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Sahara Force India is pleased to announce the extension of its partnership with communications firm STL for a further three years. The agreement marks the continuation of a long-term relationship that has been in place for over ten years.
With a long track record of working with Sahara Force India, STL understands the communication requirements needed for the demanding word of Formula One. Their support includes voice and data communications services, such as the Samsung OfficeServ telephone system installed at the team headquarters in Silverstone and on-location at Grand Prix circuits around the world.
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Brendon Cross, Managing Director of STL Communications: "We have supplied communication solutions to the team for over a decade now and are delighted to be continuing our relationship with Sahara Force India. As the team's supplier of voice and data communications, STL has a thorough understanding of the requirements needed to support a successful Formula One team at race venues across the world from the factory at Silverstone. The continuing collaboration between STL and Sahara Force India demonstrates an important synergy between two organisations who share the drive for success through technology, innovation and teamwork."
About STL
STL was established in 1995 by Brendon Cross and has grown to become one of the UK's leading providers of telephony solutions. Our long-term partnerships with the world's leading equipment suppliers, means STL offers the very best in systems, network services and mobility. STL is recognised as a pioneer in innovative communication solutions such as GreenMinutes, Online Billing and OneBill.
STL boasts an impressive range of UK based clients including airports, schools, health centres, retail chains, business centres, legal and accountancy organisations, large corporations, local government and Formula One racing teams. This association with a host of world-class customers helps STL innovate communication solutions for the small, medium and large organisations that make up its client portfolio.
About Sahara Force India Formula One Team
Sahara Force India Formula One Team is currently in its fourth year of competition in the FIA Formula One World Championship. The team was born in 2008 when Dr. Vijay Mallya, Chairman of India's iconic UB Group and Kingfisher Airlines, launched the first-ever Indian Formula One team, introducing a whole new era for Indian motorsport. The team incorporates the colours of the Indian flag and is a sporting representation of the emerging generation of young, aspirational, fast-paced global Indians and the growing strength of India as a nation. In 2011 a historic partnership was agreed as Sahara India Pariwar became co-owners of the Silverstone-based team.


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Dr. Thomas Wright, Dr. Warner Huh, and Professor Suzanne Garland will have a wide-ranging discussion about HPV primary screening, both in the United States, as well as globally. They will also discuss HPV vaccination and how vaccination is going to impact future screening efforts, both in the United States and in Australia.
HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy
HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy
HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy
HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy
HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy
This is CME on ReachMD. This activity, HPV Summit: Global Progress Towards Primary HPV Screening and its Impact on US Cervical Cancer Screening Policy, is provided by Omnia Education and supported by an independent medical educational grant from Roche Diagnostics.
The experts of this discussion are: Dr. Thomas C. Wright, Jr., Professor Suzanne Garland, and Dr. Warner K. Huh.
Prior to beginning the activity, please be sure to review the faculty and commercial support disclosure statements as well as the learning objectives. Here is Dr. Thomas Wright.
Dr. Wright:
This is CME on ReachMD and I'm Dr. Thomas Wright. Today I'm speaking with Professor Suzanne Garland and Dr. Warner Huh. Welcome to the program, Professor Garland.
Professor Garland:
Thank you. Delighted to be here.
Dr. Wright:
And Dr. Huh?
Dr. Huh:
Thank you for having me, Dr. Wright. It's truly a pleasure.
Today we will have a wide-ranging conversation covering may different topics. We'll first talk about primary HPV screening, both in the United States as well as in Australia, and we'll have a conversation about the global impact. This conservation will also include age to start HPV primary screening, the interval of that screening, how to best incorporate genotyping into HPV primary screening, and lastly barriers to adoption both in the United States and globally. We also will address the potential impact of HPV vaccination on screening, and briefly touch upon the status of HPV vaccination in the United States, and also address how vaccination may impact our future screening efforts.
Dr. Wright:
The first question that I have for you, Dr. Huh, is that the U.S. screening guidelines have become so complicated recently, and I hear routinely from doctors, would HPV primary screening make it easier for them?
Dr. Huh:
Yes, that's a really good question, Dr. Wright, and you're right, it is confusing. And for the listeners, there are 3 screening options. We have Pap or cytology starting at 21, every 3 years. Or we have what's known as cotesting which is Pap plus cytology, starting at 30, every 5 years. And now we have HPV by itself starting at 25 years of age and that's every 3 years. So, how does one, as a provider or clinician, try to figure out how to screen? So, to answer your question, I do think it's going to get easier and actually kind of hot-off-the-presses, the United States Preventative Services Task Force, which sets really many of our screening guidelines in the United States, just today actually, put draft recommendations that really greatly simplify screening, one of which is to, starting at 21 years of age, is to screen every 3 years with cytology, or just with HPV every 5 years. And I think you would agree, Dr. Wright, that's a pretty substantial leap from the current guidelines in that they also don't recommend cotesting.
Dr. Wright:
I agree totally, Warner. And the U.S. Preventative Services Task Force, I think, has taken a real step forward by making cytology or HPV primary screening, which is what most of the world has been doing. The United States is one of the only countries which has been doing cotesting in woman 30 years and older. Professor Garland, in Australia, how are you screening now?
Professor Garland:
Our government brought together an expert group to look at the evidence as to whether we should still be using Pap cytology as primary screening. This was called the Renewal Program. What I can tell you, to date, is that we were to move the primary HPV DNA screening with limited genotyping as from May of this year. However, this unfortunately was moved and we are now moving to this change in December of this year. This is all based on data from the U.S., from Europe, from the many studies where people have looked at the value of HPV DNA versus cytology, and we also looked at cotesting, and our learned group decided against cotesting. So, the plan in Australia is actually to start from 25, instead of 18, and to offer HPV DNA testing with 16 and 18 specifically being genotyped, and only to have reflex HPV if, and this is a rather complicated clinical algorithm which I can share with you, but basically if they are DNA negative on the testing, they go to 5-yearly HPV DNA testing only. If they are 16 or 18 positive, they go straight to colposcopic review. If they have high-risk HPV but not 16/18, then there is a reflex cytology through a liquid-based medium, and then the algorithm from there is dependent on whether it's low grade, in which case they have a repeat HPV DNA testing in 12 months with the same algorithm of care, and if, obviously, they have a high grade, they then again go to colposcopy.
Dr. Wright:
That algorithm, Professor Garland, is quite similar to what we have been using in the United States for HPV primary screening. I think one of the big differences is, in the U.S., we have said that if you are 16 or 18 positive, you don't need cytology.
About age-to-start HPV primary screening, previously in the United States, with the FDA approval, we were at 25 years and older. Do you still feel that's the right age, Dr. Huh?
Dr. Huh:
I think a couple of things that we've learned and one thing that we've learned, and a lot of this is based on the ATHENA trial which is by far the largest cervical cancer screening ever conducted, at least in the U.S. There's no question that when you look at that data, between 25 and 29 years of age, that we're missing cases of CIN 3 in women in that age bracket, if they're being screened with just cytology or Pap alone. But, in addition to that, many of those women who actually had CIN 3 had a completely normal Pap preceding their diagnosis. So, to answer your question simply, yes, I think screening at 25 with primary HPV is completely appropriate and reasonable, at least in the United States.
Dr. Wright:
Professor Garland, a number of European countries, who are adopting HPV primary screening, are doing a longer screening interval than every 5 years. Some are talking about every 7 years. Some are actually extending out to 10 years on their interval after they've had a couple of negative screens. What is the rationale in Australia for your interval?
Professor Garland:
I think we've really very much made a decision about what's safe, looking at the data that is there to date, and yes, we are using a 5-yearly interval, but again, I believe the data will be continually reviewed and modified as is required, particularly as the vaccinated cohort is going to become older and therefore impact on the CIN 3 changes.
