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Damage to small blood vessels can affect the eyes, kidneys, and nerves. Damage to eyes, specifically the retina, is called diabetic retinopathy and is the leading cause of blindness. Damage to the kidneys, called diabetic nephropathy, can lead to kidney failure and the need for dialysis. Damage to the nerves that supply the legs and arms and gastrointestinal tract is called diabetic neuropathy. Some people with diabetes who develop peripheral neuropathy (damage to the nerves in the legs) and have poor blood flow to the legs may eventually need an amputation.
Women seem to be at a greater risk as do certain ethnic groups, such as South Asians, Pacific Islanders, Latinos, and Native Americans. This may be due to enhanced sensitivity to a Western lifestyle in certain ethnic groups. Traditionally considered a disease of adults, type 2 diabetes is increasingly diagnosed in children in parallel with rising obesity rates. Type 2 diabetes is now diagnosed as frequently as type 1 diabetes in teenagers in the United States.
The blood vessels and blood are the highways that transport sugar from where it is either taken in (the stomach) or manufactured (in the liver) to the cells where it is used (muscles) or where it is stored (fat). Sugar cannot go into the cells by itself. The pancreas releases insulin into the blood, which serves as the helper, or the "key," that lets sugar into the cells for use as energy.
Some people with type 2 diabetes are treated with insulin. Insulin is either injected with a syringe several times per day, or delivered via an insulin pump. The goal of insulin therapy is to mimic the way the pancreas would produce and distribute its own insulin, if it were able to manufacture it. Taking insulin does not mean you have done a bad job of trying to control your blood glucose—instead it simply means that your body doesn’t produce or use enough of it on its own to cover the foods you eat.
What medication is available for diabetes? Diabetes causes blood sugar levels to rise. The body may stop producing insulin, the hormone that regulates blood sugar, and this results in type 1 diabetes. In people with type 2 diabetes, insulin is not working effectively. Learn about the range of treatments for each type and recent medical developments here. Read now
Patients who suffer from diabetes have a lifelong struggle to attain and maintain blood glucose levels as close to the normal range as possible. With appropriate blood sugar control, the risk of both microvascular (small blood vessel) and neuropathic (nerve) complications is decreased markedly. Additionally, if hypertension (high blood pressure) and hyperlipidemia (high cholesterol) are treated promptly and aggressively, the risk of cardiovascular complications should decrease as well.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Diabetes mellitus is a condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced, so that glucose in the blood cannot be absorbed into the cells of the body. Symptoms include frequent urination, lethargy, excessive thirst, and hunger. The treatment includes changes in diet, oral medications, and in some cases, daily injections of insulin.
Screening for undiagnosed T2DM is recommended at the first prenatal visit in women with above risk factors, using standard diagnostic method criteria. Screening for gestational diabetes (GDM) at 24-28 wk of gestation is recommended in women who do not have previous history of diabetes, as GDM remains asymptomatic11. A history of GDM carries a high risk for developing diabetes.
Hyperglycemia (ie, random blood glucose concentration of more than 200 mg/dL or 11 mmol/L) results when insulin deficiency leads to uninhibited gluconeogenesis and prevents the use and storage of circulating glucose. The kidneys cannot reabsorb the excess glucose load, causing glycosuria, osmotic diuresis, thirst, and dehydration. Increased fat and protein breakdown leads to ketone production and weight loss. Without insulin, a child with type 1 diabetes mellitus wastes away and eventually dies due to DKA. The effects of insulin deficiency are shown in the image below.
No single environmental trigger has been identified as causing diabetes mellitus, however both infectious agents and dietary factors are thought to be important. Various viruses have been implicated in the development of type I DM. They may act by initiating or modifying the autoimmune process. In particular, the rubella virus and coxsackie viruses have been closely studied. In particular, congenital rubella infection has shown direct relationships with the development of type 1 diabetes mellitus. This is presumably due to the virus (or antibodies against it) damaging the beta cells of the pancreas. Some research has looked at dietary factors that may be associated with type 1 diabetes. In particular, cow’s milk proteins (such as bovine serum albumin) which may have some similarities to pancreatic islet cell markers may be able to trigger the autoimmune process. Other chemicals including nitrosamines have been identified as causes of diabetes mellitus in animal models, but not in humans.
According to the National Institutes of Health, the reported rate of gestational diabetes is between 2% to 10% of pregnancies. Gestational diabetes usually resolves itself after pregnancy. Having gestational diabetes does, however, put mothers at risk for developing type 2 diabetes later in life. Up to 10% of women with gestational diabetes develop type 2 diabetes. It can occur anywhere from a few weeks after delivery to months or years later.
Patients with type 2 diabetes can still make insulin, but not enough to control their glucose levels. Type 2 diabetes is therefore initially treated with a combination of lifestyle changes (diet and exercise) which reduce the need for insulin and therefore lower glucose levels. If this is insufficient to achieve good glucose control, a range of tablets are available. These include metformin and pioglitazone, which, like diet and exercise, reduce insulin requirements; sulphonylureas (e.g. gliclazide), which stimulate insulin secretion; DPP4 inhibitors (e.g sitagliptin) and GLP-1 agonists (e.g. liraglutide), which stimulate insulin production and reduce appetite; and SGLT2 inhibitors (e.g. dapagliflozin), which lower blood sugar levels by causing sugar to pass out of the body in the urine. In many patients, particularly after several years of treatment, insulin production is so low or so insufficient compared with the patient's needs that patients with type 2 diabetes have to be treated with insulin injections, either alone or in combination with tablets.
Type 1 diabetes in pediatric patients has been linked to changes in cognition and brain structure, with a study by Siller et al finding lower volume in the left temporal-parietal-occipital cortex in young patients with type 1 diabetes than in controls. The study also indicated that in pediatric patients, higher severity of type 1 diabetes presentation correlates with greater structural differences in the brain at about 3 months following diagnosis. The investigators found that among study patients with type 1 diabetes, an association existed between the presence of diabetic ketoacidosis at presentation and reduced radial, axial, and mean diffusivity in the major white matter tracts on magnetic resonance imaging (MRI). In those with higher glycated hemoglobin (HbA1c) levels, hippocampal, thalamic, and cerebellar white matter volumes were lower, as was right posterior parietal cortical thickness, while right occipital cortical thickness was greater. Patients in the study were aged 7-17 years.
Knowledge is power. A certified diabetes educator can provide you with diabetes self-management education. They specialize in diabetes and can help you learn about complicated or easier things. For example, they can help you set up your glucose meter, teach you about how your medicines work, or help you put together a meal plan. You can meet with them one on one or in group setting.
Weight fluctuations also fall under the umbrella of possible diabetes signs and symptoms. When you lose sugar through frequent urination, you also lose calories. At the same time, diabetes may keep the sugar from your food from reaching your cells — leading to constant hunger. The combined effect is potentially rapid weight loss, especially if you have type 1 diabetes.
Because type 2 diabetes is linked to high levels of sugar in the blood, it may seem logical to assume that eating too much sugar is the cause of the disease. But of course, it’s not that simple. “This has been around for years, this idea that eating too much sugar causes diabetes — but the truth is, type 2 diabetes is a multifactorial disease with many different types of causes,” says Lynn Grieger, RDN, CDE, a nutrition coach in Prescott, Arizona, and a medical reviewer for Everyday Health. “Type 2 diabetes is really complex.”
Type 2 diabetes is due to insufficient insulin production from beta cells in the setting of insulin resistance. Insulin resistance, which is the inability of cells to respond adequately to normal levels of insulin, occurs primarily within the muscles, liver, and fat tissue. In the liver, insulin normally suppresses glucose release. However, in the setting of insulin resistance, the liver inappropriately releases glucose into the blood. The proportion of insulin resistance versus beta cell dysfunction differs among individuals, with some having primarily insulin resistance and only a minor defect in insulin secretion and others with slight insulin resistance and primarily a lack of insulin secretion.
When you have diabetes, excess sugar (glucose) builds up in your blood. Your kidneys are forced to work overtime to filter and absorb the excess sugar. If your kidneys can't keep up, the excess sugar is excreted into your urine, dragging along fluids from your tissues. This triggers more frequent urination, which may leave you dehydrated. As you drink more fluids to quench your thirst, you'll urinate even more.
Progression toward type 2 diabetes may even be self-perpetuating. Once a person begins to become insulin resistant, for whatever reason, things may snowball from there. The increased levels of circulating insulin required to compensate for resistance encourage the body to pack on pounds. That extra weight will in turn make the body more insulin resistant. Furthermore, the heavier a person is, the more difficult it can be to exercise, continuing the slide toward diabetes.
Diabetes develops when the body can't make any or enough insulin, and/or when it can't properly use the insulin it makes. For some people with diabetes, the body becomes resistant to insulin. In these cases, insulin is still produced, but the body does not respond to the effects of insulin as it should. This is called insulin resistance. Whether from not enough insulin or the inability to use insulin properly, the result is high levels of glucose in the blood, or hyperglycemia.
Clear evidence suggests a genetic component in type 1 diabetes mellitus. Monozygotic twins have a 60% lifetime concordance for developing type 1 diabetes mellitus, although only 30% do so within 10 years after the first twin is diagnosed. In contrast, dizygotic twins have only an 8% risk of concordance, which is similar to the risk among other siblings.
Rosiglitazone, a thiazolidinedione, has not been found to improve long-term outcomes even though it improves blood sugar levels. Additionally it is associated with increased rates of heart disease and death. Angiotensin-converting enzyme inhibitors (ACEIs) prevent kidney disease and improve outcomes in those with diabetes. The similar medications angiotensin receptor blockers (ARBs) do not. A 2016 review recommended treating to a systolic blood pressure of 140 to 150 mmHg.
There is evidence that certain emotions can promote type 2 diabetes. A recent study found that depression seems to predispose people to diabetes. Other research has tied emotional stress to diabetes, though the link hasn't been proved. Researchers speculate that the emotional connection may have to do with the hormone cortisol, which floods the body during periods of stress. Cortisol sends glucose to the blood, where it can fuel a fight-or-flight response, but overuse of this system may lead to dysfunction.
Diabetes mellitus is a chronic disease caused by inherited and/or acquired deficiency in production of insulin by the pancreas, or by the ineffectiveness of the insulin produced. Such a deficiency results in increased concentrations of glucose in the blood, which in turn damage many of the body's systems, in particular the blood vessels and nerves.
Diabetes is a serious and costly disease which is becoming increasingly common, especially in developing countries and disadvantaged minorities. However, there are ways of preventing it and/or controlling its progress. Public and professional awareness of the risk factors for, and symptoms of diabetes are an important step towards its prevention and control.
And go easy on yourself: Sometimes you can be doing everything perfectly and your blood sugars start to creep up. Because diabetes is a progressive disease, your body slowly stops making insulin over time. If you've had diabetes for a very long time, try not to be discouraged if your doctor has to increase your medication or discusses insulin with you. Continue to do what you can to improve your health.
Persons with diabetes who take insulin must be careful about indulging in unplanned exercise. Strenuous physical activity can rapidly lower their blood sugar and precipitate a hypoglycemic reaction. For a person whose blood glucose level is over 250 mg/dl, the advice would be not to exercise at all. At this range, the levels of insulin are too low and the body would have difficulty transporting glucose into exercising muscles. The result of exercise would be a rise in blood glucose levels.
In type 2 diabetes (adult onset diabetes), the pancreas makes insulin, but it either doesn't produce enough, or the insulin does not work properly. Nine out of 10 people with diabetes have type 2. This type occurs most often in people who are over 40 years old but can occur even in childhood if there are risk factors present. Type 2 diabetes may sometimes be controlled with a combination of diet, weight management and exercise. However, treatment also may include oral glucose-lowering medications (taken by mouth) or insulin injections (shots).
Type 1 DM is caused by autoimmune destruction of the insulin-secreting beta cells of the pancreas. The loss of these cells results in nearly complete insulin deficiency; without exogenous insulin, type 1 DM is rapidly fatal. Type 2 DM results partly from a decreased sensitivity of muscle cells to insulin-mediated glucose uptake and partly from a relative decrease in pancreatic insulin secretion.
People with Type 1 diabetes are usually totally dependent on insulin injections for survival. Such people require daily administration of insulin. The majority of people suffering from diabetes have the Type 2 form. Although they do not depend on insulin for survival, about one third of sufferers needs insulin for reducing their blood glucose levels.
Type 2 diabetes is a progressive, chronic disease related to your body's challenges with regulating blood sugar. It is often associated with generalized inflammation. Your pancreas produces the hormone insulin to convert sugar (glucose) to energy that you either use immediately or store. With type 2 diabetes, you are unable to use that insulin efficiently. Although your body produces the hormone, either there isn't enough of it to keep up with the amount of glucose in your system, or the insulin being produced isn't being used as well as it should be, both of which result in high blood sugar levels.
A metabolic disease in which carbohydrate use is reduced and that of lipid and protein enhanced; it is caused by an absolute or relative deficiency of insulin and is characterized, in more severe cases, by chronic hyperglycemia, glycosuria, water and electrolyte loss, ketoacidosis, and coma; long-term complications include neuropathy, retinopathy, nephropathy, generalized degenerative changes in large and small blood vessels, and increased susceptibility to infection.
How does type 2 diabetes progress over time? Type 2 diabetes is a progressive disease, meaning that the body’s ability to regulate blood sugar gets worse over time, despite careful management. Over time, the body’s cells become increasingly less responsive to insulin (increased insulin resistance) and beta cells in the pancreas produce less and less insulin (called beta-cell burnout). In fact, when people are diagnosed with type 2 diabetes, they usually have already lost up to 50% or more of their beta cell function. As type 2 diabetes progresses, people typically need to add one or more different types of medications. The good news is that there are many more choices available for treatments, and a number of these medications don’t cause as much hypoglycemia, hunger and/or weight gain (e.g., metformin, pioglitazone, DPP-4 inhibitors, GLP-1 agonists, SGLT-2 inhibitors, and better insulin). Diligent management early on can help preserve remaining beta cell function and sometimes slow progression of the disease, although the need to use more and different types of medications does not mean that you have failed.
Jump up ^ McBrien, K; Rabi, DM; Campbell, N; Barnieh, L; Clement, F; Hemmelgarn, BR; Tonelli, M; Leiter, LA; Klarenbach, SW; Manns, BJ (6 August 2012). "Intensive and Standard Blood Pressure Targets in Patients With Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis". Archives of Internal Medicine. 172 (17): 1–8. doi:10.1001/archinternmed.2012.3147. PMID 22868819.
Type 1 Diabetes: About 5 to 10 percent of those with diabetes have type 1 diabetes. It's an autoimmune disease, meaning the body's own immune system mistakenly attacks and destroys the insulin-producing cells in the pancreas. Patients with type 1 diabetes have very little or no insulin, and must take insulin everyday. Although the condition can appear at any age, typically it's diagnosed in children and young adults, which is why it was previously called juvenile diabetes.
Diabetes mellitus (DM) comprises a group of disorders characterized by hyperglycemia. It is the sixth leading cause of death in the United States and results in $132 billion in total direct and indirect costs. Although the incidence of Type 1 diabetes has doubled over the past 30 years, the increase in Type 2 diabetes has been even more dramatic. An estimated 20–40% of cases in large pediatric diabetes centers are now Type 2, and the rates are expected to rise along with the epidemic of childhood and adolescent obesity (Chapter 11).
Fatigue and muscle weakness occur because the glucose needed for energy simply is not metabolized properly. Weight loss in type 1 diabetes patients occurs partly because of the loss of body fluid and partly because in the absence of sufficient insulin the body begins to metabolize its own proteins and stored fat. The oxidation of fats is incomplete, however, and the fatty acids are converted into ketone bodies. When the kidney is no longer able to handle the excess ketones the patient develops ketosis. The overwhelming presence of the strong organic acids in the blood lowers the pH and leads to severe and potentially fatal ketoacidosis.
The most common complication of treating high blood glucose levels is low blood glucose levels (hypoglycemia). The risk is greatest for older people who are frail, who are sick enough to require frequent hospital admissions, or who are taking several drugs. Of all available drugs to treat diabetes, long-acting sulfonylurea drugs are most likely to cause low blood glucose levels in older people. When they take these drugs, they are also more likely to have serious symptoms, such as fainting and falling, and to have difficulty thinking or using parts of the body due to low blood glucose levels.
Merck & Co., Inc., Kenilworth, NJ, USA is a global healthcare leader working to help the world be well. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Merck Manual was first published in 1899 as a service to the community. The legacy of this great resource continues as the Merck Manual in the US and Canada and the MSD Manual outside of North America. Learn more about our commitment to Global Medical Knowledge.
Regular ophthalmological examinations are recommended for early detection of diabetic retinopathy. The patient is educated about diabetes, its possible complications and their management, and the importance of adherence to the prescribed therapy. The patient is taught the importance of maintaining normal blood pressure levels (120/80 mm Hg or lower). Control of even mild-to-moderate hypertension results in fewer diabetic complications, esp. nephropathy, cerebrovascular disease, and cardiovascular disease. Limiting alcohol intake to approximately one drink daily and avoiding tobacco are also important for self-management. Emotional support and a realistic assessment of the patient's condition are offered; this assessment should stress that, with proper treatment, the patient can have a near-normal lifestyle and life expectancy. Long-term goals for a patient with diabetes should include achieving and maintaining optimal metabolic outcomes to prevent complications; modifying diet and lifestyle to prevent and treat obesity, dyslipidemia, cardiovascular disease, hypertension, and nephropathy; improving physical activity; and allowing for the patient’s nutritional and psychosocial needs and preferences. Assistance is offered to help the patient develop positive coping strategies. It is estimated that 23 million Americans will be diabetic by the year 2030. The increasing prevalence of obesity coincides with the increasing incidence of diabetes; approx. 45% of those diagnosed receive optimal care according to established guidelines. According to the CDC, the NIH, and the ADA, about 40% of Americans between ages 40 and 74 have prediabetes, putting them at increased risk for type 2 diabetes and cardiovascular disease. Lifestyle changes with a focus on decreasing obesity can prevent or delay the onset of diabetes in 58% of this population. The patient and family should be referred to local and national support and information groups and may require psychological counseling.
A study by Chan et al indicated that in pediatric patients with type 1 diabetes, the presence of hypoglycemia is a sign of decreased insulin sensitivity, while hyperglycemia in these patients, especially overnight, signals improved sensitivity to insulin. In contrast, the investigators found evidence that in pediatric patients with type 2 diabetes, markers of metabolic syndrome and hyperglycemia are associated with reduced insulin sensitivity. Patients in the study were between ages 12 and 19 years.
The diabetic patient should learn to recognize symptoms of low blood sugar (such as confusion, sweats, and palpitations) and high blood sugar (such as, polyuria and polydipsia). When either condition results in hospitalization, vital signs, weight, fluid intake, urine output, and caloric intake are accurately documented. Serum glucose and urine ketone levels are evaluated. Chronic management of DM is also based on periodic measurement of glycosylated hemoglobin levels (HbA1c). Elevated levels of HbA1c suggest poor long-term glucose control. The effects of diabetes on other body systems (such as cerebrovascular, coronary artery, and peripheral vascular) should be regularly assessed. Patients should be evaluated regularly for retinal disease and visual impairment and peripheral and autonomic nervous system abnormalities, e.g., loss of sensation in the feet. The patient is observed for signs and symptoms of diabetic neuropathy, e.g., numbness or pain in the hands and feet, decreased vibratory sense, footdrop, and neurogenic bladder. The urine is checked for microalbumin or overt protein losses, an early indication of nephropathy. The combination of peripheral neuropathy and peripheral arterial disease results in changes in the skin and microvasculature that lead to ulcer formation on the feet and lower legs with poor healing. Approx. 45,000 lower-extremity diabetic amputations are performed in the U.S. each year. Many amputees have a second amputation within five years. Most of these amputations are preventable with regular foot care and examinations. Diabetic patients and their providers should look for changes in sensation to touch and vibration, the integrity of pulses, capillary refill, and the skin. All injuries, cuts, and blisters should be treated promptly. The patient should avoid constricting hose, slippers, shoes, and bed linens or walking barefoot. The patient with ulcerated or insensitive feet is referred to a podiatrist for continuing foot care and is warned that decreased sensation can mask injuries.
A growing number of people in the U.S. and throughout the world are overweight and more prone to develop Type 2 diabetes, particularly if they have the genetics for it. "Type 2 diabetes can be caused by genetic inheritance, but by far the obesity epidemic has created massive increases in the occurrence of Type 2 diabetes. This is due to the major insulin resistance that is created by obesity," Gage says.
What you need to know about borderline diabetes Borderline diabetes, known as prediabetes, is a condition where blood sugar levels are higher than normal but not yet high enough to be type 2 diabetes. This MNT Knowledge Center article explains the signs to look out for, how to monitor the disease, and ways to prevent it becoming full diabetes. Read now

