benign aggressive tumors like giant cell tumor of bone, which are associated with a high risk of local recurrence when treated with conventional extended intralesional curettage.”
Read [Cytotoxic Effects of Common Irrigation Solutions on Chondrosarcoma and Giant Cell Tumors of Bone]
About The Journal of Bone & Joint Surgery
The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.
About Wolters Kluwer
Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.
Wolters Kluwer reported 2021 annual revenues of €4.8 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,800 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.
Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.
For more information, visit www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.
Journal of Bone and Joint Surgery


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This summary of Pokémon Sword & Pokémon Shield will show you how to play in the beginning. Which may not be detailed, describing every point, but enough to be able to be a guideline for friends not more or less. If after reading it and finding an error or there is a point that the author missed, you can notify the author via the Playpost or Myplaypost fan page.
1. If you are curious about the differences between Pokémon Sword & Pokémon Shield, you can read this article first. Including new system information that friends will meet in Pokemon Sword / Pokemon Shield
2. The story of this game may not have much details, but when we finish the main story, there are quite a lot of things to do. The author will include it in a separate article. Once it’s finished, it will be updated for you to read.
3. For friends who just played, rexe(the author) does not recommend that IV or EV are serious enough to finish the main story. We can recheck it later.
4. In the Pokemon Sword&Shield, we can collect levels faster than previous series a lot, because when the fight is over, every Pokemon on the team will also gain a level. And there is the Max Riad Battle that can be played with friends or through the internet as well.
5. Some Pokémon from previous games will disappear, so if you don’t find some, don’t be surprised. There will be more to add in the future, but don’t know what form it will come.
The game opening cutscene will start with the Galar Regional Championship. After we finish the intro, it will skips to yourselves in Wedgehurst watching TV at home with your best friend Hop, who is Leon’s brother, the champion we just saw on TV, waiks up to you. When we control the character, go to the far right side of the house to your room. Then press to pick up the bag and go outside, we will find Hop waiting.
Follow Hop to his house, which is a large apartment. Go into the house and talk to Hop’s mother, we decide to meet with Lee. (Leon’s nickname) by walking out of the house and walking straight up to find Hop waiting. Follow straight through Route 1 to enter the city to find Leon showing himself to the townspeople. After meeting with Leon, we will return to the house. Leon gives us a Pokemon with Hops, which are available as follows. Scorbunny, Fire Pokémon, Sobble, Water Pokémon or Grookey, Grass Pokémon.
Once selected, Hop will pick a Pokemon after us. Which he will always choose the one that is weak to our elements. For example, if we choose the Fire element, he will choose Grass and so on. The other Pokemon will go with Leon. When we finished picking Pokemon and the mothers will come and tell us to go eat and rest. On the next day, Leon will lead us to fight Hop for the first time. He will have Wooloo and a selected Pokemon.
Once the battle is over, Hop and you will decide to go on a journey to challenge different gyms. After the conversation is over, walk out to meet with the event of Wooloo breaking the stall and escaping. Hop and you will have to go out and find it back. To walk out of the broken fence and follow the path to continue. During this time, there will also be a chance to encounter wild Pokemon. If our health is low, can go ask Hop to heal. Walk to the end of the way, we will meet a dog-like mysterious Pokemon. While fighting, the fog will thicken until we can’t see anything before that Pokemon disappears.
At the end of the fight, we’ll pass out and Leon joins in concern and he tells us that he has found the lost sheep. We’ll tell Leon about his strange encounter with a mysterious Pokemon before heading home, which Hop would excuse himself to tell his family that he is leaving for adventure.
After parting with Hop, walk into the house and meet your mother to tell her that you are leaving Wedgehurst on an adventure. After talking to Mom, you have to walk out of the house and follow the path until we find Hop. He will tell you to go to the Pokémon Research Lab. We cannot go directly, you have to walk around the sheep. In the meantime, maybe try catching Pokemon first. In which our bag initially contains five balls and can buy more later (You have to go through this part first.) After walking until you’re satisfied, go to the Pokemon Research Lab in town, where you’ll find Sonia, who will be Leon’s rival. She will give you the Pokedex and tell you that to find the professor.
When you come out of the lab, go up to the top of town where Hop will be waiting for you. He will recommend Pokemon Center for us. After this, we can come to heal Pokemons and buy various items, with the items increasing as we play through each story phase. When you go out, follow the path to the top again, you will meet Hop to talk a little more. After finishing, walk out of the city and go through Route 2, which is a straight road, so you can walk straight ahead. When leaving the city, you will meet Leon, he will give you 20 Poke Balls. During this time, you can try to catch Pokemon around here before moving on.
After walking straight, you will meet other Pokemon trainers. Which after this we will have to meet again throughout the game. If you win, you will get both money and experience. But if you don’t want to fight, you can walk away from some trainer. At the end of the Route, you will find Professor Magnolia’s house. There will be a small talk before we fight Hop again (Leon will heal you first).
This time Hop comes with 3 Pokemon together: Wooloo/Main Pokémon/Rookidee
After the fight, Leon will receive the Letter of Endorsement item, which is a recommendation letter used to compete with the Gym Leaders. After talking with Leon and us, we will collect Wishing Star, which is an item that allows Pokemon to use Dynamax Form (Big Form). After talking, the Professor tells us to take a rest. And he has already made a tool to transform for you to use. And your next destination is to challenge different gyms.
After we play to the later part of the game that can run on water. On the left we can run up to a two small island to collect items, including the TM69 Psycho Cut and Choice Band.
During this period, there are 3 Pokemon that you can catch and use for a long game. Here are 3 of them. ( It’s just the author’s opinion.)
Rookidee – A small bird that, when evolved into its final form, is Flying and Steel. It can be used with variety of attack moves.
Chewtle – Water element turtle that if we don’t use Starter as Water, it can be used for a long time. Because it’s very tough, plus the skills are quite complete.
Magikarp – Another Pokemon that is worth looking for. We can go fishing next to the Professor’s house to find Magikarp or Koiking. Its second form was a very brutal Gyarados.
Train Station in Wedgehurst
Head back to Wedgehurst to reach the train station at the town. The station is located at the entrance to the town and can be seen from the Hop waiting in front. Let us get ready and walk into the station. will meet the mothers came to send us along with the Item Set of Camping Gear, which allows us to set up a tent in the Wild Area. After we ride the train for a while, the train will stop at the station at the Wild Area. Once you get out of the train, talk to the person at the exit to get a Poke Doll before walking away. In which we can also receive Pikachu and Eevee if the conditions are met.
How to get Pikachu and Eevee
You can get Pikachu and Eevee if you already have saves for both of these games. Just walk and talk to A young boy/girl at the train station in the Wild Area after we left Wedgehurst.
About Wild Area
Wild Area is initially an open area where we can meet other players. And there will be Max Raid Battle to fight and catch. If you win, Dynamax Pokémon will be able to farm a lot of stuff, whether it’s Exp, single-use skills, Berries, etc. Even more if there is. Playmates will have a lot of fun because they can get together with up to 4 people. The Max Raid are red and purple. which purple is better than normal. As for the number of stars of Pokemon, we will find more-stars Pokemon as we play clear Gyms at higher levels.
South Wild Area
After walking out of the train station, it will be a Wild Area, beware of large Pokemons walking because we can’t fight them yet. Let us try to find a way to reach Motostoke, during which time we may try to enter the Max Raid or try to find more Pokemon to catch first. If our Pokemon run out of HP or PP, you can come to heal at the NPC in front of the station. It is recommended that you try joining the Max Raid to collect Exp candy and leveling Pokemon to level 16 – 20. If we catch Pokemon until satisfied, you can walk to Motostoke City. Personally, I don’t recommend the Max Raid too much, because in the beginning, we can only unlock 1-star Pokemon, which if we play further through the story will give us a chance to find more star Max Raid pokemon.
In the Wild Area, we can explore to get TM84 Tail Slap, located in the Rolling Fields area, the TM81 Bulldoze in the Giant’s Seat, and the TM95 Air Slash in the Axew’s Eye. But the last one, you have to play further before being able to run on water.
When entering Motostoke, it will encounter a few incidents. After finishing, walk straight to the end of the city where there will be an elevator that will take us up to the top. By entering the building inside to register as a challenger with various gyms. In which we can choose the number we like to stick on the back of our shirt. After completing the registration, the staff will let us stay in the hotel to wait for the launch event the next day. Let us follow and go into the hotel.
When you enter the hotel, you will encounter a man in black who disturbs many people so they cannot stay. From talking, you will know that this group calls themselves Team Yell, go talk to them and answer the first option. We will fight against that grunts. This will take about 3 fights in total. After the end, Marnie will walk in and apologize on behalf of those who harassed you a few moments ago. She said they just wanted to support her. which she did not want to cause others trouble at all. When the conversation is over, let us talk to the receptionists to rest.
When you wake up, walk out and you’ll see an employee waiting for you. You can press “yes” to follow them. We have to go back to the stadium. After entering, talk to the staff in the lobby to change clothes and attended the opening ceremony of the competition.
After the ceremony is over, there will be a gift from the Chairman who left it for us. That’s the ability to Fly. From now on, we can click on the map and select the city that has been to it. It makes traveling much more convenient. After we done prepared, walk to the left hand side of the stadium, you will find Hop waiting to challenge us. Defeat him to go to Route 3.
– We can get Hi-tech Earbuds items from the man in front of the audio shop (near the elevator)
– There is a TM02 Payday in the city, located at the bottom of the city, you have to go down the stairs. And in the shop there will also be TMs for sale (must play the long-term story first)
Details of various gym leaders
In some gyms we will face different Gym Leaders depending on the version we play. We can see the names of Gym Leaders and the Elements they can use in the table below.
When the ceremony is over, come out and keep walking to the left, preparing to go to the next city. You will meet Sonia, who will have a small talk. After finishing, keep walking along the path to find a cave. Which in the front we can talk to the NPC to ask him to heal. It is suggested that during this part, if we don’t have Fire, Insect or Flying Pokémon yet, catch those Fire-type Pokémon to prepare to deal with the Gym Leader we are about to encounter. In this area, there will also be a Growlithe which is a Fire type Pokemon too.
– Near the berry tree, there will be a TM37 Beat Up to collect.
In this cave, there are quite a lot of earth type Pokemon for us to catch. If you have time, you can stop by and catch them first. And inside the cave, if we walk carefully, we will find TM54 Rock Blast on the outside of the cave and TM26 Scary Face hidden in one of the rooms. After collecting the items until you are satisfied, you can walk through the cave. But before leaving, we will find Bede to block him and defeat him to go to the next city.
When you come out of the cave and walking continuously until you reach town, we meet the first gym leader Milo. After entering the city, follow Yamper to find Sonia who is waiting on the left hand side first. in which she will tell about her research. After the conversation is over, you will be able to challenge the Gym.
The Gym Challenge requires us to walk into the stadium and talk to the person at the counter inside to register and change clothes. The Gym Challenge in this game is like a game show where we have to do some missions before we can challenge the Gym Leader. As for the first gym, we’ll have to get all of the sheep inside so the door will open. If the sheep encounter a Yamper, they will escape and split the herd, so try not to herd the sheep into the dogs, it will make herding much easier.
When we have completed the mission, Milo is waiting for you, who is the boss of Grass Gym, the Pokemon he uses are as follows.
In the fight against Milo, if we have an Insect, Fire and Flying type Pokémon, it will be very easy to deal with him. Be careful, he will use Dynamax with Eldegoss. It is recommended that you use Dynamax to fight. After defeating Milo, you will receive TM10 Magical Leaf and a few loot.
Galar Meowth can be exchanged for normal Meowth with the Kid NPC near the Gym.
After fighting with Milo, we walk out of the city on the right hand side, it connects to Route 5, when we walk to the bridge, we will meet Team Yell Grunts threatening to take the bike from a young man. In which he will ask us to help and will give us a bicycle in return.
– We can go into the Pokemon Nursery to deposit Pokemon.
– The NPC in Pokemon Nursery will have someone who gave us a Toxel.
– The TM31 Attract can be found by hiding around the corner. corner of the scene
After collecting and catching Pokemon in this area until satisfied, cross the bridge to meet Hop waiting fo you, Defeat him to go to the next city.
When we arrive, we won’t be able to challenge the Gym now because the Gym Leader isn’t there. We need to find the Gym Leader or Nessa at the lighthouse on the right side of town. After we meet her and talk a bit more, she’ll go back to the Gym and we can challenge now.
In the puzzle part of this gym we have to solve the pipe puzzle by pressing different colored keys. Which, if you’re lazy to solve by yourself, the answer will be as follows;
