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Morven Park International Equestrian Center | Hofmann Classroom
6:30pm - Meet, Greet, and Eat! Light refreshments and beverages provided.
7:00pm - Seminar begins
Join the Total Equine veterinary team for an evening of cold weather equine education.
We will cover a variety of topics about care and feeding for frosty weather... blanketing recommendations, winter riding and training, nutrition, storm prep tips, and more!
We'll even have a sneak peak of fun things coming in 2020! Sure to be a fun-filled, educational evening that you won't want to miss.
Free to attend. Light refreshments, beverages, and door prizes provided.
Registration is preferred for accurate planning purposes.
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 6:00 PM
15660 Avebury Manor Pl, Leesburg, VA 20176
© 2019 Total Equine Veterinary Associates, P.C. All Rights Reserved.


text: During semesters there are no rooms available for conferences. That' the reason why, if held at the university, they are necessarily during summer time (at least this is the situation in Como.) But it is not mandatory to stay at the University. We can go in conference centers. Obviously costs are completely different. How many proposals are there at the moment for hosting the next conference? Better probably to verify which actual possibilities there are. Cheers. Maria ---------------------------------------------------- Prof. Maria Antonia Brovelli Vice Rector for Como Campus Politecnico di Milano NASA World Wind Virtual Globe Technology Webinar http://mundogeo.com/webinar/opengeoscienceandapplications/nasa-world-wind/ ISPRS WG IV/5 "Web and Cloud Based Geospatial Services and Applications" Co-chair OSGeo Charter Member ICA - OSGeo Lab Network Advisory Board Member SIFET Scientific Commitee Member Via Natta, 12/14 - 22100 COMO (ITALY) Tel. +39-031-3327336 Cel. +39-328-0023867 fax. +39-031-3327321 e-mail1: maria.brovelli at polimi.it e-mail2: prorettrice at como.polimi.it > Il giorno 16/ago/2014, alle ore 06:26, Siki Zoltan <siki at agt.bme.hu> ha scritto: > > Hi, > > 2 of the previous 3 european conferences (FOSS4G-CEE, FOSS4GE) were organized at universities (Praha and Brema). In july it is easier to have rooms, auditoriums, cheep hostel rooms at a university. I suppose it is the case in Como. > > Regards, > Zoltan > >> On Sat, 16 Aug 2014, Doz. Dr. Frank HOFFMANN wrote: >> >> Am 15.08.2014 08:47, schrieb Posta Maria: >>> It was proposed July, not June. >>> Cheers. >>> Maria >> >> *It doesn't matter even if July... KCH commented correctly, as far >> as it will be* *overlaid with other important events like INSPIRE >> (EU), AFD (EU), AGIT (AT), ESRI (US) etc. >> FOSS4G (http://2014.foss4g.org/) , Sept. 8-13, Portland, Oregon... >> From my insight into global/european events it seems to me that >> between months february<>april are not so overloaded... >> >> fh / 9:25 >> *** >> >> >>> ---------------------------------------------------- >>> Prof. Maria Antonia Brovelli >>> Vice Rector for Como Campus >>> Politecnico di Milano >>> NASA World Wind Virtual Globe Technology Webinar >>> http://mundogeo.com/webinar/opengeoscienceandapplications/nasa-world-wind/ ISPRS WG IV/5 "Web and Cloud Based Geospatial Services and Applications <http://www2.isprs.org/commissions/comm4/wgs.html#wg_IV/5>" Co-chair >>> OSGeo Charter Member >>> ICA - OSGeo Lab Network Advisory Board Member >>> SIFET Scientific Commitee Member >>> Via Natta, 12/14 - 22100 COMO <x-apple-data-detectors://0/0> (ITALY) >>> Tel. +39-031-3327336 <tel:+39-031-3327336> >>> Cel. +39-328-0023867 <tel:+39-328-0023867> >>> fax. +39-031-3327321 <tel:+39-031-3327321> >>> e-mail1: maria.brovelli at polimi.it <mailto:maria.brovelli at polimi.it> >>> e-mail2: prorettrice at como.polimi.it <mailto:prorettrice at como.polimi.it> >>>> Il giorno 15/ago/2014, alle ore 01:01, Karel Charvat <charvat at ccss.cz <mailto:charvat at ccss.cz>> ha scritto: >>>> Dear Maria, Peter, Jachym, >>>> If we would like focused on European Community and namely on INPSIRE and if >>>> FOSS4GI Europe has to be organised mainly as regular conference May and June >>>> are not best month to do it. It is necessary taken into account, that >>>> INSPIRE and Geospatial World Forum 2015 will be jointly organized on 25-29 >>>> May 2015 in Lisbon, Portugal and it is almost impossible for most of people >>>> in two weeks go for some more days conferences. So I am afraid, that >>>> beginning of June will completely miss community, which has to be in some >>>> way target. So my recommendation will be April or September, if there is no >>>> conflict with some Worldwide events. >>>> If target will be mainly on real technicians and developers, then probably >>>> beginning of June could be suitable. But not managers, decision makers and >>>> some strategic persons >>>> Karel >>>> -----Original Message----- >>>> From: conference-europe-bounces at lists.osgeo.org <mailto:conference-europe-bounces at lists.osgeo.org> >>>> [mailto:conference-europe-bounces at lists.osgeo.org] On Behalf Of Jachym >>>> Cepicky >>>> Sent: Thursday, August 14, 2014 8:26 AM >>>> To: Peter Baumann >>>> Cc: foss4g-europe >>>> Subject: Re: [Conference-europe] when and where >>>> Hi Maria and Peter, >>>> yes, academic track was since last years important part of the event as >>>> well, and it makes sense to continue with it >>>> Thanks. >>>> We can take this as first venue proposal ;-) >>>> Jachym >>>> 2014-08-13 18:35 GMT+02:00 Peter Baumann <p.baumann at jacobs-university.de <mailto:p.baumann at jacobs-university.de>>: >>> _______________________________________________ >>> Conference-Europe mailing list >>> Conference-Europe at lists.osgeo.org >>> http://lists.osgeo.org/cgi-bin/mailman/listinfo/conference-europe >> >> -- >> >> IGN-Vorstand-KONTAKTE: >> --- >> [ Http://GDI-SN.blogspot.com ] >> [ Mailto:Vorstand at IGN-SN.de ] >> [ Skype: fh_ign (office) ] >> >> -- >> Doz. Dr. Frank HOFFMANN, CSc(MIIGAiK) >> Vorstandsvorsitzender IGN e.V. >> >> --------------------------------------------------- >> This EMAIL has been sent by FH @ Ultrabook/Win8.1 ! >> --------------------------------------------------- > _______________________________________________ > Conference-Europe mailing list > Conference-Europe at lists.osgeo.org > http://lists.osgeo.org/cgi-bin/mailman/listinfo/conference-europe -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.osgeo.org/pipermail/conference-europe/attachments/20140816/314598ae/attachment.html>

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- TZM International TeamSpeak Meeting
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The Left – Right Divide
Public Event – Hosted by The Zeitgeist Movement NYC
When: Saturday, 9 June 2018 from 2 pm to 5 pm EST
Where: Bryant Park, 6th Ave and 41st, NYC, NY
We will discuss the philosophical differences between the Left and the Right, and discover what it truly means to be on one side or the other, and work to clarify where we fit and why. Look for our sign at one of the tables near the fountain.
Due to the outlook of possible rain and thunderstorms, we MAY change our venue this Saturday to the Atrium at 550 Madison Ave (entrance on 56th Street between Madison and 5th Ave).