Dr. Wright:
Dr. Huh, when we talk about managing HPV-positive women, one of the areas where there's been a lot of discussion is exactly which genotypes we should be most interested in. For the listeners, there are about 14 high-risk HPV genotypes and we currently call out, in the U.S., just 2 of them, 16 and 18. Dr. Huh, do you think we've selected the right ones?
Dr. Huh:
So, yes, you're right. So, our current screening and triage algorithm for primary HPV includes testing for multiple types of HPV. There are 14 high-risk types, but particularly parsing out 16 and 18. Why 16 and 18? Well, I think there are multiple data sets, including the ATHENA trial that demonstrate 16 and 18 are associated with a much higher risk of disease associated with those types. And so, particularly with 16, we get concerned about that because in women who are persistently infected with 16, there's no question that those women are at a lifetime higher risk of developing CIN 3. There's some debate about 18, but what we know is that from some studies, that there's association with adenocarcinomas with type 18. Much, sort of later on, there's higher risk of disease, but in short, Dr. Wright, I think that we have picked 2 right types. I think what will be really interesting is, in due course, is whether we add more types to that to kind of further refine the triage.
Dr. Wright:
I agree with you.
Dr. Huh:
So, Dr. Wright, I'm just kind of curious, since you're a true leader in the area of primary HPV screening, but could you kind of just highlight or explain some of the data that supports the use of primary HPV screening, both in the U.S. and perhaps worldwide?
Dr. Wright:
There is a huge amount of data which clearly support the use of HPV primary screening. The first large trial was from Italy, and it was a randomized trial of a hundred thousand women, and these women were randomized to get either HPV alone or to get cytology alone. And the first finding of the trial was that they detected almost twice as many CIN 3's at baseline in the HPV arm as they did in the cytology arm. Twice as many. That is a huge increase. The second large finding of this trial was that they followed up the patients for up to 6 years. And these women had multiple additional screenings using cytology. At the end of the trial, the cytology arm never caught up with the HPV arm, despite multiple screenings with cytology. HPV always showed increased detection of high-grade disease. The other finding from this randomized clinical trial was that cervical cancer was actually reduced in the HPV arm, compared to the cytology arm. And I think as listeners think about this, it makes sense. If you have CIN 3 lesions, which go undetected, you follow them for 6 years, some of them will progress to an invasive cancer. So HPV actually gave better protection against invasive cancer than did multiple cytology screens. We have additional trials, randomized, controlled clinical trials, high-quality data from the Netherlands, from Sweden, and from the U.K., and they all showed the same result: increased detection of high-grade disease with HPV compared to cytology, and less development of high-grade disease over time in HPV-negative women compared to HPV-positive women.
Dr. Huh:
So, Tom, in light of that, do you want to just briefly comment on what are the relevant studies pertinent to North America or the United States for our listeners?
Dr. Wright:
One of the big reasons, I think, that the U.S. Preventative Services Task Force, prior to today, did not adopt HPV primary screening, was that we had relatively limited data from North America. We had 1 randomized trial from Canada that enrolled 5000 women, and that trial showed that HPV alone had increased detection of high-grade disease, compared to cytology alone. What we got though, in the last several years, is a prospective data coming out of ATHENA. ATHENA enrolled over 40,000 women, and every woman got a gynecological exam, they had an HPV test, they had liquid-based cytology, and women who were positive on either the liquid-based cytology or the HPV test underwent colposcopy. And we found that the sensitivity of HPV, in the ATHENA trial, at baseline, was almost twice that of liquid-based cytology. HPV detected 100% of the CIN 3 lesions at baseline. Cytology detected about 54 or 55% of the high-grade lesions. So, HPV gave a clear advantage to the detection of CIN 3. There also was a 3-year followup component of ATHENA. And what we found during the followup was more high-grade disease was detected in women who were Pap-negative at baseline, compared to women who were HPV-negative at baseline. This means that screening with HPV over a 3-year interval, gives you better protection against developing high-grade disease over the next 3 years, than does a negative cytology.
Dr. Wright:
Dr. Huh, what do you perceive to be the barriers to the introduction of primary HPV screening in the United States?
Dr. Huh:
There are actually several. First and foremost one of the greatest barriers is just education and understanding. I mean, Tom, you know that, you wrote the original interim guidance on cotesting back in 2004 and 2005, and it's taken us well over a decade for people to truly embrace cotesting. And so part of it is education. The other part is that because, until just now, that there was sort of a disparity in screening recommendations. In other words, we wrote an interim guidance paper looking at primary HPV and its pros and cons and values and potential concerns, yet it hadn't been really investigated by the task force. It's challenging for providers to have patients who are on different types of insurances, commercial insurance, governmental insurance, Medicaid, and you want one cohesive sort of plan and policy, one that's consistent so that you can screen people the same way, every single time. And I think that's why the task force draft recommendations today is really important, because it provides us with some of that consistency. I think the third thing is that, you know, I think people are now just starting to embrace cotesting and now we're telling them, "Well, get rid of the Pap." And so, I think that there is some controversy about whether the Pap adds or does not add value above and beyond HPV testing. And so, again, I think it all comes down to education, but first and foremost, I think, going back to your original question to me, providers want, sort of simplification of screening. And the task force guidelines take a massive leap in that direction.
Dr. Wright:
Professor Garland, how have you addressed these barriers now that you're facing imminent introduction of HPV primary screening in Australia?
Professor Garland:
I would concur with Dr. Huh, that yes, education, education, education is really fundamental to the success of this program. And the education really needs to be at all levels. It needs to go to the lay public, to women, to clinicians. And we're only just starting to see the colleges embrace this and take that on. One of the things I say to clinicians is that the Pap test has stood the test of time, but remember, Dr. Papanicolaou described this back in 1928. So, we have a much more sensitive test now and we need to get on and change over to that, particularly with the changes made by the high coverage of vaccination and consequent reduction in Pap abnormalities. Really, the positive predictive value of the Pap cytology falls for the detection of these lesions with the reduction in numbers. Another thing I think that's really important is that we've tried to simplify our clinical algorithm of care with the Renewal Program. So, there was a lot of discussion initially. Should you have a different algorithm for those who are vaccinated and non-vaccinated? The agreement was to have the same program for everyone, and I think that's appropriate. I think another challenge that's worth highlighting is that just as the cytology program, we need to have a good quality assurance/quality control for HPV DNA testing.
Dr. Wright:
That's very useful, Professor Garland.
For those of you tuning in you're listening to CME on ReachMD. I'm Thomas Wright, and together I have Professor Garland and Dr. Warner Huh, and we are discussing HPV primary screening and HPV vaccination.
Dr. Huh, if you can, summarize the impact of HPV vaccination.
Dr. Huh:
Yes, I'll comment on what the impact is at least in the United States. So, what we know is, and interestingly, this report just came out recently, Tom, that based on the 2016 National U.S. Teen Immunization Survey, so roughly 45% of teens are getting the full series for HPV vaccination, and roughly about 60% are getting at least 1 shot of the HPV vaccine. Lauri Markowitz, and others, who published a paper several years back, looked at the impact in terms of HPV prevalence, at least in the United States, and what they saw was anywhere between basically a 55 to 70% drop in the decrease of 16 and 18, the types related to the vaccine.
Dr. Wright:
I agree. But now that we're up to about 60% of teens getting at least 1 dose of HPV vaccine, is that going to impact the U.S. screening recommendations?
Dr. Huh:
I think it's the golden question, Tom. And so, in 2017, and maybe for the next several years, probably not. I don't think it's going to have an impact, but in the next 10 years, absolutely. I very much envision, in the United States, where women who have been vaccinated and we can document this, that they should be screened in a very different manner than women who have not been vaccinated.
Professor Garland:
So, Dr. Wright, can you explain to us how vaccination against HPV is going to impact the performance of cytology in the U.S.?