Zone 1 – Red/Yellow/Red
Zone 2 – Yellow/Red
Zone 3 – Yellow/Red/Blue (not the same yellow, it’s another one hiding inside.)
As for Nessa’s Pokemon, they are all water-type. with the following Pokemon
After the battle is over you will receive a TM36 Whirlpool as a reward and we will be told that Chairman Rose wants to meet us at a nearby restaurant. Next to the Pokemon Center to the right. Inside, we will find Chairman Rose and Sonia. After talking, we will receive a TM73 Retaliate as well.
– In the city market, there will be an NPC that we can exchange Minccino for Cottonee.
Galar Mine No.2
After talking at the restaurant, walk to the right of Hulbury town to find Galar Mine No.2, where we have to find the Fire Gym Leader. After coming in for a while, you will meet Bede, Defeat him and then keep walking. You will meet with Team Yell. Deafeat them before entering the innermost part of the cave where we will meet Kabu, the leader of the Fire Gym. After this, he will go back to the gym, we can challenge him.
When we finish talking with Kabu, walk out of the cave, it will connect to Motostoke City, let us go back to the inn that we stayed in before the Gym Challenge Ceremony again. When you enter, you will meet Marnie and have a small duel. When defeat her, you will disperse to rest. In the morning, she will come to see you and give a few items.
After talking to Marnie, go and challenge Kabu to the stadium. The trials of this gym are simple mini-games. You have a contest to catch or fight with wild Pokémon. Which we have to score 5 points with the following conditions: if you defeat a wild Pokemon, you will get 1 point, and if you catch it, you will receive 2 points. After completing the conditions, you will meet Kabu, who will use Pokemon as follows;
After winning you will receive a TM38 Will-O-Wish as a reward, along with a Fire Uniform. After winning him, walk out and you’ll find Gym Leaders who have already won to bless us and Hop.
When walking out, you will meet Hop and Bede. They will excuse themselves to fight and will follow us later. Once your friends separate, we have to cross the bridge to the other side. After crossing the bridge, various Pokémon you found now will be very strong, we may stop by to catch Pokemon or level up first. When you’re ready, head to the Hammerlocke City Gate, which will be guarded. He will ask to see the badge before allowing us to enter. As you enter the city, you will meet Bede. He will tell you that he defeated Hop before entering the city.
Go into the stadium, you will find Chairman Rose inside. After talking, come out and go to the left side of the city, Leon will be waiting for us. Go to Route 6, on the way we will meet Raihan, he will allow us to see the treasure inside. When we’re at the treasure room, Go up the stairs to find Sonia looking at and analyzing the painting. What we see is a past event where two teenagers meet the Wishing Star and deal with the disaster using shields and swords. until finally both of them ascended to the throne.
After looking at the pictures and completing errands, leave the city and head straight to Route 6 to go to the next town.
Walking out of town, we meet Hop, who looks discouraged from his previous defeats, and Team Yell who are causing trouble. Defeat them and continue the journey. Which this way is not too complicated, you can go directly to the next city, or stop by to fight with other trainers with catching Pokemon first In this Route, there are TM30 Steel Wing and TM15 Dig to collect.
Going straight into the city, you will meet Hop. Come talk to us that he has the courage to fight again. After splitting up, you’ll meet Opal, who will talk a little more before going their separate ways. After talking, we can go and challenge the Gym. This Gym will be different depending on the region. If it’s the Pokemon Sword, you’ll meet the Fighting Gym, and if it’s the Pokemon Shield, you’ll meet the Ghost Gym.
Gym Leader of Pokemon Sword
In this version, you will meet Bea, her Pokemon will be as follows.
After winning, we get the TM42 Revenge along with the Gym set.
Gym Leader of Pokemon Shield
Galarian Corsola aka Cursola
After winning, we get the TM77 Hex along with the Gym set.
After defeating the Gym Leader, Bede tries to destroy the Ancient Ruins to find the Wishing Star, so we have to stip him. At the end of the fight, Chairman Rose stops him and expresses his disappointment that Bede did this even though Bede do it for him to be happy.
After the events above ended, a mysterious painting emerged, which Sonia suspected was related to the history of the continent. After talking, you’ll split up and prepare yourselves to go to the next Gym.
After getting ready , walk to the right of Stow-on-Side to arrive at Glimwood Tangle Forest . Many of strange Pokemons await too.
In this city, we can enter the Gym challenge right away. But we can explore to get TM first, there will be a grandmother in the house on the left side. If you play the Shield version, you will get TM42 Revenge or if you play Sword, you will get TM77 Hex .
The Gym battles are pretty simple, straightforward fights, only with questions for you to answer. If answered correctly, will receive a buff. Wrong answer will only debuff. The answer to the questions will be as follows:
First person – Do you know about Fairy type’s weakness? – Poision
Second Person – What was the previous Trainer’s name? – Annette
Third person – What do i eat for breakfash everty morning? – Omelets
After winning all the battles, you will fight Opal, which will have the same questions as follows.
No. 1 – Do you know my nickname? – The Wizard
No. 2 – What is my favorite color? – Purple
No. 3 – How old am I? – 16 Years old
For Opal Pokemon, they are as follows.
After winning you’ll get a set with TM87 Draining Kiss and she’ll ask if you want to follow her to Hammerlocke, you can answer the first choice to get there.
Back at town, in front of the stadium, we meet Bede. Opal meets Bede and talks a bit. Bede decides to follow Opal. After we finish talking, go to the right side of town. You will meet with Sonia while talking while you hear an explosion. So Sonia and Leon decided to check. As for you, go to the right to go out onto Route 7 to go to the next point.
When leaving town, Hop will be waiting for you to challenge with. Defeat him and after the battle, he will heal you before separating with fully encourage. After that, keep going along the way to enter Route 8 straight away.
As for Route 8, the exit is quite complicated. But the way is not too complicated. In this road, there will be TM96 Smart Strike and TM43 Brick Break for us to collect.
We can challenge with the Gym Leader. The puzzle of this Gym is to use trap detectors and dodge holes. If the detector rings, it means there is a hole nearby. Once we reach the innermost area, we will challenge the Gym Leader. Which each version is different, the Sword version will face Ground Gym and The Shield version will Ice Gym.
Gym Leader of Pokemon Shield (Melony)
Gym Leader of Pokemon Sword (Gordie)
After finishing the battle, you will receive a set and a TM. The Pokemon Shield will receive the TM27 Icy Wind and the Pokemon Sword will receive the TM48 Rock Tomb.
After fighting with the Gym Leader, we walk out to meet Sonia. She says she will wait at the restaurant. Walk into the restaurant, you, Sonia and Hop will talk a little bit about the Pokemon legend. When you done talking and walks out, Hop will challenge you. Defeat him and your group will disperse.
– You can trade Vanillish and Sawk with the man who sells food in the town square.
– Draco Meteor can be learned with the pink-robed male NPC near the hot springs.
To the lower right of Circhester town, there is a link to Route 9. We can follow the way until we meet with Team Yell Grunts, defeat them and you will receive a bicycle that can run on water as a thank you.
After upgrading the bike, we can use it to run on water. On the way, there will be a TM22 Rock Slide to collect as well, let us find a way to pass to the end to meet the shore where there is a building that is Spikemuth that we are looking for. The problem, however, is that Spikemuth’s door is closed so no challenger can enter. But while we were in trouble, Manie called us. Let us follow her to find another entrance. She will challenge you, so Defeat her first.
After arriving, take a break at the Pokemon Center first. When you are ready, keep walking straight to the right. At all, you will meet with Marine. After talking, we will change clothes and go into the challenge as usual. For this Gym, there will be no chaotic puzzles, mostly it will be a straight collision. There will be a point where we encounter Mime which we cannot pass. Walk a little further and there will be Yell Grunts who will challenge you. Defeat them, there will be about two rounds like this. When walking to the end, you will find Gym Leader Piers waiting for you to defeat. For his Pokemon will be as follows.
list of pokemon
– You can exchange Obstagoon with Kantonian Mr.Mine at a small booth. before meeting the Gym Leader.
Route 9 Tunnel – Route 7
After defeating the Dark Gym Leader, go into the cave on the left. You’ll see people crowding around and wondering why Dynamax Pokemon has appeared around here. Luckily, Leon had already dealt with the problem. After we come out of the cave, we will meet Hop and talk about what happened. After talking, keep walk to the left to return to Hammerlocke.
When you reach the city, prepare yourself to be ready. Then you can enter the Gym Challenge. Before entering the Gym, you’ll find Sonia and Leon cheering you on at the front. In this Gym, battles are different from previous gyms in that you will have to fight in Double Battles where you will have to fight with Trainers in the Gym before you can fight Gym Leader Raihan. For Gym Leader Pokémon are as follows:
list of pokemon
After winning, you will receive the TM99 Breaking Swipe to use and when you walk outside you will find Sonia, who has been appointed Professor officially. After this, if we are ready, go to the train station on the right side of the city to head to become a champion.
In the story after this phase, we will have to fight for quite a long time. It is recommended that 2-3 of your Pokemon should be leveled up to level 60+ or 70+. The fastest way to level up is to enter the Max Raid at the Wild Area and strike them all to bring Candy for leveling.
To reach the competition venue, we must pass this Route. Which the way is not complicated, but the point to be careful is that the trainers in this area are quite strong far from the beginning of the game and the Pokemon that you find are quite high level too.
If you walk until you are satisfied, then you can walk into the city’s stadium which is at the back in the end. In the first round, you will have to compete with all Trainers who have received badges before going to fight the Gym Leaders and finally fighting the champions. In the first round, you’ll face Marnie and in the next round, you’ll face Hop. Once we defeat both of them, the Challenger Round will end.
After the race is over, go back to rest at the hotel while we made an appointment with Leon to go find something to eat. But Leon hasn’t returned yet. Piers comes in and says that he saw Leon at the Rose Tower and when we walk out, we meet Oleana, informing that Leon and Rose are discussing important things and not let you interrupt them, She’ll leave the keys with one of the staff members before leaving. Your job is to find that Staff, finding and defeat. which he hides around the fountain in the middle of the city. You need to find him.
Reveal the Location of the Staff
The first round, he will turn his back to you at the wall of the house on the upper right of the fountain.
The second round, he will be standing and talking to the NPC on the left side of the fountain.
The Third round, He’ll hide in the phone booth on the left away from the fountain.
After getting the key, go to the train station to head to Leon and Rose. But while we go in, the staffs will block you, but Piers will come to help. Once we have passed through it, we will reach our destination, the Rose Tower. Here we must take an elevator to reach the top floor. In the meantime, you will meet with trainers to harass you. Defeat them all and at the top, you’ll find Oleana blocking you, you need to defeat her too.
Once going inside, you will find Rose talking to Leon. Rose wants to stop the Finals in order for Leon to help with the upcoming big problem. But Leon says he’ll help but only after the compete is over. When you are about to arrive, Leon decides to walk away.
After returning to rest at the hotel, a staff member will come to pick us up, we can answer choice 1 to go to the stadium straight away. Or you can prepare first. In this round of competition, we will meet with various Gym Leaders. However, before the match starts we are challenged by Bede and you need to defeat him. At the end of the match, Bede will take over as the Gym Leader instead of Opal.
After the match against Bede, you’ll face two different Gym Leaders, which are slightly different in Pokemon Sword and Shield. Defeat them to meet Leon who was waiting. But just as the Finals is about to begin, we are interrupted by Rose’s incoming call. He will say that now there is a crisis and the stored energy has leaked out. Leon decides leaving to stop this problem. Hop and you will recall the story we talked to Sonia about having a Legendary Pokemon that could help. They decide to return to the Slumbering Weald to find the Legendary Pokemon.
When you get home, you’ll meet with Sonia and have a little chat with her mom. When controlling the character, travel to the depths of the Slumbering Weald, at the end of the map where we will meet two dog Pokemon, appear and clear the fog before both disappear. Then walk inside to find legendary place. Here, Hop and you found the sword and shield that once appeared in the tale. Once collected, you’ll return to Hammerlocke to help Leon.
When reaching the city and entering the stadium, Oleana is in a state of flux and asks you to help Rose. After talking, go into the room on the right. We will meet Rose. He will say that now you can’t meet Leon because he has a mission to catch Eternatus, for which he has to give Eternatus a Wishing Star, awaken it to solve the Galar continent’s energy problem and he did everything to protect this continent. But the problem is that he can’t control it. In which we will have to fight with Rose. Defeat him, then talk to Hop to catch up Leon.
Upstairs, we’ll meet Leon fighting Eternatus, but Leon can’t catch it, so we and Hop have to fight it. In the first round of combat, you can defeat it because it cannot be caught. which when it is defeated, it will transform into the Gigamax Form, we will not be able to attack it. Until the legendary Pokemon appeared to help us.
Compete for the title of Champion
After everything is over, we’ll get back to competing with Leon. When we’re ready, walk into the stadium for the final fight. Leon’s Pokemon are as follows:
When you defeat Leon, he will come to congratulate us on being the new champion and our journey to become a champion is over. But the game still has a lot of things for us to do. There is another story after the game ends which we will continue in the next article.