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50 Most Loved Hymns
Hymns of Praise. The hymns below are here for your enjoyment and as an aid to worship. They also have the lyrics for your singing pleasure. My hope is that you will listen and grow closer to God. The hymns and psalm tunes posted at this site are in the public domain so you can download and enjoy any of the music here.
Live Jummah Prayer From Makkah Today JIDDAH, Saudi Arabia — Officials are considering an unprecedented proposal to ban women from performing the five Muslim prayers in the immediate vicinity of Islam's most sacred shrine in Mecca. it. MAKKAH: Just outside the city of Makkah in Saudi Arabia lies one of Islam's
The real interest lies in Boucicault's vision of the teeming tumult of the London streets populated by penniless Crimean veterans, crooks and thieves, and hymn-singing harbingers. a ripely.
The finest song in Hamilton hymns the urge to be in "the room where it happens" and also proves that drama can be built out of exclusion from the place where the big decisions are taken. Nancy Harris'.
God Has Given Every Man A Measure Of Faith 2. Realize that every believer has been given a measure of faith by God. (Romans 12:3). We just have to use and develop what God has given. We must put it into action. 3. Pray in tongues and be full of the Spirit (Jude 20).
Nov 06, 2012 · Yes, they named it "Top 25 Hymns Sung in Church," but most realize this probably includes a few limitations. For example, most realize this probably does not include hymns of all times and for every denomination, religion, country, etc. Most likely, few would even buy such a book.
The arrangements all prominently include the melody and text of the familiar hymn. 50 Best-Loved Hymns is a perfect resource to have at the piano for personal.
Results 1 – 48 of 2784. GOD LOVES EVERYONE Ron Sexsmith Printable 50 Most Loved Hymns of praise and worship which are suitable for all Christian.
CARDINAL John Henry Newman has been canonised by Pope Francis —the first English saint of the modern era. In front of tens of thousands of pilgrims in the Vatican's St Peter's Square, the Pontiff.
"[In deciding] which hymns I was going to use, it really came down to the ones that I had the most vivid memories of her singing. blame her for it," he says with a warm laugh. "She loved the Lord.
Smith — who also was an assistant conductor of the top-level Cleveland Orchestra from 1997-2003. from Aaron Copland's "Old American Songs," which are rooted in popular, folk and hymn traditions.
Buy 50 Most Loved Hymns Various, Religious, CD Online Now at the Australian based Sanity Movie Store. View Trailer and Tracks
Their 2017 duet with pop singer Bebe Rexha, "Meant to Be," spent a record 50 consecutive weeks at the top of the Hot Country Songs chart and still remains the odds-on favorite to be playing in any fro.
Get free shipping from Target. Read reviews and buy Various Artists; – More Than 50 Most Loved Hymns (CD) at Target. Get it today with Same Day Delivery, Order Pickup or Drive Up.
Laudate Dominum by Christopher Walker – a grand processional hymn that never fails to raise the hairs on the back of my neck. Go Up to the Altar of God by James Chepponis – see above The Breaking of.
50 Most Loved Hymns – Double CD Straightway Music. Songs include: Holy Holy Holy,This Is My Father's World,For The Beauty Of The Earth/Come Ye Thankful People/Come Christians Join To Sing,Come Thou Fount Of Every Blessing,Come Thou All Mighty King/Immortal Invisible/How Great Thou Art,Guide Me O Thou Great Jehovah/He Leadeth Me,It Is Well,Like A River.
* Enjoy classic choral renditions of beloved Christmas songs—plus an accompaniment CD for caroling around the neighborhood! Includes 'Joy to the World,' 'O Holy Night,' 'The Holly and the Ivy,' 'Away in a Manger,' 'Here We Come A-Wassailing,' 'O Christmas Tree,' 'The First Noel,' 'In the Bleak Midwinter,' and more. Includes booklet of lyrics.
May 31, 2008. A collection of classic Christian hymns spanning the centuries. Some LibriVox. 34 34 – The Pillar of Cloud – John Henry Newman – 01:50.
The Top 15 Traditional Christian Hymns. Renee Davis. Funny enough, as I get older music seems to becoming more and more important to me. But I don't think that's because my tastes are changing; I think it's because I'm coming to see more and more the power of what music can do in and to us.
Hinduism And Judaism Are Universalizing Religions Bhagavan attributes India's sexually conservative policies to British colonialism. "To say that Hinduism as a religion is theologically anti-gay would be very difficult to prove," he said. Not all. Participants were from various Christian denominations, Zen Buddhism, Hinduism, Judaism and Islam. Anjana Chatterjee and Dr.
This Easter troparion – hymn is definitely the most melodic of all, and the one stirring the. Download and print the 50 Most Loved Hymns lyrics and words.
Most of these tracks are definitely better. with Christmas falls into two general categories: older hymns that lend themselves to choral singing or the solo vocal performances that were popular.
Listen to More Than 50 Most Loved Hymnsby Various Artists on Slacker Radio, where you can also create personalized internet radio stations based on your favorite albums, artists and songs.
The liturgy — overwhelmed with popular contemporary hymns. most a few years from ordination, who embrace a clericalist mindset. "They look down on us. They want to go back to the 16th century," he.
Christmas Songs and Hymns. Playing Christmas songs and hymns is a great way to get into the Christmas spirit, along with decorating your home with wreaths, garlands, and a beautiful Christmas tree. Try our Christmas ball ornaments for an easy way to add even more Christmas spirit to your decor. Christmas Hymns
The results were supplemented with data from other surveys and hymn tracking. a sacrament meeting hymns survey to find out which hymns are sung most. the Sacrament (764); How Great the Wisdom and the Love (742); God Loved Us, 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. Praise and Thanksgiving. 62. 63.
Photograph: Tristan Fewings/Getty Images Mick Jagger and Keith Richards of the Rolling Stones have ended one of the most acrimonious copyright disputes. It was the lead track from the album Urban.
"Amazing Grace" is a Christian hymn published in 1779, with words written in 1772 by the. The most prevalent themes in the verses written by Newton in Olney Hymns are faith in salvation, wonder at God's grace, his love for Jesus, and his. It was one of between 50 and 70 verses of a song titled "Jerusalem, My Happy.
Aug 09, 2013 · There are many, many hymns in thousands of languages throughout the history of the Church (all of which began first as poetry). But there are a few select hymns that have stood the test of time and are with us today because they have changed us as a Body. Their birth shifted our collective trajectory for the better.
The choir will also sing a Shaker hymn "O Lord I Will Praise Thee," arranged and conducted by Maris Kristapsons and a contemporary Gospel song called "Friend of God," conducted by Barbara Davis of.
Another of his popular hymns is "Praise to the Holiest in the Height," taken from "The Dream of Gerontius." Admired by both Anglicans and Catholics, he has also been claimed by gay activists, as.
It proved a popular combination, spawning an album "Songs and Hymns From the Polka Mass." "That album has probably been the most-widely sold polka album of the last 50 years," said Joe Valencic, the.
The finale featured close-ups of the stone faces of Mount Rushmore as the 312-member Mormon Tabernacle Choir sang "The Battle Hymn of the Republic. the baseball game proved to be the program's most.
Your 50 favourite hymns mp3 download by Various Artists Everybody has a favourite hymn, chosen because the words touch a chord, or the music speaks to them, or.
All the great songs and lyrics from the "100 Best Loved Hymns" album ont he Web's largest and most authoritative lyrics resource.
50 Best-Loved Hymns (Old and New), an album by Various Artists on Spotify We and our partners use cookies to personalize your experience, to show you ads based on your interests, and for measurement and analytics purposes.
50+ Best Gospel Funeral Songs Posted By. Love Lives On. Gospel hymns for funerals are also a wonderful way to personalize your loved one's funeral, memorial service or celebration of life service, and to remind us all that God promises eternal life to all those who believe in Him.