Dr. Wright:
There's been a lot of discussion that there's going to be a differential impact of HPV vaccination on the performance of cytology. And I think the concerns come from 2 factors. The first is, we already know that cytology only detects 50 to 60% of high-grade lesions, and a considerable portion of those it detects are associated with HPV 16. Now, we know that the lesions which do not get detected with cytology tend to shed fewer cells. So, it's not that cytology couldn't detect them, it's just that when the cytotechs review the slides, there are only a few cells so they miss the abnormal cells. Since HPV 16-associated lesions are larger, we expect that they exfoliate more cells and, therefore, they're easier to detect when the cytotechnologist screens the slide. What will happen when we differentially get rid of HPV 16, and we have lesions caused by HPV 31 and 33 and 39, they're going to be harder for cytology to detect. So, we think, over time, in a vaccinated population, cytology will perform less well. The other problem with cytology in a vaccinated population, and I've certainly heard from cytologists in Australia that they are seeing this problem, is that as a person screens Pap smears, the majority of them are normal. So they tend to get very complacent looking at the slides, because only about 1 in 20 is going to have a real abnormal lesion. If you take that to 1 in 40 or 1 in 50, it's going to be much harder for the cytotechnologist to maintain the level of vigilance when they're screening, to pick up the actual abnormal cases.
Professor Garland:
Thank you, Tom. That's exactly what we feel too.
Dr. Huh:
But don't you think that same phenomenon is going to occur with HPV testing?
Dr. Wright:
I don't. And that's because the HPV test is a different type test than cytology. The HPV tests all test for 13 or 14 high-risk types of HPV. And they have been clinically validated to actually have cutoffs for each of those HPV types which is associated with disease. So, the cutoff for HPV 16 is different than the cutoff for HPV 31 or 33. So they should perform exactly the same as they do today when you have lesions which are associated, predominantly, with non-16 and 18 genotypes. So, I think it will continue to perform quite well.
Professor Garland:
So, Dr. Wright, can you describe the uptake in primary screening globally, please?
Dr. Wright:
Clearly, Australia has adopted it, as you've already very nicely discussed during this discussion. We've also seen the U.K. decide to go to HPV primary screening. The Netherlands is adopting it. Sweden is adopting it. Turkey, of all countries, has decided to adopt HPV primary screening and it is implemented there. We also are seeing very large pilot programs going on in Latin America. Mexico's got a large pilot program as does Argentina, and they fully plan to adopt HPV primary screening at the end of their pilot programs. I was recently in China and they're talking about their pilot program for HPV primary screening. They're going to enroll 500,000 women in their pilot program, and if it goes successfully they are going to adopt HPV primary screening. So, I think we are right at the point where lots of countries are going to adopt it. And as we heard today, the United States now, with the most recent draft guidance from the U.S. Preventative Services Task Force, has decided that HPV primary screening is a strategy for use in our country.
Dr. Wright:
Professor Garland, Dr. Huh, this has been a great discussion today. I really want to thank you for joining and helping our listeners at CME on ReachMD. Thank you.
Professor Garland:
Thank you for having me onboard.
Dr. Huh:
Thank you for having us, Tom. It was a great conversation.
I think it's important for the listeners to recognize that there has been some substantial progress and changes in the area of cervical cancer screening. Most particularly, the impact and the importance of HPV primary screening, particularly as we vaccinate more and more women in the world, as well as the United States. What we recognize is that cytology does fall short in terms of missing disease as a screening mechanism, and that basically all of the scientific literature in the last ten years, have demonstrated improved sensitivity and detection of disease with primary HPV screening. But, most importantly, the fact that we can safely extend screening intervals by using this strategy. So, in the years to come it makes perfect sense that the U.S. and world-wide adopt this, and it's important for our listeners and for providers to understand that although cytology did its job, and did its job effectively 50 years ago in reducing the morbidity and mortality of cervical cancer, we have to look for it in terms of looking at replacements for screening, and it appears that primary HPV screening is that best option.
This has been CME on ReachMD. The preceding program was brought to you by Omnia Education. To receive your free CME credit, or to download this segment, go to ReachMD.com/Omnia.
Thank you for joining us.
- Host: Thomas C. Wright, Jr., MD
- Guest: Warner K. Huh, MD
- Guest: Professor Suzanne Garland, MD
Available credits: 0.50
Time to complete: 30 minutes
Valid until:
Disclosure of Conflicts of Interest
In accordance with the ACCME Standards for Commercial Support, The Omnia-Prova Education Collaborative (TOPEC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. TOPEC resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.
Thomas C. Wright, Jr., MD
Professor Emeritus of Pathology and Cell Biology
Columbia University
New York, NY
Financial Disclosure:
Consulting Fees: Abbott, BD, Roche
Contracted Research: BD, Inovio, Roche
Professor Suzanne Garland, MBBS, MD, FRCPA ,FRANZCOG Ad Eundem, FAChSHM
Director of Microbiology and Infectious Diseases
Head of Clinical Microbiology and Infectious Diseases
Royal Women's Hospital
Senior Consultant Microbiology
Royal Children's Hospital
Honorary Research Fellow
Murdoch Children's Research Institute
Victoria, Australia
Financial Disclosure:
Consulting Fees: Merck
Speakers Bureau: MSD, SPMSD
Contracted Research: Commonwealth Dept. of Health, CSL, GSK, Merck
Warner K. Huh, MD
Division Director and Professor, Division of Gynecologic Oncology
Margaret Cameron Spain Endowed Chair in Obstetrics/Gynecology
University of Alabama at Birmingham
Birmingham, AL
Financial Disclosure:
Consulting Fees: Incell Dx, TheVax
- Sean T. Barrett has nothing to disclose.
- Kenneth Brown has nothing to disclose.
- Carole Drexel, PhD has nothing to disclose.
- Barry A. Fiedel, PhD has nothing to disclose.
- Kia K. Gray, MPH has nothing to disclose.
Learning Objectives
Upon completion of this CME activity, participants who manage patients at risk for cervical cancer should be better able to:
- Recognize the scientific and clinical foundation supporting primary HPV screening when assessing a woman's risk for developing cervical cancer.
- Evaluate and adopt into their clinical practice emergent USPSTF draft recommendations that help to simplify and harmonize cervical cancer screening in the US and abroad.
- Appreciate the value primary HPV testing brings to improving patient outcomes, along with recognition that US cervical cancer screening policy will likely need to be reviewed over time as HPV vaccination takes a stronger hold in the US.
Target Audience
This activity is designed to meet the educational needs of the obstetrician and gynecologist, family physician, internal medicine physician, physician assistant, nurse practitioner, and certified nurse midwife.
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The Omnia-Prova Education Collaborative, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Omnia-Prova Education Collaborative, Inc. designates this enduring material for a maximum of .50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Omnia Education has a core focus on women's health and the ways in which diseases and conditions impact the female patient. That unique focus has transformed the CME learning environment for healthcare professionals nationwide. We impact thousands of clinicians annually, many of whom return each year for clinical updates and connectivity with regional peers.
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This activity is supported by an independent educational grant from Roche Diagnostics.
The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of TOPEC and Omnia Education. This presentation is not intended to define an exclusive course of patient management; the participant should use his/her clinical judgment, knowledge, experience, and diagnostic skills in applying or adopting for professional use any of the information provided herein. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of Omnia Education you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.
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On Tuesday, a bouquet of pink flowers were delivered to my desk at work! That really took me surprise considering the fact that all my life I've never had any roses delivered to me, ever! This bouquet was huge! Waay bigger than the previous one!
Bunga memujuk lah katakan! But it was sooo sweet. I mean who would've thought, Mr Macho and Cool himself would actually call up a florist and give descriptions for a bouquet of pink roses to be delivered to his girlfriend's office! Dah tak jadi lah nak marah lama-lama..
As you can see from the card, siapa lagi Mr Macho kalau bukan Datuk Laksamana Hang Tuah! Pening gaklah orang delivery tu nak mencari Yang Mulia Tun Teja kat Radio24! But that took my breath away. The simple words on the card. I was never much of a Sejarah Melayu type, but I'm beginning to enjoy the Hang Tuah-Teja love affair.