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Bahrain's authorities have come under severe criticism from the United Nations and civil society organisations in recent weeks as a consequence of their relentless crackdown on civil society and human rights defenders. According to a report released by Amnesty International on 7th September 2017 entitled - "'No one can protect you:' Bahrain’s year of crushing dissent", human rights defenders and activists are "among the at least 169 government critics and their relatives who have been arrested, tortured, threatened or banned from travel by the authorities between June 2016 and June 2017".
On 10th September 2017, in a statement to the UN Human Rights Council, the UN High Commissioner for Human Rights described democratic space in the country as essentially being “shut down” and that “the government of Bahrain has imposed severe restrictions on civil society and political activism through arrests, intimidation, travel bans and closure orders, with increasing reports of torture by the security authorities”.
Bahrain was also featured prominently in a report released by UN Assistant Secretary General for Human Rights Andrew Gilmour on reprisals against human rights defenders who have collaborated with the UN system. This report released on 22nd September 2017 found that the government of Bahrain had engaged in an “ongoing trend of major harassment and intimidation against human rights defenders; the imposition of travel bans on selected individuals; the arrest, detention, and ill-treatment of targeted individuals; and one particular case involving sexual assault and torture as a form of reprisal”.
UK Labour Party leader Jeremy Corbyn also condemned the authorities for “crushing of democracy” at a party conference on 27th September 2017.
The Gulf Centre for Human Rights reported that human rights defender Zainab Al-Khamees, a member of the Bahraini Human Rights Society, was summoned for investigation on 6th September 2017. She complied with the summons and arrived at the appointed time. After a half-hour wait, she was interrogated briefly without the presence of her lawyer. She was questioned about her whereabouts on 11th August and accused of taking part in an unauthorised protest in Aali village, then released.
The trial of human rights defender Nabeel Rajab for tweets and comments critical of the authorities was once again postponed. On 27th September 2017, a court postponed the hearing until 19th November, in what was at least the 16th time it had been delayed, according to Human Rights Watch. As reported previously by the Monitor's research partner, Rajab is currently serving a two-year prison sentence after being found guilty on 10th July 2017 for “disseminating false news, statements and rumours about the internal situation of the kingdom that would undermine its prestige and status".
In a positive development, on 22nd October Ebtisam Al-Saegh, the monitoring and documentation officer with Salam for Democracy and Human Rights, was finally released from Isa Town Women’s Prison, where she had been held since her arrest on 3rd July 2017. On 18th July, the prosecutor ordered Al-Saegh to be incarcerated for six months, pending an investigation under the anti-terrorism law levied against her for outspoken comments on the state's human rights violations, including her own allegations that she was tortured during her detention at a police station in May 2017.

