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Why Is Meghan Markle Considered More of a Celebrity Than Kate Middleton?
The idea of what makes a celebrity nowadays is a lot more complicated in a time when anyone can be famous through a social media account. Being a royal in the 21st century is like being a celebrity 10 times over if not a caged animal. Well, you can say this about the British royals anyway. Many royals are in the world who don’t get even a tenth of the attention Meghan Markle now receives.
Kate Middleton learned to deal with some of this early before she became Duchess of Cambridge, though now it’s come down to the law of averages on determining her celebrity status. With Markle now overshadowing Kate in paparazzi hysteria, which one can we really call a celebrity?
How celebrities usually present themselves
A certain aura persists in those who’ve lived the life as a Hollywood celebrity. Generally, more people know about their backgrounds because of information always being immediately available through celebrity sites like ours. Most celebs are also active on social media, or at least the ones who didn’t leave due to saying something they regretted.
You can even scope out their celebrity status based on how they dress and carry themselves.
Meghan Markle encompasses a lot of these traits evident from the minute she entered the Windsor family fray. One of the most unexpected traits came from Meghan being such a tireless worker.
We all forget that when you’re an actor, you have to hustle in the business to keep your career sustained. Markle no doubt acquired this work ethic from being forced to keep going and make a name for herself, even while acting in Suits.
The difference between a celebrity and a British commoner
The difference between a celebrity and a British commoner is obviously a galaxy apart. This isn’t to say Kate and Meghan aren’t alike in what they’ve experienced.
Consider Kate had to deal with paparazzi the instant she started dating William in the mid-2000s. She might have even created her own level of strategy to throw paparazzi off the trail.
Having this similarity may have Kate and Meghan’s relationship a lot more simpatico than the media warrants.
Still, this doesn’t mean there aren’t some more distinct differences with the two Duchesses. Living in L.A. is a whole other life from the commoner village world of Chapel Row in England.
Meghan brought a bit of Hollywood sensibility to royal protocol
If you have to find the biggest difference in Meghan’s celebrity stature, it’s in what she wears and how she presents herself to the cameras.
We’ve already seen evidence of Meghan’s stunning designer wardrobe she isn’t afraid to wear while traveling abroad or attending royal events. She’s also more apt to stay transparent and act natural when talking to media rather than presenting the aging British stiff upper lip.
You can’t help think Kate is inspired by this, not including being relieved Meghan took away a bit of the media pressure the former went through a decade ago.
We also have to wonder if Meghan isn’t influenced by Kate in seeing her and William take on the paparazzi. Some of you may remember when they sued over topless photos and won a payout. Now you see how Kate and Meghan both have to put up with one of the biggest celebrity curses.
Will Kate and Meghan change what a celebrity really is?
As we alluded, we wouldn’t be surprised if Kate starts to assimilate some of what Meghan already brought to the royal family. They may also team up and redefine what a celebrity is and how being a royal changes that designation.
Let’s hope they’ll team up to outsmart the paparazzi more than once. With both soon being mothers with kids in tow, they may try to keep cameras away from them as much as possible.
Once Kate possibly acquires Meghan’s media honesty and wardrobe style, it could dramatically evolve royal protocol for the better far into the future.

domain: celebrity


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Sanders announces first cabinet secretary pick
Republican Governor-elect Sarah Huckabee Sanders has named her choice to lead the Arkansas Department of Public Safety.
Sanders on Monday announced her intention to nominate Capt. Mike Hagar as her Secretary of Public Safety. Hagar will also be promoted to colonel and serve as director of the Arkansas State Police, where he’s worked for nearly 30 years and currently serves as Troop A Commander.
Speaking with reporters near the state Capitol in Little Rock, Sanders said Hagar understands the needs of law enforcement, and is well-respected in the field.
“I know he will do an incredible job in this role, making sure that the morale of the men and women of State Police is at a high, making sure that they have the resources and the training and the respect they need to do their job. Because, frankly, our entire state depends on it,” Sanders said.
Hagar replaces Col. Bill Bryant at the State Police and A.J. Gary at the Department of Public Safety. Gary, who was appointed acting secretary by Gov. Asa Hutchinson in August, will continue to serve as director of the state Division of Emergency Management. He’s held that post since 2016.
Hagar thanked Sanders, saying he plans to focus on boosting resources and training for law enforcement in the state. He also said making Arkansas an attractive place to work as a police officer is a top priority.
“Honestly, with recruiting and retention being the issue that it is, we’re always going to need more. We need to be competitive, not only with the other agencies in the state, but surrounding states,” Hagar said. “So yes, we need more money.”
Sanders also called for more respect for police, saying those on the “far left” have demonized law enforcement in recent years. When asked, she elaborated on a few of her goals to reduce crime during her tenure as governor.
“We want to make sure that we are actually locking up violent repeat offenders, not letting them back on the streets. We want to make sure that we have truth in sentencing,” Sanders said. “We cannot continue to allow the out-of-control crime that is taking place, and I think those are a couple of the measures that we can focus on that will serve our state better.”
Sanders was asked about former President Donald Trump’s recent comments suggesting the U.S. Constitution should be “terminated” to address baseless claims of widespread voter fraud. The former White House Press Secretary declined to respond, saying her focus is on the “people of Arkansas.”

domain: politics


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Cairo: Saudis can work two jobs at the same time, labour authorities have said, as the kingdom seeks to create more jobs for its citizens.
The Ministry of Human Resources and Social Development has confirmed that there is no legal objection for the Saudi employee to keep two jobs, resolving a controversy over permissibility, Saudi news portal Al Weeam has reported.
The ministry said in case this employee is registered twice at the General Organisation for Social insurance, the first workplace where the citizen is employed would get the rate for Saudis’ employment.
Saudi Arabia, a country of around 34.8 million people, is home to a large community of migrant workers.
In recent years, the kingdom has launched a series of initiatives to employ its nationals and replace foreign workers in several fields including education, telecommunications and real estate as part of a labour policy known as “Saudisation”.
In June, ministerial decrees were announced restricting jobs in certain sectors to Saudis only. They covered, optics professions, customer services, licensed aviation professions including co-pilots and air controllers, sales outlets and periodic checks of cars.
In December, another decree localising employment for postal services and parcel transport across the country went into effect.
Saudi Arabia is also implementing a regional employment programme for its nationals.
As part of this programme, Saudi Arabia’s Ministry of Human Resources last month decreed localising a number of professions in the holy city of Medina.
The programme is being pursued by the ministry in partnership with the Interior Ministry and local authorities to provide more “motivating and productive” work opportunities to citizens, Okaz newspaper reported.
The latest decree covers localising jobs at restaurants in the city by 40 per cent of the total manpower, at coffeeshops and food and beverage wholesale outlets by 50 per cent each, the report said.

domain: news


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the foreign affair minister,ojo maduakwe who is among the six men FEC delegation to saudi arabia suppose-fully to ascertain the true condition of ailing yardua told journalists in abuja that their trip is to thank the king of saudi and express the appreciation of the government and people of nigeria to him for accomodating yardua.. is this not a cowardise and foolishness to the highest from a digruntled element that never meant well for this country..All of them that are on these useless trip to Saudi to go and add insult
to injury for Nigeria by going to thank the Cabal in Saudi that meant
no good for Nigeria and his people. They shall never return. Alo
lamilami laari enikan o kii nri abo e.They will never return.. Useless
and stupid people they are thanking these monsters for refusing access to the president of an independent country. for fueling political and economic crises in this country...thank the monarch for joepardising the stability of the country..and turning back eminent personalities of this nation from seeing yardua. POSTERITY WILL NEVER FORGIVE YOU DEVILS..