Hmm.......wonder how the next bouquet would look like.....hahahhahhaahh!


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Thursday, July 14 2011
First Methodist Church Service
Produced by Nathan Chase
Pastor of Record Bruce Arbour
Pastoral Assistants Rev. John Dusenberry & Rev. Thomas Mckeown
First United Methodist celebration through worship. Come experience our service filled with music, led by our mutual ministry team.
The "First Methodist Church Service" airs Sundays at 2PM and repeats Fridays at 7AM.


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Photo credit: Albert Cheung
Volcker Alliance Partnership
Our mission of creating public policies that will invest in the next generation requires that we understand how young people fare in our current budget environment. To that end, we have partnered with The Volcker Alliance, a nonpartisan, nonprofit organization founded by former Federal Reserve Board Chairman Paul Volcker, to scrutinize state budgeting practices. Through this work, we have had the opportunity to weigh in on how state governments enact their budgets and how this may have important implications for younger generations, for example how states have chosen to deal with their public pension obligations.
BIFYA has been contributing to the Volcker Alliance's Truth and Integrity in State Budgeting project, a 50-state analysis of state budgeting practices along several key metrics. The research is a collaborative effort with 11 other universities across the country. In November 2017, the Volcker Alliance release the first 50-state report which issued states grades from A to D-minus for their procedures in:
- Estimating revenues and expenditures;
- Using one-time actions to balance budgets;
- Adequately funding their public worker retirement and other postemployment benefits;
- Overseeing and using rainy day funds and other fiscal reserves;
- And disclosing budget and related financial information.
More information about the Volcker Alliance and the Truth and Integrity in State Budgeting project can be found on the Volcker Alliance's website.


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What are the compelling asks that the EFF needs to take forward in a coalition with either the ANC or DA?
In a past article comparing the political strategies of the; ANC, DA and EFF Lulu White Raheem illustrated the big 3 as playing different ball games in their courting of public votes. In its emergence as the ultimate kingmaker, the EFF is strategically positioned to give either the ANC or DA the push they require for an outright majority in the battleground metros of Tshwane and Johannesburg. However, in its careful negotiation the EFF needs to be able to draw a line on the following contentious issues;
– Prioritising the vulnerable:
The EFF's presence in parliament was characterized by it seeking accountability and the representation of working class issues. These have included; seeking legislative reform in the mining, retailing, construction, farming and manufacturing industries that will ensure that workers are compensated decent living wages.
– Real economic equity:
The ANC-led government implanted legislation that attempted to balance the scales on equality such as; Broad Bases Black Economic Equity act for businesses and both the Employment Equity Act and Labour Relations Act for employees. However, this created wealth for the politically connected and elite. The country's majority is still seen to be poorer and disadvantaged. The EFF's thoughts on these acts have included a promise to implement better BEE and Affirmative Action (AA). Concrete analysis on how these acts can be improved for better implementation was not offered, however, the fine details will have to be panned out as other political parties court EFF's powerful position.
– Access to education
2015 ended with widespread student movement protests and the call against an increase in university fees. This has positioned the state of tertiary education as being critical to the country's development, and perhaps, on a micro level, the ability for political parties to secure the youth vote.
In recognizing that there are gifted individuals, who lack means to access tertiary education, the EFF has promised to; send 15 000 students to the country's best universities; increase capacity at universities; enroll more students at universities and increase the attainment of tertiary qualifications.
In considering their choice for the local elections, the electorate has shown substantive interrogation of manifestos and the track record of past delivery, the local elections have shown that people have voted on the priorities that impact their livelihoods and improve the socio-economic politics of the country. These elections require the political leaders to account to the populace on how these promises will be delivered and lives systematically improved. People have shown that they are not only voting for their current situation but the betterment of their children and future generation's situations.
"These elections are going to go down as the most highly contested elections, possibly just as highly contested as the very first democratic elections – the stakes are quite high this time around, people want to hold the seating government and the opposition parties accountable over the last 22 years or so." – Lulu White-Raheem, African Election Expert, 3 August 2016 CNBC Africa panel discussion


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Columbia County deputies stopped a vehicle with cocaine, marijuana and oxycodone after a speedy chase.
Columbia County deputies stopped a vehicle with cocaine, marijuana and oxycodone inside after the motorist tried to elude officers at speeds over 100 mph early Monday.
Officers used spike strips to damage tires on the pickup truck toward the end of a pursuit that lasted about 15 miles. The vehicle's tires eventually disintegrated and the truck was stopped by deputies after turning onto State Road 100 in Lake City, the Sheriff's Office reported.
Deputies arrested Brent Christopher Brown, 25, of Jacksonville, on multiple drug charges along with fleeing and eluding and reckless driving. A $117,000 bond had been set for his release from jail.
Deputy David Jones spotted the truck without headlights near the New Millennium manufacturing facility on Lake Jeffery Road at about 2:45 a.m., the Sheriff's Office reported. The deputy tried to make a traffic stop, but the motorist continued driving and turned east on Duval Street.
After hitting the spike strips, the truck kept going at least another mile before the front tires began to deflate and fall apart. Eventually the vehicle was only traveling on sparking rims, said Sheriff's Office spokesman Sgt. Ed Seifert.
Cpl. Jeff Watson tried to box in the truck, but the vehicle kept swerving in front of him before the officer used his patrol car to hit the pickup, according to the Sheriff's Office. It landed in a ditch.
Brown wouldn't come out of the vehicle, the Sheriff's Office reported. Watson used his Taser on Brown, who was then handcuffed and taken into custody.
No injuries were reported.
Seifert said officers don't know what Brown was doing in Columbia County.


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ICS Wave 2: Cumbria
Cumbria's healthcare system has come a long way since being recognised as one of the most challenged health economies in England, writes Stephen Eames, leader of the North Cumbria Health and Care System and chief executive of North Cumbria...
We need to talk about governance
Chris Hopson, chief executive of NHS Providers, discusses the importance of board governance and accountability as we move towards local systems to deliver integrated patient care.
Carillion, Enron, Arthur Anderson, Lehman Brothers…...
Police to meet with NHS Tayside over Carseview Centre drug allegations
The chairman of one of Scotland's biggest NHS regions is to meet with the police following harrowing allegations of treatment of patients in a mental health unit.
Former patients at Carseview mental health facility in Dundee tol...
NAO: Health and care integration undermined by underfunded NHS and councils
In anticipation of the social care funding green paper, now delayed until autumn, a new report published today by the National Audit Office (NAO) has called for further and faster progression towards an individual-orientated, integrated service...
CQC review shows 'urgent need for real change' to outdated health and care system
Following comprehensive reviews of 20 local authority areas, the CQC has called for a new approach to the way the country runs health and care services.
The 'Breaking Barriers' report followed people's journeys through the...
Vanguards: Stevens pledges 10-year plan, original aims failed due to trust deficits
An NHS scheme aimed at integrating health and social care has failed due to much of the funding being diverted to combat short-term financial pressures rather than poured into transformation, the National Audit Office (NAO) has said.
NHS En...
Two new areas chosen to become local health and care record exemplars
Two new areas – Yorkshire and the Humber, covering West Yorkshire, South Yorkshire, North Yorkshire and Humberside; and Thames Valley and Surrey, covering Buckinghamshire, Oxfordshire, Berkshire and Surrey – have been chosen to becom...
Lord Darzi calls for establishment of regional NHS headquarters
18.06.18: A single NHS headquarters should be created through a "radical simplification" of the system, according to Lord Darzi's review of health and care with the Institute for Public Policy Research (IPPR).
In his final report, Lord...
Social care should be free to support the NHS, say ex-government ministers
Elderly people should have access to free social care in an effort to take mounting stress off the NHS, former Labour and Conservative ministers have said.