Caribbean Spirituality the Caribbean region and Europe with a focus being placed primarily on Jamaica and Netherlands respectively. It should be noted at the offset that a potential limitation of this paper is the lack of documented information on end of life decisions from a Caribbean perspective.
The grassy "field of fire" in front of the castle is now immensely popular for picnics and kite. is well-endowed with castles — more than 50 are spread across an area smaller than London's metro.
The second time, the 15th amendment to the Constitution squeaked by with 50.28% supporting a change in the law. Most of rural Ireland remained. The Pillar, as it was usually called, became a.
50 of the most popular hymns and choruses are available in this edition of Maranatha!'s super-sized Top 50 series, Top 50 Hymns & Choruses 2016.Those who want a long-play, cohesive worship experience will find this triple-disc set packed with the hymns and choruses they love to sing along to, on Sunday and everyday.
Stephens told the Guardian that he had long admired Cocker as a writer and artist, and said that he was the only songwriter with the "generosity and imagination" to write what he conceived of as Light.
St Mary's Church London What the collision of Sunday's two headlines thus raises is the question of what, exactly, being a "poor church" actually. Metaphysics Spirituality The Metaphysical & Spiritual Show of Toronto is one of the most anticipated trade shows of the year with more than 30 exhibitors.
To this union two children were born, Judith Ann Ungefucht and Maurice Raymond Kaiser. She loved singing hymns, flowers and gardening. Most of all was her love of baking. Over her life time she baked.
Obviously the person who gave this one star never listened to it. I bought it for my Bible study leader who mentioned she misses all the old Hymns but isn't very tech savvy. Most songs only have 2 stanzas but come on there's 50 hymns. I previewed the album before giving it to.
Healing Prayers For The Sick Prayers for Healing. On this page you'll find inspirational prayers for healing from being sick, strength, comfort, and broken heart. Prayers and quotes from the bible for healing yourself, family members or a special friend in need. Praying for sick strangers does not improve their
Pete Fountain, whose rousing performances on clarinet made him a star of Dixieland music, a familiar figure on television and in nightclubs, and one of the most popular musical ambassadors. His.
This hymnal, published by the Presbyterian Church USA in 1990, is also sold under the title Hymns, Psalms, & Spiritual Songs See also these related.
The Top 25 All-Time Most Popular Christian Hymns One of the major ways Christians have. Download and print the 50 Most Loved Hymns lyrics and words.
A great all-around collection for all who enjoy southern gospel music. Easy to sing. Arranged for the medium voice. Easy to play! Piano parts are comfortable yet satisfying, fun to play, and melody is always included. Large folio size, perfect for personal enjoyment, vocal solos, or piano performance, Includes both southern gospel classics and more recent favorites. 50 Best-Loved Southern.


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Exam Week 12/9 - 12/15
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Check out this trendy little c-store tucked inside Robinson Hall. Northside Market offers groceries, beverages, snacks, frozen foods, Java City JCX coffee, and hot foods for take-out during late night hours. Located inside the residence complex housing Trout, Calkins, Larzelere, and Robinson.
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Challenges, rewards come with cooking for assisted living residents
Cooking for assisted-living residents doesn't mean serving bland, boring food, says award-winning chef
Carol Koty cooks in the kitchen at an assisted living facility in Newtown. But if you think that means the food is bland or unappetizing, think again.
"Since I came from a high-end catering facility, I have had some people say, `Why are you doing that? Isn't that a step down?' They think of it as a hospital setting," she said. "A lot of people are surprised to see that in this type of facility we use fresh ingredients and everything is made to order."
Koty, 28, is a chef supervisor at Lockwood Lodge at Masonicare at Newtown. She's also an award-winning chef and works part time at The Waterview banquet hall in Monroe.
"We cook (at Lockwood Lodge) for people in assisted living apartments," Koty said. "They are fully functioning adults who just need some kind of help. ... Part of the challenge is that we're serving three meals a day, every day. So we have to make sure they have a variety of selections while keeping everything nutritional and fitting in with their dietary restrictions.
"I would not use the term institutional cooking; it's assisted living cooking. It's its own entity -- different from a restaurant," she said. "Residents make their own choices and we just assist them with those choices."
Koty said while a regular restaurant may keep the same menu for two years and no one would have a problem with that, Lockwood Lodge's menu must change daily. And offerings must be adjusted for residents' allergies and even for dexterity problems.
"When there are people who have trouble cutting food, we cut it up for them. But we still plate it restaurant style so it's still a beautiful dish," she said.
And when oven-fried chicken is on the menu, a healthier choice than fryer-fried, she also has gluten-free or egg-free chicken dishes available.
Koty has found that residents' favorite meals are "similar to the comfort foods you and I crave." They love hamburgers and hot dogs, and pizza night is always popular. The pizza is made from scratch, with two or three toppings to choose from.
"Lunch is kind of a fancier meal; chicken cacciatore is popular and veal marsala. Almost all of our residents order the same breakfast; they like their eggs their way."
The biggest challenge she's found is that most of the residents "hate spicy foods." Luckily, just about every dish can be altered.
In many ways, her kitchen runs just like a regular restaurant's, but there are differences, too. When she gets an order, it includes the person's name, and she knows their dietary needs.
"One of my biggest rewards is because I have the same residents every day (about 50 people) for three meals a day, I really get to know them," she said. "I love getting to know my residents, their likes and dislikes. I can change what I'm making to make them happy."
Though Koty relishes her job, she started college with a different path in mind. "I was going to (the University of New Haven) for marine chemistry, but I loved to cook. I just wasn't sure if it was something I was good enough at to make into a career.
"I decided to enter a pie contest at the Big E, and decided if I placed -- and I told everyone -- I'd quit my job as a bank teller and go to culinary school. I won a first-place blue ribbon. It was for a Stuffed Crust Paradise Pie (chilled pineapple-coconut filling with a crust stuffed with chocolate, macadamia nuts and coconut). I left college and went to the Center for Culinary Arts in Shelton. After school I interned at The Waterview and worked my way up to kitchen supervisor," she said.
Eventually, she decided to go part time there and started her job at Lockwood Lodge. And she's still entering cooking contests. Last November the Stratford resident competed in the World Food Championships in Las Vegas, ranking 18th for her burger entry.
"I was ecstatic," said Koty, whose trip was paid for by Kenmore because she had won a previous contest that the appliance company sponsored. The winning dish was a Korean Bulgogi Burger. (Bulgogi is a Korean barbecue-style dish.)
Earlier this month, she won first place for her Vietnamese Pho Chicken Soup at the Connecticut Assisted Living Association's annual Chef's Challenge.
"I was so happy; I was proud because I won for me, and it was wonderful being able to represent my company," she said.
Koty was one of three Masonicare employees to take home top prizes at that competition. Jeffrey Camputaro, a sous chef at Masonicare Health Center in Wallingford, received an award for his Filet of Beef with Southwest Sweet Potato Hash, Poached Egg and Chipotle Sauce.
Camputaro, 34, said even if residents are on special diets or need food to be chopped up or even pureed, it's still possible to serve flavorful, quality meals, and that's what he strives to do.
"I understand there is a perception that you're just going to take food and plop it on a plate," Camputaro said. "That's not it. If we're doing a chicken dish, we think how we can make it unique. Just because you're cooking on a larger scale, you don't take away from the quality. You just have to be creative and go the extra mile.
"I've been cooking in health care facilities and retirement communities for 12 years now. The food I cook is equal to that of a restaurant."
firstname.lastname@example.com; Twitter @LindaTKoonz


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A Billings couple who said their prostitution business was an "immaculately clean," taxpaying operation where consenting women practiced safe sex will spend 13 months in federal prison.
