The following is a response from the Coalition Supporting the New International Trade Crossing (NITC) to Governor’s Snyder’s call for moving forward with the NITC in his address on Transportation and Infrastructure:
“The Governor is right. The purpose of rebuilding our infrastructure is to create and support Michigan jobs. There is no other proposed project in this state that will create 10,000 construction jobs in the short run and then support the 250,000 Michigan workers whose jobs count on vibrant international trade with Canada. We need to put Michigan to work and we need to build a new bridge with a freeway to freeway connection to get out products to market. The manufacturing, agriculture, retail business and labor communities stand with the Governor in asking the legislature to get this project done.”
The Coalition Supporting the New International Trade Crossing is a coalition of more than 150 businesses, business organizations, agri-businesses, community leaders and labor unions supporting the Governor’s plan to build the NITC using private funds and funding from the Canadian Government at no cost to Michigan Taxpayers. The Coalition includes Ford, GM, Chrysler, Honda, Toyota and the organizations representing the auto suppliers. It also includes: our largest out-state manufactures like Steelcase, Wolverine Worldwide and Dow, 17 local chambers of commerce and the Michigan Chamber of Commerce, all the living past Governors and agri-businesses like Kelloggs, the Michigan Milk Producers and the Michigan Farm Bureau.


Ooooooh, a robot will pick up the trash will? Waste management is automated so you don't need us, is it? Well, who maintains and repairs those robots, did you ever think of that? Who turns those automated systems on and off? Go ahead and try to fire us, see what happens
— Kuroda Ken'ichi, Waste Disposal Technician on Eiennohana
Waste management technicians handle the processes required to manage waste, starting at the toilet or trash can and ending with its final disposal or recycling. They control the collection, transport, treatment and disposal of biological and industrial waste, providing a critically important role for society. Early into the space age it was realized that carelessly discarding material into vacuum was both dangerous and absurdly expensive. The cost required to get any item into orbit meant it was too valuable to throw away, especially when it could easily be recycled on space stations. Additionally, waste on newly settled planets must be carefully sterilized. Not doing so runs the risk of spreading Earth diseases to local wildlife, or giving decaying matter for local bacteria to adapt to, leading to human infections.
Despite the absolute necessity of sophisticated waste disposal systems, societies tended to view waste disposal technicians as simple menials. It became especially common on neo-barbarian
planets for social outcasts to be forced into the role. However, on some planets the waste disposal industry became the source of political power for certain groups. On Eiennohana
, yakuza clans control waste management, making their organizations essential to society while also providing the tools to make bodies disappear. Some yakuza celebrate this profession, holding annual festivals venerating and warding against small yokai named Akaname
that infest filthy bathrooms.


text:
A Critical Analysis of the Supreme Court Decisions
This article analyses the constitutional and domestic legal framework under which the president of Uganda has been elected since 1995. The focus is on the three Supreme Court decisions in the adjudication of presidential electoral disputes in 2001, 2006 and in 2016. It argues that presidential electoral laws are deficient in their capacity to facilitate fair political contestation. This is because they were not adequately constructed to address electoral malpractices pertaining to Uganda, and they have been interpreted to favour the incumbent.
Keywords: Constitution of Republic of Uganda 1995, electoral offences, presidential elections, presidential electoral laws, presidential electoral petition, Supreme Court
The post-1995 constitutional reforms in Uganda were aimed at averting violent struggles for political power. One of these reforms was the introduction of direct presidential elections. The significance of this is that since the Constitution of 1995 came into force, and for the first time in the country’s history, the majority of Ugandans could elect their president directly. In addition, more Ugandans than before are eligible to stand for election as president. This article studies how the Supreme Court in Uganda has adjudicated presidential electoral disputes since 1995. It evaluates the efficacy of the constitutional and domestic legal framework under which the president of Uganda is elected, in protecting fair political contestation in order to achieve its objectives. This article further argues that presidential electoral laws have been constructed without attention to the electoral lawlessness prevalent in Uganda. These laws make it almost impossible to challenge the outcome of the election, particularly where the declared winner is the incumbent. Therefore, the laws are incapable of converting votes into a truly democratic choice, and are consequently unable to avert violent struggles for political power.

domain: law


text:
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Unformatted text preview: 8/20/2010 Course Introduction Tuesday August 24 th, 2010 Claudia Stanescu, Ph.D., Jennifer Bea, Ph.D., Vinson Lee, M.S. Department of Physiology, College of Medicine The University of Arizona Tucson, Arizona Lecturers Lecturers and preceptors Syllabus Syllabus and lecture slides are all posted D2L 3 Exams - 100 points each Exams Two Two projects – 75 points each 1. Health Profile 2. Group Research Project Point Point Distribution:
Exam I Exam II Exam III Group Research Project Health Profile Total 100 points 100 points 100 points 75 points 75 points 450 points You You are responsible for printing out lecture slides before class Read Read the syllabus What W hat is body composition? How How would you measure body composition? Do Do you think one’s body composition reflects the health status of their body? If so, how does it do this? Do Do you think that diet and exercise can influence one’s body composition? If so, which “component(s)” would be affected? Could Could space flight or long-term bed rest affect body longcomposition? How? W hat is body composition? How is body composition measured? How does body composition change with growth? Maturation? How does body composition change with aging in adults? How is body composition related to health? 1 8/20/2010 How How is body composition related to fitness? How How is body composition related to athletic performance? How How is composition related to activities of daily life? Fraility? Fraility? Disability? QOL? How How is body composition related health and to chronic disease? How How is body composition different from mass? Shape? What W hat is physique? Why is it important? What W hat is fat distribution and how is fat distribution measured? How How accurately can body composition (whole body and regional) be measured? How How accurately must body composition be measured? Is Is it possible to change body composition? How? Obesity Obesity (adipose tissue) Osteoporosis Osteoporosis (bone) Sarcopenia Sarcopenia (muscle) Epidemiology…Etiology…Consequences…Costs ?? Coronary Coronary Heart Disease Cardiovascular Cardiovascular disease (atherosclerosis) Cerebrovascular Cerebrovascular disease (stroke) NonNon-insulin dependent (Type II) diabetes Some Some cancers …Consequences and costs? Is Is fitness or fatness more important to health? Is Is physical activity, fitness, or fatness more important to health? Can Can weight loss improve health? What W hat is optimal weight? Can Can people successfully lose weight? Can Can weight loss be maintained? 2 8/20/2010 Phenotype Physical Activity Fitness
Level Nutritional Status Genotype Genotype Genetic x Environment interaction Energy balance Energy balance Energy intake OBESITY
Heart disease Diabetes Cancer Osteoporosis Kcal Energy expenditure Assessment of body composition % fat Fat distribution Lean Mass 1900 1950 2000 Energy Balance (EB) is when Energy Intake (Ei) equals Energy Expenditure (Eo) Interventions: Interventions:
Healthy Eating and Physical Activity
Physical activity/ Non-fitness benefits Outcomes:
Improved risk factors: Inflammation Blood pressure Blood lipids Fasting insulin Fasting glucose Physical Activity/ fitness Weight loss Less abdominal obesity Less obesity Fatness Fatness (whole body and distribution)? Muscularity Muscularity (whole body; regional)? Bone Bone mass, density, structure? Hydration? Hydration? Disease reduction: Heart disease Diabetes Osteoporosis Sarcopenia Cancer Bioelectrical Impedance Obesity and obesity comorbidities
Underwater Weighing Dual Energy X-ray Absorptiometry (DEXA) CHD CHD CAD CAD CVD CVD Hypertension/Stroke Hypertension/Stroke Hypercholesterolemia Hypercholesterolemia Insulin Insulin resistance/Metabolic syndrome/Type II diabetes MRI Osteoporosis Sarcopenia SKINFOLDS
Air Plethysmography bone bone fragility/fractures muscle muscle loss/weakness disability disability 3 8/20/2010 Rules and models
Changes or Variations in Composition Methodology Rules and models
Direct, destructive - biopsy, chemical analysis Direct, nondestructive – radiation exposure, neutron activation Indirect – properties and models Rules and models
Type 1 Derived from empirical data Type 2 Model-based Rules and models
Methods Densitometry Hydrometry Whole body counting IVNA Absorptiometry Ultrasound Computed tomography NMR/MRI Bioelectrical Impedance Analysis Infrared Interactance Anthropometry Rules and models
Growth & maturation Illness/chronic disease Secular trends Intervention: nutritional exercise pharmacological surgical 4 8/20/2010 Personal Health Profile
Goal: Provide hands on experience in measuring body composition and to obtain information regarding your health status. Group Research Project
Working in groups to perform research on topics relevant to body composition culminating in a Powerpoint presentation at the end of the semester Draw a number from the cup Go to the area of the room that corresponds with your number W hen all members are present, introduce yourself to your group mates and exchange contact information. Print your name under your group number on the group list (please print legibly). Anthropometry Anthropometry demonstration Make Make sure you download and print lecture slides before coming to class 5 ...
View Full Document
This note was uploaded on 01/30/2011 for the course PSIO 445 taught by Professor Staff during the Fall '08 term at University of Arizona- Tucson.
- Fall '08