Similar to the British public's access to the NHS, the government should...
Child mental health and community care to be addressed in coming year, says Stevens
Community care and the "mass of unmet need" of children's mental health services will be amongst the key areas of focus for NHS England in the next year, its chief executive has said.
Speaking at the NHS Confederation conv...
Wigan take 'major step' forward in integration of health and social care
14.06.18: Wigan has established a single commissioning function in a major step forward in the integration of health and social care.
Through appointing Donna Hall, chief executive of Wigan Council, as the new accountable officer for the Wigan Clinical C...
Confed chair: Health and care funding talk just 'hot air' unless sectors work with each other
The chair of a leading NHS body has called for greater collaboration between community-based and NHS healthcare, and reinforced arguments for a 4% increase in funding to improve healthcare over the next 15 years.
Speaking at the NHS Confede...
NHS funding: Waiting on white smoke
Niall Dickson, chief executive of the NHS Confederation, makes the case for an integrated health and social care funding settlement.
For too long the NHS has been funded by what amounts to annual bailouts. It has had to rely on short-term...
MPs call for ringfenced cash and 'national transformation strategy' for health and social care
Long-term dedicated funding for integrated health and social care services is necessary to secure a "holistic, joined-up and coordinated experience" for patients, according to a committee report.
MPs in the Health and Socia...
Rage as hospitals had to endure 1.5 million 'avoidable' emergency admissions in last year
A shocking one in four patients could have avoided emergency admissions in 2016-17 if the health community had worked more effectively, MPs have said.
Emergency admissions — deemed as "unpredictable and at short notice because o...
Rate of paramedics leaving ambulance service nearly doubles
Action needed 'urgently' to get value for money from use of agency staff
A collaborative approach to tackling agency
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Sunday, 24 April 2016
April Music Favourites
So I haven't had much time to write or schedule a blog post for this Sunday. I seemed to be incredibly busy in the last week. I thought I'd do a little post about my music favourites. We're nearing the end of April now. So I thought I'd share with you the songs I've been loving and have more than likely had on repeat the whole month. There are a range of songs from ones I love to sing to, to my workout tunes.
1. Break A Sweat by Becky G
2. Pull-Up by Jason Derulo
3. Footprints by Sia
4. Water Under The Bridge by Adele
5. Heaven by Troye Sivan
6. The Sound by The 1975
7. Jet Black Heart by 5 Seconds Of Summer
8. Dancin' To The Sound Of A Broken Heart by Galantis
9. Mad Behaviour by Izzy Bizu
10. Nirvana by Sam Smith
These are my top 10 songs that I've been listening to this month. Definitely go check them out if you haven't yet!
Also let me know what songs you've been loving this month too.
Thank you for reading,
Posted by alice-tilly at April 24, 2016
Labels: Music
Subscribe to: Post Comments (Atom)


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03 August 2018 - Statement as to Persons Nominated (Upper Spittal Ward) Thursday 30 August 2018
25 July 2018 - Notice of Election for Upper Spittal Ward
26 June 2018 - Vacancy for Upper Spittal Ward
26 June 2018 - Accounts for the Year Ended 31 March 2018
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The closure of Hexham General Hospital's urgent care centre was intended to last four weeks.
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The Bishop of Durham broke the news of the resignations to the local village congregation.
First Kielder Forest sighting of pine marten Opens in a new window
The sighting has raised hopes that numbers are increasing across the north of England.
Donald Campbell's restored Bluebird in museum home row Opens in a new window
There have been offers to take the craft round the world, but some want it to remain in Coniston.
Sudsidised Bus Services
Northumberland County Council is looking at how it funds subsidised bus services in Northumberland and they would like to give you the opportunity to have your say. Closing date 26 March 2015. Further information on the Northumberland County Council website by clicking here.
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Bridgewater State: From Alcohol to Prison
July 2, 2014 in Alive Campus, Campus Life, Colleges, Reviews
When you head off to college your first year, you are beyond excited to start a new chapter in your life. There are brand new freedoms that have been trivialized and shoved in your face by movies and television for as long as you can remember. You can't wait for new friendships, your inevitable tiffs with your roommate, and of course, one-night stands in a living space your parents don't occupy. The typical college life desired by the average 18-year-old comes with a fair amount of risk and potential danger, but you'd think a prominent university founded 174 years ago would be well equipped to handle such debauchery. At Bridgewater State, this is not the case.
Freshman year at BSU, you will live in one of two residence halls. Both of these halls will be equipped with a self-entitled non-cop devoid of a personality or a heart. They check your ID, they check your belongings, and they check under your "baggy" sweatshirt (the legality of this is questionable). Am I visiting uncle Antonio at Attica Correctional? No, I'm checking into the dormitory, where I live and pay more than I should to do so. What is the meaning behind this breach of trust and personal space brought on by the 24-hour security? It's all in the name of thwarting 18 and 19-year-olds from
sneaking weapons bringing alcohol into the dorms.
What's worse is that this policy is straight up abandoned at all upperclassmen dorms. So, if the lesson all along is to scare these freshmen away from drinking at this institution of higher learning, there is no real way to follow-up to make sure their impression of Joseph Stalin has had any impact. While they instill some fear in the freshman, the others (read: the other 99%) have one option if they wish to partake in the "thirsty Thursday" they have heard so much about: sneak in hard liquor. This creates 2 problems – one, hard liquor is much more difficult to handle than beers, and effects most people much differently. And two, the policy basically forces residents to binge drink the alcohol they had to sneak in. Getting caught with alcohol is near sudden death – two strikes and you're kicked out of BSU… I think? Who even knows, their policy is so unclear it's like shooting fish through a barrel of concrete.
If it feels like I'm dwelling too much on their alcohol policy, that's because it's the only policy they care about. Great example: my MacBook was stolen from my dorm room sophomore year (along with other items that didn't belong to me). There were several witnesses who saw a group of people leaving my unattended room with bags, and even identified them to both resident "assistants" and campus police officers. Was there anything done about this? Of course not, because the thieves weren't drunk when it happened. There was never a follow-up with a police officer or campus official about this matter, despite it being a $7,500 heist, which I would consider a pretty high-profile crime for a college campus. However, alcohol "violations" can have up to 4 meetings and hearings, just for being in the presence of an alcoholic beverage. Why is so much time and effort being put into such a non-issue in a college setting? It is truly baffling.
Listen, I'm not saying Bridgewater State is some really awful school whose rules are reminiscent of those created by a Communist leader of a country during World War II (damn, I really did say that earlier), but where they choose to spend their time and waste their concern is truly misguided and down right unintelligent. But, full disclosure, I had about 6 Sam Adams before writing this article, so take it for what it's worth.