Why do Podium Waterproofing Systems Fail?
The construction of modern high-rise buildings with Podium Deck areas is a growing trend. These areas have the potential to be transformed from underused and functional spaces into attractive features, such as gardens or open spaces that can be enjoyed by the building occupants. Podium Decks can include various elements like car parks, pedestrian and cycling pathways, garden areas, and other public use areas. However, waterproofing these areas presents a unique challenge compared to other parts of the building structure.
Let’s look at the major reasons for failures in Podium Waterproofing Systems:
1) Abrasion Load: The commonly used waterproofing membranes are highly elastomeric, which makes them unsuitable for areas with heavy traffic due to their low abrasion resistance.
2) Low Chemical Resistance: In Podium Car Parks, the dripping of car fluids such as oils and fuel can cause damage to the resin-based waterproofing system due to its low chemical resistance properties. 3) Growing Plant Roots: In Podium Garden areas, the roots of growing plants can damage the waterproofing system, leading to water ingress into the podium slab and the areas below. 4) Poor Quality Sealants: One major reason for podium leakage is the use of incorrect sealants. Although expansion joints and transitions cover only about 1% of the constructed area, around 99% of water ingress occurs through these areas alone. Understanding these reasons helps us identify the necessary properties of an ideal Podium Deck Waterproofing System. A good system should possess the following properties:• Abrasion Resistance• Chemical Resistance• Root Resistance• UV Resistance• Water Resistance To address these challenges, there are several solutions available: 1) Polyurethane Systems: One-component, polyurethane liquid waterproofing membranes are cost-effective and ideal for Podium Deck Waterproofing. They create a uniform, elastic, vapor-permeable sealing layer. Compared to other types of waterproofing, cold applied polyurethane systems have excellent mechanical and chemical resistance properties. They provide premium protection against weather conditions, UV radiation, and are also root resistant, making them suitable for green roofs and flower beds. Polyurethane sealants can efficiently seal joints, offering resistance to extreme temperatures, high elasticity, and adhesion to various substrates. 2) Polyurea Systems: Polyurea creates a seamless waterproof film that provides unmatched protection to the underlying surface. Polyurea coatings are highly impermeable, curing within seconds. The coating process is fast and efficient, allowing the surface to be walkable within minutes of application. Polyurea coatings are resistant to abrasion, impacts, corrosion, and chemicals. Moreover, they are solvent-free and environmentally friendly, emitting no volatile organic compounds (VOC). 3) Polyurethane and Methyl Methacrylate (PUMA) Systems (Nascent stage of market penetration): PUMA Systems are designed to have high UV resistance and resistance to petrol, diesel, lubricants, and other aggressive salts and chemicals. They offer impressive abrasion and impact resistance. 4) Methyl Methacrylate (MMA) Systems (Nascent stage of market penetration): MMA Systems create a seamless water-resistant coating with high flexibility and corrosion-resistant properties. They cure within an hour, enabling the usage of the area on the same day. These systems have excellent self-leveling and crack bridging properties. To ensure the longevity, safety, and usability of high-rise structures with podium decks, it is crucial to invest in a reliable and robust waterproofing system. By addressing potential waterproofing issues proactively, building owners and developers can mitigate risks, protect their investments, and provide a pleasant and secure environment for occupants. “Waterproofing podium decks goes beyond mere prevention; it’s a commitment to safeguarding modern structures, preserving their functionality, longevity, and the captivating spaces where occupants thrive and forge a connection with nature.” We hope this article has provided you with valuable information. If you have a leaking podium or an upcoming project that requires a reliable Podium Waterproofing system, please don’t hesitate to contact us.


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“Let go of your baggage and become God’s luggage.” – Elder Marcus J. Butler
Grudges, to start with, are identity-related pieces of baggage. This identity has some kind of strength and rightness, despite how much we dislike it. We have a characteristic that characterizes our rage, giving it substance and meaning. We have a clear definition and a valid complaint. We must be willing to let go of our identity as the victims of unfair treatment, as well as any support or potential empathy and understanding that comes with that identity if we are to be able to let go of our feelings of resentment. The sense of being the victim must be willingly let go of as we enter a new self.
In actuality, holding grudges and the identities that go along with them are attempts to obtain the consolation and sympathy we did not previously receive, as well as empathy for what occurred to us. We declare that, as those who were victimized, we merit extra consideration and special treatment. Our anger is a scream for attention and special treatment in light of what we may have been through.
Apart from the fact that they are unpleasant to carry about, grudges are problematic since they do not help either party learn from past mistakes or strengthen relationships. They do not alleviate our suffering or fix our wounds. In the end, we find ourselves proud owners of grudges but still lacking the comforting feeling that we eventually yearn for and have yearned for ever since the initial injury. We materialize our resentment and hold it out at arm’s length as evidence of our pain, a badge of honor, and a way to serve as a constant reminder to ourselves and others of our pain. Unfortunately, in their attempt to elicit empathy, grudges wind up robbing us of the same empathy we need to let go of.
To overcome a grudge, we must first forgive the other person and learn to love ourselves. What eventually cures the pain and causes the grudge to melt is to bring our loving presence to the pain that crystallized into the grudge, the anguish that was caused by this person. We can move into the pain of a grudge with the assistance of a trusted person or offer a loving presence to our wound, but from a safe place inside, if it feels too overwhelming to do so. Instead of plunging back into the initial trauma, the goal is to attend to it with the compassion we did not receive and bring it right into the eye of the storm. Our hearts hold both the pain and the remedy for the pain itself.
We need to turn our attention away from the people who mistreat us, away from the tale of the pain, and toward the felt experience of what we experienced to let go of the baggage of grudges. We discover the calming kindness and compassion that the grudges crave when we redirect our attention.
Furthermore, no matter how strongly we believe it, we must accept responsibility for our pain and realize that it is important. This cannot be done by holding grudges. As our presence makes amends for the wrong, we can let go of the identity of the person who was mistreated as it longer becomes useful to us. This identity frequently disappears on its own without our knowledge or the need for resentment. The fact that we are in our hearts’ company, just where we need to be, becomes obvious. As we journey through the new year, let us however leave the baggage in 2022.

domain: psychology


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Atlas World History Patrick Obrien - PHI LIP'SI ATLAS OF WORLD HISTORY PHILIP'S ATLAS OF WORLD HISTORY GENERAL EDITOR, PATRICK K. O'BRIEN INSTITUTE O Atlas of 4000 Years of World History . Philip's Atlas of World History, Concise Edition (Historical Atlas). Free PDF Download Books by Patrick O'Brien. Oxford's Atlas of World History is the result of years of intensive work by a specialist team of scholars, editors, and cartographers. It presents the story. If searching for a ebook by Patrick O'Brien Concise Atlas of World History in pdf format, in that case you come on to the faithful website. We furnish the utter option of this book in PDF, DjVu, txt, ePub,.
Rent Atlas of World History 2nd edition (978-0199746538) today, or search our site for other textbooks by Patrick O'Brien. Every textbook comes with a 21-day "Any Reason" guarantee. Published by. Concise Atlas of World History by O'Brien, Patrick. Oxford University Press. Hardcover. GOOD. Spine creases, wear to binding and pages from reading. May contain limited notes, underlining or highlighting that does affect the text. Possible ex library copy, thatâ€™ll have the. If searched for a book Concise Atlas of World History by Patrick O'Brien in pdf form, then you have come on to the correct website. We furnish full variation of this book in ePub, txt, PDF, DjVu, doc.
Oct 23, 2012 · http://www.TravelBookMix.com This is the summary of Concise Atlas of World History by Patrick O'Brien.. Title: Philip's Atlas of World History Contributors: Patrick Karl O'Brien, Publisher: Philip's Published: 2002 ISBN: 9780540082599 See this edition on Google Books Contributors: Patrick Karl O'Brien, Published: 2007 ISBN: 9780540088676 OCLC: 848970312 See this edition on Google Books. Contributors: Patrick Karl O'Brien,. Patrick K. O'Brien, author of Philip's Atlas of World History, on LibraryThing LibraryThing is a cataloging and social networking site for booklovers Home Groups Talk Zeitgeist.
O'Brien, Patrick Karl . Overview. Oxford atlas of world history by University of London ( ) 32 editions published 1780-1914 : two paths to the twentieth century by Patrick O'Brien (. If searched for the book Concise Atlas of World History by Patrick O'Brien in pdf format, then you have come on to the right site. We presented full version of this book in ePub, DjVu, txt, PDF, doc formats.. About Concise Atlas of World History - Synthesizing exceptional cartography and impeccable scholarship, the Atlas of World History traces 12,000 years. Join Now; About Patrick O'Brien (Editor) : Patrick O'Brien is a published author, editor, and an illustrator of children's books. Some of the published credits of Patrick O'Brien include.
Atlas of world history / general editor, Patrick O'Brien. O'Brien, Patrick Karl. (Added Author). Book Truly international in scope and vividly narrated, the Atlas is an authoritative, comprehensive, and fascinating account of the history of the world"--P.  of cover. Subject: World history. World history > Maps. World history > Atlases.. The Atlas of World History closes with a bibliography that provides a booklist for suggested further reading. Equally well-suited for a general audience and students of history or international relations, the Atlas of World History continues Oxford's presence as the premier publisher of world atlases..

domain: history


You purchased your Eclipse because its a variety of features and options and economical pricing appealed to your senses; so why would you be okay with second rate when it comes to great quality auto parts? Obviously, you bought your Eclipse because you knew that you wanted agressive styling and youthfulness both rolled up into one car, truck, or SUV. While it's not hard to buy replacement parts for Mitsubishi vehicles, these days the necessity for nothing but the absolute best are required to fix your car or truck. When your Mitsubishi Eclipse was born, it was destined for a driver who values long-lasting quality in their automobile.
The EGR valve & motor make up part of the Mitsubishi Eclipse emissions system that helps in decreasing nitrogen oxide as an emission from petrol and diesel engines. They perform their function by circulating parts of the exhaust gas back into the engine. This is a useful way to control the flow of exhaust gas. If your Mitsubishi Eclipse's EGR valve & motor system is open all the time or closed, it could be a sign that it has failed. Your engine will run slowly as a result and your fuel consumption will increase too. If the EGR Valve is already performing at less-than-optimum levels, it's definitely time to consider replacing the one in your vehicle with a new one.
Buying new Mitsubishi parts from www.carpartsdiscount.com means you are getting the best deal on the highest quality original and aftermarket replacement Eclipse parts on the internet. Bring your Eclipse back to life with the best repair parts from the experts at Car Parts Discount. Don't let a EGR Valve & Motor repair bring about the demise of your car, truck, or SUV, and don't gamble with its condition by using anything but the highest quality replacement parts. When it comes to Mitsubishi Eclipse EGR Valve & Motor parts, you can find them for 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996, 1995, 1994, 1993, 1992, 1991, 1990 models by clicking the appropriate year below.