Chief U.S. District Judge Richard Cebull rejected a defense request for probation, ordering prison for Gregory L. McFarland, 52, and his wife, Myong Suk "Suzie" McFarland, 62, who pleaded guilty in August to interstate promotion of prostitution and to money laundering.
Anything less would be "a slap on the wrists" and deter no one from running illegal prostitution businesses, Cebull said. The sentence was at the low end of the guideline range of 12 months to 18 months.
The couple admitted to offering sexual services at their businesses — the Far West Sauna, 1211 Mullowney Lane, and the Shangri-La Spa and Sauna, 437 Bernard St.
As part of a plea agreement, the McFarlands agreed to a criminal forfeiture of $1,176,229 as prostitution proceeds in connection with the money laundering count.
A civil forfeiture of $206,209 includes $86,000 the government sought in a separate action against the McFarlands' home at 4605 Sticka Circle. The couple also forfeited $120,209 from bank and brokerage accounts to settle the civil case. Payments on the civil forfeiture will be credited to the criminal judgment.
"I'm terribly sorry," Gregory McFarland told the judge. "I don't believe incarceration is warranted, but I do understand the reason." McFarland called imprisonment "punishment for punishment sake."
Myong Suk McFarland made no statement.
Defense attorney Vern Woodward argued for probation or house arrest, saying the McFarlands are "good, decent, kind and caring individuals."
While the McFarlands knew their business was illegal, Woodward called it an "atypical" prostitution case because they treated their employees with respect, ran a clean operation among consenting adults and filed tax returns.
The public humiliation and forfeitures already are a deterrent, and no one was harmed, he said. "The punishment should reflect the harm," he added.
"So what?" Cebull responded. "Does it lessen that fact that they violated the law? No."
You have free articles remaining.
The McFarlands, the judge said, knew "full well they were violating the law by promoting prostitution in Billings, Montana. They ignored the law. And I'm supposed to ignore the law because they're 'good people?'"
Woodward said he didn't think the sentence would be a deterrent.
Assistant U.S. Attorney Kris McLean said the defense was trying to "cleanse a dirty business" that was "very, very profitable for years." Prostitution "tears at the fabric of communities" and is a serious matter, he said.
The couple faced a maximum of five years in prison and a possible $250,000 fine on the prostitution charge and a maximum 20 years and possible $500,000 fine on the money laundering count. Cebull allowed the McFarlands to report to prison when they are assigned to a facility.
The investigation began in about March 2005, when a Holiday Inn manager called the police to report that hotel guests complained that they had been offered sexual services at the Far West Sauna, McLean said.
Woodward said the duration of the investigation over several years showed that the crime is not a law enforcement priority.
The case took a long time, Police Chief Rich St. John said, because investigations into prostitution, possible human trafficking and money laundering are difficult. Federal investigators helped make sure the investigation was thorough, he said.
The police chief acknowledged that sexual services continue to be offered at Asian spas and said the department investigates complaints.
In the McFarland case, police investigators set up surveillance and talked to customers of both spas, the prosecution said. The customers, or "johns", told investigators about paying for sexual services. Detectives also visited the spas and recorded conversations about the door fees and how much more money would be needed once inside the spa. On one occasion, a prostitute talked openly about charges for various sex acts.
On Sept. 17, 2010, federal officers searched both businesses. Officers also searched the McFarlands' home and seized business records and records and ledger sheets with the names of women and allocations of money.
Income-tax records also showed that the McFarlands' business, OnJona Corp., paid 35 women, almost all of whom came from Minnesota, from 2005 until the search warrants were served.


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World Mexico requests meeting with Pompeo after Trump floats plan to designate Mexican drug cartels as terror groups
Trump Says U.S. Will Designate Drug Cartels in Mexico as Terrorist Groups
President Trump said in an interview posted online Tuesday that he planned to designate Mexican drug cartels as terrorist organizations, owing to what he said was the high number of Americans killed by their activities. © Anna Moneymaker/The New York Times President Trump at Joint Base Andrews in Maryland on Tuesday. The president said he planned to designate Mexican drug cartels as terrorist organizations.
WASHINGTON – Mexico's Foreign Ministry is requesting a meeting with Secretary of State Mike Pompeo after President Donald Trump told former Fox News host Bill O'Reilly he planned to designate Mexican drug cartels as foreign terrorist organizations.
"Mexico will never allow any actions that violate its national sovereignty. We will be firm. I have let the United States know my position, as well as our plan against organized transnational crime," Mexican Foreign Minister Marcelo Ebrard tweeted in a statement Tuesday night.
Mexico cartel ambush victims' family prays with Mexican president, assured 'at least 4' suspects arrested
Mexican President Andrés Manuel López Obrador on Monday prayed with the family of the nine Mexican-American victims massacred last month in a suspected drug cartel hit and assured them "at least four" suspects have been arrested, a family member said. require(["medianetNativeAdOnArticle"], function (medianetNativeAdOnArticle) { medianetNativeAdOnArticle.
"Mutual respect is the basis of cooperation."
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In an interview released Tuesday on Bill O'Reilly's website, Trump said his administration had been working to label drug cartels operating in Mexico as terrorist organizations over the last 90 days, but it was unclear when that might happen.
"I will be designating the cartels - absolutely," he said. "You know designation is not that easy. You have to go through a process and we're well into that process."
O'Reilly phrased the question in military terms, asking whether the president would use drones to attack the cartels. But under U.S. law, a foreign group designated as a terrorist organization can be subjected to special sanctions, including freezing any U.S. assets and prohibiting other entities or people in the country where the group is located from knowingly offering support.
At least 21 killed as Mexican cartel battles police and army south of U.S. border
Mexico's foreign minister plans to meet the U.S. attorney general over Trump's plan to designate Mexican cartels as terrorist groups.MEXICO CITY — Gunmen attacked a town hall in northern Mexico, authorities said Sunday, triggering a series of clashes with security forces that left 21 dead — most of them suspected members of an organized crime group.
Nearly 70 groups have been designated as foreign terrorist organizations, according to the State Department. The list includes groups such as al-Qaeda, the group responsible for the 2001 terror attacks, and the Islamic State.
The president told O'Reilly that Mexican President Andrés Manuel López Obrador has rebuffed Trump's offer to send assistance.
"I've actually offered him to let us go in and clean it out and he so far has rejected the offer," Trump told O'Reilly.
Earlier this month Trump spoke with Obrador about U.S. assistance after the ambush killings of nine Americans - three mothers and their young children - in Mexico. Relatives believe the attack may have been a case of mistaken identity by rival drug cartels.
....monsters, the United States stands ready, willing & able to get involved and do the job quickly and effectively. The great new President of Mexico has made this a big issue, but the cartels have become so large and powerful that you sometimes need an army to defeat an army!
Mexican Officials Arrest Suspects in Massacre of 9 Women and Children
MEXICO CITY — The Mexican authorities on Sunday detained several suspects implicated in the massacre of nine members of a Mormon sect in northern Mexico in early November, according to the office of the nation's attorney general. The detentions came during a joint operation by members of the Mexican armed forces and intelligence agents and followed the detention last month of another suspect living in Mexico City, the attorney general's office said in a statement, providing no further information about the suspects' identities, their connection to the murders or the circumstances of their arrests.— Donald J. Trump (@realDonaldTrump) November 5, 2019
In a Tuesday statement, the Foreign Ministry said it would seek dialogue on plans for the designation – along with the issue of U.S. weapons being smuggled into Mexico.
President Andrés Manuel López Obrador sought a softer posture, telling the nation Wednesday, "I want to send a hug to the American people. It's not a good time for confrontational politics. … Tomorrow is Thanksgiving."