domain: medical


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This weekend, P and I took a (nearly five hour!) drive up to Cortland, New York to photograph Becky and Brian’s wedding. What a wonderful, wonderful, wonderful weekend it was.
The locations were just beautiful. From the gorgeous church (where Becky’s grandparents were married sixty years ago) to The Hathaway House, I was in love. But it was Becky and Brian, their families and friends that made this wedding tip the scale of the fun meter (you know, the one I carry with me in my camera bag). It’s always nice when you feel you’ve gained a set of new friends after you shoot a wedding, when you end up eating dinner at a table with the groom’s fraternity brothers (intimidating, yet entertaining!), when you get hugged by guests at the end of the night and asked to attend the after party (then scolded at breakfast the next morning for not attending!). As I sit here, quickly looking through images before check-out, I go through a series of emotions; I feel a bit choked up when I see images of the priest marrying Becky and Brian, remembering how perfectly he personalized their ceremony. I get slightly more choked up as I flip through photos of Becky’s dad’s speech, remembering how he spoke about how it felt having Becky and her sisters attend the school where he was principal. Then, within seconds, I’m smiling from ear to ear at images of pants being dropped (true story, see below) and Becky’s dad belting out tunes on the microphone!
This is why I love photography. This is why I love photographing weddings. In my opinion, nothing evokes emotions, memories and feelings like photographs. I always feel so honored to be the one entrusted to capture someone’s memories for them and it’s always my hope that the bride and groom will relive the feelings of their wedding day through these photographs for years to come.
Thanks to Becky, Brian and their guests for fantastic evening. I hope you enjoy looking at these photographs as much as I enjoyed taking them!
I loved this moment!
The bridesmaids/bridesman (and a diaper!).
All day/night guests couldn’t stop commenting on (1) how beautiful Becky looked and (2) how perfect her dress was. I could not agree more.
During dinner, I snuck outside to capture the Hathaway House’s sign as the sun set!
The reactions on Becky and Brian’s faces during Kevin’s speech were hysterical!
Becky’s father’s speech was a perfect mix of touching and hysterical.
Save a Horse (Ride a Cowboy)…
I’ve got nothing to say about this one…
Becky’s sisters are a riot. I’m convinced that every single guest at this wedding was a fantastic dancer!
Many of them were also fantastic singers…
An interesting wedding tradition of the boys of Kappa Sigma when they hear the song Volcano by Jimmy Buffett…
Yes, that’s right, they drop their pants and sing! Check out Becky’s mom admiring the “Kiss Me I’m Irish” boxers!
These two little ones lasted longer than I’ve ever seen kids last at a wedding – well done!
On the route home, we stopped off in Callicoon, New York – a place my family used to visit. I hope to post some photos of that visit soon. I also shot some film – woohoo! Keep checking back.

domain: hobby


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The Brazilian underwear brand, Loungerie, founded in 2009, opened its first flagship, in Leblon, Rio de Janeiro. With a new layout designed by architect Bel Lobo, from be.bo Arquitetura, the store has a funky and bold new look.
Spread over 140sq m, the concept store features digital screens arranged in different environments and on the facade itself, in addition to a new hot point with a special welcome table for events and customer reception. The idea of the new space is to reinforce the entire new brand positioning that has been happening over the last few months.
“The concept store came to complement our rebranding actions, showing the soul of the brand, whose mission is to serve the female universe and provoke women to express their individualities and thus free themselves from established standards,” explains Eduardo Costa, CEO of Loungerie.
Currently, Loungerie has more than 70 stores and is present in 21 Brazilian states.

domain: design


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Mon, 12/05/2011 - 13:21
With the server wipe and all, I've put into motion Zeon Base Mk. II. This time I made sure I'd be able to find it, so I began construction of an offshore entrance first thing. This video is mostly showing the progress in that. Additionally, at the point where I intended to start the underwater portion of the build I found a bit of a suprise... which you can also see.


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After some inspiration and ideas from the likes of @TeamThrifty, @I_Igor, @nerdsforprez, @kennywest and many others, and several hundred hours sat on the living room floor, i have functioning skid unit for my 1:12 MF 6716S tractor.
The real thing: http://www.masseyferguson.co.uk/mf6700s.aspx#360
Disclaimers: it uses third party tyres - 2.2" RC4WD mud basher tractor tyres - and there's still a way to go on sorting cables, pipes, detailing etc but the functions i wanted to replicate are all... functioning
Full 4wd - no diff locks (no space!) from an XL motor which also drives the fake engine. From the rear diff the drive is split to two half-shafts on each side, driving z18s that engage inside the power miners wheels. This keeps the speed up and so torque down, and shares the torque going to the big rear wheels, as well as making a strong & balanced structure that (hopefully) can't pull itself apart under the torque.
Steering via an M motor & z24 friction clutch
"Quadlink" suspended front axle using 4 rubber figure of 8 donuts as the front mounts and two small pneumatic pistons as the springs
Working rear linkage & pto, plus working front linkage and pto
Working UK style automatic pick-up hitch - for those not 'in the know' this is standard fitment on most UK tractors and is basically a towbar that can be lowered and lifted with the rear link arms to attach trailers, and then locked into the raised position for safe towing or when not in use. The safety latch is operated from the cab.
Mounting position behind the fake engine for (future!) fitting a loader. Driven axles provide rotation to drive large LAs for the lift/lower and small LAs for the tip/crowd functions
Pneumatic system (incl tank) to provide pressure for the suspended front linkage, driving pneumatics on attachments (rear and hopefully on the loader) and for 'in-cab' operation of one of the changeover catches.
An L motor drives either the rear linkage or the loader lift/lower via a changeover catch (catch 1). The front linkage can be latched either to the rear linkage or to the loader drive via a second changeover (catch 2). This means the front linkage can either work simultaneously with the rear or, if there is no loader fitted, on its own. Putting catch 2 in neutral means the front linkage doesn't operate at all - for loader work.
An M motor drives either the rear PTO or the loader tip/crowd via changeover catch 3. The front pto can be connected, via changeover catch 4, either to the rear pto or to the loader tip/crowd. This means the front PTO can work simultaneously with the rear or on its own if no loader is fitted. Putting catch 4 in neutral means the front pto will not work at all - for loader work.
The changeover movements for catches 1 and 3 will be slaved and (hopefully) driven by a small pneumatic piston with valve lever in the cab - so this lever will control switching drive from the L & M motors between the rear linkage / pto and the loader. Movements for 2 and 4 will be manual.
The M motor also drives the pnuematic pump via a z24 friction clutch and changeover catch 5. The combination of on/off via the catch 5, friction clutch and air tank should hopefully give a full range of flexibility for keeping the air tank topped up without wearing out the friction clutch.
The plan is to use an SBrick to control everything, probably with two profiles - a 'loader' profile with joysticks to control drive & steering and the loader, and a 'field work' profile with joystick for drive & steering, sprung slider for linkage operation and latched slider for pto operation (if indeed such arrangement of sliders is possible - a future problem!) It could also be done with 2nr IR receivers and maybe a bit of mechanical jiggery-pokery to latch the PTO control on when required.
Some more pictures:
Oh, and this is the first time i've tried anything on this scale and complexity - my only previous moc experience of any note was a power harrow for the 8284 tractor... this Massey has made my head hurt!


MyoWare Muscle Sensor
zzgl. MwSt. zzgl. Versandkosten
11 Stück sofort versandfertig
- Hersteller: Sparkfun
- Artikel-Nr.: EXP-R12-116
- Herstellernummer: AT-04-001
- Herkunftsland: CN
- Zolltarifnummer: 90318080
- Gewicht (kg): 0.02
This muscle sensor from Advancer Technologies measures a muscle?s activity by monitoring the electric potential generated by muscle cells. This is referred to as electromyography (EMG). The sensor amplifies and processes the complex electrical activity of a muscle and converts it into a simple analog signal that can easily be read by any microcontroller with an analog-to-digital converter (ADC), such as an A-Star or Arduino ? or even a Maestro servo controller like we show in this blog post. As the target muscle group flexes, the sensor?s output voltage increases. The exact relationship between the output voltage and the muscle activity can be fine-tuned using an on-board gain potentiometer.
The MyoWare Muscle Sensor is an updated version of Advancer Technologies? older Muscle Sensor v3 with a number of improvements, notably single-supply operation (no need for a negative voltage supply) and built-in snap connectors for electrodes. Other new features include a raw EMG output, reverse power protection, a power switch, and LED indicators.
In order to attach to skin, the sensor requires three electrodes (not included) that snap into the sensor?s snap-style connectors, which make it easy to attach and detach electrodes. Two connectors are located directly on the PCB, and the third is located at the end of the attached reference electrode cable. The board?s pins have a 0.1? pitch and work with 0.1? male headers and 0.1? female headers.
For more detailed information about the muscle sensor, including instructions on how to use it, see the Advancer Technologies MyoWare Muscle Sensor datasheet . Example Arduino programs can be found on the MyoWare GitHub page.
- Dimensions: 2.1? × 0.8? (excluding reference electrode cable, which is about 3? long)
- Operating voltage: 3.1 V to 6.3 V (unlike previous sensor versions, no negative supply is required)
- Analog voltage output from 0 V to +Vs (supply voltage)
- Adjustable gain
- Both EMG envelope and raw EMG outputs available
- Embedded electrode connectors ? electrodes snap directly into MyoWare (alternatively, external electrode cables can be connected)
- LED Indicators ? one power LED, and one LED that brightens when the muscle is flexed
- Power switch
- Reverse voltage protection
- Two mounting holes (suitable for M3 or #4 screws)
- Informative user?s guide