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CNN "It's all about the game. People love to do one thing: Sports," Rodman said when explaining why he was not addressing the widespread human rights abuses in North Korea. Dennis Rodman delivered a rambling, impassioned and occasionally incoherent defense Tuesday of the basketball game he organized for North Korean despot Kim Jong Un's birthday. "I don't give a rat's a-s ...Read More »
Tag Archives: says
David Stern says Rodman blinded by North Korean cash
CNN "It's all about the game. People love to do one thing: Sports," Rodman said when explaining why he was not addressing the widespread human rights abuses in North Korea. NBA Commissioner David Stern believes "a flash of North Korean money" has blinded Dennis Rodman's love of Kim John Un and slams that any future trips by him abroad "should ...Read More »
Charlie Sheen says he has married a porn star
Clasos.com.mx/Splash News Charlie Sheen and Brett Rossi (seen on vacation in Los Cabos, Mexico) have apparently tied the knot. Charlie Sheen has married a porn star. Apparently. The "Anger Management" actor took to Twitter on Sunday to reveal he'd tied the knot with X-rated girlfriend Brett Rossi while on vacation in Iceland. "This is the house ware M Gorbachev R ...Read More »
Miley Cyrus says she didn't diss Beyonce
Getty Images/ AP Miley Cyrus took to Twitter Thursday to dismiss rumors of insulting comments she supposedly said about Beyonce. Miley Cyrus was quick to dismiss she ever had ill words about Beyonce amid rumors she's drummed up the first feud of the New Year. "That quote people MADE UP about Beyonce just made me lol!" the 21-year-old pop star ...Read More »
Coughlin wants back with Giants in 2014, says there's 'definitely unfinished business'
Andrew Theodorakis/New York Daily News Tom Coughlin makes it clear he wants to be on the sidelines with the Giants next season. Tom Coughlin just endured his first losing season, going 7-9 and he is the oldest coach in the NFL. But that doesn't mean he has any intention of riding off into the sunset. RELATED: MYERS: GIVE COUGHLIN ONE ...Read More »
Bruce Jenner doing well since split with Kris, says son Brody
Bruce Jenner may no longer have to keep up with the Kardashians after splitting with his wife, Kris, but he's "doing great" and easing into the single life. That's the verdict of his son Brody Jenner, who tells Confidenti@l his dad's main concern is his ever-increasing mane. "He seems like he is doing great," Brody told us. "Seems like better ...Read More »
James Franco says he was 'drugged' in Instagram video
jamesfrancotv via Instagram James Franco recorded a video Saturday claiming that he had been drugged. James Franco posted a video on Instagram Saturday appearing groggy with slurred speech. "What's up? Got drugged last night," the 35-year-old actor said in the clip before moving the camera shot down to show his nipple. When his face reappeared he added, "Somebody slipped me ...Read More »
Archie says don't make Eli the scapegoat for this lousy Giants season
Elsa/Getty Images Quarterback Eli Manning has 'done his part' for the NY Giants says his dad, Archie. It's not surprising a father would come to the aid of his son. Asked one too many pointed questions about the struggles of Eli Manning this season, the normally stately Archie Manning briefly deviated from his aw-shucks persona to run interference for his ...Read More »
North Korea says Kim's uncle ousted for corruption, drug use
Wong Maye-E/AP In this July 27, 2013 file photo, North Korean leader Kim Jong Un, center, is followed by his uncle Jang Song Thaek, second from left, and Yang Hyong Sop, left, vice president of the Presidium of North Korea's parliament, as he tours the newly opened Fatherland Liberation War Museum as part of celebrations for the 60th anniversary of ...Read More »
PAPA CANO PREACH: Robinson's dad says Yankees 'don't seem to want' his son back
Jeff Gross/Getty Images Jose Cano (r.) best known for pitching to Robinson in the 2011 Home Run Derby – which the Yankee won – says the Bombers don't seem very interested in keeping his son. The Yankees insist they want Robinson Cano to remain part of their pinstriped family. The patriarch of Cano's actual family isn't convinced that's the case. ...Read More »


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I'm currrently 2-0 in my I-actually-know-these-people-in-real-life league and 1-1 in my I-have-no-clue-who-any-of-these-people-are-except-for-one-guy-who-invited-me-to-join-to-fill-the-last-remaining-spot league. But the bigger story this week is what to do if your QB is working out so far.
Tag Archives: peyton manning
Josh Gordon's Fantasy Value [Updated]
To draft Josh Gordon, or not draft Josh Gordon? That is the question. Continue reading
Literally Literate FFL Preseason Ranks
I've been hard at work putting together preseason ranks for the Literally Literate FFL. See who's the odds on favorite to make the playoffs, based off of our draft results. Continue reading
Trim That Tree: Decorating Despite a Y Chromosome
Originally published 12/2012
|My Tebow Angel tree topper.
Now that you've recovered from the carbo coma and consumerism of Thanksgiving, you'll want to express your fantasy frustrations in the form of an ornament. Whether you hate the Jets (let's be honest, that's like everyone) or are sick of Vick, there are sports ornaments out there that reflect exactly that.
One of my personal favorites is the "Desktop" series through The Denver Post. They feature printable paper cutouts that you can then construct with scissors and tape. Featured are some of the most popular NFL players–Tom Brady, Von Miller (Broncos or Aggies), Peyton Manning, Eli Manning, and a bootlegged version of Ndamukong Suh (he's always breaking rules). Check out the whole pdf list here.
|Desktop Manning
|Desktop Von Miller (A&M)
These guys can be easily hung up with some string, and the graphics are awesome! They specify to print it on a larger (and thicker stock) than normal paper, but the 11 x 17″ copy paper proved difficult to find. 11 x 14 might be less of a headache to hunt down. The great thing about these is that they're free! But if you're willing to shell out a couple bucks, you can find some real sweet gems.
|Ali defending his spot on the tree.
I found this awesome Ali ornament at a local thrift shop for a few dollars, and I think it goes well with the remote control below it. I found great "man cave" ornaments for half off at Hobby Lobby. I also found a great selection of local college team ornaments (OU and OSU) at my local Walmart. My Tebow Angel tree topper was a homemade project much like the "desktop" series. You can make just about any tree topper your sports heart desires. Just save your toilet paper rolls when you're done droppin' bombs in the bathroom and slap a printed image or photo on it.
|Tegan and Sara
Whatever you decide, don't let your tree be an abomination of pink and sparkles! Man up and show Santa what a real man's Xmas tree looks like. And forget the cookies; leave him a glass of whisky!
Week 7 Power Rankings
Crunchin' numbers and staring at beakers filled with Gatorade, in hopes of bringing you up-to-date Literally Literate FFL Power Rankings.
Here's how the math breaks down this week (Don't worry, the ###'s represent numbers with repeating remainders, like 3.6777…and I'm just too lazy to fill them in, although I am guilty of rounding them up!):
Literally literate Week 7 Power Rankings:
1) [Br]eaking [Br]adshaw 147
2) Cousin Vinny's Escort Services 138
3) Trophy Wife 122
4) I Pitta the Fool 116
5) Team Reese 111
6) The Blair Walsh Project 110
7) Spacin' Vaders 108
8) Crawrsenal FC 105
8) Don't Call Me Rodney 105
10) Dez Dispenser 97
Related articles
- Week 5 Literally Literate FFL Power Rankings (therealityoffantasysports.com)
- Week 7 Fantasy Football Rankings: Top Plays at Every Position (bleacherreport.com)
- Week 6 Preview (therealityoffantasysports.com)
The Ghost of Cory Monteith
If you're a FF fan, then no doubt you've been disappointed in the Thursday night football debacles of late. Last night, however, saw the Niners return to fine form against the current League whipping boy St. Louis Rams. Frank Gore, my no. 2 RB finally busted off some runs and a TD. Unfortunately for me, my pop culture obsessed girlfriend wanted to watch the Glee season premiere/heroin addict tribute on TV.
Yes, instead of watching Gore go 34 yds for his TD in the first half, I was sitting through a terribly directed version of the Beatles' "All You Need is Love" performed by thirty-something-year old actors, playing high schoolers, who wear clothes from the eighties, but also text on iPhones.
Edgy, I know.
I'll admit that this was my first time watching Glee, and I've got to say, doesn't look like I've missed much. If anyone can tell me how the directorial skills of a porno aficionado distracted by boobies, combined with the complete lack of setting, propped up by old fogies playing the parts of children–somewhat reminiscent of 90210–is interesting, I would be all ears.
Those poor real-life choir kids and drama nerds, who make up the assumed majority of the audience, must really, really not have much going on in their lives.
I don't know. Maybe I'm just steaming from having to watch the live feed of the Thursday night game on my phone. But for real, Glee has no plot, brah.
Seems like they just set up a 20-second scene that somehow contains the loose narrative of the lyrics in the upcoming song, to no real overall flow whatsoever.
Just my first-time experience of the program.
Not to mention that the big issue of Cory Monteith dying in real life wasn't even addressed. I mean, if you need to explain the absence of a notable character, why not wait till 4 weeks in?