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Catholic Charities is committed to helping the poor and vulnerable throughout the Diocese of Gary. Last year, more than 10,000 individuals and families from Lake, Porter, LaPorte and Starke counties in
Northwest Indiana benefited from various services offered by Catholic Charities, including emergency assistance, counseling (individual, family and school-based), and Gateway supportive housing. This would not
be possible without the tremendous support and dedication from donors like you.
In addition to making a one-time donation, you can also set up a recurring monthly deduction from your personal PayPal account. To arrange for this type of deduction, please click the donate button next to the
amount you would like to contribute each month to the Catholic Charities.
Thank you in advance for your support and dedication to helping Catholic Charities fulfill its mission of providing help and creating hope to those in need – we truly appreciate it!
Charity and justice demand that believers strive to uphold the dignity and worth of every human being, especially the poor, the homeless, the unemployed, people with special needs, immigrants and the
incarcerated. This is why our Church feeds, houses, educates and heals more people than any other single institution on the planet. Domestically, Catholic Charities offers a great quantity and quality of service to
struggling families and individuals in need throughout the Diocese of Gary community.
The programs administered by Catholic Charities are designed to promote self-sufficiency; to offer a hand up to a better future rather than a hand out leading to dependence on others. Counseling, emergency
assistance, nutrition education, supportive housing and utility assistance are just some of the services offered to those most in need; those on the margins of society. While alleviating immediate suffering, Catholic
Charities helps people recognize their own dignity, strengths, talents and the opportunities to use those gifts to actively participate in their own lives, in the lives of their families and in their communities.
Although our people heroically serve the needy in so many generous ways, we must not become complacent to the poverty that is still very prevalent throughout our Diocese. Now more than ever, we must
continue to make a conscious effort to do our part to support the dignity, justice and mercy that every person should receive as a child of God.
Poverty has been defined as a “lack of resources.” We do not all have time to work in a food pantry or volunteer at a homeless shelter; but we all can share our resources with those less fortunate. As Pope
Francis reminds us, “Take care of God’s creation. But above all, take care of people in need.”
Catholic Charities can only help the poor and vulnerable of our beloved Diocese of Gary when you show that you care by sharing your resources with love and generosity. As we continue to fulfill our mission of
providing and advocating for the physical, emotional, and social needs of the poor and vulnerable, we’ve noticed a significant increase in the number of people coming to Catholic Charities for assistance.
Therefore, funding for the programs we provide has become even more critical. Please consider making a difference in the life of fellow community members who are in great need by contributing to Catholic
Catholic Charities is supported by the generosity of many people and organizations sharing our mission of service to the community. There are ways you can help:
Donate your car, truck, motorcycle, RV, or boat by visiting careasy.org and they'll reach out to you to arrange the pick-up of your vehicle donation, at no cost to you. You may qualify for a tax deduction while supporting a cause that is near and dear to your heart! Vehicle donation pick-up is always free to you and most vehicles can be picked up within 24-72 hours. You'll receive an initial car donation receipt upon pick-up and then their team will work to turn your car into cash to support our cause. Once your vehicle is sold, they will provide you proper tax forms in time to file.Please click below for more information. Thank you for your support!
Click here to donate!
Jeff Stur – Director of Communications and Advancement
Phone: 219-886-3549 ext. 102
Catholic Charities is a tax-exempt organization under Section 501© (3) of the Internal Revenue Code. Your contribution is tax-deductible to the extent provided by law. We will not sell or trade your personal information to any other entity.

domain: sociology


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Popular animated hero Asterix and his faithful sidekick Obelix travel to ancient Egypt to help Cleopatra build a new summer home. Cleopatra and Julius Caesar have made a bet, with Caesar ... See full summary »
The diminutive Asterix and his rather larger companion Obelix, warriors of the last village in Gaul still free after the Roman invasion, set out on a mission to deliver a barrel of their ... See full summary »
Pino Van Lamsweerde
Manny, Sid, and Diego discover that the Ice Age is coming to an end, and join everybody for a journey to higher ground. On the trip, they discover that Manny, in fact, is not the last of the wooly mammoths.
Monsters generate their city's power by scaring children, but they are terribly afraid themselves of being contaminated by children, so when one enters Monstropolis, top scarer Sulley finds his world disrupted.
By tying thousands of balloons to his home, 78-year-old Carl sets out to fulfill his lifelong dream to see the wilds of South America. Russell, a wilderness explorer 70 years younger, inadvertently becomes a stowaway.
When his new father-in-law, King Harold falls ill, Shrek is looked at as the heir to the land of Far, Far Away. Not one to give up his beloved swamp, Shrek recruits his friends Donkey and Puss in Boots to install the rebellious Artie as the new king. Princess Fiona, however, rallies a band of royal girlfriends to fend off a coup d'etat by the jilted Prince Charming.
When Julius Cesar fears, that he will probably never be able to defeat the gaulic village of Asterix and his friends, he has the idea of offering the Gauls a deal: if they are able to solve twelve tasks that he selected, he will hand over the Roman empire to them. If not, they have to submit. Written by
During his introduction scene Asterix says "Hello" in various languages (English, Japanese, German etc.) while the flags of the countries are shown. As the flags of France appear Asterix makes a rooster-like sound. This is a reference to the fact that the rooster is a national symbol of France. See more »
Brutus, stop playing with that knife. You'll end up hurting someone.
See more »
This was one of the first films I actually remember watching and I had already read a few of the comics and loved them. Recently I found my parents still had the video and watched it again. And I still loved it. Brief summary, after yet another defeat by the indomitable Gauls, Caeser decides that the only reason for this is that the Gauls are Gods and sets out twelve tasks to prove this. Asterix and Obelix are selected to perform the tasks with hilarious consequences.
Although a non original story unlike the other Asterix films this film brilliantly captures the charm and the humour of the comics. With jokes about the ancient world and the modern day (the take on bureaucracy is side splitting), coming up with a few modern inventions on the way and a musical number thrown into the middle you won't keep a straight face throughout.
Admittedly compared to recent animation this film doesn't look or sound as good as it might but it was made on a low budget 30 years ago. It's still funny and the visual gags still work. Plus you can use it to teach kids the twelve tasks of Hercules.
2 of 3 people found this review helpful.
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domain: artistic


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Add your contemporary art event to ArtRabbit
Add your contemporary art organisation to ArtRabbit
Find events, people, organisations or locations by name
Use the events or the venues search to find listings near a location.
View Artist page
Dye House is a London based gallery working with emerging British and international artists, presenting significant and experimental new work across varied mediums


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Slow Cooker Perfect Pot Roast
A simple and easy recipe for a delicious pot roast. Designed especially for the working person who does not have time to cook all day, but wants food that tastes like you did.
1. In a slow cooker, mix cream of mushroom soup, dry onion soup mix and water. Place pot roast in slow cooker and coat with soup mixture2. Cook on High setting for 3 to 4 hours, or on Low setting for 8 to 9 hours
2 (10.75 ounces) cans condensed cream of mushroom soup1 (1 ounce) package dry onion soup mix1 1/4 cups water5 1/2 pounds pot roast

domain: food


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$450 1 bed 1005 E Colorado Avenue, Urbana IL, 61801
Some errands can be accomplished on foot.
A few nearby public transportation options.
Explore how far you can travel by car, bus, bike and foot from 1005 E Colorado Avenue.
1005 E Colorado Avenue has some transit which means a few nearby public transportation options. Car sharing is available from RelayRides and Zipcar.
20 Red Saturday
50 Green Evening
50 Green Weekend
50 Greenhopper Weekend
50 Greenhopper Evening
View all Urbana apartments on a map.
1005 E Colorado Avenue is in the city of Urbana, IL. Urbana has an average Walk Score of 49 and has 41,250 residents.Learn More About Urbana

domain: geography


text:
Standard Time (Jazz)
Tue Oct 16th 2018 3.00pm–6.00pm
R=listener request. N=music new at the station. L=local music. Your purchases using the Buy it! links help support the station.
Time zone: eastern
Marlene Dietrich “La Vie En Rose”
composed by David/Piaf/Luiguy
from The Marlene Dietrich Album: Live at Cafe de Paris, London (Sony 1991)
Jimmie Smith “The Cat (Live)”
composed by schifrin
from Live in Music City: Jimmie Smith Plays Jimmy Smith (Woodward Avenue Records 2018) N
Like everything else, times are approximate. Spinitron and this station are not liable for errors or omissions.