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Delhi: So far, 9,304 new cases of Corona Virus Infection have been reported in the country in the last 24 hours, while 260 people have died. With this, till Thursday, the number of infected and dying from this deadly virus has increased to 2,16,919 and 6,075 respectively. After America, Brazil, Russia, Britain, Spain, and Italy, India is now in seventh place in the list of countries most affected by the Coronavirus.
The Union Health Ministry said that 1,06,737 infected patients are undergoing treatment in the country and 1,04,106 people have become healthy and one patient has gone out of the country. “So far, about 47.99 percent of the patients have recovered,” a senior official said. 260 people have died due to this deadly virus since Wednesday morning. Of these, the highest 122 deaths were in Maharashtra, 50 in Delhi, 30 in Gujarat, 11 in Tamil Nadu, 10 in West Bengal, seven each in Madhya Pradesh, Uttar Pradesh and Telangana.
After this, six people died in Rajasthan, four in Andhra Pradesh, one person each died in Bihar, Chhattisgarh, Jammu and Kashmir, Karnataka, Punjab, and Uttarakhand. In Maharashtra, the virus has killed 2,587 people so far. This was followed by 1,122 in Gujarat, 371 in Madhya Pradesh, 345 in West Bengal, 229 in Uttar Pradesh, 209 in Rajasthan, 208 in Tamil Nadu, 99 in Telangana and 68 in Andhra Pradesh.
53 people died in Karnataka, 47 in Punjab, 34 in Jammu and Kashmir, 25 in Bihar, 23 in Haryana, 11 in Kerala, eight in Uttarakhand and seven in Odisha. Five-five people died in Himachal Pradesh, Chandigarh, Jharkhand. Four people died in Assam, two in Chhattisgarh, one each in Meghalaya, and Ladakh. According to the ministry’s website, 30 percent of the dead were already suffering from other diseases.

domain: geography


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Nipped in the Bud: How the AMSH MIT Domain Helps Deubiquitinate Lysosome-Bound Cargo
Nipped in the Bud: How the AMSH MIT Domain Helps Deubiquitinate Lysosome-Bound CargoStructural Basis for ESCRT-III CHMP3 Recruitment of AMSH
Structure, Volume 19, Issue 8,
Publication Date 10 August 2011
Copyright © 2011 Elsevier Ltd All rights reserved.
James H. Hurley
Laboratory of Molecular Biology, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA
Recruitment of the K63-linkage specific deubiquitinating enzyme AMSH is an important step in ESCRT-dependent membrane protein sorting. In this issue of Structure, Solomons et al. now reveal an extraordinarily high affinity complex between the “MIM4” region of one ESCRT-III subunit, CHMP3, and the MIT domain of AMSH.