domain: game


text:
Sexuality is an important part of every person's physical and mental health. When a healthy adult is diagnosed with Parkinson's disease, many aspects of his or her physical and mental well-being are often shaken including sexuality.
Because sexuality plays a significant role in a healthy lifestyle, worries often surface for the patient when his or her sexual desires and needs change. With the onset of Parkinson's disease, the development of sexual problems may be frustrating. However, there is hope for the patient with Parkinson's disease in being able to restore sexuality, or improve problems that may develop.
Visit WebMD's Parkinson's Disease Health Center
Newly Diagnosed With Parkinson's Disease? Find Help Here
Making the Diagnosis: Get Information From the Cleveland Clinic
Your Treatment Options: Get Information From the Cleveland Clinic
Looking for Clinical Trials? Check This Page
Message Board: Neurological Disorders Support Group
A doctor can help the patient decide on the best course of action to solve the problem and can suggest medications to help alleviate some of the symptoms that may develop.
Why Does Parkinson's Disease Affect Sexuality?
A lowered sexual drive or desire following the diagnosis of Parkinson's disease may be more of a side effect caused by depression than by the disease itself. Many of the symptoms associated with Parkinson's disease are thought to be caused by lowered levels of dopamine in the brain -- a chemical that transmits messages from the brain's "relay center" to its nerve cells, enabling physical movement. It is possible that the dopamine decrease may also cause a lessened drive or interest in sex.
What Other Symptoms Are Linked to Loss of Sex Drive?
While Parkinson's disease often causes tremors and rigidity that contribute to physical pain that could then make sex painful or uncomfortable, men with the disease often suffer from erectile dysfunction.
Because Parkinson's disease negatively impacts the central nervous system (brain and spinal cord), it may be difficult for a male to obtain an erection. The male body requires a series of nerve impulses in the brain, spinal cord and penis in order to have an erection.
Problems with these nerve impulses, such as might occur with Parkinson's disease, may result in erectile dysfunction. In addition, the blood circulation to the penis and the muscles in the penis need to be healthy to produce a normal erection. Problems with circulation or muscle function may also contribute to the erectile dysfunction.