Latest Weather Blog
Woman arrested for arson after July fire on N. 36 Street
BATON ROUGE - Vanessa R. Mckinnis, 43, has been arrested after intentionally setting a building on fire for the insurance payoff.
Fire Investigators with the Baton Rouge Fire Department arrested Mckinnis Thursday night for a fire that took place in the 1500 block of N. 36 Street on July 21, 2021.
She has been charged with aggravated arson with intent to defraud.
Desktop NewsClick to open Continuous News in a sidebar that updates in real-time.
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|Minimum Stay||4 nights|
This house is a lovely home with a garden and patio, ideally located in the charming neighborhood of James Bay. It is just steps away from downtown Victoria, the Royal BC Museum, Dallas Road/Beach, many restaurants and shops, and much more.
This comfortable house in a fantastic location. Not only are several of Victoria's tourist attractions a short walk away, there are also several good restaurants, shops, grocery stores, liquor stores, banks, all within walking distance.
Attractions close to the house:
Victoria Inner Harbour - 5 minutes on foot
Fisherman's Wharf - 10 minutes on foot
Emily Carr's House - 3 minutes on foot
Downtown - 5 minutes on foot
Restaurants and bars- All over, within walking distance
Dallas Road and beach area - 10-12 minute walk
Beacon Hill Park - 5 minute walk
Royal BC Museum and Imax Theatre - 5 minute walk
Chinatown - 15 minute walk
Shopping area - 10 minute walk
Grocery store / bank / pharmacy- 4 minute walk
and much much more!
Guests will have access to the entire top floor of this house. We live here a good part of the year, so you will find that this house has everything you need. We love to cook and the kitchen is fully stocked with appliances, cooking utensils, and plenty of spices that you are welcome to use.
There is a TV with DVD player. Free WIFI and high speed internet. There are several books on the area.
Our cozy and spacious living room gets so much natural light and is a great space to lounge around.
The main bedroom has a queen sized bed with an excellent mattress and quality linens. The spare bedroom has a futon bed which can sleep 2 additional guests. If you will need this extra bed let us know and we will have it ready for you.
The bathroom is spacious and has a washer and dryer in it for your use.
If we are able,we will check you in and answer any questions you may have. And if not, we will be in communication via phone and email and explain how to check in. We will only be about 45 min away. We are here to help in any way possible!
The neighborhood where the house is located is called James Bay and it is the oldest residential neighborhood in Victoria, and is just south of downtown. Many of Victoria's key tourism attractions in this area - including Parliament Buildings, Royal BC Museum, Beacon Hill Park, Fisherman's Wharf, horse-drawn carriages and waterfront walkways. The neighborhood has many heritage homes, including the home of artist Emily Carr. There are many interesting heritage walks that can be done in the area.
Because of the location, it is very easy to get around on foot to most areas of the city. There is also access to many bus routes and bus stops within a couple blocks from the house.
My husband and spent a wonderful 4 night here. The home was very clean, the kitchen is exceptionally well stocked. We ate in every night because the grocery store is so close and we really enjoyed the kitchen and the quiet, coziness of the house. Now let me tell you how conviently located this home is. Not to speak of the fact that it has its own off street parking which is huge in Victoria. Yes, we had a great time and throughly enjoyed this home. Thank you!!
Wonderful, convenient location in old neighborhood in Victoria. The home was very well maintained and the kitchen a delight! We felt welcome and spent two days walking around Victoria and cooking each night. Everything was comfortable and as represented. Would highly recommend this location for a visit.
I had very pleasant experience staying at this property. We had no complaints during our stay. It was located very close to downtown Victoria, as well as beautiful parks, groceries, coffee shops, etc. The house was spacious enough for 3 adults and 1 toddler, and kitchen was adequately equipped. I'd definitely recommend this property!
The property is located in Historic James Bay. This is the oldest residential neighbourhood in Victoria, as well as the oldest in all of Canada’s West Coast. Many important Canadians have lived in this in this neighbourhood, including artist Emily Carr, Governor Sir James Douglas, and physician John Sebastian Helmcken.
Many of Victoria's key attractions can be reached on foot from James Bay:
Royal BC Museum and IMAX Theatre
Pacific Undersea Gardens
Beacon Hill Park
Dallas Road Road/Beach
Historical Downtown Victoria
Maritime Museum of BC
St Ann's Academy Historical Site
There are also many great tours that start in this area:
Whale Watching Tours
And not far by car are many other attractions such as:
Mount Doug for hiking and walking
Many walking, hiking, and cycling trails
Ocean Discovery Centre
British Columbia Forest Discovery Centre
Quw'utsun' Cultural & Conference Centre
Victoria is also a good location for day trips to other parts of the island and nearby Gulf Islands.
|Rate Period||Nightly||Weekend Night||Weekly||Monthly *||Event|
May 20 2015 - Sep 30 2015
4 night minimum stay
My Standard Rate
4 night minimum stay
* Approximate monthly rate. Actual rate will depend on the days of the month you stay.
Payment is usually accepted in the quoted currency (USD) unless the currency and the amount is specifically agreed in advance with the owner / advertiser.

domain: travel


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Also known as Syndrome X or Dysmetabolic Syndrome, metabolic syndrome is a cluster of risk factors that are linked to overweight or obesity. It can increase the potential for development of diabetes and heart disease.
According to the National Heart Lung and Blood Institute, a person with metabolic syndrome is twice as likely to develop heart disease and five times as likely to develop diabetes as someone without metabolic syndrome. Metabolic syndrome is diagnosed when a person has at least three of these heart disease risk factors.
– A waistline of 35 inches or more for women and 40 inches or more for men (A large waistline or abdominal obesity?having an apple shape?has been found to put one at greater risk for heart disease?more so than having excess fat in other parts of the body).
– Elevated triglycerides (150 mg/dl or >).
- Low HDL (<50 mg/dl).
- High Blood Pressure (> 130/85 mg/dl).
- Elevated fasting blood glucose (100 mg/dl or >).
- Insulin resistance .
- Proinflammatory state (elevated C-reactive protein).
- Increasing age.
- Hormone imbalance .
- Family history of diabetes.
- Gestational diabetes.
- Ethnicity/Race-African Americans, Asians, Hispanics and Native Americans tend to have a greater risk.
Atherosclerosis (plaque in the arteries and blood vessels) is a condition found with metabolic syndrome. It is thought that elevated insulin levels may promote the plaque buildup. Plaque buildup can lead to clots. Thus, metabolic syndrome does have a link with heart disease.
Some cancers have been linked with metabolic syndrome. They include breast, prostate and colon.
The incidence of metabolic syndrome is continuing to grow. In the United Statesalone 25 percent of the population has metabolic syndrome. It is preventable.
Treatment of metabolic syndrome includes lifestyle modification, which consist of:
- Regular exercise
- Weight loss
- Stopping smoking
- Following a heart healthy diet, such as a DASH or Mediterranean diet.
Medication may be necessary if lifestyle modification is not effective. This should be discussed with your healthcare practitioner.
Timeout tip: Just what is a Mediterranean type diet? It is a diet composed of generous amounts of fruits, vegetables, grains, legumes, along with moderate amounts of meats, fish, poultry, dairy products, and wine. Fat intake is primarily from monounsaturated fats, such as olive oil, canola oil, avocado, and nuts. Also, linked with a Mediterranean diet are lifestyle factors. These cultures tend to engage in more physical activity and have a greater social support network. Maybe they just know how to have fun. Remember, laughter is great at lightening things up. One thing you can do anywhere and anytime is smile. It will also relax you.
The above information excerpted from Boomer Be Well! Rebel Against Aging through Food, Nutrition and Lifestyle, Susan M. Piergeorge, MS, RD


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Essex Senior League: Clapton host Hornchurch in friendly; London Bari beaten by Basildon United
PUBLISHED: 09:00 16 November 2016
Just five people officially attended last night’s fixture between London Bari and Basildon United
Clapton are back at the Old Spotted Dog tonight (Wednesday) for a friendly fixture with local rivals Hornchurch of the Ryman North.
Jon Fowell’s men suffered a 1-0 defeat at home to Barkingside on Saturday in the Essex Senior League, which ended their three-match winning streak.
With a rare midweek without a fixture, the Tons boss has arranged an intriguing clash with Urchins.
Clapton haven’t played Hornchurch since they were founded in 2005 after the previous club folded.
Kick-off is 7.45pm and the Ryman North club will be looking to end their run of four games without a goal.
They’ve drawn three of those clashes while recently suffered a 3-0 defeat at East Thurrock in the third round of the Essex Senior Cup.
Both managers will use the game to give minutes to fringe players and people working their way back to fitness.
London Bari’s poor form continued last night (Tuesday) with a 1-0 loss at home to Basildon United.
Hamid Zamani found the net at the Old Spotted Dog in front of a disappointing crowd of just five.
Bari are four games without a win now and only scored three times during that two-week period.
Next up for Chris Davis and his players is a home fixture with east London foes Sporting Bengal United on Saturday.
If you value what this story gives you, please consider supporting the Newham Recorder. Click the link in the orange box above for details.

domain: news


Besides our main product portfolio for regular EMC testing we also offer shielded products for quite special applications.
The range goes from field strength cameras (HIRF) to cameras that can even withstand the nuclear electromagnetic pulse.
Camera especially shielded to withstand up 3000 V/m in pulsed mode
Thermal camera to survey critical areas
For applications in (N)EMP environment


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Marooned at the sea wall all day, we would make our way through a collection of mixtapes, one side at a time. There would always be the songs, and the tournament days were long but the summers were short.
The songs themselves become fixtures, chapters in time to revisit again as a soundtrack in a small tape deck.
The mixtapes were replaced by a five-disc changer, set to random.
An iPod begat the disc changer.
And now the iPod and playlist sat in the cloud of Spotify — intangible, an infinite variety of songs played us through until the sunset, never repeating, and a familiarity despite never returning back again to those old chapters of song.

domain: entertainment


text: Forecast The market is as unpredictable as the weather. We’d love to help you prepare. Share | Related Content It May Be Time for a Financial Checkup It’s never a bad time to speak with your financial advisor about changes in your situation. Saving on Fitness Center Membership Costs There are ways to improve your physical fitness without denting your fiscal fitness. Should I Pay Off Debt or Invest? This calculator will help determine whether you should invest funds or pay down debt.

domain: economics


text:
Ranked #41 of 448 hotels in New York City
"This hotel was chosen for our romantic weekend away together. Our room was on the seventh floor and the window faced another building so we did not have a great view, BUT the room..."
"The hotel is very busy and if you are looking for a romantic and quiet place, this is clearly not the spot. But if you are looking for a quality and well located hotel in NY, you..."


Cyle Miller Schuetzen 32-40 Rifle Sold!
Overall Condition: Excellent
Barrel Length: 28”, Barrel Weight: 1" Diameter, Barrel Profile: Round, Barrel Material: Chrome Moly, Bore Condition: Excellent
Stock Maker and Model: Cyle Miller, Stock Condition: Few Minor Handling Marks
Metal Finish Condition: Excellent 98%
Special Features: Claro Walnut Stock
Iron Sights Description: Globe Front with Spirit Level, Redfield Palma Rear on Neal Rice Adapter
Firearm Weight as Pictured: 14 lb. 7 oz.
Included Accessories: Redding 32-40 Dies, 130 New Winchester Brass
Copyright © 2019 Wyoming Armory, LLC all rights reserved.