domain: library


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NFL Roundup: Brees, Saints upend Packers at Lambeau
Drew Brees continued his mastery of Green Bay in leading the New Orleans to a 26-17 victory at Lambeau Field on Sunday.
Brees completed a barrage of short passes that added up to 331 yards on 27-of-38 accuracy. In seven career games against the Packers, he has topped 300 passing yards all seven times. The Saints (4-2) stayed afloat despite Brees' two early interceptions to earn their fourth consecutive victory.
Making his first start for the injured Aaron Rodgers, Packers quarterback Brett Hundley was just 12 of 25 for 87 yards. Hundley didn't make any big mistakes—his lone interception came with the Packers (4-3) down nine in the final minutes—but he also didn't make any big plays in the passing game.
Bears 17, Panthers 3
Rookie safety Eddie Jackson became the first player in NFL history to score two defensive touchdowns of at least 75 yards in the same game, and Chicago defeated visiting Carolina.
Jackson scored on a 75-yard fumble return and a 76-yard interception return during the first half. Bears quarterback Mitchell Trubisky played it safe on the other side of the ball as he completed four of seven passes for 107 yards.
Chicago (3-4) won its second game in a row and improved to 2-1 since naming Trubisky as the starter.
Panthers quarterback Cam Newton (21 of 34, 211 yards) was intercepted twice in the loss. Turnovers crippled Carolina (4-3), which fell short despite posting a 20-5 advantage in first downs and a 293-153 edge in total yards.
Rams 33, Cardinals 0
Jared Goff threw for 235 yards and a touchdown, Todd Gurley II had his fourth game of 100 or more rushing yards and the defense provided two interceptions that led to points as Los Angeles crushed Arizona at Twickenham Stadium in London.
The Cardinals perhaps lost more than a game. Quarterback Carson Palmer left in the second quarter with an injury to his left forearm. ESPN reported the arm is broken and Palmer will miss eight weeks.
Greg Zuerlein added four field goals for the Rams, who improved to 5-2 with the victory in the NFC West matchup. They are in first place in the division. Arizona is 3-4.
Dolphins 31, Jets 28
Backup quarterback Matt Moore, facing a two-touchdown deficit, rallied Miami to victory.
Dolphins defensive back Bobby McCain made the biggest defensive play of the game, intercepting a Josh McCown pass at the New York 27 with 47 seconds left in the fourth quarter. That set up Dolphins kicker Cody Parkey, who broke a 28-28 tie with a 37-yard field goal with 26 seconds left in the game.
Moore was playing in place of Jay Cutler, who left the game in the third quarter due to a chest injury.
McCown's interception spoiled a strong overall performance in which he passed for three touchdowns and ran for one.
The Dolphins (4-2) avenged their loss to the Jets (3-4) four weeks ago. In so doing, the Dolphins won their third consecutive game, including two straight in which they overcame a deficit of at least 14 points.
Bills 30, Buccaneers 27
LeSean McCoy rushed for 91 yards and two touchdowns and Tyrod Taylor passed for 268 yards and a touchdown as Buffalo came from behind to defeat Tampa Bay.
Stephen Hauschka made three field goals, including the game-winner from 30 yards with 14 seconds remaining. Earlier in the game, Hauschka tied an NFL record by making his 12th consecutive field goal of at least 50 yards.
The two teams exchanged the lead twice in the fourth quarter and the Bills (4-2) scored 10 points in the final three minutes.
Jameis Winston started at quarterback for the Buccaneers (2-4) after being listed as questionable with a shoulder injury. Winston was 32 of 44 passing for 384 yards and three touchdowns. But he fumbled twice, losing one, and threw an interception.
Titans 12, Browns 9 OT
Ryan Succop kicked a 47-yard field goal with 1:55 left in overtime Sunday to give Tennessee (4-3) the victory over winless Cleveland (0-7).
A 54-yard field goal by Browns rookie kicker Zane Gonzalez with 47 seconds left in regulation tied the score 9-9 to force overtime.
Jaguars 27, Colts 0
Blake Bortles completed 18 of 26 passes for 330 yards and a touchdown as Jacksonville (4-3) downed Indianapolis (2-5).
Indianapolis was shut out for the first time since a 41-0 playoff loss in 2002 at the New York Jets.
Bortles had a terrific first half, completing 14 of 20 passes for 282 yards and one touchdown. His first-half success included completions of 45, 50, 52, 24 and 28 yards. Jacksonville's 39 first-half plays from scrimmage produced 342 yards.
Steelers 29, Bengals 14
PITTSBURGH—Le'Veon Bell carried 35 times for 134 yards against the NFL's second-ranked defense to lead Pittsburgh over Cincinnati.
In games in which Bell has carried 27 times or more, the Steelers are 4-0.
Bell sparked a Steelers touchdown drive on their first possession. He carried five times for 27 yards and gained 23 on a pass reception before Antonio Brown caught a 7-yard touchdown pass from Ben Roethlisberger. Roethlisberger completed 14 of 24 passes for 224 yards and two touchdowns for the Steelers. His passer rating of 117.4 was a season high.
Cowboys 40, 49ers 10
SANTA CLARA, Calif.—Ezekiel Elliott ran for 147 yards and two touchdowns and caught a 72-yard touchdown pass, leading Dallas over San Francisco.
Dak Prescott completed 16 of 25 passes for 234 yards and three touchdowns for the Cowboys, who ended a two-game losing streak. Prescott also ran for a touchdown.
San Francisco rookie quarterback C.J. Beathard completed 22 of 38 passes for 235 yards and ran for a touchdown in his first NFL start. He was sacked five times and lost two fumbles.
Chargers 21, Broncos 0
CARSON, Calif—Los Angeles blanked Denver to win its third straight game and first of the season after three losses at the StubHub Center.
Travis Benjamin had a 42-yard scoring reception and returned a punt 65 yards for a touchdown to lead the Chargers. Philip Rivers added another touchdown pass to running back Austin Ekeler. Rivers finished 15 of 26 for 183 yards and two touchdowns as he recorded his 100th career win.
The Broncos, who have dropped three of their past four games, committed three turnovers and were stifled by a stout Chargers defense. Trevor Siemian completed 25 of 35 passes for 207 yards and an interception.
Seahawks 24, Giants 7
EAST RUTHERFORD, N.J.—Russell Wilson threw three second-half touchdown passes to give Seattle a win over New York.
The Seahawks, who were coming off their bye week, put together a sloppy, penalty-filled first half, which included eight penalties for 63 yards and two second-quarter dropped passes by tight end Jimmy Graham, one of which would have been a touchdown on a fourth-down play.
Wilson, who in addition to the three touchdown passes, completed 27 of 39 for 334 yards and no interceptions. Seattle's Doug Baldwin caught nine passes for 91 yards and a score. Giants quarterback Eli Manning was just 19 of 39 for 134 yards and a touchdown.


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Photos of Jacob and Sophia Haish courtesy of the Joiner History Room.
Sophia Ann Brown was born March 10, 1828 in New York. She was the daughter of Thomas Brown, a farmer in the Naperville, Ill. area.
Jacob and Sophia were married on May 24, 1847, in DuPage County, Ill. According to a Jan. 26, 1924 DeKalb Chronicle article, "He had been much attracted to Sophia ... during the year he had worked on her father's farm, and their friendship grew into a love that made their married life an ideal one."
They would live on the Brown farm for the first two years of their marriage before moving to DeKalb County.
Not much is known about Sophia, especially in comparison to her husband. However, her obituary, printed in the Sycamore True Republican on Sept. 11, 1918, said her philanthropies to the community were many.
The Jan. 26, 1924 edition of the DeKalb Chronicle states "Mr. Haish says there were two times in his life when he was particularly fortunate. The first was when he was married, and the second was when he moved to DeKalb. One of the beautiful features of his life has been his devotion to his wife while she lived."
|Jacob and Sophia's monument at Fairview Cemetery in DeKalb, Ill. | Photo by Jessi LaRue|


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Make Use of Scraps: Need a bookshelf? Look around the room! Jamie of DIY Home Sweet Home made this bookshelf using the front and back panels of an old crib and painted pillow cases. Source: DIY Home Sweet Home
I am beyond excited about sharing with you over 60 DIY Furniture Makeovers today. The reason why this post makes me so excited is because every single one of these furniture makeovers were linked up to the The AVENUE parties at some point.