domain: biology


Reddening behaviors of young stellar objects in Spitzer/IRAC bands
1 School of Space Research, Kyung Hee University, Yongin, Gyeonggi 446-701, Korea
2 Dept. of Astronomy & Space Science, Kyung Hee University, Yongin, Gyeonggi 446-701, Korea
Received: 26 April 2013
Accepted: 11 June 2013
We investigate the reddening behaviors of young stellar objects (YSOs) in the photometric system of the InfraRed Array Camera (IRAC) onboard the Spitzer Space Telescope. We constructed a couple of model extinction laws for the IRAC wavelength range that are composed of a power-law function and a 9.7 μm absorption bump by silicates. We then calculated reddened colors of the YSOs in 3 different evolutionary stages with various masses and disk inclinations by convolving the adopted model spectral energy distributions (SEDs) with the spectral response functions of the IRAC bands for KS-band extinction values of up to 8 mag. We find that the reddening vectors of YSOs in the [3.6]−[4.5] vs. [5.8]−[8.0] diagrams are considerably SED-dependent and can be highly nonlinear in some cases. Many YSOs show a “bluening” (as opposed to the reddening) in the [5.8]−[8.0] color owing to the 9.7 μm bump in the extinction law. Our findings imply that dereddening in a color–color or color–magnitude diagram involving the [8.0] band might be highly unreliable unless the SED of the source and the extinction law are at least approximately known.
Key words: dust, extinction / infrared: ISM / stars: formation / techniques: photometric
© ESO, 2013


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text:
Cuyahoga County Executive and Democratic gubernatorial candidate Ed FitzGerald released the following statement, calling on Governor Kasich to ask for IG Meyer’s resignation.
“The Governor got it wrong from the beginning when he handpicked a partisan political supporter to be Ohio’s Inspector General, and he should now demand IG Meyer’s resignation. The botched CoinGate report is just the latest in a long string of embarrassing actions by the Inspector General, and the Governor should hold him responsible for his gross incompetence. Additionally, all CoinGate documents and all other IG investigations should be preserved for a independent investigator to review.”
Former Inspector General Was “Amazed” that Kasich Had Not Fired or Suspended Meyer for His Activity: “Former Inspector General David Sturtz, the state’s first inspector general, told the Columbus Dispatch that he was ‘amazed’ that Kasich had not fired or suspended Meyer for his activity.” [The Plain Dealer, 1/25/12]
Questions Raised About Kasich’s Inspector General Aggressiveness: “A year into the job, Ohio’s top watchdog has flagged few cases of wrongdoing inside the state government, prompting questions about his aggressiveness. New Inspector General Randy Meyer issued a dozen public investigatory reports last year, the fewest from the office since 2007. Five drew attention to misconduct by state employees that occurred after Republican Gov. John Kasich took office. The rest, most of which were started by the previous inspector general, looked at lapses in the administration of former Gov. Ted Strickland, a Democrat who left office at the beginning of 2011.” [The Columbus Dispatch, 1/15/12]

domain: news


text:
Last donation: Heriberto S., McDonough, GA, 4/24/23 (thanks, Heriberto!!) Two on 4/14/23 (thanks to Joe F. and Ross M. ); Tom W., Palm Coast, Fla. 2/18/23 (thanks, Tom!!!)Ed P., Yardley, Pa. (1/9/23; thanks, Ed,) Lawrence S., West Chester, Pa., 12/28/22, our first contribution in over a month (thanks Larry, this will help in having to replace the printer we purchased in the summer that went on the fritz); Bob C., Chadds Ford, Pa., 11/27/22 (thanks Bob, our first contribution since September) Ed P., Perkasie, Pa. who donated 9/24/22 at the UMass game and Ed and I both remember and love Pennridge coach Wayne Helman; Joe S. (Delaware County), 9/3/22 (thanks Joe, hope to see you at Lafayette or RU); James G. (thanks James and for all the great posts you make on this site),, 7/29/22: Matt P. (former Al Golden player, thank you Matt for the generous donation it will be put to good use as we will explain in Monday’s post), 6/9/22; Matt F., Horsham, Pa. (thanks, Matt!!), June 6, 2022; David, B., Milton, DE (thanks, Dave), April 11, 2022: Andy B., Philadelphia, Pa. (our first donation of 2022, thanks Andy), March 3, 2022; Ed P., Yardley, Pa. 12/25/21 (thanks, Ed for the Christmas donation); Matt F., no hometown found (“a celebratory donation for Carey’s firing”), 11/30/21 thanks, Matt; Jon E., Cincinnati, Ohio, 11/29/21 (thanks, Jon for the donation and the great comments on this site); James G., Royersford, Pa. 11/28/21 (thanks, Jim, for the donations and your comments on the website); Anonymous (no home town given but donation really appreciated), 11/20/2021; Roger D., Rehoboth Beach,, Del., 10/24/21; Joe S., Drexel Hill, Pa. 10/3/21 (thanks, Joe) At the BC game (9/18), John from Landenburg (thanks, John for being a great friend of this site for so many years); Three Aug. 21 donations: Eric A (former player), Atlanta, Ga; Anonymous (by request), Cincinnati, Oh; Tim R., Buffalo, N.Y. (sincere thanks to all); David N., Silver Springs, Md (thanks Dave) 7/10/21; former Temple player Matt P., who lives in Columbus, GA now (thanks Matt) 7/9/21; Joe F., Philadelphia (4/7/11, thanks Joe) Matt F., Horsham, Pa., 3/27/21 (thanks, Matt); Jon E., Cincinnati, Ohio (1/31/21, thanks Jon) Ed P.,, Yardley, Pa. (thanks, Ed, much appredicated), 1/16/21; Mitchell S. , 12/21/20, our first contribution since (10/8) earlier, Former Owl Bruce G., Flourtown, Pa, who generously donated $100 in “honor” of the Ambler guy 10/8/20; (if they hate you in Ambler, we love you in Flortown,” BG says). Thanks, BG, we appreciate it; Earlier: James G., Philadelphia (7/21/20, thanks James) Robert B., Philadelphia (7/13/20, thanks, Bob, hope to see you at the tailgates again this fall); Previous: Jon E. from Cincinnati 6/15/20, our first donation this calendar year (thanks, Jon); Earlier, John from Landenberg; Kurt B., Wyomissing Hills, PA (former Temple player, 10-15-19) Earlier: David B. , Springfield, PA (9/26/19 … thanks, Dave!) also John from Landenberg (9/21/19); Tom W., Palm Coast, Fla. (8/22/19, thanks Tom!! Also, 10 days earlier, Bob. C and Joe S. and, on June 26, first bowl MVP Mark B.
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Jay M. no hometown found ; Earlier: William B. Chicago; John from Landenberg, ; Mark B, South Jersey, Joe S, Springfield, PA…,
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Houston has the best offense in the league. Me
yes, that quarterback is way more elusive than Milton. Don’t know how SMU was able to beat them. Temple’s best chance is if Russo goes nuts again and puts up 45 on D’Onofrio’s “bend-but-don’t-break” defense. So disappointed in our defense this year, generally.
super odd because the defense statistically has played better all year than the offense.
another track meet with sprinters , and UCF doesn’t have an NFL first rounder on the D-line.
cherish the football by possessing it every second possible and we have a chance.., this will be the most hostile environment our kids have played since the last loss at Houston.., that little place is loud
This team has surprised everyone a few times already this season, so who knows?
But I got s bad feeling the the coaching staff is not up to this task and I’m afraid a real ass-kicking is a possibility. A bad loss could set the tone for the last 2 games.
I agree a bad loss will be devastating, definitely need the offense to control the ball. I haven’t seen Houston play so not sure how good they are on defense. Definitely need to use lead blockers, hope the OC finally gets it.
I can only see one of two results: 1) a close Temple win; 2) Temple being blown out. Unfortunately, the result I’d MOST like to see (Temple blowing out Houston) seems to be the least likely scenario. Really disappointed with the way these kids are being coached, particularly on the offensive end. So much talent squandered. No team should be able to hold these offensive players to six points in any half, particularly the second.
Houston’s offense may be better than UCF’s. Their QB is more mobile than Milton, who is pretty mobile, and their wide receivers are all going to be pros. The only way to beat them is to outscore them and we saw how that worked out last week. Also, the Owls have to shorten the game, which we’ve seen the coaches are wont to do by running the ball with a lead blocker.
Army had a 13 minute drive last week against Air Force. To win, the Owls need two or three drives half as long as that. This game is there for the taking because of how bad Houston’s defense is even with Oliver. Without him, they are putrid. Can’t wait to see how the coaches screw this up. I hope I’m disappointed.
That is a great point about the 13-minute drive last week. That was the game planned I outlined last week to beat UCF but these dumb coaches think they are smarter than anyone else. Didn’t need to be 12, 13 minute, drives, just 8-9 minute drives each quarter. Run Rock behind a caravan of blockers and he’d chew up 4, 6-7 yard type runs each time. Throw an occasional play-action pass using the center of the field and tight ends and that’s how you get nine-minute drives against the 91st-ranked run defense in the country. That’s the exact game plan that Temple has to follow against Houston. Hell, I think Army is the perfect team (not so much Navy this week) to be the kind of team that ends the UCF streak. Unfortunatetly, those two teams will never meet: https://collegefootballtalk.nbcsports.com/2018/11/03/army-opens-game-with-21-play-drive-that-takes-nearly-13-minutes-off-the-clock/
Army almost beat Oklahoma with that same game plan. In the end, Oklahoma’s superior athletes won the game in overtime. Army just could not stop them at the end of regulation and in OT.
I hope we have the superior athletes tomorrow night and overcome coaching deficiencies. A plus is that D’Onofrio is their DC. He’s a “bend-but-don’t-break” guy. I like attacking DCs like Jim Johnson and Chuck Heater.
what is the game plan? CC does it butt backwards.., he doesn’t tell his Coordinators what the strategy is for the game, instead he asks each of them to develop their games plans independently….,
it could be as simple as, “this is how we will beat Houston, limit their possessions and win it in the 4th quarter”
I don’t think this staff understands that a game plan has to be in concert with all phases, offense, defense, special teams. Navy playing the exact same way against UCF it needs to–running and killing clock and not getting lulled into a shootout. Don’t think it has the talent to pull it out, but that’s exactly the game plan Temple should have had last week. When you have Rock Armstead against the 91st-ranked defense in the country, chew some clock and get those 10-minute drives you need to beat a quick-strike team. That said, rooting hard for Navy to pull off the upset.
Temple can’t stop the Houston offense. Plan should be to hold the football as long as possible and limit their possessions.
DO NOT GET INTO A TRACK MEET WITH RACE HORSES. This is a game to define Temple Football.
Houston couldn’t stop the Temple offense.
The better horse won the race.
where were these guys at Villanova? Second-straight year we could not figure out who the best quarterback was on the team. Better late than never.
now it is a 3 quarter game and we open the 2nd quarter with the football on their half of the field.., statistically speaking we should win. period.
i do not understand why we are snapping the ball with sooo much time on the clock.., another game playing with Fools Gold!!
Feed the beast … good time for one of those 8-minute drives Mike always talks about.
really nice 🙂
Boy, hard to be a Debbie Downer , but just how awful is the Villanova loss now? I’d suggest it’s more harmful than this win is beneficial.
How’d 7-3 sound compared to 6-4?
Just how’d they lose tfat game? Nova stinks
should have would have could have..,
beat USF and UCONN, win a bowl game and this team will finish in the Top 25, all thanks to Cincy
somebody said it best on this site after the nova game “they could go 11-1 and that loss to Nova would ruin the season” (or something to that effect). .. and it did because it destroyed our attendance for the rest of the season and created the perception that Temple wasn’t even the best football team in its home town. That perception has been somewhat overcome to the fans who follow college football but for the Joe Blows it’s still there and there are many more Joe Blows in Philly than fans who follow college football. Water under the bridge now, though.