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Teresa & Dave married at Sea Grove Park in Del Mar, California overlooking the Pacific Ocean. A live painting during the ceremony forever captured the beauty of that afternoon. Their reception was held at L’Auberge Del Mar on a rooftop patio with an incredible view!
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Karson Butler Events / Abby Jiu Photography / L'Auberge Del Mar / Studio Fiore / Wildflower Linen / Little Bit Heart / Meant To Be Calligraphy / Minted / Alexis K / AHSI / Timree Gold / Junko Yoshioka via Bliss Bride

domain: artistic


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Growing Enrollment & Balanced Budget for RI Schools
Enrollment is growing in the Rock Island schools, and for the first time in decades, the budget is balanced. That's according to Superintendent Reginald Lawrence during his first State of the Schools Address Tuesday to a joint meeting of the Kiwanis and Rotary Clubs.
He says enrollment is now nearly 5,800, and up 40 students from last year, and he hopes it continues to grow. And for the balanced budget, Dr. Lawrence credits the state, and its new funding method.
"That means you're starting the year where you need to be. And so we're excited about that but we know we couldn't do it without evidence based funding - that piece has been huge. And it's going to take a few years for us to benefit fully from it but it's been great for us thus far. "
Evidence based funding means more state aid goes to Illinois districts with greater financial need.
Attendance is now at 93 per cent in the Rock Island schools, and chronic truancy has fallen, but Lawrence wants to improve those numbers this year.
"We want to challenge all our families to miss five days of school or less because we know when students miss 10 per cent of school, which equates to two days a month or 18 days a year, and students don't know how that impacts them, so we really want to focus on attendance and how important it is."
And thanks to the local option sales tax for schools, the district has been able to fund a variety of building improvements, including more secure entrances. And lowered property taxes by five cents, or 50 dollars a year, for the average homeowner.


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The saga goes forward for Australia’s James Hardie, and its effort to manage asbestos claiming through a compensation fund. On one hand, the company and former officers remain subject to a cloud cast by charges of securities law violations associated with the disclosures related to the creation and funding of the compensation trust. On the other hand, the company is now seeing some signs that claiming to the fund may have peaked in 2008. On the latter, a new Australian press story is here. The company’s press release is here. This page of its website compiles many of the documents relevant to the compensation fund.
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After 10 years spent traveling more than 6 billion km through space, Europe’s Rosetta mission has arrived at its destination – 67P/Churyumov-Gerasimenko – becoming the first spacecraft in history to rendezvous with a comet.
Flying some 405 million km (250 million mi.) from Earth, Rosetta is now ready to swivel into an elliptical orbit around 67P/Churyumov-Gerasimenko, where it will spend the next two months searching for a landing site for the mission’s small Philae robotic probe.
“After 10 years, five months and four days traveling towards our destination, looping around the Sun five times and clocking up 6.4 billion km, we are delighted to announce finally ‘we are here,’” says Jean-Jacques Dordain, director general of the European Space Agency (ESA), which is leading the Rosetta mission along with prime contractor Airbus Defense and Space.
With Philae expected to descend to the comet’s surface in early November, the orbiter and lander will spend more than a year studying primary material from 67P/Churyumov-Gerasimenko that could give scientists a glimpse at what the Solar System looked like more than 4.6 billion years ago.
Since its 2004 launch atop an Ariane 5 rocket from the Guiana Space Center in Kourou, Rosetta has made three gravity-assisted flybys of Earth and one of Mars on its way to rendezvous with the comet. This complex trajectory has seen Rosetta pass by the asteroids Steins and Lutetia, obtaining unprecedented views and scientific data on both.
After waking from deep-space hibernation at roughly 9 million km from 67P/Churyumov-Gerasimenko in January, Rosetta spent the past seven months activating 11 scientific instruments aboard the spacecraft and another 10 riding on the small lander it is carrying.
The Aug. 6 rendezvous saw the last of a sequence of 10 orbital maneuvers that began in May to adjust Rosetta’s speed and trajectory in line with those of the comet, slowing from 775 meters per second to just 1 meter per second.
ESA says each of these maneuvers was critical, and that had any one failed, the rendezvous would have been impossible.
“Today’s achievement is a result of a huge international endeavor spanning several decades,” says Alvaro Gimenez, ESA’s director of science and robotic exploration. “We have come an extraordinarily long way since the mission concept was first discussed in the late 1970s and approved in 1993, and now we are ready to open a treasure chest of scientific discovery that is destined to rewrite the textbooks on comets for even more decades to come.” Full story at aviationweek


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Fat Flusher Diet Review
Fat Flusher Diet is a combination of vitamins and herbs that flush out toxins and accelerate metabolism to aid weight loss. This high-quality supplement was created after thorough research.
Product Name: Fat Flusher Diet
Official Website: CLICK HERE
Fat Flusher Diet Review
African Fat Flush is an amazing herbal product that helps to shed stubborn fat stored in your physique. It is also an effective fat burner supplement that improves your cardio-vascular activities as well. In addition, it contains 100 percent pure herbal ingredients which are beneficial for its own distinct way. So, do not worry about your weight and health when using this product.
According to the studies conducted by leading researchers, African Fat Flush supplement works to improve your overall health and weight loss efforts. In fact, the product works as a weight loss, fat burning and nutrition control supplement. Therefore, using African Fat Flush to burn your unwanted fats not only helps to control excess fats but also improve your overall health condition.
The main reason why this product works so effectively is because it consists of the natural ingredients like anthocyanins, flavonoids and procyanidins that work effectively to control the sugar levels in your blood stream. This makes your metabolism work much faster. If your metabolism is working properly then your whole body metabolism becomes stronger. Thus, weight loss, fat burning and nutrition control ensue. This weight loss and fat burning diet supplement work to make your body healthier and thus help to improve your overall nutrition and health condition.
What is Fat Flusher Diet?
Apart from the above benefits, another remarkable feature of African Fat Flush diet pills is that they do not contain any harmful ingredients. Most of the fat flushing diet pills contain harmful ingredients like fructose, saccharin, artificial flavours and other chemical ingredients. However, the brand that we are going to talk about here does not contain any such ingredients and hence does not produce any side effects. You can use this healthy diet pills with complete safety.
There are many online stores where you can order supplement online. However, one of the best options is to visit the official website of the company. The site has a comprehensive list of all the products which are available with the brand. You will find the brand of your choice along with the prices and the ingredients contained in the supplements.
If you take this fat flushing diet pills along with the African Fat Flush Refill, then you can expect maximum results. This is because the ingredients present in both of these supplements work hand in hand to help you lose weight effectively. The African Fat Flush pill helps to speed up your metabolism, which helps to burn more calories and fat quickly. On the other hand, the Refill helps to balance your hormonal imbalance which is responsible for losing weight.
How does Fat Flusher Diet Works
Fat flush is also a dietary supplement designed to help you get rid of excess water from your body. It also contains high levels of fiber, which keeps your bowel movements regular. If you follow this weight-loss strategy, then you need to increase your daily intake of fiber. You can get rid of all types of fats present in your system by taking this weight loss dietary supplement.
You can also benefit from these pills if you want to improve the production of hormones that help in burning fat. Many of the people who have increased their energy levels have also gained some weight. This is because of the fact that the additional mass causes the fat cells to expand. However, if you choose the right pills, you can get rid of the extra mass and increase the metabolic rate so that you can start losing weight in no time at all.
As mentioned earlier, many dieters who use fat burners find it hard to keep them on. In such a scenario, you can make use of Pro Dalton pills which contain Ephedra as one of its main ingredients. The reason why it helps in fat loss is that it makes the heart work harder. It does not only help in weight loss but also improves the functioning of your respiratory system.
- This supplement has many benefits. Let’s look at the benefits of Fat Flusher Diet for your health.
- Weight loss: The primary purpose of this formula is to help you lose weight. It helps to shed excess fat and stimulate metabolism.
- This product can increase stamina and energy.
- Sleep: If you have trouble sleeping, this supplement can help. It improves your sleep.
- Fatigue: This formula reduces exhaustion by increasing energy, making you more active, and reducing fatigue.
- Your cognitive abilities: Finally, you will be able to think clearly and remember more. This supplement will increase your focus and mental clarity.
- It is safe, natural, and effective for daily use
- It doesn’t take much to use the app; it is easy to do.
- This supplement has been thoroughly researched.
- The product’s quality is excellent
- The formula is developed by a team of experts
- Cleansing the liver and lymphatic systems
- Rapid weight loss up to 10 lb (4.5kg) in just two weeks
- Elimination of bloating
- Body toning and weight loss are two sides of the same coin
- Weight loss and weight maintenance
- Reduced hips, waist and thigh measurement
- It is not recommended for children.
- It is not recommended for pregnant women or nursing mothers.
- People with kidney, metabolic or liver disease should not use this product.
- For people over 60, it is not recommended.
These fat flush diet pills are made from the extract of red raspberries, blackberries, mulberries, strawberries and bilberries. They are manufactured by following the guidelines of the FDA. However, there are certain pills that do not contain any of these ingredients. Before buying any of these pills, you need to make sure that they contain all the effective ingredients. Some of the ingredients that are present in this dietary supplement include gingko biloba, chromium, hawthorn, green tea and many more. You can get a list of the ingredients from the web sites of these manufacturers.
There is no doubt that Pro Dalton Pills are extremely helpful for your weight loss purposes. However, you need to make sure that you get the right kind of supplement from a reliable manufacturer. This can be done by visiting online forums where people talk about their experiences with different dietary supplements. You will be able to see the various advantages and the side effects of each and every supplement that you want to buy. However, you should always make sure that the fat flush diet supplement that you are interested in does not contain any harmful ingredients.