domain: design


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A Psychoanalyst is a medical professional specializing in the medical diagnosis as well as treatment of mental disorders. This branch of medicine deals with dealing with, identifying, and stopping mental disorders. Its objective is to enhance the lives of those with mental illnesses. The field of psychiatry is really broad, with countless professionals.
A psychiatrist is highly learnt the area of mental illness, and they make use of a selection of methods and also strategies to treat their clients. Their training incorporates the areas of psychology and neurology, the study of the nerves as well as the study of mind and habits. They will evaluate the signs of a client in the context of their background, and will identify whether a physical injury or condition has actually influenced their habits and believed processes. A psychoanalyst will additionally consider any type of chemical abuse or dependency.
While some psychiatric diseases can be treated, others need long-lasting treatment to improve or preserve quality of life. As an example, post-traumatic stress disorder might take up to 20 sessions prior to it is totally resolved. Various other disorders, such as personality disorders, may require longer treatment plans. For these factors, it’s important to seek a consultation, especially when thinking about medications and also therapies that can have dangerous negative effects.
To come to be a psychoanalyst, a medical professional needs to initially get a clinical certificate. This requires passing the United States Medical Licensing Examination or the Comprehensive Osteopathic Medical Licensing Exam. Later, a doctor can decide to seek board qualification. Board certification, nonetheless, includes particular needs and tests, including passing the Upkeep of Certification exam every ten years.
A good psychiatrist ought to have a high level of compassion as well as patience. In addition, an excellent psychoanalyst must be able to pay attention and also connect compassion. She or he must have a strong understanding of the human mind and also just how typical life development manifests itself in mental and behavior symptoms. This is a job in which the benefits of treatment are countless.
To come to be a psychoanalyst, one have to have completed a bachelor’s level in a relevant field, as well as numerous clinical institution programs. After clinical college, a psychoanalyst will finish a four-year residency in psychiatry, commonly in a basic clinical setting, where they are revealed to various psychological issues. Once they have actually finished their residency, a psychiatrist should get clinical licensure in the state where they prepare to exercise. Without the appropriate permit, a psychoanalyst can not practice in other states.
The role of a psychiatrist is to assist identify mental diseases. They might get analysis examinations, execute health examinations, and also recommend medicines. Some psychoanalysts likewise exercise psychiatric therapy. They also work as a part of a psychological health and wellness team, consulting with various other health care professionals such as physical therapists, social workers, as well as psychiatric nurses.
Psychoanalysts are highly enlightened experts with a highly in-demand capability. They gain considerably more than the average US person. According to the US Bureau of Labor Stats, the average salary for a psychoanalyst is forecasted to be $249,760 in 2021. Psychiatrists operate in the area of psychological health, and they often tend to deal with serious instances. Their income is normally twice that of a typical medical psychologist.
A psychiatrist is an advanced-level clinical physician who specializes in treating mental illness. Their key objective is to comprehend the domino effects of mental disease. These professionals concentrate on the research study of chemical imbalances in the brain and also the physical and also psychological repercussions of these inequalities. They have medical as well as surgical training, and also they finish a four-year residency in psychiatry. Furthermore, they may select to pursue a fellowship in a certain subspecialty.
Psychoanalysts must have a clinical certificate. In many states, they are required to take proceeding education credits in order to keep their certificate. This helps them remain on top of the most up to date advances in their field and also supply the most effective like their people. There are several on-line psychiatry training courses available. They are a lot more budget-friendly than campus-based programs.
In addition to recommending therapy, a psychoanalyst can also recommend drugs. These experts understand the complex connection in between the mind and also the body, and can aid individuals find remedy for signs of anxiety or clinical depression. In some cases, a psychiatrist will refer people to a psycho therapist for further therapy. They can also refer them to various other specialists for counseling.
A psychiatrist is a clinical physician concentrating on dealing with mental illness. They do health examinations, order diagnostic tests, as well as method psychotherapy. Psychiatrists function as part of a psychological health group, collaborating with other doctor, including health care medical professionals, social workers, physical therapists, and also psychological registered nurses.
In all clinical encounters, a psychoanalyst has to have the ability to think of an individual from both an organic as well as psychological viewpoint. Disordered habits discuss a variety of facets of life, from the physical to the social and also social environment. Psychiatrists have an unique passion in the understanding acquired from both life sciences and also humanitarian scientific researches. They want using this knowledge to enhance the human condition.
The ordinary income for a psychoanalyst is $249,760 per year in 2021. They must likewise pass a voluntary board accreditation examination as well as undertake additional training in psychoanalysis. Psychoanalysts can operate in several setups, with fifty percent of U.S. psychoanalysts holding private practices.
Therapy alternatives for lots of psychological conditions have improved recently. While some conditions can be treated with medicines, others can need long-lasting treatment. Psychoanalysts use various methods of psychotherapy, including psychosocial interventions and electroconvulsive therapy. The effectiveness of these treatments differs from person to individual.
Psychiatric therapy is an important part of the diagnosis and treatment of mental diseases. It includes conference routinely with clients in order to review troubles and also feelings. The objective of psychiatric therapy is to handle uncomfortable signs by resolving root causes of the condition. It can take anywhere from a couple of sessions over a week to many months. People might select to undertake psychiatric therapy sessions independently or with member of the family. Get more information
Psychoanalysts can also suggest medicines for their clients. Psychoanalysts are experts in dealing with people who struggle with emotional or behavioral problems. They must have a solid concern for their patients. Furthermore, they should be logical and essential thinkers in order to create an efficient therapy strategy.

domain: medical


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Following a year that introduced him to international success, James McCartney is already headed towards an exciting and unprecedented 2013.
McCartney is fresh off the release of his two digital-only EPs, Available Light and Close At Hand, as well as his first physical release, The Complete EP Collection, a special two-disc set produced by David Kahne and Paul McCartney that includes the debut EPs in their entirety along with five bonus tracks. Now in the studio once again, James McCartney is preparing to release what will be his first full-length album in 2013, accompanied by major US and European tours. The US tour will bring McCartney to over 50 cities coast-to-coast as he performs a unique solo-acoustic show of never-before-heard material mixed with fan favorites. Accompanying himself on guitar and piano, McCartney’s soaring vocals, songwriting, and musicianship are highlighted in this intimate and powerful setting.
The success of The Complete EP Collection catapulted McCartney to national awareness in America with his U.S. television debut on The Late Show with David Letterman. McCartney followed with his first tour of North America. Of McCartney’s performances The NY Daily News writes: “An infectious set . . . [he] has clearly forged a winning sound of his own.” The Boston Globe adds: “. . . the younger McCartney’s promising pop-rock tunes make clear he’s learned a few lessons about melody, phrasing, and charm.
Looking forward to the thrilling year ahead, the next phase of his career is beginning to take shape and McCartney’s goals are clear. “Some artists are happy doing the same thing again and again, but my favorite artists are the ones who evolve and grow, and I want to be one of them.” With a new album and multiple tours on the way in 2013, James McCartney continues raise the stakes, and in doing so he succeeds in filling some very big shoes . . . his own.

domain: celebrity


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Your wishlist has been temporarily saved. Please Log in to save it permanently.
Materials Oxidized sterling silver, 14k gold fill, black spinel
Measurements 16" chain
Austin TX based Claire S. Buck creates jewelry inspired by her world travels. Working primarily in silver and brass, Claire's jewelry is a boho babes dream.
Ships in 1 business day.

domain: artistic


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Do you want fishing simulator video games? Get on the boat and let’s go fishing with Fish Idle – the brand new fisher tycoon sport that brings extra enjoyable to your smartphone or pill than some other and will get you hooked!
Fish Idle brings you a singular idle fishing tycoon arcade sport with clean graphics and easy mechanics for optimum enjoyable. Who doesn’t like fishing, proper? When you like video games that dont want wifi connection, now you possibly can catch all types of fish you need and improve your fishing boat to turn out to be a fisher professional in top-of-the-line idle tycoon video games with no web and totally free.
SIMPLE AND EASY GAME
Fish Idle is actually a hooked simulation sport with easy controls that will let you focus in your achievements and turn out to be a professional fisherman somewhat than studying the right way to play. The whole lot you see in your display is supposed that can assist you catch fish – as a lot and as large as you possibly can.
– A single controller to maneuver your fishing ark round with solely your thumb;
– The fisher begins hooking fish as quickly as you method it at a sure radius that may additional be widened – you don’t have to faucet fish;
– Life, cash, and gem indicators to offer you precise data in your fish tycoon reserves;
– Upgrades to offer you a bonus over the fish you catch and turn out to be a real fish hunter;
– Take your catch to your house base to get cash for it and take a fishing break;
– Go to the Fish Farm to speculate your earnings and get a return;
– Clear navigation with segments separated by gates that open upon reaching a selected degree.
ADVANTAGEOUS UPGRADE SYSTEM
You may improve your boat upon catching the wanted quantity of fish on this idle tycoon. Every fish sort offers you with a selected amount of cash and XP factors – the rarer, the sooner, and the larger, the dearer each cash and experience-wise on this fishing simulator. These upgrades improve your possibilities of catching among the most agile fish.
– Fishing velocity improve to catch fish sooner and get after among the quirkiest of it – and also you don’t even have to fret about fishing lures and fishing bait;
– Storage capability improve to retailer extra fish in your boat;
– Boat velocity improve to have the ability to get after the quickest specimens on the market;
– Fishing rods improve to catch a couple of fish directly;
– Well being improve to guard your boat from affect;
– Fishing radius improve to cowl a bigger space and never let the fish escape;
– Group fishing improve to extend the variety of fishing rods to catch the identical fish.
Like within the real-life, Fish Idle fishing sport has varied further methods of getting revenue off the catch. These amenities offer you bonuses for uncommon currencies, akin to treasure and caviar in addition to for normal cash.
– Fish farm permits making minimal investments after which get a return all through your sport;
– Black market enables you to improve your boat past normal upgrades;
– Bots store enables you to ‘rent’ fishing hunters and cargo ships that can fish for you and generate extra money together with you;
– Exchanger means that you can alternate varied in-game currencies, together with particular treasures that you could spend to get further perks and in the end turn out to be the most effective fisher.
DIFFERENT FISH TYPES
Above all, the fish that you’re going to catch varies in a lot of qualities. Whereas a few of them are going to be calmly swarming when you’re catching it, different fish will probably be escaping your rods as quickly as you begin catching them. Work out how every sort behaves and lure your prey right into a entice together with your fishing rod. Furthermore, you get extra expertise factors and cash for the rarest and quickest kinds of fish.
When you had been in search of fishing apps and fishing video games that deliver extra enjoyable than aquarium video games, akin to Abyssrium, you’ve simply discovered one. You received’t want fishing gear, like a fishing hook or fishing boots to benefit from the course of – it’s not only a faucet tycoon, it’s pure enjoyable for actual !