"I want to tell my people, the Mexican people ... there's nothing to fear," he added.
Obrador was elected into office on hopes he'd help curb Mexico's endemic problem with drug-related violence. He'd argued his predecessor fell short of dismantling drug cartels. Last year, Mexico's homicides, many of which were linked to drug cartels, hit a new high of nearly 36,000, according to a Council on Foreign Relations report. The trend continued in 2019 with almost 90 murders daily, the report said. A U.S. government study in March traced more than 150,000 firearms from Mexican criminals back to U.S. gun sellers and factories.
California teen used remote-controlled car to smuggle meth across Mexico border into US, investigators say
U.S. Border Patrol agents arrested a 16-year-old boy accused of using a remote-controlled car to smuggle over $100,000 worth of methamphetamine across the U.S.-Mexico border.Around 12:30 a.m. Sunday, agents found the boy walking along the border wall near San Diego with two large duffel bags. Once he realized he'd been spotted, he hid in nearby thick bushes. After agents arrested the boy, they found he'd been carrying a remote-controlled car and two duffel bags containing over 50 packages of the narcotics. The bundles weighed over 55 pounds and had an estimated street value of $106,096.
Sen. Ben Sasse, R-Neb., said while there are important distinctions between terrorist groups and transnational criminal organizations, it's "certainly worth thinking about what a Congressional authorization of force would look like."
"What is immediately clear right now is the fact that the Mexican government needs to redouble its partnership with American intelligence and law enforcement agencies to wage a full-scale offensive against the cartels that are running the show in certain parts of northern Mexico," he said.
Trump has floated the idea of designating drug cartels in Mexico as Foreign Terrorist Organizations (FTOs) before. In a March interview with Breitbart, Trump said he considering labeling cartels, or factions of cartels, as terror groups.
"We're thinking about doing it very seriously. In fact, we've been thinking about it for a long time."
"It's psychological, but it's also economic," Trump said. "As terrorists – as terrorist organizations, the answer is yes. They are."
Trump's comments appeared to come as a surprise as Ebrard dismissed U.S. plans for designating drug cartels as terror groups on Monday. The foreign minister suggested Mexico might retaliate for such a move.
"I don't think the United States will pursue this path because we're working together, and I don't think they would want to open up the possibility of Mexico invoking the same legal principles," he said.
Security forces kill five during gunfight in northern Mexico town
MEXICO-VIOLENCE/ (PIX):Security forces kill five during gunfight in northern Mexico town
Subramanian, Fritze and Jackson cover the White House for USA TODAY. Follow them at @cmsub, @jfritze and @djusatoday.
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This article originally appeared on USA TODAY: Mexico requests meeting with Pompeo after Trump floats plan to designate Mexican drug cartels as terror groups
Relatives meet with Mexico president after arrests in Mormon family killings .
A relative of Mormons killed in a massacre in northern Mexico met Monday with the country's president and said the family was "pleased with advances made in the investigation."A relative of Mormons killed in a massacre in northern Mexico met Monday with the country's president and said the family was "pleased with advances made in the investigation.


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TOKYO—MBDA sees a possibility of selling Meteor long-range air-to-air missiles to Japan despite the defense ministry's current acquisition of Raytheon AIM-120C-7 Amraams. The opportunity should arise when the Meteor is integrated onto the Lockheed Martin F-35 Lightning, a representative of MBDA said, expecting that point to be reached in the early to mid 2020s. MBDA is not, however, discussing the possibility of supplying Meteors for Japan's other current fighter program, ...
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Actual Chiropractic
6625 Wagner Way
Suite 260D
Gig Harbor, WA 98335
**We are located at Gig Harbor Professional Building inside of Mallards Landing. The name Actual Chiropractic is not on the sign outside of the building. When you walk in the building turn right we are the last door on the right.
1650 Jackson Ave SE
Port Orchard, WA 98366
** We are located inside of Annapolis Fitness next to Spiro's Pizza.
*Hours vary please call to make an appointment. Same day appointments are available.


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AGC Asahi Glass (AGC), has begun mass production of 3D curved cover glass for car-mounted displays for the first time. Asahi Glass is one of the leading players in the manufacture of glass,... Read more
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Yokohama "AVID GT" Tire OE Porsche Cayenne
FLIR Systems Develops Thermal Sensor Camera Technology to Make Autonomous Cars More Viable
Denso and Toyota to Launch New Semiconductor Venture
Infiniti Engineering Academy Announces 2019 finalists
Hyundai Showcases Fuel-Cell Technology with Nexo Record
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- 4 beds
- 2 baths
- $319,900 price
- 4132332 mls id
- Square Feet: 6,200 sqft
- Year Built: 1963
- Lot Size: 2.4 acres
- Status: Active
Currently ZONED R-2 Residential. This beautifully maintained 6200 sq ft. BRICK church/offices/social hall on 2.4 Acres has many options. Re-designed to a single family home, a church, an outreach center, day care, senior care etc... (Check with the City of Mentorfor approval of ideas). Back deck to 46' foyer, 50' Chapel with stained glass wood pews for 120 people, tow tier carved oak alter, pipe organ, cathedral ceiling with shiplap, 16' sound proof nursery,16' meeting room,11' reading room,2 offices, 40' social center with sliding partition system & sound system, kitchen with island, appliances and commercial warmer, mens & womens bathrooms, 4 newer Rheem HVAC units, Central Air units, parking for 60+ cars, wooded lot in back, landscaped with flowers, lighting, street sign, huge cross on building, set off road, A Lot of natural light, great condition and a real gem on this acreage in the city of Mentor.New Roof (Flat) in 2007, pitched Roof 2013. Call listing agent for entrance and touring. Other MLS listing for Church- #4098716. Auditors Value-$539,130
- Site Link
- Property SubType Single Family Detached
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7804 Saint James Dr Mentor, OH
4 beds, 3 baths, 2,638 sqft, $329,000
Courtesy of: BHHS Professional Realty
Office Phone: (440) 255-1111
Listing Agent: Gregg Boehlefeld
Updated: 15th December, 2019 8:59 AM.
7643 Lake Shore Blvd Mentor, OH


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Reader Denis Beauvais shared this photo of an otter going for a skate near the 15th hole at the Tsawwassen Springs Golf Course Sunday morning.
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Team Member, Animal Care
The Edmonton Humane Society has been an animal welfare leader in the Edmonton community since 1907. We are more than a shelter and a safe haven for the thousands of animals in our care each year. We play a key role in the Edmonton region by enriching the lives of people and their companion animals not only through our sheltering, but through our programs, services and community engagement
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Job Requirements:
Conditions of Work: • Work at a computer for extended periods of time to include repetitive typing, arm and hand motion. • Perform strenuous physical labor including bending, stooping, reaching, lifting • Must be able to lift upwards of 50 pounds • Must be able to work with physically strong or challenging animals • Must be available for shifts upwards of 12 hours and with a variety of days of the week which may include weekends, nights and statutory holidays
Wage: Commensurate based on education and experience
Hours: TBD. Must be available to work evenings and weekends
Please Note: WorkInNonProfits.ca is not affiliated with and in no way endorses or vets the organization that posted this job. Any links posted within the job will take you to their external site where the same disclaimer applies.
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Not everything in your household should be packed up in boxes. There are some items are not allowed to be transported because of state rules and regulations.
What Not To Pack
Comical checklist with pictures to help you decide if you are renting a right moving truck. Follow this guide to make your move a big success.
Funny Checklist For Rental Trucks
Here is how to share some hard and plain truth with your movers before they arrive at your home.
What Movers Need To Know - Humor
This is a question everyone asks before hiring a moving company. There are all kinds of moving expenses involved in a move. These are the expenses you can anticipate.