COATESVILLE — The city continues to move forward and rebuild.
Following last week’s devastating and historic flooding caused by Ida, a tropical storm, many people remain unable to move back into their homes.
“The situation is still fluid as we are addressing the needs of residents and business owners who have been displaced or sustained property damage,” said Coatesville City Manager James Logan on Wednesday.
The sections of the city hit hardest by the flooding occurred on Fifth and Sixth avenues and Olive Street. Floodwaters reached as high as the octagons of stop signs at some intersections. Ida delivered up to seven feet of floodwaters in these neighborhoods over a duration of six hours, damaging more than 60 city homes, as previously reported.
Some residents are awaiting their landlords to make repairs to their rental properties.
Ninety-five percent of the more than 60 homes damaged during Ida were properties that housed renters who continue to be displaced, as previously reported.
Other people are awaiting help from insurance companies. Unfortunately, not everyone had flood insurance prior to the storm.
“Displaced families are doing the best they can under the circumstances. Many lost their homes, personal belongings and family valuables,” said Logan.
“They are hurting and wondering what their next move is going to be,” Logan said of Coatesville residents. “Some are grappling with how to make home repairs or get rental properties repaired, and others are reluctant to go into shelters for fear of COVID or ICE.”
Logan said a number of residents feel the city, county, and state played a part in not having a better infrastructure in place to manage the storm waters.
He added, unfortunately, little could have been done to manage the force and amount of water that fell on Coatesville and throughout the entire region.
“This may have been the 100-year flood or a possible preview,” Logan said of Ida. “In any case, if we fail to prepare for the future, this will happen again.”
Logan said the city is thankful to the Coatesville Area School District and Superintendent Tomás Hanna for coordinating an emergency shelter at the high school with the American Red Cross. Together people quickly provided shelter for approximately 50 local individuals and families.
Logan said the temporary American Red Cross location closed on Sunday after addressing all remaining resident requests for emergency accommodation and support.
“If there is a bright side to the storm’s aftermath, it shines through the volunteers and in the resilience of each storm victim returning back to their homes to rebuild,” Logan said. “Over the last six days, community leaders and volunteers have worked with local residents to remove, restore, pray, and counsel residents that lost their homes to last Wednesday’s flood rains.”
On Wednesday and from noon to 7 p.m. on Thursday, Sept. 9, Chester County will open the Multi-Agency Resource Center (MARC) for Hurricane Ida recovery at the United Sports Training Center, 1426 Marshallton-Thorndale Road, Downingtown. There, Logan said, city residents will have access to a variety of support services and resources to assist with their road to recovery.
The city manager said that free transportation will be available in Coatesville at Community Youth Women’s Alliance, 423 E. Lincoln Highway, to the MARC site. Pick-up times are 1 p.m. to 5 p.m. Sept. 9.
“Moving forward we are focusing on surveying the city to evaluate and assess damages, to pursue state and federal relief assistance,” Logan said.
He said residents and business owners are encouraged to complete the individual assistance forms located in the lobby at City Hall or via the Coatesville government website. The city manager noted that these forms will be returned to the Chester County Emergency Operations Center for verification.
“We hope this will be a step in the right direction to resolve our infrastructure deficiencies,” Logan stated.


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Former Australian coach John Buchanan is New Zealand’s new director of cricket, it has been announced.
Sports betting pundits note how the position has been created specifically for Buchanan and will see him overseeing the selection panel as well as governing the development of cricket in the country.
This is the 58-year-old’s first high-profile job since leaving his post as coach of Australia, a role he enjoyed for eight years from 1999.
During this time he led a dominant side to three World Cup wins and an incredible record of 16 test wins in succession. If he can have this type of impact on New Zealand cricket, it would be quite the achievement that is for sure.
Speaking about the role, Buchanan said: “It is an honour to be appointed to this challenging role. It is a wonderful opportunity to build on the work that has been done.”
There is certainly a lot of hard work to do to get New Zealand cricket to where it should be, despite the impressive World Cup campaign recently that saw them reach the semi-final stages.
The reality is that New Zealand are towards the bottom of the team standings in both test matches and One Day International cricket. In the shorter form, they recently lost a series 4-0 against Bangladesh, so things have to improve.
Buchanan seems aware of the task in hand though: “New Zealand Cricket has a proud history and it is a true honour to be given the responsibility. I want to be part of the next successful era and am committed to building sustainable high performance for New Zealand Cricket.”
The Australian, who is clearly in this for the long-term, begins his new post in May. Those placing sports bets wouldn’t expect the turnaround to be immediate, but Buchanan should be the type of character to get New Zealand cricket moving in the right direction.