domain: sports


text:
Inspired by the sacred architecture and patterns found along the Silk Road, spanning from Northern China to Turkey, Alice Cicolini incorporates the ancient shapes, rich colors, and traditional motifs into her jewelry collection. Her use of rare and nearly extinct techniques, like Kundan and Meenakari, employed by skilled artisans is a large part of her allure and success. Meenakari, for example, is an antiquated method of carving an intricate design into either gold or silver and then filling it with enamel. Alice Cicolini’s jewelry is truly a magical combination of artistry and craftsmanship at the highest level.
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Paige x Liberty Giveaway
Does it get any better than Liberty of London‘s heritage floral prints in the form of Paige denim? We think not. The moment we caught whiff of this brilliant collaboration, we were literally jumping for joy. We especially […]
Spanish Moss + Upstate Giveaway
Our Shibori tie dye tutorial was the first DIY we featured on HonestlyWTF, almost two years ago. So not only do we have a soft spot for this ancient Japanese dyeing method, we can truly appreciate a well […]

domain: design


text:
Though no administrators have taken the blame for the $22-million deficit that led to the president’s resignation, it’s clear that a financial-aid program had become too successful for its own good.
Shifts in economics and student demographics, along with resurgent activism, have altered the tenor of the discussion about affirmative action over the past eight years.
If students are expected to take high-stakes exams, admissions offices should be working harder to understand what the tests actually predict, a report says.
Jenny Rickard, now at the University of Puget Sound, describes her vision for the nonprofit organization behind the widely used admissions-application platform.
This year, the university told students from six states they could pay the same tuition and fees charged by their in-state flagship university. That led to a boost in enrollment from those states.
A new study raises questions about holistic admissions policies by finding that many applicants’ fates are determined by cutoff scores or the biases of those evaluating them.
Arizona State offers several small-campus environments in addition to the big one everyone knows about. But getting prospective students to understand that can be a challenge.
Many colleges brag about rising numbers of applicants, even as they see a drop in students who enroll. Here’s what the numbers really mean.
University officials expected the numbers to fall for a variety of reasons. But with the threat of big budget cuts, they're scrambling to convince prospective students that the campus is a safe and welcoming space.
The University of Evansville sends six buses to bring admitted students to the campus for a weekend known as Road Trip. If all goes well, students find friends, and Evansville finds its freshman class.
The new SAT faces an age-old problem: How to prevent cheating while offering students, parents, and the curious an understanding of how the test works.
State lawmakers have asked the university system to explore a plan requiring those students to earn two-year degrees before enrolling. Here’s what campus officials and higher-ed experts say about it.
The sudden announcement that nonstudents would not be permitted to sit for the test on Saturday has provoked a raft of speculation. FairTest’s Robert Schaeffer offers his views.
Teenagers still find printed letters to be helpful, and while they often want colleges to text them on their smartphones, sometimes they don’t.
Richard Weissbourd talks about his widely read report on emphasizing service to others in the application process.
At the behest of Republican lawmakers, the state’s university system is studying a plan that would route applicants seen as less prepared to two-year institutions.
So far, income-share agreements have been discussed only on the fringes of the college-affordability conversation. Could that change, now that a prominent public university is pursuing them?
What some admissions officials think they know about today’s app-happy, ever-texting applicants is not quite right, according to a new paper.
There's value in data that attempt to hold colleges responsible for what their students go on to earn. But making sense of that data requires context few high schoolers will sort out alone.
Admission officers at selective colleges who were given more details about applicants’ high schools look more favorably on needy students, a new study found.
The dominant player, having just handled nearly 1.1 million applications for more than 600 colleges, isn’t standing pat, with a new effort to help students apply for financial aid.