What Do Moving Companies Charge?
You should start planning for the transfer of your pet, as well as for your household belongings, as soon as you know you are going to move. Keep in mind that local helpers and moving companies are not allowed to move pets.
Moving With Pets
Follow these moving dos and don'ts to make your moving process smoother.
Moving Dos and Don'ts
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Local moving companies and professional movers in Sanger, 93657
Find the best local moving companies in Sanger at MoversCorp.com. Whether its a big or small move, simply enter your zip code to get access to cheap moving service providers in your local area. Our Sanger movers provide professional moving and packing services, furniture and appliance moves, moving boxes and supplies as well as affordable moving labor services such as truck loading help and truck unloading help.Need help moving a house or an apartment, or help to load and unload a rental moving truck? Hire full-service movers and moving labor helpers in Sanger, California through our site. You will find professional movers and move help at discounted rates. They also provide in-home furniture moving service - from one room to another or from upstairs to downstairs.Moving labor service is ideal for people who move within the home or in the same apartment complex. And if you haul or drive a moving truck yourself, you can hire movers to load and unload furniture at your destination at low cost. Each moving company in Sanger, CA lists the services and equipment they provide.


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To assess the effect of tranexamic acid in head and neck surgical procedures.
A prospective, double-blind and randomised, parallel group, placebo-controlled clinical trial was conducted. Ninety-two patients undergoing various head and neck surgical procedures were randomised. Subjects received seven infusions of coded drugs (tranexamic acid or normal saline) starting at the time of skin closure. Haematological, biochemical, blood loss and other parameters were observed by the staff, who were blinded to patients' group allocation (case or control).
Patients were analysed on the basis of type of surgery. Fifty patients who had undergone surgical procedures, including total thyroidectomy, total parotidectomy, and various neck dissections with or without primary tumour excision, were included in the first group. The second group comprised 41 patients who had undergone hemithyroidectomy, lobectomy or superficial parotidectomy. There was no statistical difference in blood parameters between both groups. There was a reduction in post-operative drain volume, but this was not significant.
Although this prospective, randomised, placebo-controlled clinical trial found a reduction in post-operative drain volume in tranexamic acid groups, the difference was not statistically significant between the various head and neck surgical procedure groups.
Mycetoma is a chronic granulomatous, suppurative and progressive inflammatory disease that usually involves the subcutaneous tissue and bones after traumatic inoculation of the causative organism. In India, actinomycotic mycetoma is prevalent in south India, south-east Rajasthan and Chandigarh, while eumycetoma, which constitutes one third of the total cases, is mainly reported from north India and central Rajasthan. The objective was to determine the epidemiological profile and spectrum of eumycetoma from a tertiary care hospital in Delhi, North India. Thirty cases of eumycetoma were diagnosed by conventional methods of direct microscopy, culture and species-specific sequencing as per standard protocol. The spectrum of fungal pathogens included Exophiala jeanselmei, Madurella mycetomatis, Fusarium solani, Sarocladium kiliense, Acremonium blochii, Aspergillus nidulans, Fusarium incarnatum, Scedosporium apiospermum complex, Curvularia lunata and Medicopsis romeroi. Eumycetoma can be treated with antifungal therapy and needs to be combined with surgery. It has good prognosis if it is timely diagnosed and the correct species identified by culture for targeted therapy of these patients. Black moulds required prolonged therapy. Its low reporting and lack of familiarity may predispose patients to misdiagnosis and consequently delayed treatment. Hence health education and awareness campaign on the national and international level in the mycetoma belt is crucial.
Biochar has received attention due to its potential for mitigating climate change through carbon sequestration in soil and improving soil quality and crop productivity. This study evaluated the effects of rice straw biochar (RSB) and rice husk ash (RHA) each applied at 5 Mg ha−1 and four N levels (0, 40, 80, and 120 kg ha−1) on soil fertility, growth, and yield of rice and wheat for three consecutive rice–wheat rotations. RSB significantly increased electrical conductivity, dehydrogenase activity, and P and K contents when compared to control (no amendment) up to 7.5 cm soil depth. Both RSB and RHA did not influence shoot N concentration in wheat plant but significantly increased P and K concentrations at 60 days after sowing. Grain yields of both rice and wheat were significantly higher in RSB as compared to control (no amendment) and RHA treatments. While the highest grain yields of rice and wheat were observed at 120 kg N ha−1 in RHA and no biochar-treated plots, a significant increase in grain yields was observed at 80 kg N ha−1 in RSB treatment, thereby saving 40 kg N ha−1 in each crop. Both agronomic and recovery N efficiencies in rice and wheat were significantly higher in RSB-amended soil compared to control. Significant positive correlations were observed between soil N, P, and K concentrations and total N, P, and K concentrations in aboveground biomass of wheat at 60 days after sowing. This study showed the potential benefits of applying RSB for improving soil fertility and yields of rice and wheat in a rice–wheat system.
To compare round window niche visibility as seen endoscopically during cochlear implant surgery with pre-operative high-resolution computed tomography of the temporal bone.
Nineteen patients scheduled for cochlear implantation, aged 2–20 years, were referred for computed tomography from October 2016 to March 2018. Angles were measured between the lines passing through the mid-sagittal plane and cochlear basal turn on the scans. Endoscopic round window niche visibility during posterior tympanotomy was categorised as: type I = 100 per cent, type IIa = more than 50 per cent, type IIb = less than 50 per cent or type III = 0 per cent. Pre-operative computed tomography measurements were used to predict round window niche visibility before surgery and correlated with intra-operative findings.
The mean (range) of pre-operative angles on computed tomography for endoscopic visibility types I, IIa and IIb, were 64.06° (61.16–69.37°), 63.81° (58.61–71.35°) and 56.48° (50.37–59.05°), respectively, a statistically significant finding (one-way analysis of variance test, p = 0.016).
Pre-operative high-resolution temporal bone computed tomography measurements are useful in predicting round window niche visualisation as viewed endoscopically during posterior tympanotomy. The angle was more acute in type IIb compared to type I.
A mother's nutritional choices while pregnant may have a great influence on her baby's development in the womb and during infancy. There is evidence that what a mother eats during pregnancy interacts with her genes to affect her child's susceptibility to poor health outcomes including childhood obesity, pre-diabetes, allergy and asthma. Furthermore, after what an infant eats can change his or her intestinal bacteria, which can further influence the development of these poor outcomes. In the present paper, we review the importance of birth cohorts, the formation and early findings from a multi-ethnic birth cohort alliance in Canada and summarise our future research directions for this birth cohort alliance. We summarise a method for harmonising collection and analysis of self-reported dietary data across multiple cohorts and provide examples of how this birth cohort alliance has contributed to our understanding of gestational diabetes risk; ethnic and diet-influences differences in the healthy infant microbiome; and the interplay between diet, ethnicity and birth weight. Ongoing work in this birth cohort alliance will focus on the use of metabolomic profiling to measure dietary intake, discovery of unique diet–gene and diet–epigenome interactions, and qualitative interviews with families of children at risk of metabolic syndrome. Our findings to-date and future areas of research will advance the evidence base that informs dietary guidelines in pregnancy, infancy and childhood, and will be relevant to diverse and high-risk populations of Canada and other high-income countries.