domain: game


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Dave Meltzer reported in the latest issue of The Wrestling Observer Newsletter that Impact Wrestling fired Hania after she refused to do a 90-second job to newcomer Su Yung at the recent set of Impact television tapings in Orlando, Florida.
Hania made her Impact Wrestling debut back on November 10th, 2017, at a television taping in Ottawa, Ontario, where she attacked Rosemary following “The Demon Assassin”‘s victory over KC Spinelli.
Jeremy Borash tweeted news of her arrival and the angle actually aired on last night’s episode of Impact Wrestling.
Hania worked three matches at the recent set of tapings. She faced off against Amber Nova at the January 10th tapings and had matches with Rosemary the next two nights.
Hania referenced her departure with the following tweets:

domain: entertainment


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Altered minds, submissive people, and
screams unlike a heavenly choir, dark
things, and nightshades of purple, skin
Eyes dark like stagnant pools, what is
your name; it does not matter life will
never be the same.
Unwanted souls, minds defective, body
frail, fight immense insanity; lives
destroyed, controlled, no one to
Imprisoned in straps, flesh burning,
madness and confused memories;
shadows floating across the walls,
Hopelessness, psychotic visions, white
clad figures and syringes; evil voices in
the ear, nightmares, who cares?
Mind slipping away, a life destroyed, let’s
everyone pray; wooden paddle between the
teeth, what you sow, so shall you reap.
See what happen when your mind is not
whole, your frozen in time; they can take
away your mind.
Electricity coursing deeply into your brain,
you are societies shame; it is not delirium,
you are in the asylum and your world wrapped
in unwanted change.
Poetry EBook on Amazon.com

domain: psychology


NATIONAL CONSUMER DISPUTES REDRESSAL
REVISION PETITION NO. 1882 OF 2007
(From the order dated 12.2.2007 in Appeal No. 391/2005 of Rajasthan State Consumer Disputes Redressal Commission, Jaipur)
Life Insurance Corporation of India ….. Petitioner
Assistant Secretary (L&HPF)
Northern Zonal Office
Sh. Hemi Devi ….. Respondent
W/o Late Sagarpuri Caste Goswami
HON’BLE MR. ANUPAM DASGUPTA, PRESIDING MEMBER
HON’BLE MR.SURESH CHANDRA, MEMBER
For the Petitioner : Mr. Ashok Kashyap, Advocate
For the Respondent : NEMO
Pronounced on : 16th December, 2011
PER SURESH CHANDRA, MEMBER
This revision petition has been filed against the impugned order dated 12.2.2007 passed by the Rajasthan State Consumer DisputesRedressal Commission Circuit Bench Jaipur by which the State Commission partly allowed the appeal filed by the petitioner and modified the relief earlier granted by the District Forum, Barmer vide its order dated 28.1.2005 in favour of the complainant, respondent herein.
2. Briefly stated, the complainant/respondent, who is wife of the deceased life assured, filed a complaint before the District Forum, Barmer claiming that her husband took a policy for Rs.25,000/- with back date of commencement from 28.12.1993 at a yearly premium of Rs.3110/- under Jeevan Surabhi with accident benefit and since her husband had died on 20.8.2003, she had raised a claim under this policy which had been declined by the petitioner on the ground that the policy had lapsed and was revived on 23.1.2003 but life assured had concealed material facts at the time of revival of the policy and filled up fresh declaration with regard to his health by concealing material fact of his illness although he was suffering from hypertension and heart disease for which he had taken treatment and purchased medicines. Aggrieved by the rejection of her claim, the complainant/respondent challenged the same before the District Forum, Barmer by filing a consumer complaint which was accepted by the District Forum which ordered that the complainant could recover the amount of insurance policy for Rs.25,000/- along with accrued bonus as per rules. The complainant was also held entitled to receive interest @ 9% p.a. from the date of repudiation of the claim, i.e., 26.2.2004 along with cost of Rs.1,000/- from the petitioner company.
3. The petitioner company which was opposite party before the District Forum, challenged this order of the District Forum in appeal before the State Commission which allowed the appeal vide its impugned order dated 12.2.2007 in terms of the following directions:-
“For the reasons stated above the appeal of the appellant is allowed in the manner that the complainant would be entitled to receive the whole amount deposited towards premium with bonus and in addition to this she will receive interest on the above amount @ 9% p.a. from 26.2.2004. The impugned order may be treated amended as per above. The cost of the complaint in the impugned order is confirmed.”
4. Not feeling satisfied with the impugned order of the State Commission, the petitioner has challenged the same through the present revision petition.
5. Contentions have been raised on behalf of the petitioner to the effect that there are several pronouncements of the Apex Court which state that the assured is under obligation to make full disclosure of the material fact which may be relevant for the insurer to take into account while deciding whether the proposal should be accepted or not. According to the petitioner, since the life assured had failed to make full disclosure regarding his health at the time of the revival of the policy in question which amounted to concealment of material information which rendered the contract null and void and hence when the State Commission vide its impugned order had found that there was no deficiency of service on the part of the petitioner but yet had erroneously exercised jurisdiction which is not vested in it while directing the petitioner company to return the premium paid with bonus and interest @ 9% w.e.f. 26.2.2004. Thus the State Commission had also committed grave error and hence the impugned order is liable to be set aside.
6. We have heard learned counsel for the petitioner. The respondent had never appeared and hence was proceeded ex parte but the written submissions filed by the respondent are placed on record and have been perused. During the course of hearing, it has been brought to our notice that even though the impugned order has been challenged by the petitioner, the same has already been complied with by the petitioner by making payment to the complainant/respondent in terms of the impugned order. In these circumstances, taking into consideration the very smalldecretal amount involved in the impugned order and the fact that the claim in question pertains to the death of the insured which took place on 20.8.2003, we are of the considered view that no useful purpose would be served in lingering on with the present revision petition and the same can be treated to have become infructuous at this belated stage. It would, therefore, be appropriate to treat the same as infructuous and dispose it of accordingly without getting into the merits of the case as such. Learned counsel for the petitioner requests that this should not be treated as a precedent for the future cases since the contentions raised by the petitioner in respect of the merits would remain open for consideration in the light of the existing judgements by the Apex Court and other Fora in respect of the reliefs granted by the State Commission vide its impugned order which is under challenge shall remain open. We agree to the submission made by the learned counsel and direct that the decision in this case should not be treated as a precedent in other cases and dispose of the present revision petition with these directions.
Comments are closed.


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Eric Stuart Band
Please note, this event has expired.
Brooklyn born and raised singer/songwriter Eric Stuart has toured the country either on his own or with such rock legends as Peter Frampton, Ringo Starr and Lynyrd Skynyrd. He has also opened for such acts as Jethro Tull, Chicago, Hall & Oates, Dave Mason, Julian Cope, Dave Davies, The Alarm, John Cafferty and the Beaver Brown Band, and Jeffrey Gaines.
Now living in Nashville, Eric’s songwriting talents have given him the opportunity to begin co-writing with some of Nashville’s finest songwriters. The band’s great live show of all original, guitar-driven rock/pop has made the Eric Stuart Band a must-see in the area.
FREE Admission | Tips Appreciated | Use Ticket Link For Reservations
Contact: (615) 794-5527
120 Fourth Avenue South, Franklin, TN 37064


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We already know that Fish will be touring the US, including a stop at NEARFest. In the wake of NEARfest stepping up to sponsor him for his 2008 North
American tour, Fish has offered to bring his critically-acclaimed "Clutching at Stars" performance to the NEARfest stage. This encore performance celebrating the 20th anniversary of Marillion's classic
Clutching At Straws album, a fan-favorite and the last one featuring Fish, is a NEARfest-exclusive! The Clutching at Stars tour did not reach North American shores in 2007, so this is sure to be a very special show. Tickets are still available for the show at https://ztickets.lehigh.edu, which is on Friday, June 20th starting at 7:00pm with Synergy as the opening act.
[Source: Chad, NEARfest; photo: Hannah Wilkinson]


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Flower Power. Annieka is back this season in the Bella Flora Cotton Quiana. This midi dress has a tiered skirt with contrast stitching and an optional belt.
Girls Club - Swingy, easy fit with side seam pockets, buy in your true size.
Bella Flora Cotton Quiana
100% Cotton. Machine wash cold, gentle cycle. Hang to dry. Designed in Los Angeles.


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I was travelling from St. John’s To Dhaka. I started my trip by Air Canada to Toronto. We had a stop for two hours, my brother flew in from Vancouver to join me. We waited for two hours to get the next flight. After two hours we continued our journey. Our stop was at London’s Heathrow airport.
Even though we were in transit we had to go through customs which made little sense.
In London our stop was an hour and a half, it was enough time to go through customs. I don’t mind customs, but there are some weird things the authorities make us do which is take our shoes off.
From Heathrow we changed our airlines, this time it was Qatar airways. the flight took six hours to land in Bahrein and the waiting time at this airport was seven hours. It was midnight, I felt sleepy but they didn’t have any arrangement to sleep, but if we really wanted to we could sit and try to sleep on the benches in the lounge.
When the seven hours were finally over, I couldn’t wait to board the plane, we waited for the call impatiently, there was a long line. We were moving slowly, finally the door of the plane was visible, we reached there got in and took our seats.
Once again we continued our journey by Qatar Airways. We felt happy as the next stop would be our destination, Dhaka city. The plane took off on time, six hours later we landed in Dhaka City, Bangladesh.
Once again we faced customs, we weren’t carrying any gifts we just had our suitcases, where we had our personal things.
It felt good to see our siblings, they had the transportation ready for us. It was a long journey, we were glad when we reached home.
Tell us about the farthest you’ve traveled from home.
A few years ago I traveled to Dhaka from St. John’s, it was a long flight. I had a stop over at Frankfurt, it was a long ten hours wait at the airport. There was nothing at this airport that could delight anyone much less write about it. There was a long unattractive lounge, it had scattered benches, which seemed to say, “why are you here,you’re not welcome?”
It gave the impression of a first come first served basis benches, e.g too bad you came late here, there is no place for you to sit . The scenario was so unfriendly I couldn’t wait to get out of there. Finally when I thought I saw a light at the end of the tunnel, I had the misfortune of meeting this sour, ill mannered gentleman who refused to answer my question. He worked for Qatar Airways which was the airlines I’d taken to fly to Dhaka.
After more than twenty four hours I finally reached my destination, Dhaka, my siblings were there to receive me. Getting out of the airport was long, there were all kinds of forms to fill in, the lines were too long I was tired.
Going from the airport to my sister’s home was not that easy, there were traffic jams,bad drivers, buses, rickshaws , private cars, taxis, there were all kinds of transportation, trying to go faster than the other one. It was a picture of chaos. I was visiting after a long time, it seemed the population of Dhaka increased by leaps and bounds.
After more than three hours I was home, I was thankful I got home safely.
Qatar Airways at Doha International Airport. (Photo credit: Wikipedia)
Since I came to Canada, I’ve traveled to Dhaka,Bangladesh many times. There were times when it took longer. It depends on the airlines. A few years ago, I took Qatar Airways. the fair was cheaper, this motivated me to use this particular airlines.It had stops in Frankfurt and Doha. The stop at Frankfurt was ten hours and Doha three hours.
I traveled by Air Canada to Toronto from St. John’s. My next flight was by the same airlines to Frankfurt. It took seven or eight hours to reach Frankfurt,from Frankfurt to Doha was six hours and from Doha to Dhaka five and a half hours. In all I flew for twenty-two hours to reach my destination. I did not count the hours I waited at each airport for the flights.