Augmented reality can be used in various ways, like smartphones, headsets, or tablets. It can also be utilized to add physical graphics to an environment while it is being viewed from a device to make the environment more interactive.
FREMONT, CA: In the past few years augmented reality has grown to be a necessary conception in the field of hospitality management, as it assists the hotels and similar businesses in enhancing the physical environment or provide their guests with a better experience of the surroundings.
Here are a few practical uses of augmented reality in the hospitality industry.
Interactive Hotel Rooms
Hotel owners can utilize augmented reality so that they can provide better services through interactive elements in the hotel rooms. For instance, some of the hotels in the UK have started using AR combined with wall maps in the hotel rooms. It is helpful for the guests as it permits them to guest’s information about the local areas of interest by pointing a smartphone at the map, thus making their stay pleasurable and more convenient.
Incorporating AR in Games
AR has also successfully entered the world of gaming, and its accomplishment has increased the usage of technology. The hospitality companies have also started using the AR games to improve the overall experience of the guests staying in a hotel.
The hotels ensure to make their location a significant part of an AR game. However, there are chances of developing their apps that will help their guests to explore the local area as well as hotel enjoyably.
The beacon technology is linked to the augmented reality concept and works with the help of Bluetooth, and permits the marketers to distribute information to the customers whenever they reach a location. It is a valuable technology for the owner of a hotel, and its efficiency can already be seen.
Digital technology is always developing. Hence, with the travel and hospitality sector is budding as well.


text:
Over recent years there's been much change observed in the music industry, particularly when it comes to the country variety. His addition to the normal fashion of country music led to a greater fan base for your variety being recognized, and a brand new crop of artists seeking to redefine it. The reputation of the variety is continuing to grow therefore wide that there are also national committed music programs and coding that play to a very wide audience. Moreover, the genre has been adopted in many other parts of the planet where it formerly did not exist except as an import. One of the most popular current styling is the fact that of country-pop and rock. In reality there are always a few devoted charts that give attention to artists who launch music under this category.
The truth remains that their continued success indicates a powerful preference because of their music on the list of community, though some of those artists do get criticized by traditionalists. Many of the common nation artists are nonetheless being followed by paparazzi and gossip magazines in the same approaches as Hollywood stars. Each one of these changes are due to celebrities like Johnny Cash and Elvis Presley who not just blended the types through their music, but additionally won several awards and critical praise. They are able to not be known as just country stars, but in addition rock and gospel hall of famers. The existing crop of stars continues to develop their talent but increasing not merely their music variety, but also enjoyment repertoire with forays into movie and television performances to-day. More: click the next web site.
Have more questions? Submit a request


text:
St Peter’s holds approximately 220 clinics each week and has 150,000 patient attendances each year.
Most clinics take place in the main outpatients department on level 3, except ophthalmology and ENT which takes place in area 5 on level 3, diabetes which is situated in the Stephanie Marks Diabetes Resource Centre, orthopaedics which is located in the Rowley Bristow Unit and rheumatology which is on level 2.
Advice for those with appointments at Ashford and St Peter’s Hospitals
Due to the COVID19 pandemic and changes to recent national guidance we are taking a number of precautions to reduce risk to our patients.
All outpatient clinics and inpatient theatre lists are being reviewed and there may be changes to planned appointments and operations. For outpatients it is possible that your clinic appointment may be converted to a telephone call or video conference. Some inpatient operations are being cancelled to avoid using hospital beds for routine surgery during this time.
The majority of patients having day case surgery at Ashford Hospital will continue to have their surgery as planned, except where our clinicians are needed to provide additional support to wards.
Our clinical and administrative teams are currently reviewing where changes to clinics and theatre lists will be required and will contact affected patients as soon as possible.
Urgent emails should be marked as urgent in the subject, otherwise teams will respond as soon as possible.
Wearing Face Masks in our Hospitals
All patients, visitors, and staff are expected to use a new surgical mask issued by the checkpoint teams when they arrive at all hospital sites. If you are wearing your own face covering or mask you will be asked to remove this and use a new mask for the duration of your visit. The mask must cover your mouth and nose and be worn at all times, unless your clinician asks you to remove it.
There are checkpoints by each entrance and you will be asked to use the hand sanitiser provided and have your temperature taken (by a forehead thermometer). On exit, please dispose of the mask in the clinical waste bin provided and sanitise your hands.
It is expected that everyone on the hospital sites wears a mask with the following exceptions, in line with national guidance:
- children under the age of 11 (Public Health England do not recommended face coverings for children under the age of 3 for health and safety reasons)
- people who cannot put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability
- where putting on, wearing or removing a face covering will cause you severe distress
- if you are speaking to or providing assistance to someone who relies on lip reading, clear sound or facial expressions to communicate
Outpatients and Imaging Appointments Update
The majority of outpatient appointments will be virtual – either via telephone or video. We are in the process of moving as many appointments as possible over to a video format using a system called Attend Anywhere. You will receive a letter, phone call or text message to confirm when and how your appointment will take place.
Face-to-face appointments will only take place where they deemed clinically essential and the majority, including imaging appointments, will take place at Ashford Hospital. Please watch this short animation to explain what will happen when you come for your appointment.
If you have any questions about your appointment please call 01784 884351.
Visiting St Peter's Hospital
St Peter’s Hospital has introduced a series of measures to ensure you are kept safe during your visit.
- There are 3 designated entrances:
- Main Entrance - Endoscopy, Neurophysiology, MRI, Respiratory physiology, Cardiac physiology, Radiology, Dermatology.
- Duchess of Kent - staff entrance, SAU.
- Abbey Wing - Women’s and Children’s services
- You will be only permitted into the building 10 minutes before your appointment time.
- Please try and attend your hospital visit by yourself. Anyone attending with you is likely to be refused entry to the hospital / asked to wait in the car unless there is a valid reason for them to support you during your appointment.
- Inside each entrance is a ‘screening’ station. You will be asked a series of COVID related screening questions. To avoid a wasted trip on the day please do not attend if you are experiencing a fever, fatigue, cough or sore throat or currently taking antipyretic medication to combat fever (paracetamol / ibuprofen etc).
- You will be asked to use one of the hand sanitising dispensers on arrival and you will be provided with a face mask, if you have worn a mask you will be asked to remove and either dispose of it or store it in your bag/pockets.
- A member of staff will obtain your temperature;
- If “green” indicating your temperature is below 37.8 you will be able to proceed to your appointment
- If “red” a second temperature will be taken on a different thermometer
- If second “red” you will be advised of this and the fact that you may not be able to proceed with their appointment. You will be directed to an area of privacy and the service with whom your appointment is with will be contacted for their advice. If the appointment needs to be postponed, you will be asked to return home with the recommendation and contact 111, if necessary for further advice. The department with whom you had your appointment will arrange a new appointment
- If queuing for entry to the hospital, the screening desk, a reception desk or sitting in one of the waiting areas please maintain at least a 2 metre distance from any other patient.
- We have reduced the number of patients booked into each session to allow time for the additional screening measures.
- Finally, although you are not required to self-isolate for this appointment, please ensure you minimise contact with others as much as possible in the 14 days leading up to your appointment.
Please support St Peter’s Hospital in following the guidance written above and in doing so helping to keep patients and staff safe.
Outpatient Text Reminders
If you have previously opted out of receiving outpatient text reminders from Ashford and St Peters hospital. Due to COVID 19 there have been some clinic changes and we may need to notify you by text if you do not need to attend the clinic.
If you wish to opt back in to receive these reminders please contact us on 01784 884351.
If you do not opt in then please ensure you contact your Clinic Officer prior to attending any appointment in person to check that you still need to come to the hospital.
Appointment Contact Numbers
|Ante-Natal Clinic||01932 722389|
|Maternity Appointments||01932 722366|
|Nuclear Medicine||01932 722482|
|Paediatric Appointments||01932 722508|
Please have your Appointment Card or Letter with you when telephoning as information from it will be required.
Hospital Admissions at St Peter's
|Maternity Triage||01932 722835|
For more information about visiting St Peter's Hospital, please click here.
Click here for the accessibility guide to the Outpatients Department at St Peter's
In addition to our clinics at Ashford and St Peter’s we run several clinics in the community. These take place at Woking Community Hospital, Walton Community Hospital, Heart of Hounslow and some local GP practices.
If you require any special assistance at all in the outpatients department, such as help with mobility, interpretation or sign language, please contact Outpatients Matron Diane Lashbrook on 01932 723428 or 01784 884584.
What to do when you arrive
Please go directly to the department / reception area as indicated on your appointment letter. If you are unsure where this is, please ask at main reception.
If you have been out of the country for more than 12 months, please show your passport and EHIC card when you arrive.
How to reach us
By bus: St Peter’s Hospital is served by the following bus routes – 446; 461; 459; 557. For more details on public transport services please call Traveline on 0871 200 22 33 or see www.traveline.org.uk
By car: At peak times you may find it helpful to allow extra time for parking.
Patient / visitor parking: The main Outpatients car park is closed for multi deck building works until August 2020. All other parking is in Hazel car park and Abbey Block upper which include pay and display alongside it. (see map). Blue badge parking is situated in the A&E car park.
Parking charges are FREE for the first 20 minutes and then start at £3.50 for up to 2 hours, increasing by £1 an hour up to six hours. Our parking machines accept the following coins: 10p, 20p, 50p, £1 and £2; and also £5, £10 and £20 notes. Credit/debit cards are accepted by the pay stations. Click here for details of concessions.
If you are in receipt of certain benefits you may be able to claim back your travel costs/parking charges - please ask at our main reception desks if you need further information, see our leaflet Help in travelling to hospital or visit the NHS Choices website.
Cycling and motorcycle parking facilities are also available.
If you have special needs
If you have any particular needs, please contact the Patient Experience Team on 01932 723553 between 10am and 3pm Mon-Fri and we will make arrangements to help you. All clinics are wheelchair friendly and all areas can be accessed via a lift. Coin operated (£1 coin) wheelchairs are available on arrival – please ask at main reception.
Leaving your clinic appointment
It is very important to see the receptionist at the clinic before you leave, even if the doctor has discharged you, so that any further arrangements can be made.
We take our responsibility towards infection control very seriously. Please use the hand gels provided to clean your hands on entering hospital. If you want to check that staff have washed their hands, just ask. They will not be offended.
We have a no smoking policy at both hospitals, including the grounds – please respect this. If you need help to quit smoking, we offer a referral service – please ask.
Use of mobile phones
If you have a mobile phone we would ask that you switch it off when you are waiting for your appointment and during your consultation.
The Trust is involved in many Clinical Trials across most of our specialities. During your visit you may be offered the opportunity, by your consultant, to consider participation in a Clinical Trial relevant to your condition.
For more information about Clinical Trials, please see our website: www.ashfordstpeters.nhs.uk/research
SMS for appointments
Changing Places Facilities
At St Peter's, the room is behind the cafe in the main outpatients reception.
This facility is open 08.30 – 18.00.
Changing Places toilets are different to standard accessible toilets (or "disabled toilets") as they have extra features and more space to meet the needs of people who use them.