domain: health


Noida authority mulling plan to build underpass at Kisan Chowk
The intersection is congested throughout the day and the condition worsens during the peak hour. Motorists, particularly office goers, from Ghaziabad, Hapur, Greater Noida and Noida, among other areas, use this traffic intersection daily.noida Updated: Feb 15, 2018 22:52 IST
The Greater Noida authority on Thursday said it is mulling over a proposal to construct an underpass at Kisan Chowk to provide a seamless commute to thousands of commuters and ease jams.
Kisan Chowk is the biggest and busiest traffic intersection in Greater Noida west. It witnesses a large volume of traffic daily. It is located at the Noida-Greater Noida border and there is a high volume of traffic from all four sides.
The intersection is congested throughout the day and the condition worsens during the peak hour. Motorists, particularly office goers, from Ghaziabad, Hapur, Greater Noida and Noida, among other areas, use this traffic intersection daily.
Residents of Sector 1 have also been demanding an underpass at this junction to ease congestion.
“We are likely to hire a transport planner for conducting a study and suggest ways to decongest congestion-ridden intersections, including Kisan Chowk. We hope to select a transport planner next month,” Debasish Panda, the chief executive officer of the Greater Noida authority, said.
The Kisan Chowk is surrounded by dozens of newly built group housing apartment complexes and residents of these buildings said the intersection needs to be revamped at the earliest.
“As of now, only 30,000-40,000 families have been shifted to sectors 1 and 16 in Greater Noida west. However, as around 3 lakh apartments are to be occupied in the next three to four years, traffic volume at this intersection will increase exponentially. Also, Crossings Republik, a hub of apartment complexes, is located nearby, adding to jams at Kisan Chowk. We have been demanding an underpass at this busy intersection,” Kunal Sidana, a resident of Panchsheel Apartment in Greater Noida, who has his office in Noida, said.
The Greater Noida authority in 2014 had widened the slip roads to ease jams at Kisan Chowk.
“Widening of slip roads had provided some relief but during the peak hour, motorists face long snarls. At times, it takes more than half an hour to cross this intersection,” Vivek Jain, a resident of Sector 1, said.
Some residents had written to UP chief minister Yogi Adityanath demanding an underpass at Kisan Chowk.
“The CM’s office sought a reply from the Greater Noida authority following the residents’ demand. We replied that the authority is mulling over a proposal to build an underpass,” a Greater Noida authority official said.
First Published: Feb 15, 2018 22:52 IST


text: I picked this up at an auction. It was listed as possibly India manufacture which I knew right away to be incorrect. The lock is engraved Dublin Castle and the crown and GR are engraved also. The barrel is 58 caliber and has the proof marks shown that I haven't been able to identify. The pistol has a martial look but I can't find anything like it. I am guessing original parts used to make and restock a pistol or a reworked martial pistol. In any case the lock is quality and throws a shower of sparks and the barrel bore is clean so it will make a great shooter in the worst case. Any help is appreciated.


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A collection of news and information related to Tim Hardaway published by this site and its partners.
Displaying items 1-12 of 75 » View dailyamerican.com items only1 2 3 4 5 6 7 Next >
For RedEyeAs a basketball team, the Miami Heat are a sight to behold. They pass. They dunk. They defend. And they have the best player in the world. What's not to like? Everything else about the franchise, though, can get under your skin. And women who flip off...
South Florida Sun SentinelThe Miami Heat are back in the fight, landing blows both physical and demoralizing Wednesday night against the Chicago Bulls. In a game filled with technical fouls, trash talk, shoving and eventually the fourth-quarter ejections of the Bulls' Joakim...
South Florida Sun SentinelWhen/Where: 3:30 p.m., BMO Harris Bradley Center, Milwaukee. TV: ABC. Radio: 790-AM, 760-AM, 98.3-FM (Spanish). Scouting report: The Heat lead the best-of-seven opening-round NBA playoff series 3-0 after Thursday's 104-91 victory in Milwaukee...
Big Threes these days come with Hall of Fame expectations. It probably will be the case for LeBron James, Dwyane Wade and Chris Bosh. It almost assuredly will be the case for Ray Allen, Kevin Garnett and Paul Pierce. And depending on the...
The Basketball Hall of Fame's finalists for the 2013 class have strong California connections with two-thirds of Golden State's Run TMC -- Tim Hardaway and Mitch Richmond -- joining Oakland native and former Laker Gary Payton as well as former Long...
There was a time when midseason mayhem was the Miami Heat's approach to February. No sooner did Pat Riley arrive in 1995, than he turned his roster upside down at his first NBA trading deadline with the team, on Feb. 22, 1996 maneuvering 11...
What do you get someone who, with six NBA championships, five most valuable player awards, 14 All-Star selections, 10 scoring titles and multiple millions of dollars, seemingly has it all? Well, in the case of Michael Jordan's 50th birthday, memories...
It used to be that this is where prospects were unearthed, careers salvaged. Bruce Bowen. Udonis Haslem. Anthony Carter. Joel Anthony. For years, it had been an immense source of pride for Pat Riley and those on his Miami Heat staff. ...
Tim Hardaway Jr. scored 23 points before he left late in the game after he was kneed in the head, and No. 4 Michigan beat Kansas State 71-57 on Friday night to win the NIT Season Tipoff. Glenn Robinson III had 12 rebounds, and Trey Burke and Jon...
Dan Majerle laughed when the fact was pointed out to him, because it meant the Miami Heat not only have gotten on in years, but so has he. "Wow, time flies," he said from his office at the US Airways Center in Phoenix. "I can't be that old. Twenty-...
INDIANAPOLIS - Miami's Big Two was more than enough to finish off the Indiana Pacers. Dwyane Wade and LeBron James turned around a season on the brink with perhaps the most remarkable week of their high-powered partnership, capped off by a 105-93...
Lakers NowMagic Johnson's 1992 NBA All-Star appearance a defining moment...
May 9, 2013 |Story| RedEye
May 8, 2013 |Story| South Florida Sun-Sentinel
Apr 27, 2013 |Story| South Florida Sun-Sentinel
Feb 24, 2013 |Column| South Florida Sun-Sentinel
Feb 15, 2013 |Story| Los Angeles Times
Feb 16, 2013 |Column| South Florida Sun-Sentinel
Feb 16, 2013 |Story| Chicago Tribune
Jan 12, 2013 |Column| South Florida Sun-Sentinel
Nov 23, 2012 |Story| KWCH
Oct 20, 2012 |Column| South Florida Sun-Sentinel
May 25, 2012 |Story| Aberdeen News
Feb 26, 2012 | Los Angeles Times
Original site for Tim Hardaway topic gallery.


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October is the month of the Holy Rosary and Catholics all over the world celebrate this in various forms. At the University of San Carlos Senior High School–South Campus, Art and Design students have been holding an annual art exhibit in honor of the Blessed Mother.
Each year in October, talented students from Grades 11 and 12 join the world in observing the Month of the Holy Rosary by creating paintings that capture the many images of the Virgin Mary and sending messages of prayer and peace. This annual tradition is done in collaboration with their Religious Education classes.
This year, the exhibit will be open to the public from October 20–31, 2021 at the Upper Ground Floor City Wing Bridgeway, SM Seaside City Cebu. The exhibit will showcase Marian paintings in oil, acrylic, watercolor, and mixed media. Admission to the exhibit is free.
A simple program and blessing will launch the event tomorrow, October 20th, Wednesday, at 3 p.m. that will be attended by the University administrators, faculty, parents, and artist-students. Ribbon-cutting will be officiated by USC President Fr. Narciso A. Cellan, SVD, D.Comm., Vice President for Academic Affairs Fr. Jesuraj Anthoniappen, SVD, Ph.D., BED Director Fr. Alfonso Araceli, SVD, M.L.I.S., and the SHS South Principal Joanne Marisse Tan, D.A.
This will be the first time for this batch of students to exhibit their works in public. Despite the limitations of online learning, these student artists were able to produce outstanding art works. Students, teachers and parents alike are very excited over the public’s reception of the art works especially that a huge amount of preparation and effort was poured into making this event a success.
Interested media outlets who wish to cover the event may coordinate with Marie S. Tabotabo.
by Joanne Marisse Tan, D.A.


I knew a guy who loved sports movies. Loved ’em. Watched every single one up to and including the “Kickboxer” series. He loved the moment when the hero, victorious on the baseball field or the basketball court or the hockey rink, would look up into the crowd and find his ladylove, who was just cheering her little heart out for him. Because that’s where women belonged in those movies. Up in the stands, an audience for their partner’s accomplishments.
That’s usually when the movie fell apart for me. I wanted to be the second baseman, not the girlfriend. I wanted to be the left wing who knocks in a killer assist to the center right before the buzzer.
Let the hero have his moment, but let me be part of the victory, not an accessory for it.
People talk a lot about equality for women in the workplace and in society. I agree with everybody who says equal pay for equal work should be just that. I agree with most people who talk to me about the importance of the ERA. And I wait in vain for somebody to step up and publicly bitch-slap every single sitcom writer on the face of the planet.
Are there more pressing issues in the field of women’s rights right now than the absolute abomination that is “According to Jim?” Hell yes. But in a climate where women’s groups regularly take various media outlets to task for portraying all women as thin goddesses of beauty, I would like just once to hear somebody take ABC to task for portraying all women as nagging housewives who married morons and then blame the morons for that fact.
No wonder my single friends talk about marriage as if it’s death. Death would be preferable to a life of complaining about the fact that your may-unn wants to go play poker with his friends and dammit, you want him to stay home and edge the new curtains you bought!
It astounds me that The West Wing, a show that portrays women as strong characters, flawed and funny and klutzy and gorgeous and unafraid, is called sexist because its male characters occasionally make sexist jokes and are immediately slapped down for it by their much-smarter colleagues. Meanwhile, over on every major network’s “comedy” lineup, a hilarious gag about how Jim didn’t buy Cheryl jewelry, and now she’s mad!
You know how those women are, any little problem they might have can be solved right away with a present, because it’s never about legitimate feelings or arguments or differences, it’s about bribes.
I blame the jewelry industry for this, too, so don’t worry, TV people. You’re not alone.
And men, where are you with me on this? Do you truly enjoy being portrayed, by and large, as socially retarded oafs who need to be told what to do by some screaming harpy? Do you like being told, night after night on just about every channel, that not only can you not think for yourself, but that when you do, the person who promised to love, honor and cherish you thinks anything you might care about (which judging from the televison is the television, a Barcalounger and some beer) is trivial?
Maybe it provides for some cheap commiseration with your friends, but damn, does it make you sound like a big honkin’ doofus. I’ve got zero patience for my female friends who complain about their stupid husbands, and the same goes for my male friends who bitch about their wives. A, don’t involve me in your marriage at all. B, you married him or her, so don’t come to me now and complain.
What really makes me crazy is that women aid, abet and generally buy into this whole crock. Did anybody besides me watch the bullshit film version of “Divine Secrets of the Ya-Ya Sisterhood?” Anybody besides me sit through interminable cable viewings of the craptastic “Steel Manolias?” (Insomnia sucks.) Okay, then you know what I’m talking about:
The pervasive idea that if you do not have four female friends to whom you are closer than to your own husband (who’s a big ignorant goofus who doesn’t know anything), you are inadequate as a true woman.
I mean, Jaysus. My friend with the sports movies? Best friend ever. Can talk about work, which is where I spend 70 percent of my life. I love my female friends, but they just don’t fill my every need. We hardly ever talk about work, and still less about why we love our jobs and what’s important to us about them. My guy friends could care less if I didn’t put on makeup and I don’t have to watch my language and they’ll watch football with me and talk about how many days until pitchers and catchers report to camp and they’ll tease me and remind me of my dearly-missed brother and cousins. They’ll drink beer with me, not fruity things in martini glasses that I feel inadequate about because I don’t know the names of them.
But more than that, what makes my skin crawl about these girl-bonding movies is that I really like my husband. Watching “Steel Magnolias” made me feel I was somehow deficient in not treating the man I married as basically a pet for sex. Like I was fraternizing with the enemy for actually liking the dude and wanting to stay up half the night talking with him.
I admit, we have those sitcom moments where I get my way about the furniture because I just do. I nag him to take the garbage out and he teases me about exactly how many pairs of black shoes a girl really needs. But I want to feel we have these moments because they’re moments in our lives, and not have somebody say to him, when it’s clear I’m annoyed about something, “Ooooh, you’re in trouble with the boss!”
I’m not his boss. I’m barely my boss.
This is why honest portrayals of good male-female relationships always move me. I like the fiesty Andi Wyatt, Maryland congresswoman on The West Wing. I loved Veronica Guerin as played by Cate Blanchett, and her husband who was concerned for her but never overbearingly obnoxious about it. Dana Whitaker in Sports Night telling her boyfriend, “This is my job. It isn’t my hobby,” when he asks her to leave her producing desk early, had me standing up and cheering.
More of that, please, and less of the fights over whose socks got left on the bathroom floor, and who will be withholding sex to teach that slob a lesson.