text:
Christian parents often try to filter the media their kids consume, but how do we actually teach our children media discernment? It is one thing to guard their eyes and ears. But how do we also train them to identify the subtle and not-so-subtle messages that come from movies, TV, music, and video games.
Today we’re continuing our conversation from last week with Phillip Telfer, producer and co-director of the award-winning documentary, Captivated: Finding Freedom in a Media Captive Culture. Phillip is also the director of Media Talk 101, a Christian ministry dedicated to helping families learn to take their thoughts captive for Christ in a media saturated society.
0:49 – What kinds of false messages come through modern media?
9:41 – How do parents dialogue with their children around the good and bad messages of media?
14:15 – How do we find the time to co-view media with our children?
19:10 – What are practical tools we can use to analyze the media our kids consume?

domain: sociology


text:
A lot of individuals frequently question, how does marriage counseling really work? There's not any set answer for this particular question. For many, it may prove beneficial and really have a favorable outcome. For many others, it may have the entire opposite outcomes. There's a lot that has to be taken into consideration when seeking to decide if couple counseling is going to be a fantastic alternative for a troubled union.
Among these things is whether both partners are ready to go through marriage counseling. There can be one spouse keen to take it deep and also another partner not needing to go through with it. If a married couple in this circumstance which to try marriage counseling, it might not work for them. As the popular saying goes, it takes two to make a marriage work. This is also true for marriage counseling.
Another factor to think about when attempting to work out if marriage counseling will do the job for your union is the way the union is presently coming along. Have the trouble in the union gotten to the stage where there is a minimal prospect of mending? Is your love still within the union?
Is there a possibility that one or both partners aren't put on attempting to return to a potential remedy to repair the issues and save the union? Sometimes married couples pose a good deal of signs that could point to counseling not being effective like not being in love, with acute issues, rather than needing to locate a remedy to repair the problems they've got.


text:
Potato and Leek Soup
There is not much at all to this soup. In fact, even my photographs are a little stupidly simple. But I have always been a fan of potato and leek soup. And I like stupidly simple from time to time. Usually on a weeknight.
Oil. Leeks. Potatoes. Liquid. Salt. Dairy. Parsley. Do you really even need a recipe?
Given that this is a food blog, I am going to provide you one. But, seriously, change every amount to fit your palate, your taste, your proclivities on a random Tuesday night. Throw this recipe to the wind. Sure, use it as a guide if you want, but you should play and dabble and change this one for yourself.
But let me tell you a little secret about this recipe. Even though I don't fully believe in it, I have a soft spot for the recipe and for its cookbook. But I am about to donate this cookbook to the little free library in my neighborhood.
I loved this cookbook in the 90s, and I have waxed nostalgic about it previously. But it's time. It's time to let this cookbook go.
Sadly, I have used it only twice in the past six years, and both times it was because I had given myself the gimmick of cooking from a specific page (page 210 and page 215). I find myself reaching toward other, more recent cookbooks.
In part because in the 90s, I was a new cook, and I would have needed the recipe to guide me. In part because my palate has changed. In part because I think there are a plethora of really great vegetarian cookbooks out there.
But this book has served me well.
Potato and Leek Soup
Adapted from Almost Vegetarian
1 Tbsp olive oil
2 large leeks, cut in half, cleaned, and sliced into thin crescents
4 large boiling potatoes, peeled and quartered
2 cups chicken or vegetable broth
2 cups water
1 cup plain yogurt (nonfat, lowfat, or full-fat)
Salt and pepper
1/2 cup fresh parsley, chopped
1. In a large saucepan, heat the olive oil. Add the leeks and saute until the leeks begin to soften, but do not brown, about 5 minutes.
2. Add the potatoes, broth, and water. Bring to a boil over medium-high heat, cover, and turn the heat down to medium-low.
3. Simmer until the potatoes are tender enough to cut with a spoon, about 40 minutes.
4. In a blender or food processor, puree the soup in the cooking water and broth, doing this in batches and/or adding more broth and water if necessary. Then return to the saucepan.
5. Add the yogurt, and heat slowly over low heat, uncovered, until just warmed through. Season with salt and pepper, and stir in the parsley.

domain: food


text:
I remember when I was young, my elementary school held a “Random Acts of Kindness Week.” Each day we were challenged to do a random act of kindness.
I would do things like compliment my friends, hold the door open for others, and help teachers carry supplies to their classrooms. At the end of the week, everyone got pencils that said, “I am a Peacemaker” on them to commemorate their good works.
Since receiving that pencil, random acts of kindness have been prioritized in my life. That week in elementary school showed me the difference I can make through random acts of kindness, even when doing them isn’t an official week-long celebration.
Practicing kindness may seem like an obvious thing to do. However, it is overseen and forgotten by many. Too often do we view kindness as something that is already a part our personal agendas, when most of us really fail to complete the simplest opportunities that come around to be kind.
Utah has one of the highest rates of suicide in the United States, with 578 suicides per year, according to Utah’s Public Health Data Resource. In 2015, suicide was the leading cause of death for Utahns ages 10 to 17.
As someone who falls within that age range, I have experienced many suicides of peers in my lifetime. And this is the leading reason why I make random acts of kindness a priority in my life.
As Martin Kornfeld said, “If we all do one random act of kindness daily, we just might set the world in the right direction.”
Although suicide is a monumental problem in Utah, something as simple as a random act of kindness could prevent it. Hate is the base of negativity, yet it is one of the most prominent things spreading around the halls of our schools. Random acts of kindness can combat hate and reduce suicide rates in Utah if everyone makes it important.
You could do anything from from surprising someone at school/work with lunch, to helping someone pick up a pencil he or she dropped. The point of a random act of kindness is to perform an act of kindness that you initially may not have done.
Sometimes these random acts are so thought-out that they aren’t random anymore. The true benefits behind random acts of kindness come from the mindset that is, “Treat others how you want to be treated.” For example, a great way to perform a random act of kindness is by improving your patience. If you want others to have patience toward you, you must be patient toward others.
These acts of kindness will improve you and those around you. Always act as you want others to act toward you and the environment you live in will become more positive for everyone.
Receiving kindness from others determines whether a day is good or bad for many people. Random acts of kindness can significantly affect the rates of bullying and suicide.
I challenge everyone, as my elementary school did to me, to perform a random act of kindness each day to strengthen your own happiness and those around you. Kindness, big or small, has the power to change and solve many of the issues in today’s society.
Jessica Wojciechowski is a junior at Clearfield High School. She is a black belt and is involved in many clubs. Email her at Jessica.email@example.com.