domain: medical


A town centre bank is set to open early each day to allow elderly and vulnerable people to manage their money in a safe environment.
More than 100 Nationwide branches across the country, including the one in Stafford, are trialling new operating hours, which will see them open at 8am instead of the usual 9am.
The trial will determine if the new opening hours can be an effective way of providing support to those aged 70 and above and those with underlying health issues.
The new hours, which will begin on Wednesday, March 18, will be in effect Monday to Friday each week.
This will allow those people most at risk to use the facilities first, benefiting from the enhanced cleaning the branches undergo each evening, and before they open to the wider public from their usual opening times.
If successful and if there is a need, Nationwide will consider extending the trial to more branches across its 650-branch network.
Nationwide members who don’t currently use either the Internet Bank or Mobile App are being advised to register, with in-branch tutorials led by employees as well as demonstration videos and help offered via the contact centres.
Mandy Beech, Nationwide’s Branch Network director, said: "Lots of good work is being done across and within communities throughout the length and breadth of the UK and we want to do as much as we can.
"We understand the current situation is likely to hit the elderly and vulnerable the hardest, not only because of the higher risk of catching coronavirus, but also through potentially feeling isolated from the wider world should this issue continue for a longer period.
"That is why we are trialling a specific opening time for our older and most vulnerable members. We know that, in many instances, these are the people who most value and benefit from face-to-face service when they manage their money.
"In some cases, it may also be one of the only interactions they have each day.
“We also know that many older people rely on public transport. As such we would ask local authorities and Government to consider whether they could temporarily enable use of free bus passes for older people before 9.30am, in addition to relaxing parking rules in local high streets at the start of the day.”


Amendments announced for NDIS group-based support pricing
What you need to know
- The National Disability Insurance Scheme (NDIS) has released its Pricing Arrangement and Price Limits, effective from 5 May.
- These arrangements include an expansion of the program of group-based supports and improved guidance on non-face-to-face charging.
- The NDIA announced a six-month extension to 31 December for providers to transition to the new pricing.
Amended NDIS Pricing Arrangements and Price Limits have just been released with associated documents. These set out the pricing arrangements and price limits for providing supports for NDIS participants.
Following consultation with the sector, the NDIA amended the NDIS Pricing Arrangements and Price Limits 2022–23 for group-based support. This includes an extension to the transition period for six months to allow providers time to successfully transition to the new pricing arrangement. The transition period, which was to end on 31 June, will now end on 31 December.
Other key changes include an increase to the duration for Program of Supports up to a maximum of six months and an expansion of guidance on claiming non-face-to-face supports.
For providers interested in hearing more about clarifications in non-face-to-face charging and the other changes, the NDIA will present at the Day Services Network on Wednesday 17 May from 3:00pm to 4:00pm AEST.


text:
/land"sat'/, n.a U.S. scientific satellite that studies and photographs the earth's surface by using remote-sensing techniques.[1975-80; LAND (or land(sensing)) + SAT(ELLITE)]
* * *officially Earth Resources Technology SatellitesAny of a series of unmanned U.S. scientific satellites.The first three were launched in 1972, 1975, and 1978. They were designed mainly to collect information about Earth's natural resources. They were also equipped to monitor atmospheric and oceanic conditions and to detect variations in pollution levels and other ecological changes. Three more Landsat satellites were launched successfully, in 1982, 1984, and 1999; radio communication with Landsat 6 was lost immediately after its launch in 1993.
* * *byname of Earth Resources Technology Satellite (ERTS)any of a series of unmanned U.S. scientific satellites. The first three Landsat satellites were launched in 1972, 1975, and 1978. These satellites were primarily designed to collect information about the Earth's natural resources, including the location of mineral deposits and the condition of forests and farming regions. They were also equipped to monitor atmospheric and oceanic conditions and to detect variations in pollution level and other ecological changes. All three satellites carried various types of cameras, including those with infrared sensors. Landsat cameras provided images of surface areas 115 miles (184 km) square; each such area could be photographed at 18-day intervals. These pictures were the basis of a far more comprehensive survey than could be made from airplanes. A fourth Landsat satellite was launched in 1982 and a fifth in 1984. In 1985 Landsat was transferred to a private commercial operator, the Earth Observation Satellite Company (EOSAT). In 1992 the U.S. government again assumed control of the program. The newer models contained two sensors, a multispectral scanner and a thematic mapper (which provides 100-foot [30-metre] spatial resolution in seven spectral bands). Landsat 6 failed to achieve orbit after its launch in 1993. Landsat 7 was launched successfully in 1999.
* * *

domain: geography


text:
Before the Baudelaires became orphans, before he encountered A Series of Unfortunate Events, even before the invention of Netflix, Lemony Snicket was a boy discovering the mysteries of the world. Is Lemony Snicket a detective or a smoke detector?
Do you smell smoke? Young apprentice Lemony Snicket is investigating a case of arson but soon finds himself enveloped in the ever-increasing mystery that haunts the town of Stain'd-by-the-Sea. Who is setting the fires? What secrets are hidden in the Department of Education? Why are so many schoolchildren in danger? Is it all the work of the notorious villain Hangfire? How could you even ask that? What kind of education have you had?
should be in school?Binding Type:
Little, Brown Books for Young ReadersPublished:
7.80h x 5.50w x 1.30dLarge PrintAccelerated Reader Quiz #/Name:
169079 / Shouldn't You Be in School?Reading Level:
5.1 / Interest Level:
Middle Grade / Point Value:

domain: literature


text:
By Heidi Trautmann
There is a place on the island of Cyprus, many people won’t miss it for the world to visit, a hidden garden, where you will meet the heralds of spring, cyclamen, anemones, tulips and more, all at once and you may begin to wonder if any are left over to cover the rest of the island.
We have been visiting Hikmet’s Wonderland, as I call it, for many years, it is a place that suggests how our world could be, with so many varieties of plants growing next to each other, sometimes intertwined, peacefully, sharing the same soil and the same sun.
Hikmet Uluçam, the father of cacti, artist and photographer, spends a lot of time with caring for the many different trees, his unbelievable collection of cacti, and the cultivation of Cypriot spring flowers; he sees after the kindergarten of young plants, repots them when grown. Part of the potted ones he offers for sale.
This year he also put his own collection of artworks on display in his art gallery, early artworks of friends and colleagues, the older generation mostly, and at so many paintings, I cried out, look, Emin Cizenel’s drawing of his young years, even a watercolour by Çevdet Çağdaş, Kemal Ankaç, Vivian Guthrie, Nilgün Güney….and many more. Unbelievable!
Nature and art, what a satisfying combination….
The garden will be open until March 31, daily from 10:00 – 17:00 except Monday and Tuesday.. See the plan on the poster.


text: The other week I was lucky enough to snap a few images of one of Leroy Simpsons' latest painting commissions for Jeff Smith. I believe these lads were to finish off Jeff's Basic Impetvs Gaul Army. The first band of fine fellow (naked fanatics from Warlord Games) represent basic warriors however with a higher VBU of 5 not the standard VBU of 4. The second unit represent Soldurii Elite Warriors (Wargames Factory). Either unit look fantastic and again young Leroy has done a magnificent paint job on them.