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The IRRs were adjusted for age, sex, and calendar period and were stratified for age, sex, calendar period, civil status, medical comorbidity, or substance abuse. The estimates differed significantly when evaluated for age (P < .001), sex (P = .02), civil status (P < .001), cerebrovascular disease (P = .002), and substance abuse (P < .001). The vertical dotted line represents the overall estimate without stratification (IRR, 2.13). AF indicates atrial fibrillation or flutter; CHF, congestive heart failure; IHD, ischemic heart disease; IRR, incidence rate ratio; and PVD, peripheral vascular disease.
The cumulative probability of dementia and corresponding 95% CIs (dashed lines) are presented as a function of age for persons with and without schizophrenia, taking competing risk of all-cause mortality into account. The 95% CIs are very narrow for persons without schizophrenia owing to the large sample size and thus are not discernible in this graph.
eTable 1. Information on Schizophrenia Obtained From the Danish Psychiatric Central Research Register
eTable 2. Information on Dementia Obtained From the Danish Psychiatric Central Research Register, the Danish National Patient Register, and the Danish National Prescription Registry
eTable 3. Information on Comorbidity (ie, Other Risk Factors for Dementia) Obtained From the Danish National Patient Register, the Danish National Diabetes Register and the Danish Psychiatric Central Register
eTable 4. Information on Diabetes Obtained From the Danish National Diabetes Register
eTable 5. Information on Substance Abuse Disorders Obtained From the Danish National Patient Register and the Danish Psychiatric Central Research Register
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Ribe AR, Laursen TM, Charles M, et al. Long-term Risk of Dementia in Persons With Schizophrenia: A Danish Population-Based Cohort Study. JAMA Psychiatry. 2015;72(11):1095–1101. doi:10.1001/jamapsychiatry.2015.1546
Although schizophrenia is associated with several age-related disorders and considerable cognitive impairment, it remains unclear whether the risk of dementia is higher among persons with schizophrenia compared with those without schizophrenia.
To determine the risk of dementia among persons with schizophrenia compared with those without schizophrenia in a large nationwide cohort study with up to 18 years of follow-up, taking age and established risk factors for dementia into account.
Design, Setting, and Participants
This population-based cohort study of more than 2.8 million persons aged 50 years or older used individual data from 6 nationwide registers in Denmark. A total of 20 683 individuals had schizophrenia. Follow-up started on January 1, 1995, and ended on January 1, 2013. Analysis was conducted from January 1, 2015, to April 30, 2015.
Main Outcomes and Measures
Incidence rate ratios (IRRs) and cumulative incidence proportions (CIPs) of dementia for persons with schizophrenia compared with persons without schizophrenia.
During 18 years of follow-up, 136 012 individuals, including 944 individuals with a history of schizophrenia, developed dementia. Schizophrenia was associated with a more than 2-fold higher risk of all-cause dementia (IRR, 2.13; 95% CI, 2.00-2.27) after adjusting for age, sex, and calendar period. The estimates (reported as IRR; 95% CI) did not change substantially when adjusting for medical comorbidities, such as cardiovascular diseases and diabetes mellitus (2.01; 1.89-2.15) but decreased slightly when adjusting for substance abuse (1.71; 1.60-1.82). The association between schizophrenia and dementia risk was stable when evaluated in subgroups characterized by demographics and comorbidities, although the IRR was higher among individuals younger than 65 years (3.77; 3.29-4.33), men (2.38; 2.13-2.66), individuals living with a partner (3.16; 2.71-3.69), those without cerebrovascular disease (2.23; 2.08-2.39), and those without substance abuse (1.96; 1.82-2.11). The CIPs (95% CIs) of developing dementia by the age of 65 years were 1.8% (1.5%-2.2%) for persons with schizophrenia and 0.6% (0.6%-0.7%) for persons without schizophrenia. The respective CIPs for persons with and without schizophrenia were 7.4% (6.8%-8.1%) and 5.8% (5.8%-5.9%) by the age of 80 years.
Conclusions and Relevance
Individuals with schizophrenia, especially those younger than 65 years, had a markedly increased relative risk of dementia that could not be explained by established dementia risk factors.
Dementia is one of the major challenges for modern health care1 and places a substantial financial burden on society.2 The disorder is a clinical syndrome characterized by cognitive decline and impairment in activities of daily living.1 In the Western world, dementia affects 5% to 6% of persons older than 60 years.3 The prevalence of dementia is expected to double every 20 years through 2040 owing to changes in population demographics and increased life expectancy.3
Schizophrenia affects approximately 1% of the population.4 The disorder is associated with disturbances in perception, communication, and thought process as well as abnormalities in behavior.5 These disturbances often lead to substantial functional impairment and social disability.6 Historically, schizophrenia was named dementia praecox by Kraepelin,7 as deficits in memory, attention, and visuospatial orientation are hallmarks of the disorder.8 Mounting evidence supports a neurodevelopmental origin for schizophrenia (ie, genetic vulnerabilities interact with prenatal or perinatal exposures) as well as a neurodegenerative origin for schizophrenia (ie, progressive deterioration of the central nervous system).9,10 Furthermore, it has been proposed that individuals with schizophrenia experience an “accelerated aging” that contributes to their reduced life expectancy.11 This theory is biologically plausible as schizophrenia is associated with premature death owing to age-related disorders, such as diabetes mellitus, cancer, and cardiovascular disease,12-14 but also because of shared risk factors between schizophrenia and age-related disorders (ie, advanced paternal age, low birth weight, and specific genes).11
Nevertheless, the association between schizophrenia and the risk of subsequent dementia remains unclear. Four prior studies have compared the risk of dementia among persons with vs those without schizophrenia using clinical dementia diagnoses, and their findings ranged from a 2.4-fold to a 16-fold higher risk of developing dementia.15-18 However, those studies were limited because they did not include individuals with onset of schizophrenia before the age of 30 years16-18 (potentially effecting generalizability, as the majority of persons with schizophrenia are diagnosed before the age of 30 years19) or had an insufficient duration of follow-up for the cohort to display a clinically significant risk of developing dementia.15 Furthermore, a recent review of 20 longitudinal studies using cognitive screening tools or neuropsychological tests to examine the risk of cognitive decline (ie, beyond what can be attributed to the pathophysiologic factors of schizophrenia itself) in persons with schizophrenia found inconsistent results: 12 studies suggested significant cognitive decline, whereas 8 studies did not find a significant association.20
Using administrative data, we aimed to estimate the risk of dementia in all persons with schizophrenia compared with persons without schizophrenia using a population-based cohort with sufficient sample size and follow-up time and a sufficient induction period for the cohort to display a clinically significant risk of dementia. This study also takes into account established risk factors of dementia, such as cardiovascular disease, diabetes, and substance abuse (SA).
A population-based cohort study was conducted from January 1, 1995, to January 1, 2013, using information on Danish citizens from nationwide registries. All data are recorded with reference to a civil registration number, which is a unique personal identification number assigned to all Danish residents. This number permits accurate linkage of recorded information at the personal level.21 Until December 31, 1993, the diagnostic system used in the Danish registers was the Danish version of the International Classification of Diseases, Eighth Revision (ICD-8).22 From January 1, 1994, the Danish version23 of the ICD-10 was used. Analysis was conducted from January 1, 2015, to April 30, 2015.
The study was approved by the Danish Data Protection Agency and the Danish Health and Medicine Authority. No informed consent from participants was needed as data were analyzed anonymously. Since the study was entirely based on register data, no ethical permission was required according to Danish law.
We used the Danish Civil Registration System21 to establish a population-based cohort consisting of all persons who were born in Denmark; alive on January 1, 1995; and aged 50 years or older at some point between 1995 and 2013. The Civil Registration System includes information on sex and date of birth as well as continuously updated information on vital status and migration since 1968.
Information on schizophrenia was obtained from the Danish Psychiatric Central Research Register (DPCR),24 which contains information on all admissions to psychiatric hospitals in Denmark since 1969 and outpatient mental health contacts (ie, psychiatric ambulatory care) since 1995. All inpatient admissions to and outpatient contacts (excluding emergency contacts) with a psychiatric hospital for schizophrenia between 1969 and 2013 were identified (eTable 1 in the Supplement).
Information on dementia was obtained by combining data recorded in the Danish National Patient Register (DNPR),25 the DPCR, and the Danish National Prescription Registry.26 The DNPR contains information on all medical hospital admissions in Denmark since 1977 and outpatient medical contacts since 1995. The Danish National Prescription Registry contains information on all prescriptions dispensed at Danish pharmacies since 1995, including information on day of purchase and classification of drugs according to the Anatomical Therapeutic Chemical Classification System.27 The diagnostic workup of dementia is considered a specialist task in Denmark, which includes cognitive testing, assessment of activities of daily living, psychiatric evaluation, neuroimaging, physical examination, and laboratory testing.28 Approximately two-thirds of dementia cases are diagnosed within the secondary care setting and recorded in the registries.29 Hospital-based outpatient clinics from the disciplines of psychiatry, geriatrics, and neurology assess patients with cognitive deficits as part of their general service,29 and 74% of dementia diagnoses in the registries are made by health care professionals from 1 of these 3 specialties.28,29 All inpatient or outpatient contacts with a medical or psychiatric hospital for dementia between 1969 and 2013 were identified according to a validated algorithm.29 In addition, we included information on prescriptions for anti-dementia drugs (ie, cholinesterase inhibitors, memantine) filled between 1995 and 2013 (eTable 2 in the Supplement). All persons with a dementia diagnosis before January 1, 1995, were excluded to ensure inclusion of only incident cases.
Information on comorbid chronic conditions known to be risk factors for dementia but also known to occur with higher incidence in persons with schizophrenia included diabetes mellitus,30,31 ischemic heart disease (IHD),32-34 congestive heart failure (CHF),33,35 atrial fibrillation or flutter,35,36 peripheral vascular disease (PVD),33,34 cerebrovascular disease,30,33 and SA.30,37 Information on medical comorbidities other than diabetes was obtained from the DNPR for the period between 1977 and 2013 (eTable 3 in the Supplement). Information on diabetes was obtained from the Danish National Diabetes Register38 for the period between 1990 and 2013 using a validated algorithm (eTable 4 in the Supplement).14,38 Information on SA (excluding tobacco abuse) was obtained from the DPCR or the DNPR for the period between 1969 and 2013 (eTable 5 in the Supplement).
Information on civil status between 1995 and 2013, dichotomized into living with a partner (ie, marriage, registered partnership, or cohabitation) or living alone (ie, living without a partner, including widows and widowers), was obtained from Statistics Denmark,39 which provides a data bank with societal information on all residents in Denmark from 1980 onward.
Follow-up started on January 1, 1995, or the person’s 50th birthday, whichever came last, and ended on January 1, 2013, on the date of a diagnosis of dementia, on the person’s 100th birthday, on the day of emigration, or on the day of death, whichever came first.