Thank God there wasn't an aftershow to discuss the nothingness that just took place, and I got to see the second half of the game. So far this season, the greatest highlight from the Thursday night games has been my girlfriend and I coming up with audible signal calls for ladies. After seeing Tom Brady and Peyton Manning audible countless times during their games, my fair lady decided she'd implement some of her own, were she to lead a football team.
While they seem to go with cities or animals like "OMAHA," or "PANTHER" for offensive calls, or letters and directions for defense, like "TIPS RIGHT" or "ROVER," she prefers audibles with a more feminine touch.
Maybe shout, "MOSCATO, MOSCATO," for an out route, or "LEOPARD FLATS," for a read-option call.
But, alas, the football Gods finally got their act together and put up an exciting game (for anyone who is not a Rams fan). My boy Gore got me 19 big ones, and, had he not been vultured by no-name backups, he could've scored two more TD's.
So, a few teams have early leads with the completion of the first game of the week. But those never really last, do they? Here's a peak at the match ups this week:
Related articles
- Wrapping up: Thursday night football (fantasysportslockerroom.com)
- Glee's Cory Monteith Farewell Episode Gets a Promo Poster (justjared.com)
- Cory Monteith's Tribute Episode On Glee Looks So Sad! See A Heartbreaking 'First Look' HERE! (perezhilton.com)
Tuesday Morning Relief: Week 3 Recap
We're 3 weeks gone in this year's fantasy football season, and already, trends are taking shape in the Literally Literate FFL. Six out of the ten teams have one win or fewer, and the positioning within the weekly rankings is getting tighter and tighter.
In my match up with [Br]eaking [Br]adshaw, I lost quite handily, but he's been doing great so far, and I don't see much slowing him down. I was able to keep my point total up, and maybe next week, I'll get a break. [Br]eaking [Br]adshaw winds up atop the leader board going into week four. And my decent point production helps me stay in the top four. My QB and K could use some work, so I may look to supplement those positions, but for now, I feel good just holding on to make any drastic personnel changes.
Crawrsenal FC lands his highest point total this season at 102, while the Blair Walsh Project falls to 1-2 on the season, despite a solid scoring outing. This week, only CFC and [Br] broke the 100 point total, although the average margin of victory was 21 points. For CFC, this also marks the beginning of a winning streak, on the backs of Cam Newton and the Bears D. Next up for CFC, this week's number 4 squad, will be a tough match against 2nd ranked Cousin Vinny's Escort Services.
Team Reese claims her first victory this week over former number 3 rank Don't Call Me Rodney. Of note in this match up is the inconsistent play of Beast Mode, Marshawn Lynch. Many believed that week 2's performance declared a return to the runner of ol', but after a lackluster performance in week 3, there may still be more to this story. A down week for Rodney, who got a double-digit performance from only one player. It doesn't get any easier, though, as Rodney faces [Br]eaking [Br]adshaw in week 4. Lynch/Charles battle anyone?
A close one here as Dez Dispenser ends up losing to Cousin Vinny 90-87. Darren McFadden received 4 points for chucking a TD and 6 more for running one in. If only he could have accumulated more yards (9 yds on 12 att.), Dez may have gotten their first win. A down week for Cousin Vinny, who still posted one of the higher scores for the week and remains in the hunt for the playoffs early this season.
An upset from the number 9 week 3 seed Trophy Wife over number 5 Spacin' Vaders. Vaders drops three spots in the week 4 rankings, to number 8 while Trophy Wife ascends to the number 5 spot this week. Jordan Cameron, Matt Forte, and Drew Brees continue to tear it up for Trophy Wife this season. On the opposite side, Peyton Manning is the leading scorer in fantasy football so far, with 90 points through three games, and helping out Spacin' Vaders.
Here are the Week 4 Rankings for the literally Literate FFL:
1) [Br]eaking [Br]adshaw 148
2) Cousin Vinny's Escort Services 138
3) I Pitta the Fool 136
4) Crawrsenal FC 116
5) Trophy Wife 110
5) The Blair Walsh Project 110
7) Don't Call Me Rodney 104
8) Spacin' Vaders 103
9) Team Reese 102
10) Dez Dispenser 53
Related articles
- Fantasy: Week 3 Recap (thefinsiders.com)
- My First Fantasy: Draft Through Week 3 (poetsonsports.wordpress.com)
- Literally Literate Power Rankings Wk 3 (therealityoffantasysports.com)


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Cabbage and Hijiki are both very medicinal foods. I use to not like both of these foods, but now I think they are great. Seaweed can be hard to get into a western diet. Hijiki is a mild tasting seaweed and worth trying if you don't normally like seaweed. When cooked, its taste becomes even more mellow. Some healing properties of Hijiki according to "Healing With Whole Foods" By Paul Pitchford (a great food resource.)
detoxifies the body, cooling to the body, benefits the thyroid, and moistens dryness. Also has ample amounts of calcium, iron and iodine (the latter usually strongly lacking from the western diet) B2 and niacin. Good for bones and teeth, helps normalize blood sugar, helps with weight loss, and supports hormone functions. It also makes your hair shiny. I ate a lot of seaweed before I had Leo and I noticed a significant increase in the quality of my hair which is partly why I am trying to get it back into my regular meals.
Cabbage: great for the digestive system and intestines. Cabbage has an ample amount of sulfur which acts to destroy parasites and purify the blood. I just planted Cabbage in my garden to have later this fall. This is my first fall/winter garden so we shall see if it does well. Cabbage is a good fall/winter plant.
1/2 head of green cabbage, chopped.
2 small carrots, shredded
1/8 cup of hijiki rinsed then soaked for 15 minutes (make sure you discard the soaking water!)
1 cake of baked tofu (optional) (mine was sweet chili flavored)
sesame oil for cooking (olive oil will work as well)
2 T soy sauce/tamari or braggs
1/2 t mustard power
1/2 t fenugreek
1/4 cup milk, optional (I used Eden blend rice/soy milk, but almond milk would be great too)
Mix ingredients for sauce together in small bowl.
Heat pan with oil
Fry Cabbage and carrots and tofu if using for one or two minutes. Add Hijiki and fry for two or three minutes. Add sauces and continue to cook until cabbage looks shiny and done. Careful not to overcook. My cabbage turned out well cooked but I think this would be a bit better if it was slightly crispy still. But it is up to you.
So how does this interesting meal taste? Surprisingly good. Slightly salty and mellow flavored. I didn't notice much of a seaweed taste and cabbage has a mellow taste when cooked as well. It would be a good meal served with jasmine rice. Enjoy!
Note: Here is some more interesting info on Hijiki from Eden foods
This post linked to Monday Mania blog carnival and
Two for Tuesdays


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Big Picture US Outlook: For the macro situation, I expect the US's situation over the next 20 years to be similar to the UK from 1950-1970, or Japan from 1990-2010 (very bad times for both countries). Both remained rich countries, per capita, leading the world, but their relative wealth came down (as it should if poorer countries grow faster). Britain's debates about the importance of manufacturing and concern about its decline started in the early 1900s with PM Asquith on, and its overall share of world manufacturing output declined. See: British Decline
Basics on Growth: Stepping back to the big picture, a country can only get richer in real terms if it produces more with the same resources (productivity), or finds/makes a new natural resource that is very valuable (oil in the desert, silicon in computers, etc.). Countries then trade what they can produce most efficiently in relation to others, and everyone is richer. If one country consistently imports more than it exports, in the long run, woe to it! Also, it's common sense that the best productivity gains and increases in material wealth come from manufacturing, whether physical like cheerios or intellectual like software, because producers get economies of scale and scope. Now the question is whether the US will be more like the UK or Japan.