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The ‘Before Easter After’ Launch at the Morgan Library
Lynn Goldsmith and Patti Smith celebrate the release of their Limited Edition
2019: On Thursday, October 24, Lynn Goldsmith and Patti Smith celebrated the release of Before Easter After at the Morgan Library and Museum in New York.
Some 175 guests attended the private event, which included a conversation between Smith and Goldsmith moderated by the book’s editor Reuel Golden, as well as a special performance by Smith, her daughter Jesse Paris Smith and Lenny Kaye of the Patti Smith Band. Goldsmith and Smith entertained the hometown crowd with great stories, good humor, and moving memories from the making of the book.
Signed by both artists and limited to a total of 1,500 copies, Before Easter After documents a transformative moment in Patti’s career and celebrates two greats whose creative partnership continues to this day.
Available in a signed Collector’s Edition and two Art Editions, each with a signed print.
1 - Patti Smith and Lynn Goldsmith in conversation
2 - Jesse Paris Smith and Patti Smith


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By Cheryl Rodewig, THE BAYONETJuly 24, 2009
FORT BENNING, Ga. - The Donovan Research Library has a new look.
Located near the commissary and the Pins & Daubers Bingo Hall on Marne Road, the library has a more open floor plan, compared with its previous location in Infantry Hall. It also has new books for recreational reading.
People will be surprised, said Ericka Loze-Hudson, the library director. The library is airy and open with a wider variety of books and more space for reading or group studies.
Loze-Hudson decided to partner with Sayers Memorial Library on Main Post earlier this year to build a small collection of fiction and nonfiction books, since more families were visiting Donovan in its new location, she said.
Besides the research literature, magazines, war movies and newspapers that were part of the regular collection, the library has added mysteries, romances, how-to books, children's stories, audio books and The New York Times bestsellers.
During the school year, Donovan hosts kids' story times with the Parent to Parent program.
Finding the library would be "right in the heart" of shopping on post was a pleasant surprise, said Rebecca Hodne, who PCSed to Fort Benning two weeks ago. Hodne visited the library Monday with her three daughters, Lauren, Kristen and Carolyn.
"It worked out really well for us. We're actually on our way to the commissary," Hodne said.
"I have three avid readers. My kindergartner was very happy to find a Dr. Seuss book. My fourth-grader was excited to find a book about women who fly. My fifth-grader found one that she liked as well, a book by an author she recognized."
Hodne said she will definitely return to the library, where the staff is helpful and the selection and location are convenient.
Tiffany Alsup, who works at the Java CafAfA, visits the library nearly every day.
"I come here on my lunch breaks and use the computers and the newspapers," she said. "It's quiet. It's relaxing, and if you want to just sit and read a book, you've got a lot of area. It's huge. You can come in here and just take time to breathe."
In its new location, the library averages more than 300 visitors per day, including students, civilians who work nearby and family members, Loze-Hudson said.
Donovan's success will be acknowledged Friday at the Fort Benning quarterly recognition of excellence breakfast where the staff will receive the Team of Excellence Award.
The Team of Excellence Award focuses on a specific process that the single organization has improved upon, said Janie Pearson, program manager for the excellence breakfast.
For the library, that process was the move from Infantry Hall to their swing space on Marne Road.
The move allowed staff to update and organize the permanent and circulating collections and expand their services with Fort Benning families in mind, Loze-Hudson said. The material is also more accessible since it is all located on one floor.
"It's indescribable until you come and see," she said. "Libraries are for everybody. We want everybody to come in."
The library is expected to be in their temporary location at the old PX, Building 9230, for the next two years.
To search the library's collection online visit https://www.infantry.army.mil/donovan. Library hours of operation are Monday through Thursday from 8 a.m. to 6 p.m. and Friday from 8 a.m. to 5 p.m.
For more information, call 706-545-5661 or e-mail the library's reference desk at DonovanRefDesk@conus.army.mil.


The Alcubierre drive or Alcubierre warp drive is an idea for a faster-than-light travel engine. The Mexican theoretical physicist Miguel Alcubierre created this idea using Albert Einstein's field equations in general relativity. The main principle of this idea is by creating an energy-density field lower than that of a vacuum (that is, negative mass) to make the space in front of the ship contract and the space behind the ship expand. In theory, this would create a bubble in space-time around the craft, allowing it to stay still while the space around it moves. This would effectively avoid breaking Einstein's rule that no object in our universe may go as fast or faster than the speed of light, while still allowing an object to go to another very distant part of space much faster than light.


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Tips for snacking like our ancestors
The Paleo lifestyle is based on the foods that would have been available to our ancestors, before around 10,000 BCE. By removing processed foods, it aims to provide a diet that is balanced and suited to our native gut biome.
Eating Paleo can be exciting and vitalizing, and many dieters report increased energy after maintaining the diet for an extended period of time.
The snack conundrum
With vegetables and organic meats taking center stage in most dishes, it's not too complicated to eat Paleo at mealtime. But what about in between?
In this blog, you'll get ideas for healthy Paleo-approved snacks that will vanquish inter-meal cravings and give you wonderful, natural energy throughout the day so that you can keep enjoying the benefits of paleo.
Paleo snacking basics
Good Paleo snacks will have a balance of macronutrients: protein, carbohydrates, and healthy fats. Each gives the body something unique that it needs.
But finding a macro balance in snack foods can be difficult, which is why we've provided plenty of recipe ideas from a variety of sources to jumpstart your Paleo journey.
Fresh fruit, nature's snack
In the age of Paleolithic humans, most people would have lived in and around plant life that produced fruit. Walking around the glade, they could simply pluck berries, citrus, melons, and more from the abundant vine.
Nowadays, most of us get our fruit from the grocery store, but that doesn't make fruit any less of a wonder snack. For the simplest Paleo snacks, fresh fruit is always a great option.
Unfortunately for those who are trying to balance a paleo lifestyle with what is keto diet friendly, many fruits are off-limits in the keto diet and in any other low-carb diet due to their natural sugars.
In the spirit of Paleo, opt for organic and even wild-harvested whenever you can.
An apple, a banana, or a handful of berries is a great Paleo snack. Top with your favorite nut butter (like cashew butter or almond butter) to give it more nutritional substance.
Easy prep snacks
Maybe you're needing something a little more filling and nutritionally rounded than fruit alone. For the next level in Paleo snacks, here are some simple and delicious combinations.
Almonds are an incredible food. They can become almond butter, almond flour, or almond milk. But they're wonderful all on their lonesome.
Toss your almonds in spices and herbs, like paprika, onion powder, and dried chives, for instantly snackable concoctions. Use other nuts and seeds and experiment to find the combination that speaks to you.
This recipe from Food Faith Fitness distills the beautiful simplicity of a hard-boiled egg snack.
Cook the eggs whenever you have time, and they save easily in the fridge. Make an easy mix of spices, dip the eggs, and enjoy. With protein and fat, hard-boiled eggs are a fantastic Paleo snack.
Our Cauli Mac and Cheese is the awesome delight you need, check it out:
Tender chicken breast strips and sous-vide vegetables paired with a soy-free teriyaki sauce made with coconut aminos, ginger, and garlic.
Cauli Mac & Cheese
Avocados, full of healthy fats and other nutrients, can be a powerful part of your Paleo lifestyle. For a hearty snack, stuff a halved avocado with egg salad.
An easy way to combine ingredients with satisfying results!
Coconut yogurt parfait
Dairy yogurt is forbidden on a Paleo lifestyle, but coconut's versatility provides a solution.
Use unsweetened coconut yogurt, dense in calories and nutrients, and alternate with layers of fresh fruit and seeds (like chia seeds). Top with maple syrup for a sweet and nutritious snack.
Easy Tandoori Cauliflower Bites
This classic Kevin's recipe makes a perfect quick appetizer or between-meal snack. All you need is an oven or Air Fryer. Marinated in a Kevin's sauce, these cauliflower bites have a lovely mellow spice and are paired perfectly with a Paleo-dip made with coconut yogurt and herbs.
Settle into snacktime
Snacking on Paleo doesn't have to be a headache. With these essential Paleo snacks and their many possible variations, you'll be ready to take the Paleo leap with confidence. Eating clean and healthy was never more delicious.
Tender steak tips paired with a sweet and spicy Bulgogi-style sauce made with coconut aminos, garlic, and toasted sesame seeds. Made with 100% pasture-raised, grass-fed and grass-finished beef.
Korean BBQ-Style Steak Tips
Bring the mouth-watering genius of Korean BBQ into your home with this entree. Grass-fed beef is perfectly sous-vide for a tender bite; combine with our coconut amino based Bulgogi-style sauce to dazzle guests and family with a dish they can’t get enough of.