Incidence rate ratios (IRRs) for dementia, comparing persons with and without schizophrenia, were calculated using log-linear Poisson regression analysis with the logarithm of the person-years as an offset variable. We fitted 4 survival analysis models to the dementia outcome and adjusted stepwise for demographics (ie, age, sex, and calendar period), civil status, medical comorbidity (ie, a diagnosis of diabetes, IHD, CHF, atrial fibrillation or flutter, PVD, and cerebrovascular disease), and SA. We conducted 3 subanalyses. First, we evaluated the association between schizophrenia and dementia in subgroups characterized by demographics, civil status, medical comorbidity, and SA. Second, we evaluated the association between schizophrenia and dementia after restricting our dementia definition to diagnoses from the registers and diagnoses from the DPCR. Finally, we compared the effect of early- and late-onset schizophrenia (before or after the age of 40 years, respectively) in the subgroup of persons diagnosed with schizophrenia after 1975 or at an age younger than 40 years. We stratified the follow-up on persons younger than 65 years vs older than 65 years to account for the correlation between age at onset of schizophrenia and age under risk in the study. All IRRs were adjusted for age, sex, and calendar period. All variables, with the exception of sex, were treated as time-dependent variables. Adjustments for age and calendar period were performed using 2-year age bands and 1-year time bands, respectively. We used 2-sided significance tests for all analyses, with P < .05 considered signficant.
Cumulative incidence proportions (CIPs) for the outcome of all-cause dementia were estimated between the ages of 50 and 90 years for persons with and without schizophrenia. Aalen-Johansen curves were used with age as the time scale and competing risk of death was taken into account. Point estimates with corresponding 95% CIs were calculated for the risk of dementia at the ages of 65 and 80 years. Analyses were performed with appropriate components of the STATA, version 13, statistical software program (StataCorp).
We observed 2 845 440 individuals for up to 18 years (mean, 11.0 years) (Table 1), of whom 20 683 had or developed schizophrenia. Overall, 136 012 individuals developed dementia, including 944 individuals with a history of schizophrenia (Table 2).
Schizophrenia was associated with a more than 2-fold higher risk of dementia (IRR, 2.13; 95% CI, 2.00-2.27) when compared with persons without schizophrenia (Figure 1). Adjusting this estimate for civil status and medical comorbidities did not change the estimate substantially (civil status: IRR, 1.98; 95% CI, 1.86-2.12; comorbidities: IRR, 2.01; 95% CI, 1.89-2.15), whereas the adjustment for SA attenuated the association (IRR, 1.71; 95% CI, 1.60-1.82).
The association between schizophrenia and dementia risk was stable when evaluated in subgroups characterized by demographics and comorbidities, although the IRR was higher among individuals younger than 65 years (IRR, 3.77; 95% CI, 3.29-4.33), men (IRR, 2.38; 95% CI, 2.13-2.66), those living with a partner (IRR, 3.16; 95% CI, 2.71-3.69), those without cerebrovascular disease (IRR, 2.23; 95% CI, 2.08-2.39), and those without SA (IRR, 1.96; 95% CI, 1.82-2.11) (Figure 1).
The IRR estimate was unaffected by restricting the dementia definition to the 129 546 diagnoses recorded in the registers (ie, DNPR and DPCR) (IRR, 2.19; 95% CI, 2.05-2.34), but the estimate was slightly higher after restricting the dementia definition to the 63 323 diagnoses from the DPCR (IRR, 2.57; 95% CI, 2.37-2.80). The risk of dementia was lower for persons with early- vs late-onset schizophrenia among persons younger than 65 years (early-onset: IRR, 2.83; 95% CI, 2.31-3.48; late-onset: IRR, 4.19; 95% CI, 3.49-5.02; P = .005) and among persons older than 65 years (early-onset: IRR, 1.40; 95% CI, 1.14-1.74; late-onset: IRR, 1.86; 95% CI, 1.70-2.04; P = .02).
Among persons with dementia, the diagnosis was made before the age of 65 years for 22.4% (211 of 944) of persons with schizophrenia and for 6.3% (8539 of 135 068) of persons without schizophrenia (Figure 1). The absolute risk of developing dementia (ie, CIP) by the age of 65 years was 1.8% (95% CI, 1.5%-2.2%) for persons with schizophrenia compared with 0.6% (95% CI, 0.6%-0.7%) for persons without schizophrenia, whereas the corresponding CIPs by the age of 80 years were 7.4% (95% CI, 6.8%-8.1%) and 5.8% (95% CI, 5.8%-5.9%), respectively (Figure 2).
This large, population-based cohort study showed that the risk of dementia was more than 2-fold higher in persons with schizophrenia compared with those without schizophrenia. The relative risk of dementia was almost 4-fold higher among individuals younger than 65 years. In absolute numbers, 7.4 of 100 persons with schizophrenia developed dementia before the age of 80 years compared with 5.8 of 100 persons without schizophrenia.
Persons with schizophrenia may be at higher risk of developing dementia for several reasons. First, persons with schizophrenia are at increased risk of developing several chronic conditions, which are also well-established risk factors for dementia, including diabetes mellitus,30,31 IHD,32-34 CHF,33,35 atrial fibrillation or flutter,35,36 PVD,33,34 cerebrovascular disease,30,33 and SA.30,37 The risk of dementia in persons with schizophrenia decreased when adjusted for SA, which suggested that comorbid SA is an important confounder or an intermediate variable for the association. In contrast, the association was unaffected when adjusting for other comorbidities or for civil status. However, the excess risk accounted for by comorbidity could be underestimated, as physical conditions may be underdiagnosed among persons with schizophrenia.32,40 Because the IRR estimate varied when evaluated for age, civil status, SA, and cerebrovascular disease, these factors seem to modify the association between schizophrenia and dementia risk. We were unable to include information on educational level or adverse health risk factors (ie, smoking, sedentary lifestyle, and high body mass index) that might be associated with risk of dementia, which introduced the possibility of residual confounding. In summary, potentially modifiable factors such as comorbidity or adverse health risk factors cannot be excluded as important opportunities to prevent dementia in persons with schizophrenia.
More recently, some researchers have proposed accelerated aging as one of the explanations for the reduced longevity in persons with schizophrenia.11 In line with this hypothesis, a recent British study identified patterns of macrostructural abnormalities in magnetic resonance images of the brain that are seen in both schizophrenia and Alzheimer disease, revealing a connection between the 2 disorders.41 These findings indicate that both neurobiological and environmental factors could contribute to the excess risk of dementia in persons with schizophrenia.
Four previous longitudinal studies identified a total of 196 persons with schizophrenia who developed a clinical dementia diagnosis15-18; the studies found relative risks for the development of dementia ranging from 2.4 to 16. As the median age at onset is 28 years for schizophenia19 and 81 years for dementia,42 it is difficult to establish studies with sufficient size and follow-up time to include all persons with schizophrenia and allow for a sufficient induction period between a diagnosis of schizophrenia and a diagnosis of dementia. Three of the previous studies included only persons with onset of schizophrenia after the age of 30 years,16-18 which may impede generalizability of the results for most persons with schizophrenia who are diagnosed before the age of 30 years,19 and the fourth study was limited by a small sample size.15
Our study used a large population-based cohort with complete follow-up and sufficient observation time for most of the cohort to display a clinically significant risk of dementia. Therefore, selection bias and loss to follow-up cannot explain our findings. Information on schizophrenia and dementia has high validity, which minimized the risk of information bias. The positive predictive value (PPV) has been shown to be 87% for schizophrenia in the DPCR43 and 86% for all-cause dementia in the DPCR and the DNPR,42 although the PPV for dementia diagnoses has been shown to be as low as 59% among individuals younger than 65 years.44
Our study was also limited by a lack of important clinical information. Most important, the validity of a dementia diagnosis among persons with schizophrenia is unknown. It can be a challenge to diagnose dementia in persons with schizophrenia owing to preexisting cognitive dysfunction, negative symptoms, and behavioral problems.5,8,45 However, the diagnosis of dementia has high validity for other disorders with preexisting cognitive impairments, such as Down syndrome.46 In Denmark, neurologists, psychiatrists, and geriatricians make most dementia diagnoses, and their diagnoses of dementia have a PPV of 95%.28 It is most likely that persons with schizophrenia are referred to a psychiatrist if dementia is suspected owing to the patient’s preexisting psychiatric disease. The association between schizophrenia and dementia was slightly stronger when the analysis was restricted to a subgroup of persons diagnosed by psychiatrists. Because schizophrenia is associated with preexisting cognitive impairment, such individuals might experience dementia-like symptoms at an earlier age compared with persons without schizophrenia. However, according to the definition of a dementia diagnosis, a loss of cognitive function compared with baseline is required. Therefore, we expect that physicians, and in particular psychiatrists, diagnose only severe cognitive impairment, beyond that which can be attributed to schizophrenia in and of itself, as dementia. Moreover, there is the risk that even subtle cognitive deficits or behavioral problems in persons with schizophrenia could be interpreted as signs of dementia by physicians with less knowledge of the psychopathological features of schizophrenia, which would overestimate the association. On the other hand, dementia may also be underdiagnosed in persons with schizophrenia owing to misattribution of dementia symptoms to the schizophrenia in and of itself (ie, diagnostic overshadowing47) and owing to underdiagnosing of comorbidity in general in persons with schizophrenia,32,40 which would underestimate the association. Finally, the data here are strongly suggestive but require longitudinal verification of decline in function well beyond age expectation to confirm that these are true dementias and not the cross-sectional diagnosis of a physician seeing the patient for a diagnostic workup.
Because approximately two-thirds of all cases of dementia in Denmark are diagnosed within the secondary health care system,29 some cases of dementia diagnosed in primary care or private psychiatric and neurologic practices are not referred to the secondary health care system. Consequently, some of these cases are not included in our study, unless these cases are registered with dementia at a subsequent hospitalization or if they fill prescriptions for anti-dementia drugs. In addition, this study was conducted in a country with free and equal access to health care, and the association may not apply to other types of health care systems. However, this scenario limits potential bias induced by incentives for diagnosing dementia in persons with schizophrenia to improve their access to health care.
Persons with schizophrenia die, on average, 15 to 20 years prematurely compared with the general population.48 Consequently, those who live long enough to develop dementia would represent a selected group of more healthy persons, and our results could thereby underestimate the true risk of dementia in persons with schizophrenia. This theory was also supported by our finding of a lower CIP of dementia for persons with schizophrenia after their mid-80s (compared with persons without schizophrenia at the same age) owing to the reduced life expectancy of this population.
Persons with schizophrenia may be at high risk of developing dementia. The relative risk appears to be particularly high in persons younger than 65 years with schizophrenia. The results did not change substantially after adjusting for established risk factors of dementia, such as cardiovascular disease and diabetes, although the association attenuated slightly after adjusting for SA. Thus, additional studies are warranted to elucidate the pathophysiologic factors of the link between schizophrenia and dementia, and more knowledge is needed to develop targeted interventions to prevent dementia in this high-risk population.
Submitted for Publication: May 12, 2015; final revision received July 18, 2015; accepted July 19, 2015.
Corresponding Author: Anette Riisgaard Ribe, MD, Research Unit for General Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, Aarhus C, Jutland 8000, Denmark (firstname.lastname@example.org).
Published Online: October 7, 2015. doi:10.1001/jamapsychiatry.2015.1546.
Author Contributions: Dr Ribe had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Ribe, Laursen, Charles, Katon, Chwastiak, Vestergaard.
Acquisition, analysis, or interpretation of data: Ribe, Laursen, Charles, Katon, Fenger-Grøn, Davydow, Cerimele, Vestergaard.
Drafting of the manuscript: Ribe.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Ribe, Laursen, Fenger-Grøn.
Obtained funding Ribe, Vestergaard.
Administrative, technical, or material support: Ribe.
Study supervision: Ribe, Laursen, Charles, Katon, Davydow, Vestergaard.
Conflict of Interest Disclosures: None reported.
Funding/Support: This study was supported by unrestricted grant R155-2012-11280 from the Lundbeck Foundation, the Augustinus Foundation, and the Reinholdt W. Jorck and Wife Foundation.
Role of the Funder/Sponsor: The funding sources had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.