A non-perturbative nonlinear theory for moderately dense gas–solid suspensions is outlined within the framework of the Boltzmann–Enskog equation by extending the work of Saha & Alam (J. Fluid Mech., vol. 833, 2017, pp. 206–246). A linear Stokes' drag law is adopted for gas–particle interactions, and the viscous dissipation due to hydrodynamic interactions is incorporated in the second-moment equation via a density-corrected Stokes number. For the homogeneous shear flow, the present theory provides a unified treatment of dilute to dense suspensions of highly inelastic particles, encompassing the high-Stokes-number rapid granular regime (
$St\rightarrow \infty$
) and its small-Stokes-number counterpart, with quantitative agreement for all transport coefficients. It is shown that the predictions of the shear viscosity and normal-stress differences based on existing theories deteriorate markedly with increasing density as well as with decreasing Stokes number and restitution coefficient.
Introduction: Acute aortic syndrome (AAS) is a time sensitive aortic catastrophe that is often misdiagnosed. There are currently no Canadian guidelines to aid in diagnosis. Our goal was to adapt the existing American Heart Association (AHA) and European Society of Cardiology (ESC) diagnostic algorithms for AAS into a Canadian evidence based best practices algorithm targeted for emergency medicine physicians. Methods: We chose to adapt existing high-quality clinical practice guidelines (CPG) previously developed by the AHA/ESC using the GRADE ADOLOPMENT approach. We created a National Advisory Committee consisting of 21 members from across Canada including academic, community and remote/rural emergency physicians/nurses, cardiothoracic and cardiovascular surgeons, cardiac anesthesiologists, critical care physicians, cardiologist, radiologists and patient representatives. The Advisory Committee communicated through multiple teleconference meetings, emails and a one-day in person meeting. The panel prioritized questions and outcomes, using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess evidence and make recommendations. The algorithm was prepared and revised through feedback and discussions and through an iterative process until consensus was achieved. Results: The diagnostic algorithm is comprised of an updated pre test probability assessment tool with further testing recommendations based on risk level. The updated tool incorporates likelihood of an alternative diagnosis and point of care ultrasound. The final best practice diagnostic algorithm defined risk levels as Low (0.5% no further testing), Moderate (0.6-5% further testing required) and High ( >5% computed tomography, magnetic resonance imaging, trans esophageal echocardiography). During the consensus and feedback processes, we addressed a number of issues and concerns. D-dimer can be used to reduce probability of AAS in an intermediate risk group, but should not be used in a low or high-risk group. Ultrasound was incorporated as a bedside clinical examination option in pre test probability assessment for aortic insufficiency, abdominal/thoracic aortic aneurysms. Conclusion: We have created the first Canadian best practice diagnostic algorithm for AAS. We hope this diagnostic algorithm will standardize and improve diagnosis of AAS in all emergency departments across Canada.
To evaluate the survival outcomes and toxicities experienced by non-metastatic head and neck cancer (HNC) patients receiving modulated radiotherapy (RT).
A total of 608 HNC patients treated consecutively from March 2010 to December 2014 with common subsites (oral cavity, oropharynx, hypopharynx, larynx and nasopharynx) of HNCs formed the study group. Eligible patients included those treated with radical or postoperative RT between March 2010 and December 2014. More than 90% patients received modulated RT [intensity-modulated radiotherapy (IMRT) or volumetric-modulated arc therapy (VMAT)] with concurrent chemotherapy as per stage guidelines. Demographic parameters and disease-related factors were analysed. Disease-free survival (DFS) was calculated from end date of RT till last follow-up or last date of disease control. Overall survival (OS) was calculated from date of registration to last follow-up date if alive. The primary endpoint was survival. The statistical analyses were performed using SPSS version 20.0 and Kaplan–Meier method was used for calculation survival.
Among the evaluable patients, the median age was 60 years (range: 16–93) with male preponderance (male:female – 513:95). Majority were squamous cell carcinoma 93·4% (568/608). The subsites treated were oral cavity 36·8% (224). oropharynx 26·4% (161), larynx 19·7% (120), hypopharynx 10% (62) and nasopharynx 6·4% (41). RT intent was radical in 63·5% (386) and postoperative in 36·5% (222), with 59·5% (362) receiving concurrent chemotherapy. At last follow-up, 348 (57·2%) patients were alive, 169 (27·7%) patients had succumbed to disease and 120 (24·6%) patients had recurrent disease. Out of 120 recurrent cases loco-regional recurrence, nodal recurrence and distant metastases were seen in 62 (51·7%), 25 (20·8%), 33 (27·5%), respectively. In the entire study cohort at 2 year OS and DFS was 80 and 79% whereas 3 years OS and DFS was 70 and 75%, respectively.
In our study, 2 years and 3 years OS and DFS rates are found comparable to the international data with acceptable toxicity profile with the use of modulated RT. It seems to be possible because of stringent departmental protocols and good medical physics support. Our data re-validates need and benefit of advanced RT techniques like IG-IMRT and VMAT for both postoperative and radical HNC treatment at the cost of minimal long-term side effects. Future stringent follow-up and quality of life issues are being considered in a prospective manner.
To compare combined conventional Freer medialisation and controlled synechiae, performed for middle meatal access (during the initial steps of functional endoscopic sinus surgery) and post-operative middle turbinate medialisation, with basal lamella relaxing incision, the latter of which is a single step for achieving both middle meatal access and post-operative medialisation. The study also compared the effects of controlled synechiae and basal lamella relaxing incision on post-operative olfaction.
A randomised prospective study was performed on 52 nasal cavity sides (32 patients). Only basal lamella relaxing incision was performed in one group, and both conventional medialisation and controlled synechiae were performed in the other. Intra-operative and post-operative photography was used to measure the middle meatal area. A pocket smell test was used to assess olfaction.
There were no significant differences in operative middle meatal access and post-operative medialisation of the middle turbinate. Post-operative olfaction was affected more in the combined conventional medialisation and controlled synechiae group, compared to the basal lamella relaxing incision group, but this finding was not statistically significant.
Basal lamella relaxing incision is an effective single-step technique for achieving adequate middle meatal access and post-operative medialisation, with no significant effect on olfaction.
Introduction: Anaphylaxis is a life-threatening condition that paramedics are equipped to treat effectively in the field. Current literature suggests improvements in paramedic recognition and treatment of anaphylaxis could be made. The aim of this study was to compare the proportion of cases of anaphylaxis appropriately treated with epinephrine by paramedics before and after a targeted educational intervention. Methods: This was a retrospective medical records review of patients with anaphylaxis managed by primary or advanced care paramedics in five Emergency Medical Service areas in Ontario, before and after an educational module was introduced. This module included education on anaphylaxis diagnosis, recognition, treatment priorities, and feedback on the recognition and management from the before period. All paramedic call records (PCRs) coded as local allergic reaction or anaphylaxis during 12-month periods before and after the intervention were reviewed by trained data abstractors to determine if patients met an international definition of anaphylaxis. The details of interventions performed by the paramedics were used to determine primary and secondary outcomes. Results: Of the 600 PCRs reviewed, 99/120 PCRs in the before and 300/480 in the after period were included. Of the charts included, 63/99 (63.6%) in the before and 136/300 (45.3%) in the after period met criteria for anaphylaxis (p=0.002). Of the cases meeting anaphylaxis criteria, 41/63 (65.1%) in the before and 88/136 (64.7%) in the after period were correctly identified as anaphylaxis (p=0.96). Epinephrine was administered in 37/63 (58.7%) of anaphylaxis cases in the before period and 76/136 (55.9%) in the after period (p=0.70). Anaphylactic patients with only two-system involvement received epinephrine in 20/40 (50.0%) cases in the before period and 45/93 (48.4%) in the after period (p=0.86). Conclusion: There are gaps in paramedic recognition and management of anaphylaxis, particularly in cases of two-system involvement. These gaps persisted after the implementation of an educational intervention. Other quality interventions and periodic refreshers may be necessary to improve prehospital treatment of anaphylaxis. Limitations include an increase in overall cases and decrease in rate of true anaphylaxis in the after period, which may relate to better case identification after electronic PCR implementation and changes in paramedic recognition.