Analogy to the UK: If the US loses manufacturing and keeps high current account and fiscal deficits, then the UK is the better analogy: the currency depreciates, manufacturing gets liquidated and the country's economic base degrades to services, many of which are low-value add. High value add services, like law, medicine, and finance, still stay because they are the result of technology, the rule of law, and better transparency/governance (these are supported by Anglo-American institutions, like universities, republican democracies, more minority rights, and common law courts, which span the globe through the US, Canada, UK, and Australia).
Analogy to Japan: If the US manages to create/upgrade manufacturing and and reduce current account deficits (fiscal deficits sadly are here to stay until taxes are raised again), then Japan is the better analogy: currency stays weak, and if the US can, it pursues a mercantilist export-led strategy and slowly improves its NIIP. This doesn't seem too likely. Beyond banking/deleveraging, Japan isn't the right analogy (the demographics of their cultural habits and population are too different - Americans are much more like spendthrift Brits). One of the best macro books on Japan is Koo's "Balance Sheet Recession", with a review here.
Promising Macro Themes: I am most positive about mid to large corporations in the Anglo-American countries (UK-US-Canada-Australia, or GBP-USD-CAN-AUS, or GUCA countries), which do heavy business in the BICA countries (Brazil, India, China, and Greater Asia which includes Malaysia, Indonesia, Vietnam, etc.). But even multinationals can get screwed in BICA countries, and the Danone/Wahaha example is only one of many. Sorry to throw around the acronyms, but I will start referring to GUCA and BICA, and throw out the silly BRIC acronym (because Russia is worthless, a dead end). I trust GUCA corporations/jurisdictions more than the BICA, but BICA is where the growth is. Also, high-tech in GUCA will always do well, as there will always be more Googles, Apples, RIMMs, etc. every decade to keep the engines going.
Bottom Line: In investing, you have to follow the social and economic demographics about where wealth is created. Today, that means tech in the west and goods in the east. Buy GUCA companies that focus on BICA countries, or GUCA companies that innovate through tech.
Wednesday, July 8, 2009
The US's Relative Economic Position and Manufacturing - An Argument Without Numbers - Alpha
Posted by Alpha at 9:19 PM
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Signs of Stress: Unusual Weight Changes
"Stress triggers the release of the hormone cortisol, which changes the way you metabolize fat, protein and carbs, leading to weight gain or loss," says Dr. Shanna Levine, a primary care physician and clinical instructor of medicine at Mount Sinai's Icahn School of Medicine in New York. Stress can also cause you to overeat or undereat.
What to do: Snack on nuts. The protein will help if you're undereating, and the fibre will fill you up if you've been bingeing.
This is the absolute best diet for weight loss.


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Occasional posts on subjects including field recording, London history and literature, other websites worth looking at, articles in the press, and news of sound-related events.
SPECTROGRAMS ARE A great way to visualise sound. Laid low by the Dreaded Lurgi, I've been trying out different freeware and shareware programs at home. My computer is barely an advance on the abacus, so a compact program using scant resources is what's needed.
Luckily Dr John Burt at the University of Washington has written Syrinx, which works a treat. Here are a couple of examples of its output. First, a snippet of song from a robin recorded in Lesnes Abbey Woods in south-east London:
You can switch between black-on-white and white-on-black – I've gone with the latter as an outreach attempt for the emo generation. Next, a street trader's cry from Lewisham market:
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Many people are familiar with the appearance of amplitude envelopes, but spectrograms convey more information. Somehow their snowdrifts of noise and painterly scrapings seem a much better analogue for the experience of hearing.
The balloonist in the desert is dreaming
The Binaural Diaries of Ollie Hall
The Ragged Society of Antiquarian Ramblers
Midwest Society for Acoustic Ecology
World Forum for Acoustic Ecology


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:: G O L D E N S H A F T S ::The early morning sun pierces through the mist at Lamington National Park
Yesterday I went off searching for waterfalls up at O'Reilly's, which is part of Lamington National Park right on the border of Queensland and New South Wales. I found them. But more on them later.
Just after I had started my walk in the rainforest, there was a thin mist hanging between the trees from the low cloud, and I hoped that the sun would break through the clouds to provide me with some lovely beams. I've tried for this type of shot, but never before were the conditions as good as what they were yesterday. I crossed my fingers!
Well, as luck would have it (even though I don't really believe in luck!), I rounded the next bend, and this is what I was greeted with.
Thankfully, my camera was already on my tripod ready to go, which was very lucky, as I only managed 3 shots before the sun slipped back behind the thicker clouds, and these magical shafts of light disappeared. After a quick check of the LCD screen on the back of my camera, I was I was pretty chuffed, and already my day was turning out even better then expected.
I continued on my way to the waterfalls, stopping periodically for more photo ops as they presented themselves to me. While taking a couple of shots of some very impressive fungus, I decided to give the HD video feature of my camera a run. I am a serious amateur when it comes to video, but I thought, "What the heck. Let's have some fun!" So I did. I must admit, it feels a bit weird trying to star in your own little movie. It really is something that I want to play around with more in the future, and one thing that I learnt yesterday - you really need a plan before you just shoot various random things. Oh yeah, I also need to but a video head for my tripod if I'm going to play more!!! I'll add the link to my video from my walk at the bottom of this post.
My first real stop was at Picnic Rock, but couldn't get to the spot that I wanted to due to the slippery rocks from the overnight rain. I continued on to Elabana Falls, in the hope that by the time I came back to Picnic Rock, that the sun may have come out and dried the rocks, allowing for me to sneak where I wanted to.
Elabana Falls were absolutely beautiful. A larger waterfall above, cascading into a beautiful pool, with several smaller falls then falling into another pool, before meandering through the rocks and continuing further down the creek. I spent a considerable amount of time here, getting both stills and video footage of the falls, exhausting as many compositions as I could. A bonus was seeing heaps of the Lamington spiny crayfish cruising around in the pools and streams. It does spin me out that there is crayfish up in the mountains!
Elabana Falls #1Cascading from the upper falls, through to the lower smaller falls.
Elabana Falls #3A closer view of the upper tier of Elabana Falls cascading in to the pool below.
After this, I made the decision to trek on a little further to Box Log Falls. I love walking in the rainforest when there is a creek nearby. The sound of the running water is just so relaxing. I especially like hearing that sound of running water get louder with each step you take along the track. The waterfall is getting closer! Box Log Falls was a bit sneaky. You could hear the sound of the rushing, falling water, but you couldn't see it from the end of the track. However, the noise, mist and breeze being created by the falls led you to walk a bit further and have a peak around the moss and tree covered walls of the gorge. Another spectacular sight is then in front of you. Due to the amount of mist and breeze created by the falls, it made for quite a tricky place to set the tripod up, with my lens cleaning cloth getting a decent run between shots.
Box Log FallsThe stunning Box Log Falls with the high gorge walls shielding it from prying eyes.
I made my way back the way I had came, stopping in at Picnic Rock again, and now with the rocks dried, I was able to get to where I wanted.
With these shots now in the bag, I put the jetpack on and headed towards the carpark. The jetpack didn't last that long however, as I kept on seeing more and more that stopped me in my tracks.
All up, I clocked just under 12k's, and thoroughly enjoyed each and every step. There is no doubt I'll be back.
As promised, here is the little movie I made...
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text: Mrs. Efi Glymi is an EFL teacher and a school owner with 20 years experience. She holds an MSc in Educational Studies from University of Surrey, UK where she was trained in Teaching and Learning Methods, Policy and Organization, Assessment and Evaluation in Education, Teaching EFL and Approaches in Designing the Curriculum. She has also been trained in Evaluation and Remediation of children with Learning Difficulties and Dyslexia at ΔΙΚΕΨΥ. She also holds the Advanced Professional Certificate in Diagnosis and Intervention of Specific Learning Difficulties from Metropolitan College in association with SQA. She works with private centers of Specific Learning Disabilities and gives talks on Specific Learning Difficulties and Effective Teaching.


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Bruntisland Town
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