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Ekiti State Governor, Kayode Fayemi, has appealed to royal families in all the towns in the state to exercise restraint in rushing to courts over traditional stools tussles.
The governor, who reaffirmed his confidence in the judiciary, said such tendencies often bred bitterness that could stunt development in the towns.
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The governor said he would henceforth enforce the State Regency Law, which stipulates that no royal vacancy should be allowed to drag beyond two years without a successor.
Fayemi spoke in Ado Ekiti Thursday during the inauguration of the Ekiti Council of Traditional Rulers 2021-2023 to be chaired by the Onisan of Isan Ekiti, Oba Gabriel Adejuwon.
Oba Adejuwon, who is the traditional ruler from the governor’s home town of Isan-Ekiti, succeeded the Alawe of Ilawe Ekiti, Oba Adebanji Alabi, whose two-year tenure ended on July 31.
Fayemi said, “Let me restate here that the most important ingredient of development in the State is peace and security and our royal fathers have a central role to play in fostering peace in their domains.”
In his response, the monarch assured of the council’s readiness to support the government in promoting peace and security in the state.


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There are 5 ways to get from Pitsea to South Ockendon by train, bus, taxi or car. Select an option below to see stepbystep directions and to compare ticket prices and travel times in Rome2rio's travel planner.Live arrivals for Ockendon Station stop. Bus routes served by this stop. 347 Live Arrivals There are no buses in next 30 minutes. Please see Timetables to check the frequency of your service. For arrival times of the next bus, text to. First and last services, timetables and route details. bus 22 timetable ockendon
Thurrock bus timetables Bus routes 347, 370 and 372 are Transport for London services. These are cash free buses, which means you can't use cash to pay for your bus fare.


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I used to think about – and still do – what the meaning of existence is. It appears that we simply live for a period of time, go through some events, and then we die.
I used to wonder about (and sometimes I still do): what is the point of being happy when I will be sad due to changing circumstances? I mean, it’s like the moment I am happy when something good happens, there will come a time when something disappointing happens, and I will be sad again. So, life is like – happy, sad, happy, sad, happy, sad… and then we die. So why be happy? Why be sad? For example, why rejoice over something like the birth of a child when we know the child will die one day and we will mourn the loss of a life? Wouldn’t it be better to remain emotionally frozen or frigid and not feel anything at all, in order not to be tossed to and fro by the circumstances that are often unpredictable and uncontrollable?
Then again, if I were to apply the same logic to eating, I would need to ask myself: why eat when I will be hungry again? Isn’t life also a matter of being hungry and filled, hungry and filled, hungry and filled, and then we die? So what’s the point of eating when I know I will go hungry again?
Maybe one way to answer this question (or dilemma or koan) is: well, I can still choose to eat because eating can be a pleasurable activity, other than getting nutrients and staying alive. Similarly, while I can still survive without expressing happiness or sadness, at least I get to express my emotions or feel my feelings. I suppose feelings or emotions are there for a reason. Animals, for example, have feelings too – they feel happy at times and they feel sad too. But I don’t find animals mulling over the seeming futility of life. They live in the moment, or so it seems.
So, maybe the meaning of existence is to create my own meaning and choose to live in the moment. To live in the awareness that I have the ability or the gift or the opportunity to at least feel alive, to love and be loved, to experience compassion and empathy. Emotions or feelings may be Nature’s gift to us to experience that aliveness. After all, dead people can’t feel anything – they can’t laugh or smile and they can’t cry too. But I can. And you can. We can be happy if we want to feel the happiness. We can be sad if we want to feel the sadness. It sounds basic and simple, and I may well be stating the obvious here, but then again, I wish life is that simple… Well, perhaps it is, and it is us human beings who are complex and mysterious creatures.


Startup Programs in Windows
Learn further about startup programs in Windows and methods to change them.
Windows is highly functional Operating System series developed by Microsoft to enhance the overall productivity along with computing experience. Windows operating system is capable of supporting different Windows based third-party applications and allows the users to install and use them on the system under minimal complications. A Windows Operating System has startup programs list which includes the programs that are to be launched or initialized along with the system startup operation. Thus, the programs that are started up along with the system boot are known as startup programs. The applications and programs installed in the computer can be set as startup programs and some of the programs once installed automatically can set them so as to launch at system startup. Windows provide the users with different options to change or edit the startup programs list using which the users can choose the programs that are to be launched or started along with the Windows OS.
Discussed below are some points that can help the users to change or disable the startup programs in Windows based computer.
- System configuration utility
- Change startup programs
Windows users should first open the 'Run' command in the Operating System so as to open up the system configuration utility. The users can start the 'Run' command by launching the shortcut by pressing the 'Start' button in Windows Start Menu or can also use the combination of 'Windows' button and 'R' key to directly launch the Run command in some versions of Windows.
System Configuration utility
The System Configuration tool or utility in the Windows Operating System allows the users to make changes in the startup programs list of the computer. The System Configuration utility can be launched by entering the ‘msconfig’ command in Run menu. Entering the ‘msconfig’ command can launch a small window called the System Configuration which has several tabs to adjust the different settings of the computer.
After opening the 'System Configuration' window, the users should switch to the startup tab for changing the startup programs of the computer. All programs that are launched during system start can be listed in the current window and the users can disable and enable the desired ones from the list by checking and un-checking the boxes near the programs. All those programs that are unchecked can be disabled from next system start and those checked can be launched during system startup. Making necessary changes and clicking the 'Apply' button can confirm the settings. A system restart may be required to apply the changes made by the user.
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Fort Frederick Grenada
I’ve always wanted to visit Fort Frederick. And while on Christmas vacation 2005 I finally made it up there. There isn’t a whole lot to do or see on Fort Frederick itself. But there are many things to see from Fort Frederick.
One of the first things that got my attention from up there was the Prison. It is walking distance from from the Fort. In that prison Bernard Coard, and others serve out life sentences for executing Prime Minister Maurice Bishop, and other cabinet members back in 1983. This bloody episode played out on Fort George which is also visible from Fort Frederick.
It’s kind of ironic that these guys are now in the same prison that they once oredered many to be placed. Orders that they may have been issued right from Fort Frederick, which was a strong hold of the Peoples Revolutionay Army.
I happen to be one of those wierd people who love history, and I especially love West Indian history. There is nothing like standing on a 200 year old colonial Fort, like Fort Frederick to fire up your imagination … Cannons, Pirates, and what life must have been like for the British and French soilders who were stationed here.
Just as every other fort on the islands there is a story. The stroy behind Fort Frederick goes something like this…
In July 1779 the Bristh was attacked by the French General d’Estaing. The British had fortified positions on Fort George, so d’Estaing with 10,000 men decide against engaging the British from the sea.
Instead he landed his men higher up the western coast, marched them inland and then attacked the British where they least expected it … from within on higher ground.
The British loosing the high ground advantage, and prepared to defend only a sea attack, quickly gave in to the French. The French not wanting to suffer the same fate as the British immediately begun construction of forts on the higher ground to the east of Fort George.
One of these forts was Fort Frederick. Its purpose was to protect the town, and Fort George from attacks coming from the interior.
As you will see judging from the view of the town, and harbor from Fort Frederick, I think you will agree that the French picked an appropriate location to erect the fort.
Before the French completed construction, the British once again got back Grenada under the Treaty of Versailles. The British having learned their lesson, did the sensible thing, and finish the job.


I'm hoping somebody can look at my crude schematic and tell me what my problem is. It's a battery backup circuit to keep a couple of things with volatile memory alive when the main battery is cut off. It's a 12 volt system in a semi truck and both batteries are lead acid. I've built the system as drawn, and it mostly works. The problem is a minor one but if I cut off the main battery before I turn the ignition switch off, somehow the backup battery keeps the relay on. Once I turn the ignition switch off, everything except what's being backed up goes off as intended and turning the ignition switch back on does nothing. My intent was for the relay to kick off if the main battery was cut off, and from looking at my schematic I can't figure out why it's not working that way.


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You’ve probably heard many news reports discussing Hydroxychloroquine, or Plaquenil, as possible treatment for COVID-19. However, it is important to understand the drug and Hydroxychloroquine side effects.
As a physician with more than 30 years of experience, I feel it is important to share the facts, answer my patients’ questions and help others make sense of the varying true and false information flying at them in these uncertain times.
First, what is Hydroxychloroquine & Plaquenil?
Hydroxychloroquine is in a class of medications first used to prevent and treat malaria. Today, it is used to treat rheumatoid arthritis, symptoms of lupus, childhood arthritis and other autoimmune diseases.
Plaquenil is the brand name medication for hydroxychloroquine.
Hydroxychloroquine and chloroquine, another oral prescription drug that was used for treatment of malaria and certain inflammatory conditions, are being studied as a therapeutic option for Covid-19 patients. In addition, many other current drugs and drugs in development are being studied in clinical trials across the globe.
A study in China reported that chloroquine had clinical and virologic benefits for Covid-19 patients versus a comparison group, and chloroquine or hydroxychloroquine are currently recommended for treatment of hospitalized COVID-19 patients in several countries, according to the Centers for Disease Control (CDC).
However, the CDC makes it clear there are currently no US Food and Drug Administration (FDA)-approved drugs specifically for the treatment of patients with COVID-19.
If you’d like to learn more about Hydroxychloroquine and the Coronavirus, here is a CNN report on the topic.
Hydroxychloroquine side effects
There are many patients already who rely on Plaquenil for their arthritis, lupus or other disease. If you take Plaquenil or are prescribed the medication in the future, you should know the side effects. They include nausea, stomach cramps, loss of appetite, diarrhea, dizziness and headaches.
As an Ophthalmologist, I am very familiar with a potential serious side effect — eye toxicity. This toxicity affects the part of the eye called the retina and can lead to color blindness and vision loss.
An ophthalmologist can detect changes in the retina that suggest toxicity before serious damage occurs. Therefore, regular eye examinations, even when there are no symptoms, are mandatory when taking Plaquenil or a Hydroxychloroquine generic.
It is important to keep up with regular exams every few months while taking the medication to catch any potential problems early.
At Naples Vision of Beauty, Dr. Freeley can provide the eye exams you need and watch for warning signs.
We aren’t weighing in on whether you should take the drug or not and we aren’t commenting on the validity of this drug as a treatment for Covid-19. We simply wanted to share some information so you are as educated as possible and can separate fact from fiction at a time when that can be very difficult.
These are things you should discuss with your primary care doctor or your specialist. If you are concerned about the impact Plaquenil is having on your eyes, we can help.
Naples Vision of Beauty is open and accepting new patients. Your eye care is important to us. You can schedule a routine eye exam or an eye exam for Plaquenil, Glaucoma, Diabetic retinopathy or other conditions. We also do eye surgeries and treat a variety of conditions Give us a call at 239-777-6435.