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Pluggable Screw Terminal Connectors are an innovative solution for PCB to wire connections. They eliminate the need for messy wire soldering and provide a clean and organized setup. The screw terminals make it easy to connect wires securely, while the plug on the other end allows for a seamless connection to the PCB. These connectors are versatile and can be used in a variety of applications, making them a must-have for any electronics project. They are also very easy to use and can save a lot of time and effort. All in all, Pluggable Screw Terminal Connectors are a game-changer in the world of PCB connections, offering convenience, efficiency, and reliability.
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You still cannot stop yourself from humming ‘DJ wale Babu’, one of Badshah’s top songs, right? Don’t worry, our very own King of rap, Badshah has just released his much-awaited single "Kareja".
The song has an addictive hook its cutting edge rhythm is sure to stay with you long after you are done listening.
"I had promised my fans that I will release the second single from 'O.N.E' early 2018 and here it is. I really hope you all enjoy it and if you have not heard it yet, then do it now. 2018 ka pehla dance song," says an elated Badshah who released the audio across platforms.
The song has been written and composed by Badshah and the video of the track features the uber-talented Aastha Gill.
Pawanesh Pajnu, Head (North) at Sony Music India, said: "Our plan was to release the song on January 1, but we waited to reset the party mood. 'Kareja' is an earworm and the song will be another milestone in the pop industry."
After "Mercy", "Kareja" is the second single from the album 'O.N.E' aka "Original Never Ends", Badshah's first pop album which will feature 6-8 songs.
(with IANS inputs)


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HORRY COUNTY, S.C. (WBTW) — This Masters weekend, Arrowhead Country Club near Forestbrook saw a 50% drop in golfers than what they saw in April, but it’s still an increase in how many they’d normally see during November.
There have been 150 to 200 golfers a day on Arrowhead’s courses this Masters weekend, which has given the course an economic boost they otherwise wouldn’t usually have in November.
The Masters Tournament creates excitement that brings people from all over the world to the Grand Strand.
“We would play anywhere around 300 plus golfers in a day,” said Arrowhead Country Club head golf professional Jake Benton.
And it continues to bring folks from around the globe, even in November.
“It was surprising, yesterday. There was quite a few out playing,” said Tom Barber, a Myrtle Beach resident who says he’d even travel if he had to, to play golf along the Grand Strand.
Benton says even though there’s been 50% fewer golfers on their greens than a normal April Masters weekend, it’s an increase for the month.
“People are so excited about The Masters in general. Maybe Sunday afternoons people aren’t playing because they want to watch the end, but Thursday through the weekend, it was very busy,” he told News13.
And for Steve Crouse, who’s traveled to the Grand Strand for nearly three decades to golf with his friends, he says some folks are probably just staying in due to COVID-19.
“We came down yesterday,” said Crouse. “This is the first day we’ve played, and it doesn’t look like it’s overly crowded.”
“It’s a sport that you can socially distance and get outside and enjoy the weather, and I think people have seen that, so in other communities it’s really been great, whereas here, the travel ban kind of affected things,” Benton said.
But, the Masters’ April to November switch and the cancellation of Monday after the Masters hasn’t stopped those like Ramadan Ibric, who flew eight hours just to play Arrowhead’s courses.
“It makes me feel that I’m part of that society, and the sport that pretty much everybody around the world enjoys it and loves it,” Ibric said.
Like many, he says he’ll be back with his clubs again next year.
“You better believe it,” Ibric said with a smile.
Monday after the Masters has been rescheduled for April, and Benton says it’s cancellation this year didn’t have an affect on Arrowhead, but that other courses in North Myrtle Beach may have been economically affected.

domain: news


Publish: 04 May 2021, 04:35 pm
Amid the Covid-19 pandemic and increasing demand for Remdesivir, the Indian union minister for state chemical and fertiliser Mansukh Mandaviya on Tuesday said the production of Remdesivir injection has increased to 10.5 million per month.
Remdesivir is an anti-malarial drug which is being to treat the symptoms of coronavirus disease, Hindustan Times reported.
"In just a few days, India has achieved 3 times the production capacity of Remedesvir and will soon be able to meet the growing demand. Production has gone up from 37 lakh on April 12 to 1.05 crore on May 4," Mandaviya said in tweet.
The demand for Remdesivir is increasing day by day in different parts of the country due to surge in Covid-19 cases. Over the past few weeks, several cases of hoarding and black-marketing of Remdesivir injections have also been reported.
Subscribe Shampratik Deshkal Youtube Channel


India vs England: Virat Kohli likely to miss next two Tests; also doubtful for final game - Report
The third India vs England Test is slated for Rajkot from February 15-19, while the fourth game will take place in Ranchi from February 23-27. The selectors are anticipated to unveil the squad for the remaining three Tests within the week.
India's star batsman, Virat Kohli, is expected to be absent from the upcoming third and fourth Tests against England due to personal reasons, as reported by PTI on Wednesday. Kohli's unavailability for the initial two matches of the series extends concerns over his participation. The likelihood of Kohli featuring in the final Test in Dharamsala (scheduled from March 7-11) is slim, although the board reportedly isn't currently focusing on that aspect, given the match is still a month away.
The third Test is slated for Rajkot from February 15-19, while the fourth game will take place in Ranchi from February 23-27. The selectors are anticipated to unveil the squad for the remaining three Tests within the week.
"The BCCI has time and again made it clear that when it comes to family matters, it stands firmly behind the cricketer and it will be Virat's call when he is ready to make a comeback. As of now, it looks unlikely that he will play in the series," a BCCI source told PTI on conditions of anonymity.
Virat Kohli's decision to withdraw from the Tests is attributed to the imminent arrival of his second child, as disclosed by his close friend and former Royal Challengers Bangalore teammate AB de Villiers on his YouTube channel.
De Villiers emphasized that Kohli has made the right choice by prioritizing this significant family event and taking a break from cricket.
"Yes, his second child is on the way. It's family time and things are important to him. If you are not true and genuine to yourself, you lose track of what you are here for. I think most people's priority is family. You can't judge Virat for that. Yes, we miss him. But he has made absolutely the right decision," said De Villiers.
Another significant concern revolves around Jasprit Bumrah's workload management following his remarkable performance in the second Test, where he bowled 33 overs and claimed nine wickets, leading the team to victory.
The outcome of the third Test is perceived to have a substantial impact on the series, making it challenging to consider resting Bumrah for the Rajkot fixture. If he participates in Rajkot, it is inevitable that he will be sidelined for the subsequent game in Ranchi, which begins just three days after the conclusion of the third Test.
KL Rahul is expected to make a comeback to the playing eleven, potentially displacing Rajat Patidar. Shreyas Iyer, who showcased exceptional fielding skills including a brilliant run-out of Ben Stokes in Visakhapatnam, is likely to retain his spot.
While Ravindra Jadeja's recovery from a hamstring injury is progressing well, it might not be sufficient for him to participate in the match on his home ground in Rajkot.
Mohammed Siraj, who was rested in Visakhapatnam due to workload concerns, is set to return. Mukesh Kumar is highly likely to be excluded from the playing eleven.
If Bumrah remains in the lineup, it will be intriguing to observe whether head coach Rahul Dravid and captain Rohit Sharma opt for two pacers alongside three spinners or consider including a batting all-rounder like Washington Sundar. Sundar has notably achieved scores of 85 not out and 96 not out in the previous home series against the same opposition.


text:
#7887, (28 January 1828-January 1911)
|Birth*||28 JAN 1828 ||John Cheeseman was born on 28 JAN 1828 at Newington, Surrey, EnglandG.2 |
|Baptism||24 FEB 1828 ||He was baptized on 24 FEB 1828 at St Mary's Church, Newington, Surrey, EnglandG.2 |
|(Witness) Residence||30 MAR 1841 ||He lived with Jane Duke at 10 Canal Street, Camberwell, Surrey, EnglandG, together with Thomas Cheeseman, James Cheeseman and Emma Cheeseman.3 |
|Marriage*||5 SEP 1849 ||John Cheeseman married Elizabeth Cheeseman, daughter of James Cheeseman and Rebecca Neal, on 5 SEP 1849 at St Giles' Church, Camberwell, Surrey, EnglandG.4 |
|Residence*||30 MAR 1851 ||John Cheeseman and Elizabeth Cheeseman lived at 17 Rye Lane, Peckham, Surrey, EnglandG, together with James Richard Cheeseman.5 |
|Employment*||30 MAR 1861 ||John Cheeseman was employed as Wire rope work labourer.6 |
|Residence||30 MAR 1861 ||He and Elizabeth Cheeseman lived at Canary Street, Deptford, Surrey, EnglandG, together with James Richard Cheeseman, John William Cheeseman, Emma Charlotte Cheeseman and Thomas Cheeseman.6 |
|Death*||JAN 1911 ||John Cheeseman died in JAN 1911 at Gravesend, Kent, EnglandG.7 |
- [S25] Extracted from the 1841 census, age & place.
- [S48] Parish Register, birth & bapt., John Cheeseman, parents Richard & Jane, St Mary, Newington, Surrey, no 95, p 12.
- [S25] Extracted from the 1841 census.
- [S48] Parish Register, marriage; John Cheeseman, father Richard, & Elizabeth Cheeseman, father James, St Giles, Camberwell, no 252, p 126.
- [S26] Extracted from the 1851 census.
- [S44] Extracted from the 1861 census.
- [S17] BMD indices, death, age 83, Strood, Kent, Jan-Mar 1911, vol 2a 460.
- [S26] Extracted from the 1851 census, age & place.
- [S44] Extracted from the 1861 census, date & place.
@ Michael Jefferies, 2016

domain: history


Hipster Daddy-O as well as the Handgrenades began their trip to be anarchist swing experts in Tuscon in 1997. The music group members, business lead vocalist and guitarist Mike Edward, bassist Ty Lebsack, drummer Daryl Seymore, sax participant Mr. Tidy Paws, trombonist Andrew “The Boozeman” Skaggs and trumpeter Give Lange shaped their music group just half a year before that they had their 1st headlining show, in the Az Music Honours, where these were the only music group to gain a standing up ovation. Their reputation in Az continued, making use of their earning awards for Greatest Swing Band, Greatest Live Display and Best Outfitted Music group in 1998. Term of the music group quickly spread beyond the desert, nevertheless, and the music group was authorized by golf swing/ska label Slimstyle Information, who released their 1st album, Equipped & Swingin’ in 1997. Their follow-up recording with Slimstyle, Diesel, was credited in nov 2000.


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