domain: food


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Some athletes also take in a kind of anabolic steroids called anabolic steroids because of their muscle building and weight gain functions, not unlike the way most human beings use the hormones that we call "synthetic" steroids.But while athletes take in anabolic steroids, doctors do not think these drugs are safe and are not recommended as an alternative to human muscle builders, anabolic steroids trade names. They believe if we stop using these drugs, there will be not only an athlete problem but also mental health problems as people with the "sugar pill" syndrome can develop problems.To put it simply, many athletes do not like to take the human growth hormone injections, anabolic steroids that don't cause gynecomastia. But the bottom line is that if they want to grow, they will have to use these drugs. Some athletes just cannot get it and can't handle the long term side effects, whereas others might not want to deal with the long term side effects anyway.But the difference is that most of the "sugar pill syndrome" victims have had their performance taken out of the equation for a while with no problems whatsoever, anabolic steroids to get ripped.But there are many athletes who want to continue the performance of the drugs and need the help, anabolic steroids to gain weight. These people are so desperate that they need to have access to prescription steroids.Doctors want that access because they know the best way the drug will help them in performance, anabolic steroids transformation. Doctors also know that many of the pills are only half as strong as natural steroid drugs, however, for some reasons, manufacturers try to include more and more steroids instead of less expensive ones.In order for there to be a chance at avoiding a drug addiction from natural steroid drugs, doctors will want the athletes themselves to start taking these new stronger steroid drugs, weight steroids anabolic gain to. However, to avoid having some big side effects from the stronger drugs, the athletes should use the weaker ones.
Oxandrolone dosage for weight gain
Anavar , likewise called oxandrolone , is an oral AAS that was first established in 1964 to help promote muscle re-growth which trigger weight reduction. More recently, it has been widely used to treat male pattern baldness , though its use in women remains controversial. Anavar is administered orally either as a capsule or a powder, oxandrolone usage.Anavar is a non-steroidal anti-inflammatory drug (NSAID) first introduced as a nasal spray in 1997 and a steroidal and anabolic steroid in 2007 in a prescription application, anabolic steroids to build muscle. It is an oral analgesic that stimulates pain control by blocking the activation of cannabinoid receptors, dosage for gain weight oxandrolone. Anavar is also used to control hypertension and hyperlipidemia, and can help with pain management in patients who are obese or with other metabolic dysfunctions that can make it difficult to tolerate AAS, as well as improving appetite. The effect on appetite is attributed to the suppression of the hypothalamic-pituitary-adrenal axis, which can lead to a decrease in appetite, especially from a higher dose.Anavar has been available in many formulations and formulations have varying degrees of safety characteristics. Most recently, it has become a prescription drug because of the lack of medical indication for its use, and the FDA has announced a regulatory review, anabolic steroids treatment. The FDA has granted Anavar patent rights for the product until January 2022.For over seven years, Anavar was marketed by Ciba-Geigy under the trademark OxyContin and the generic name Anavar. The company was subsequently formed as a joint venture between Eli Lilly and the pharmaceutical giant to formulate and market an alternative formulation of OxyContin that was closer in design to OxyContin but did not resemble the traditional brand name analgesic. In 2006, the product was renamed "Anavar" and marketed under the name OxyContin Express, oxandrolone dosage for weight gain.Ciba-Geigy launched its Anavar product for sale on June 9, 2007 and the market introduction took place in September of that year, anabolic steroids that start with m. Since 2011, OxyContin Express is in limited distribution by the generic drug manufacturers.Anavar is a non-steroidal anticonvulsant (NSAID) available as an oral medicine, or capsule, and a powder, glonavar dosage. It functions to increase production of nitric oxide which is involved in the body's anti-inflammatory response to injury in various organs, including the brain, spinal cord, joints, and the cardiovascular system, glonavar dosage. Anavar also stimulates the production of prostaglandins, which can aid in the healing of burns and fractures and the prevention of certain types of tumors.


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- At The Lake Quilt Pattern
At The Lake Quilt Pattern
At The Lake Quilt Pattern. Blend of traditional piecing and applique. Wool was used for all applique pieces; but, would look great using cotton fabric. Quilt measures approximately 42" x 42" when completed. Great wall hanging for that cabin by the lake!


Austin String / Observer
Spartans return four All-UAA members from 4-4, 3rd place conference finish in 2012
Over the past two seasons, the Case Western Reserve University baseball team has consistently outperformed and established the Spartans as a top-notch Division III program. Heading into 2013, the veteran-laden team is aiming for a University Athletic Association Championship and a return trip to the NCAA Tournament.
The Spartans finished the 2012 campaign with a 27-16-1 overall record – the second-highest win total in school history. A season earlier, Case won a school-record 33 games and placed third at the NCAA Midwest Regional. With many key pieces returning to the team, including 20 letter winners and 10 starters, seventh-year head coach Matt Englander is excited about the upcoming season.
“We feel pretty good about the group that we have,” said head coach Englander. “It’s a talented group on the field, but it’s a group that is willing to both lead and also be good teammates. That is crucial to having success over the course of a long season. These guys know what it takes to win important games against good teams, and they have been a part of those games, they haven’t just watched. So, the meaningful experience is there.”
The Spartan’s starting five will be led by two top-notch left-handers in Jamie Hora and Jarrett Gish. A two-year captain, Hora appeared in 12 games with 11 starts as the team ace. The senior “southpaw” posted a perfect 8-0 record along with a 4.16 earned run average, 51 strikeouts, and one complete game over 62.2 innings of work. His eight victories tied for the most in a season in Case history. Over the past three seasons, Hora has accumulated an impressive track record of 18-5 with a 4.47 ERA, 10 complete games and 120 strikeouts in 177.1 innings pitched. The lefty enters his last season three wins shy of tying a Case record of 21 career wins. Hora is also a second-team member of the 2012 All-UAA squad.
Complimenting Hora at the top of the rotation will be fellow senior Jarret Gish. Gish returned from shoulder surgery that forced him to miss the entire 2011 season to turn in a breakout performance in 2012. The lefty pitched 12 games and logged a 6-2 record with 3.78 ERA, 59 strikeouts, and two complete games through 69 innings of work. Gish led the team in innings pitched and strikeouts while pacing the starting rotation in ERA.
Accompanying Hora and Gish is sophomore righty Kevin Johnstone, who will replace the injured, fellow sophomore Edward Abramson. During his rookie season, Johnstone played in 11 games with only one start. The righty struck out 18 in 27 innings of work and posted a 1-3 record. A major performance came against the nationally-ranked DePauw University where he pitched 8.2 innings without surrendering an earned run.
Four starters return in the infield for the Spartans led by three-time All-UAA first baseman Bret Ossola. The senior tied for the team lead in batting average (.329) including two homeruns, 26 runs batted in, eight doubles, 14 walks and four stolen bases. Ossola has been as consistent as they come; the first baseman started in all 92 games during the past two seasons and is a career .333 batter with six homers, 110 RBIs and 32 doubles in his 162 games for the Spartans.
The Spartans are also returning a dynamic double-play duo in senior shortstop Matt Keen and junior second baseman Andrew Frey. Keen is another three-time All-UAA selection and in 2012, he batted .292 with the team bests of 38 runs scored and nine stolen bases. The shortstop also had a pair of homers with three triples, nine doubles, and 24 RBIs. Throughout his Spartan career, Keen has started in all 134 games with a career .357 average, 38 doubles, nine triples, 10 homeruns, 102 RBIs, and 33 steals. Currently Keen is ranked second in school history in both triples and runs as well as third in hits. Entering 2013, he needs six runs and one triple to tie those records.
Andrew Frey will be taking over second base from graduated Bobby Marko. In 38 games played – splitting time between second and third last season, Frey batted .319 with six doubles, 13 RBIs, 18 walks, and 15 runs scored. Rounding out the returning starters is third baseman Andrew Gronski. As a freshman last year, he played in 40 games while batting .311 with three homeruns, five doubles, two triples, 17 RBIs and 29 runs scored. Gronski’s 23 walks were also the most on the team.
Sophomore Robert Winemiller will see time at backstop. Last season, he saw action in a combined 17 games at catcher and reliever.
The remaining infielders include sophomore utility man William Meadoer, sophomore catchers Jordan Swisher and Ethan Pickering.
The Spartans will be bringing back two starters to its outfield. All-UAA centerfielder Paul Pakan, in his first season since transferring to Case, started all 44 games and batted .325 with a UAA-best seven homers. He also led the team with 55 hits and ranked second with 29 RBIs to go with 10 doubles, 34 runs, 14 walks and six stolen bases in six attempts.
Head coach Englander said, “He knows the game so well, it keeps him from going into long slumps. Our team approach on offense is different than what he experienced on previous teams, and he’s figured out what his role need to be here. He’s done really well in centerfield too, and that’s a new position for him. He’s such a great athlete, but he didn’t just rely on his athleticism, he focused on making that position his own.”
Joining Pakan in the outfield includes junior Jordan Dague in right and sophomore Kerrigan Cain in left field. Dague batted .291 with 17 RBIs, six doubles, seven runs, and seven steals over 39 games. Cain, who played 23 games, batted .239 with six RBIs, 10 runs, and five steals.
A new season means many new faces for the Spartans. Transfer sophomore pitcher Sammy Altman, freshman pitcher Neal Krentz, freshman infielder Mike Ilacqua, and freshman outfielder Zach Tobias. Also joining them are pitchers Connor Tagg, Andrew Wood, Lee Penzarella, along with outfielders Mitch Bennett, Marques Winick, and Noah Sherman.
Head coach Englander spoke of the new crops, “we’ve got 30 guys that we really like and really feel can help us win games, and that certainly includes the newcomers. We won’t shy away from utilizing our depth throughout the season.”
The Spartans will begin their season with five games over three days, including double-header on two straight days. The first match is this Friday, Feb. 22, against cross-town rival John Carroll Blue Streaks. Over the weekend, the Spartans will travel to North Carolina to visit Guilford College for four straight games, including a double header on Saturday and Sunday, Feb. 23-24.
“Our goals are pretty simple – win the UAA, win regionals, and then go to the World Series,” said coach Englander. “They are realistic goals, and we know that they won’t come easy because of the tough teams we have on the schedule. But, we’re not going to be afraid of any of them; we’re going to play the best we can to get where we want to be.”