domain: medical


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Justice League has finally hit theaters and, by every possible measure, it is a monumental failure for Warner Bros. Although modestly better-reviewed than “certified rotten” films like Batman v Superman and Suicide Squad, it is by no means beloved by critics. Barely more than one third of those who have seen it have liked it.
What’s the defense that so often is used to defend DCEU movies, though? “It’s made for the fans, not the critics?” Glossing over the implication that movies don’t want or need a positive reception to draw audiences beyond its core fanbase (and justify their multi-hundred million dollar budgets), Justice League failed to deliver on even that much. Audiences stayed away in droves this last weekend.
The movie’s $94 million opening weekend gross is nothing short of pathetic: in its franchise, in its genre or its in terms of its crushing budget. $94 million is just enough to make it the worst movie of its kind in 2017, the worst in the four-year-old DCEU and one of the biggest flops in recent memory (and yes, nearly $100 in three days does make it a flop).
The question that has already begun to emerge in the days following the movie’s debut, and will certainly be elaborated upon in the days and weeks ahead, is why? And I don’t mean “why is the movie bad” — those failures are easily picked-apart in reviews and its already legendarily awful production — I mean “why did people stay away from it?”
Even a cursory survey of the franchise it stands as the culmination of show that its financial failures are an aberration. The franchise’s best opening to date was last year’s Batman v Superman ($166 million), which was seen as the foundation that Justice League would build on. Under that was Suicide Squad ($133 million), which while also a team-up movie, was composed of C and D-list Batman villains, not the figureheads of DC’s most massive superhero franchises. Man of Steel ($116 million) comes next, and was both a solo movie and the debut of the DCEU. And finally, just above Justice League, was Wonder Woman ($103), which exceeded the meager expectations that Warner Bros set for the movie, which is largely seen as a franchise place-holder until Justice League was ready for theatrical release.
Although its failure is truly a culmination of multiple factors, two in particular stand out: unique relative to the franchise’s preceding movies and significant in the effect that it had on even longstanding DC fans that opted to abandon ship with the franchise’s flagship title. The first is the doggedly tiring, mercilessly protracted and unremittedly troubled production of the movie itself. Nothing this movie did in the entirety of the time it was being worked on inspired hope for the franchise turning a new leaf with the latest installment.
By the time that the film’s first cut was shown to Warner Bros, even DCEU defendants seemed to be rethinking their loyalty to the brand. When it was leaked that even the studio hated what they saw — with one executive calling it straight-up unwatchable — that’s when its real troubles began.
While reshoots are a normal part of any blockbuster’s post-production, it’s usually just touch-ups and minor fixes: continuity tweaks and, at worst, a reworked ending to send the film off on a high-note. By the time that January rolled around, Justice League had been reshot twice, and was prepping for a third and unprecedentedly intensive round that stood to remake the entire film from the ground up. It was at this point that director Zack Snyder dropped out and Joss Whedon (of Avengers fame) stepped in to rework the film.
While Warner Bros has severely downplayed the extent that Whedon remade Justice League — at one point saying that his contributions amounted to only 10% of the total film — most reports put that figure closer to 50%, begging the question of many onlookers why he wasn’t receiving a directing credit on the film. His reworked script was, however, enough to give him a writing credit on the film, which, by Writers Guild policy means that he was responsible for rewriting at least a third of it.
And then there was a matter of cost. Analysist report that the movie — reshoots at all – cost around $300 million. The reshoots alone amount for $25 million of that figure. This means that upwards of half the movie was made on what amounts to one tenth of the film’s budget, a fact that was painfully obvious to anybody who watched the film’s final trailer leading up to its release (and considering the penetration of Justice League‘s marketing, was likely substantial).
At the same time, Warner Bros. was cutting the legs out from the franchise by announcing its next slate of movies: not a sustained succession of sequels, spin-offs and follow-ups — which would imply confidence in the franchise’s prospective success — but a host of stand-alone movies outside of the DCEU’s established canon. The Flash was changed to Flashpoint, a name shared by the famous storyline that rebooted DC’s comic continuity in 2011, not-so-subtly suggesting that the four-year-old franchise was going to be unceremoniously reset as soon as humanly possible.
This was further compounded by the increasing likelihood that most of Warner Bros. admittedly perfect casting was going to be undone due to their actors abandoning the franchise even before their contractual obligations to the company were fulfilled. Ben Affleck has been going back and forth on the prospect for months, ever since dropping out from directing, and even writing, The Batman. Gal Gadot threatened to quit Wonder Woman 2 if Brett Ratner continued to produce the film. And then, of course, nobody wanted to work with Jared Leto after the stunts he allegedly pulled on the set of Suicide Squad.
This is what everybody — fans and critics of these movies alike — were subjected to on a daily basis for well over a year by the time of Justice League‘s release. The movie was, by all accounted, a troubled, fractured, Frankensteined-together work of heavy-handed studio mandates, cacophonously composed by two diametrically opposed auteurs, released amidst increasing uncertainty about the movie’s quality and the franchise’s future as a whole, all while its chief rival continued to break critical and box office records with seemingly unprecedented ease.
The nail in the coffin, however, which I think ultimately turned away even those who were tentatively willing to give it a shot at redeeming four years and five films worth of ichor, was Warner Bros’ combative attitude toward critics ahead of Justice League‘s release. Normally, a movie’s review embargo — the point at which critics who have seen early screenings of the movie are allowed to publish their reviews — is a week or so out from its release. Review aggregators, such as Rotten Tomatoes, collect these reviews and transform them into a qualitative metric: essentially, the number of critics who scored it positively. Warner Bros owns Rotten Tomatoes (at least in part) and directed the website to not release its score until the day of its release, causing justifiable speculation of the movie’s presumed terrible reception.
Coupled with its now-infamous production, the almost universally negative reception to its forebears and the prospect of just watching Thor: Ragnarok again (or even The Punisher on Netflix), the DCEU’s expected audience simply did not show up. What was originally predicted to be $150 million in ticket sales shrank to $110 million, which eventually shrank to the pathetically accurate $93+ million.
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In late October, the Centers for Medicare & Medicaid Services (CMS) released Fiscal Year 2016 percentage payment reports for the 3000+ hospitals participating in the Hospital Value-Based Purchasing (VBP) Program.
Debbie Zimmerman reflects on the Lumeris & CAPG expert panel and the delivery of accountable primary care.
The HVBP program is an important effort by CMS to provide tangible incentives to hospitals to improve the quality of care that they are delivering. Current results show uneven performance both geographically and by different types of hospitals.
. Using literature review and interviews, AJMC has identified 8 shared attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients.
According to a new report from the McKinsey Center for US Health System Reform, there are currently 64 insurance plans led by providers like hospitals or healthcare systems available through the health insurance marketplaces. Next year, there will be 72.
Although house calls may harken back to the country doctor of decades past, it could be the future of medicine. In 2013, about 2.6 million Medicare claims were filed for patient home visits and house calls. That’s up from 2.3 million visits in 2009 and 1.4 million visits in 1999, according to Medicare statistics.
More than half of people receiving or providing care without a single health care manager, an aspect of person-centered care, didn’t think their care would improve much if they had one, while more than three quarters of those who had one said it improved things a lot.
This brief analyzes experts’ reviews of evidence about care models designed to improve outcomes and reduce costs for patients with complex needs. It finds that successful models have several common attributes.
In this brief, Kaiser Family Foundation looks beneath national trends to examine Medicare Advantage penetration rates and growth rates in counties across the country to assess the extent to which Medicare Advantage plans are poised to cover more beneficiaries than traditional Medicare across the country.
One out of every six patients in the U.S. received care in a hospital rated 1-star, according to new research released by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Had those patients researched local doctors and hospitals to identify and select a physician practicing in a 5-star hospital for their specific procedure or condition, they would have faced a 71 percent lower risk of dying or a 65 percent lower risk of experiencing complications during their hospital stay.


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a bit redundant Not the greatest read but a fascinating look at what it was like to be the Reagan bit redundant Not the greatest read but a fascinating look at what it was like to be the Reagan
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TO WORK WITH CLIENTS WHO HAVE ACCESS TO PRIVATEwork with clients who have access to private because commercial air times are not precise enough My moon is in Taurus like Ronnie s Learning how Joan advised Nancy to advice Reagan to
handle the Geneva summit with Gorbachev was very enlightening I therethe Geneva summit with was very enlightening I learned there so many kinds of astrology like synastry analyzing how two people might get along very important for handling sensitive political meetings or elective time to begin a thing Joan tended to see executive power as very importa. Wielded considerable influence in the creation of major US policy including the Bitburg crisis the INF Treaty and the President's.

domain: hobby