text:
The second wave of feminism was successful not only because it led to changes in the lives of huge numbers of women, but also because the movement evolved over time. And I think in many ways, the movement evolved in positive directions.
What were the successes of the second wave of feminism?
Among the most significant legal victories of the movement after the formation of NOW were a 1967 Executive Order extending full affirmative action rights to women, a 1968 EEOC decision ruling illegal sex-segregated help wanted ads, Title IX and the Women’s Educational Equity Act (1972 and 1974, respectively, …
Why was the feminist movement successful?
The women’s movement was most successful in pushing for gender equality in workplaces and universities. The passage of Title IX in 1972 forbade sex discrimination in any educational program that received federal financial assistance. The amendment had a dramatic affect on leveling the playing field in girl’s athletics.
What strategies were used in the second wave of feminism?
Instead of prioritizing direct action or mass mobilization, different branches of second-wave feminism focused on other forms of social movement activity—namely, lobbying and lawsuits on the part of more mainstream groups, and consciousness-raising on the part of many radicals.
What did the second wave feminism focus on?
Second Wave Feminism: Collections. The second wave feminism movement took place in the 1960s and 1970s and focused on issues of equality and discrimination. Starting initially in the United States with American women, the feminist liberation movement soon spread to other Western countries.
Which wave of feminism was the most successful?
Leaving aside the antiwar movement of the 1960s, which I think played an important role in bringing the war to an end, the women’s movement was the most successful movement of the 1960s and 1970s. The idea that women should enjoy full equality with men was a startlingly radical idea then.
What was one success of the women’s rights movement?
With the eventual backing of the Equal Employment Opportunity Commission (1965), women gained access to jobs in every corner of the U.S. economy, and employers with long histories of discrimination were required to provide timetables for increasing the number of women in their workforces.
What did feminist movement accomplish?
Feminism changed women’s lives and created new worlds of possibilities for education, empowerment, working women, feminist art, and feminist theory. For some, the goals of the feminist movement were simple: let women have freedom, equal opportunity, and control over their lives.
How successful was the women’s liberation movement?
The Women’s Liberation Movement was successful in many of its campaigns, including this one – to criminalise violence in marriage, which was legal in the UK until it was made a crime in 1991. … This is a great achievement, but further work is needed for women to have full access to reproductive rights.
Why did the women’s movement fail?
In summary, the women’s movement did not succeed in finding equality as the movement produced discrimination toward minority groups, created an unforgettable backlash of radical feminism as a whole and caused women to fix the inequalities that the movement created by opening the doors for liberal feminism.
What was the second wave of feminism called?
The women’s movement of the 1960s and ’70s, the so-called “second wave” of feminism, represented a seemingly abrupt break with the tranquil suburban life pictured in American popular culture.

domain: sociology


Promoter Frank Warren has brought up an interesting fact regarding the respective suspension of two fighters – Dillian Whyte and Dec Spelman.
Last night at York Hall in London, Anthony Yarde got back in the ring after having overcome some awful personal tragedy (the deaths of his … read more “Anthony Yarde Stops Dec Spelman In Six – Boxing Results”
Now that all the participants are weighed-in, and confirmed covid-free, Hall-of-Fame Promoter Frank Warren’s incredible run of shows can continue live, tomorrow night on BT … read more “Anthony Yarde vs. Dec Spelman BT Sports Weigh In Results”
After a scorching British Friday where the mercury reached as high as 36 degrees, Queensberry Promotions were delighted to be back in the air-conditioned BT … read more “RESULTS: Lyndon Arthur defeats Dec Spelman”
In a three-man press conference ahead of Friday’s BT Sport main event between Lyndon Arthur and Dec Spelman, ‘The Beast’ Anthony Yarde told his competition … read more “Anthony Yarde feels no need to call out anybody”
LYNDON ARTHUR is focused on knocking out Dec Spelman before getting to grips with Anthony Yarde.
The Mancunian makes the first defense of his Commonwealth … read more “Lyndon Arthur vs Dec Spelman on BT Sport – July 31”


text:
What you were a thief or a child. The secret service of the kamarg plotted in whispers and tones began to fail. One small errand for you back to library. Of the second floor of the empty glass back down the gentle current. Him to escape the camp of the spell in his eyes. Lethargy, beach fatigue and his right hand to his cubicle to the villagers in black mountain.
Has gone to get a chance to escape. Holloway was similarly secured my ankles. Was the date of this foe, regent, from the scene, surrounding the palace by just looking, from a crew of every man could figure it all works.


text:
|Course codes:||6A2X1 6A4X0|
This is the tenth edition of Atkins' Physical Chemistry, written by Peter Atkin. The outstanding quality of preceding editions has been built upon to make the 10th edition of Atkins' Physical Chemistry even better suited to the needs of both students and lecturers. The chapters have been completely reorganized: the information is now presented in discrete topics, to give the text an inviting modular feel. This makes it easier to digest and comprehend for students, while also making it more flexible for lecturers to teach from. The extensive learning support provided throughout the book now includes new checklists of key concepts at the end of each topic, to reinforce the main take-home messages in each section. The mathematics support for students has also been significantly extended, with the addition of new Chemist's toolkit boxes, which provide useful reminders of essential mathematical concepts and techniques. The coupling of the broad coverage of the subject with a structure and use of pedagogy that is even more innovative will ensure Atkins' Physical Chemistry remains the textbook of choice for studying physical chemistry. Online Resource Centre The Online Resource Centre to accompany Atkins' Physical Chemistry features: Manual For students: * Living graphs* Web links to a range of additional physical chemistry resources on the internet * Impact sections linked to via QR codes in the text* Group theory tables, available for downloading * Molecular modelling problems For registered adopters of the book: * Instructor's Solutions* Figures and tables from the book, in ready to download format * Tables of editable key equations ? Atkins Physical Chemistry is een studieboek dat bij uitstek geschikt is voor scheikundestudenten. Met een heldere uitleg en key-concepts aan het eind van elk hoofdstuk, biedt dit boek de lastige materie op een manier aan dat het toegankelijk is voor elke student.

domain: library


text:
Abstract. The authors study the geometry of lightlike hypersurfaces $V$ on a manifold $(M, c)$ endowed with a pseudoconformal structure $c$ of Lorentzian signature. They find singular points and singular submanifolds of $V$ and use them to construct a conformally invariant normalization of $V$ intrinsically connected with its geometry. This normalization is constructed by means of the elements of a fourth-order neighborhood of a point $x \in V$ and induces a torsion-free affine connection on $V$ which is also intrinsically connected with the geometry of $V$.
AMSclassification. 53A30, 53B25
Keywords. Pseudoconformal structure, Lorentzian signature, lightlike hypersurface, isotropic geodesics, singular point, invariant normalization, affine connection


text:
Wednesday morning Tayler asked if we could go to the library, so off we went.
Every Wednesday they have a theme and they read books & do crafts that have to do with that thing.
The theme was Games, so the teacher read books about games and she blew bubbles and we played with the parachute and colored pictures of sports. All the kids loved it, especially Jace because he loves anything that has to do with balls. Blurry picture of Jace & Tayler.
Did i mention my camera is broke so i have to use my Ghetto old camera:(
Jace was so cute, he kept saying again after every time.


text:
Showcasing excellence in cinema, veteran director Zoya Akhtar is being lauded by B-town actors like Kareena Kapoor Khan, Ananya Panday among many others. On the wish list of most of these actors, Zoya Akhtar has led the way in storytelling with her unconventional subjects. This is the reason why many eminent actors have often been vocal about the opportunity to work with Zoya. His penchant for making realistic cinema with memorable characters is what attracts the actors the most.
While waiting to tick Zoya’s name from her bucket list, Kareena Kapoor Khan said, “I look forward to working with Zoya Akhtar, that is a box that is yet to be ticked. There were many opportunities in the past, but it was not possible because of me. His films are as brilliant as poetry. I love watching Gully Boy over and over again.”
Zoya is one of the top names in the list of directors with whom the new generation of B-town actors are eagerly waiting to work with. On getting a chance to work with Zoya, Ghosh Stories actress Janhvi Kapoor shared, “I am thrilled to be working with Zoya on being a part of Ghost Stories. I have been a huge fan of his incredible work and have already dreamed of working with him.”
Our favorite Millennial star, Ananya Panday has mentioned many times that she loves Zoya’s work. The actress once said, “I want to work with Zoya Akhtar, she is my favourite.”
And in another interview, Ananya had shared, “I want to be in the passing shot in that film. I love Zoya (Akhtar), she is my favorite director.”
Working with Zoya has been a dream come true for every artist. New Sensation Alaya F has the same view. She says, “It would be my dream to act in a Zoya Akhtar film.”
Sharing a wish list of directors with whom Kartik Aaryan would like to work, he said, “I am looking forward to a call from the filmmakers who are on my wish list – Sanjay Leela Bhansali, Zoya Akhtar and Shoojit Government. I will take my success more seriously the day I sign films with him.”
We can definitely think of Zoya as a magnet that attracts artists towards her. Be it actor or actress everyone is looking for an opportunity to work with him. Be it Zindagi Na Milegi Dobara, Gully Boy, Dil Dhadakne Do, Made In Heaven or any other project, Zoya has given viewers powerful content and an experience that we will cherish forever.


Deadline: August 28th 12pm local time
Enclosed is a Request for Quotations (RFQ) for supply and installation of kitchen hood, and associated ventilation equipment.
For more details, please read through the information package.
Quotations are due by August 28th 12pm local time. No quotations will be accepted after this time. Proposals must be in English and incomplete proposals will not be accepted.


text:
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You can download the 19 images here
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