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Covid-19 has affected family businesses in various dimensions but above all it has helped them become aware of the risks that surround them. One of them, the most common in this type of company, is that of an unexpected change. “With the pandemic, people who thought nothing could happen to them have changed their minds and have begun to order things in companies,” says Ricard Agustín, founder of the Family Business Solutions consultancy. “It is a delicate moment but it is serving to bring order within the house.”
One of the tools that help the most when deciding to change, especially when it occurs unexpectedly, is the family protocol. «It puts order to the relations of family, company and property. Many topics are covered and it is easier to take firm steps. Each one knows what their role is and decisions are made for the common good, ”says the consultant. Two of the problems associated with this change is the retirement of entrepreneurs who have dedicated their entire lives to the business. “For them it is difficult to find the moment of retirement and it is necessary to plan ahead, help them to disengage”, highlights Ricard Agustín. On the other hand is professionalization: “Not everything can be done from the family”, Add.
Remember also that for a family business to survive over time “you need a shared vision of the partners and individual perspectives that are accepted.” Sometimes there are disputes and envies on issues such as inheritance but “with a good family protocol these issues are redirected and problems derived from them are avoided,” he clarifies. It is also necessary to learn to work two or more generations together and it is not always easy, “but it is important to help each one find their place», Reflects Agustín. This meeting of generations is a common source of conflict since there has also been a paradigm shift.
89% of Spanish private companies are family-owned, representing a total of just over one million companies. Its weight in economic activity is equivalent to 57.1% of the Gross Value Added of the private sector and generates 67% of the employment of the private sector, equivalent to 6.58 million jobs. These are the latest data available, referring to 2015, prepared by the Family Business Institute where they indicate that problems of continuity and succession begin to appear in the third generation, since the majority of this type of companies are the first and second generations in 45.7% and 44.2% of cases, respectively. The companies that are run by family members of the fourth generation barely represent 2.6% of the total in Spain.
From this body they point out that the effects of the crisis on the activity of family businesses has affected 86% of businessess and in 42% of the cases the fall has been higher than 60% or activity stoppage. However, “almost half of them have managed to reduce the fall in employment below 20%.”
In this asymmetric crisis, which is affecting companies very differently according to sectors, the characteristic resilience of family businesses must be highlighted. “They are thinking about how to get out there, innovate, overcome and defend their employees’ jobs. It is very commendable that in some cases they are putting their assets at stake, ”says Ricard Agustín. They have been able to adapt quickly to changes, including teleworking. “We are talking about companies in which, due to family ties, they are very close to contact and have started to carry out family councils by electronic means”, recalls the consultant.
The world of the family business has also reached the universities. For two years, the Public University of Navarra (UPNA) has had a chair of family business and they teach their own degree. This course has 26 students. “They are formed in the singularities of this type of company and in all those aspects that must be taken into account when working in them, such as generational change”, indicates Beatriz Rodríguez, director of the chair. In the specific case of Navarra, family businesses represent 80% of the total and generally 50% of private employment.
“It is important to give these companies more visibility. You must know how to manage them according to their particularities. They are often talked about because of the problems that arise among family members but they have many strengths. It is a common family project and we must exploit the good by managing difficulties well, ”says Rodríguez. Among these strengths, he points out the fact that they are deeply rooted in the land, which makes their sale difficult, and a good financial situation, because they tend to ask for fewer loans and better resist crises. And among the challenges facing these companies, highlights “longevity and that they can continue to grow in the second generation.”

domain: finance


Originally Posted by thisisbenji
The gas mileage was so much better than the Focus.
According to Edmunds:
1995 Honda Civic sedan curb weight: 2313 lbs.
2013 Ford Focus sedan curb weight: 2907 lbs.
The '13 Fiesta is closer in weight and size to the '95 Civic than either the '13 Focus or the '13 Civic. Probably would get you similar fuel economy, too. Newtonian physics still rule the day.


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Obstructive sleep apnoea / hypopnoea syndrome -NICE guidance summary
OSAHS is a condition in which the upper airway is narrowed or closes during sleep when muscles relax, causing under breathing ( hypopnoea ) or stopping breathing ( apnoea ) .
When to suspect OSAHS – if they have 2 or more of the following features snores witnessed apnoeas unrefreshing sleep waking headaches unexplained excessive sleepiness , tiredness or fatigue nocturia clocking during sleep sleep fragmentation or insomnia cognitive dysfunction or memory impairment
Risk of OSAHS increases in people with obesity obesity or overweight in pregnancy treatment resistant hypertension type 2 diabetes cardiac arrhythmia – particularly AF stroke ot TIA chronic heart failure moderate or severe asthma polycystic ovary syndrome Down’s syndrome non- arterial anterior ischaemic optic neuropathy – sudden loss of vision in 1 eye due to decreased blood flow to the optic nerve hypothyroidism acromegaly
Assessment scales -Use Epworth Sleepiness Scale for initial assessment Consider using the SOP – Bang as well as the the ESS Do not use the Epworth Sleepiness Scale alone to determine if referral is needed as not all people with OSAHS have excessive sleepiness
Referral letter – result of assessment scores how does sleepiness affect the person comorbidities occupational risks oxygen saturation and blood gas if available
Guidance for rapid assessment by the sleep clinic -they have a vocational driving job job for which vigilance is critical for safety have unstable cardiovascular disease as poorly controlled arrhythmia , nocturnal angina or treatment resistant hypertension they are pregnant undergoing post-operative assessment for major surgery have non- arteritic anterior ischaemic optic neuropathy
Lifestyle interventions -Fo all severities of OSAHS smoking cessation preventing excessive weight gain address obesity alcohol use disorder
Mild OSAHS -if they have no symptoms or symptoms that do not affect usual day time activities treatment is usually not needed lifestyle changes and sleep habits can help
specialist led care involves offering fixed level continuous positive pressure airway pressure ( CPAP ) mandibular advancement splints positional modifiers – ie encouraging patients not to sleep on their backs surgical interventions as ○ tonsillectomy for people with OSAHS who have large obstructive tonsils and BMI of less than 35 oropharyngeal surgery
Rhinitis management -assess for underlying allergic or vasomotor rhinitis if they c/o nasal congestion if rhinitis diagnosed ○ offer topical nasal corticosteroids or antihistamines for allergic rhinitis OR topical nasal corticosteroid for vasomotor rhinitis refer for persistent rhinitis if ○ symptoms do not improve with initial treatment or ○ anatomical obstruction is suspected for those on CPAP rhinitis can affect tolerance to CPAP- in such cases ○ changing from a nasal to an orofacial mask and adding humidification can help ○ CPAP can worsen or cause rhinitis and nasal congestion.
Obesity hypoventilation syndrome -OHS- combination of obesity ( BMI of 30 or more ) , raised arterial or aterialised capillary carbon dioxide level when awake and breathing abnormalities during sleep which may consist of obstructive apnoeas and hypopnoeas or hypoventilation or a combinatio of both. OHS is a specific form of chronic ventilatory failure.
When to suspect OHS BMI 30 or more with features of OSAHS as described previously features of nocturnal hypoventilation as ○ waking headaches ○ peripheral oedema ○ arterial oxygen saturation less than 94 % on air ○ unexplained polycythemia
Assessment scales -use ESS not all people with OHS will have excessive sleepiness- do not use ESS alone to determine if a referral is needed
Information to be included in the referral letter -sleepiness score how does sleepiness affect the person BMI comorbidities occupational risk oxygen level and blood gas if available previous h/o emergency admissions and acute non invasive ventilation.
COPD –OSAHS overlap syndrome -Occurs in people who have both COPD and obstructive sleep apnoea / hypopnoea syndrome. Combined effect of these conditions on ventilatory load , gas exchange , comorbidities and QoL is greater than either condition alone.
In those with confirmed COPD & features of OSAHS features of nocturnal hypoventilation.
use ESS consider using the STOP- bang questionnaire as well as the EPS not all people with COPD- OSAHS will have excessive sleepiness- do not use EPS alone to determine if a referral is needed offer spirometry to assess the severity of COPD
Information in the letter -use ESS consider using the STOP- bang questionnaire as well as the EPS not all people with COPD- OSAHS will have excessive sleepiness- do not use EPS alone to determine if a referral is needed offer spirometry to assess the severity of COPD.
lifestyle advice CPAP Non invasive ventilation Supplemental oxygen therapy Rhinitis – as described for OSAHS
Patient must inform DVLA if they have confirmed moderate or severe obstructive sleep apnoea syndrome ( OSAS ) with excessive sleepiness either narcolepsy or cataplexy or both any other sleep condition that has caused excessive sleepiness for at least 3 months- including suspected or confirmed mild OSAS.
- obstructive sleep apnoea / hypopnoe syndrome and obesity hypoventilation syndrome in over 16s NICE Guideline 202 August 2021 Overview | Obstructive sleep apnoea/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s | Guidance | NICE
- Sleep Apnoea Trust NICE – The Sleep Apnoea Trust Association (sleep-apnoea-trust.org)


Subject: I have found a CD that I think you would enjoy
|Shostakovich, Tchaikovsky, BBC Philharmonic|
Symphony #13 in B Flat Op 113 "Babi Yar"
Listen to Samples
A unique "Babi Yar"
Santa Fe Listener | Santa Fe, NM USA | 09/17/2005
(5 out of 5 stars)
"This live performance form the Proms of the Shostakovich Sym. 13 is one of a kind, and very fine. Sinaisky conducts the symphony without refinement, as a gritty anti-Stalinist cry. The chorus is a bit recessed, but that's a small matter. The spirit of the piece seems totally galvanized here, and using a lighter bass-baritone, Sergei Leiferkus, in place of the usual rich Russian basso pays off. Leiferkus has a gritty, gargly voice that delivers the satire and rage of the poetry with great directness. This goes to the top of my list for this piece, the greatest protest symphony of the century"