We report seven cases of probable endotoxin poisoning linked to contaminated compounded glutathione. Five of the cases were using the infusions for treatment of Lyme disease highlighting the risks of using compounded sterile preparations for unapproved indications, especially if the quality of source products cannot be assured.
The correlation between objective and subjective nasal obstruction is poor, and dissatisfaction rates after surgery for nasal obstruction are high. Accordingly, novel assessment techniques may be required. This survey aimed to determine patient experience and preferences for the measurement of nasal obstruction.
Prospective survey of rhinology patients.
Of 72 questionnaires distributed, 60 were completed (response rate of 83 per cent). Obstruction duration (more than one year) (χ2 = 13.5, p = 0.00024), but not obstruction severity, affected willingness to spend more time being assessed. Questionnaires (48 per cent) and nasal inspiratory peak flow measurement (53 per cent) are the most commonly used assessment techniques. Forty-nine per cent of participants found their assessment unhelpful in understanding their obstruction. Eighty-two per cent agreed or strongly agreed that a visual and numerical aid would help them understand their blockage.
Many patients are dissatisfied with current assessment techniques; a novel device with visual or numerical results may help. Obstruction duration determines willingness to undergo longer assessment.
The study proposes a semi-analytical model for the pulse compression of two co-propagating intense laser beams having Gaussian intensity profile in the temporal domain. The high power laser beams create the relativistic nonlinearity during propagation in plasma, which leads to the modification of the refractive index profile. The co-propagating laser beams get self- compressed by virtue of group velocity dispersion and induced nonlinearity. The induced nonlinearity in the plasma broadens the frequency spectrum of the pulse via self-phase modulation, turn to shorter the pulse duration and enhancement of laser beam intensity. The nonlinear Schrodinger equations were set up for co-propagating laser beams in plasmas and have been solved in Matlab by considering paraxial approximation. The propagation characteristics of both laser beams inside plasma are divided into three regions through the critical divider curve, which has been plotted between pulse width τ01 and laser beam power P
01. Based on the preferred value of critical parameters, these regions are oscillatory compression, oscillatory broadening, and steady broadening. In findings, it is observed that the compression of the laser beam depends on the combined intensity of both beams, plasma density, and initial pulse width.
The mathematical model for the propagation of intense laser pulse in a plasma having Gaussian profile is investigated. The model has been formulated considering that the relativistic–ponderomotive nonlinearity dominates over other nonlinearities in the plasma. Model equation for self-compression and self-focusing properties of the laser pulse has been set up and solved by both semi-analytical and numerical methods. The result indicates that due to the effect of group velocity dispersion, diffraction of the laser pulse and the nonlinearity of medium, the pulse width parameter as well as beam width parameter of pulse gets focused at a different normalized distance, and hence the normalized intensity is also deferred at those points. Numerical simulation shows an oscillatory behavior of intensity during propagation in the plasma either having minimum beam radius (r
0) or having minimum pulse duration (t
0) depending on the normalized distance.
Introduction: Active substance use and unstable housing are both associated with increased emergency department (ED) utilization. This study examined ED health care costs among a cohort of substance using and/or homeless adults following an index ED visit, relative to a control ED population. Methods: Consecutive patients presenting to an inner-city ED between August 2010 and November 2011 who reported unstable housing and/or who had a chief presenting complaint related to acute or chronic substance use were evaluated. Controls were enrolled in a 1:4 ratio. Participants' health care utilization was tracked via electronic medical record for six months after the index ED visit. Costing data across all EDs in the region was obtained from Alberta Health Services and calculated to include physician billing and the cost of an ED visit excluding investigations. The cost impact of ED utilization was estimated by multiplying the derived ED cost per visit by the median number of visits with interquartile ranges (IQR) for each group during follow up. Proportions were compared using non-parametric tests. Results: From 4679 patients screened, 209 patients were enrolled (41 controls, 46 substance using, 91 unstably housed, 31 both unstably housed and substance using (UHS)). Median costs (IQR) per group over the six-month period were $0 ($0-$345.42) for control, $345.42 ($0-$1139.89) for substance using, $345.42 ($0-$1381.68) for unstably housed and $1381.68 ($690.84-$4248.67) for unstably housed and substance using patients (p<0.05). Conclusion: The intensity of excess ED costs was greatest in patients who were both unstably housed and presenting with a chief complaint related to substance use. This group had a significantly larger impact on health care expenditure relative to ED users who were not unstably housed or who presented with a substance use related complaint. Further research into how care or connection to community resources in the ED can reduce these costs is warranted.
We describe the performance of the Boolardy Engineering Test Array, the prototype for the Australian Square Kilometre Array Pathfinder telescope. Boolardy Engineering Test Array is the first aperture synthesis radio telescope to use phased array feed technology, giving it the ability to electronically form up to nine dual-polarisation beams. We report the methods developed for forming and measuring the beams, and the adaptations that have been made to the traditional calibration and imaging procedures in order to allow BETA to function as a multi-beam aperture synthesis telescope. We describe the commissioning of the instrument and present details of Boolardy Engineering Test Array's performance: sensitivity, beam characteristics, polarimetric properties, and image quality. We summarise the astronomical science that it has produced and draw lessons from operating Boolardy Engineering Test Array that will be relevant to the commissioning and operation of the final Australian Square Kilometre Array Path telescope.
A study of the daily motions of individual sunspots and of sunspot groups has been undertaken using Kodaikanal and Mount Wilson white-light observations. The Mount Wilson measurements were completed several years ago, and the Kodaikanal measurements have recently been started, using a technique identical to that used for the Mount Wilson data. Both data sets started early in this century, and both have continued to the present time. Preliminary results of a comparison of the two data sets are presented which show a good agreement between them in spot areas and motions. Analysis of the combined data set for the years that are available so far indicates that many more spots are available in such a reduction because the 12-hour time difference between the two sites allows for a more certain identification of individual spots from one observation to the next than in the case when data from only one site are used. This greatly increases the number of sunspots available for motion studies, particularly the smaller sunspots. Preliminary rotation and latitude drift reduction from the combined data set confirm earlier results from the Mount Wilson data alone.
We have obtained simultaneous observations of single pulses from the bright pulsars B0329+54 and B1133+16 at two frequencies in full polarization and a total of four frequencies in total power only. Here is a summary of our fantastic results!
The Global Meningococcal Initiative (GMI) is an international group of scientists and clinicians with recognized expertise in meningococcal disease including microbiology, immunology, epidemiology, public health and vaccinology. The GMI was established to promote the global prevention of meningococcal disease through education, research and international cooperation. The GMI held its second summit meeting in 2013 to discuss the different aspects of existing meningococcal immunization programmes and surveillance systems. Laboratory confirmation and characterization were identified as essential for informing evidence-based vaccine implementation decisions. The relative merits of different confirmatory methodologies and their applications in different resource settings were a key component of the discussions. This paper summarizes the salient issues discussed, with special emphasis on the recommendations made and any deficiencies that were identified.
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A powerful earthquake of 7.6 magnitude hit Chile on Sunday morning, forcing thousands to evacuate the tourist city of Quellon on Christmas day.
The quake struck the region at 11:22 am local time Christmas morning, some 800 miles south of Santiago, according to the United States Geological Survey.
Soon after the quake, the National Office for Emergency in Chile issued a tsunami alert and ordered evacuation of residents in and around the Chile islands. The tsunami warning has now been lifted.
Although no casualties have been reported yet, at least 4,000 people were forced to evacuate the quake-struck region, according to the Guardian. Reports state that the earthquake has caused some significant damage to roads and bridges in the area.
Chilean President Michelle Bachelet posted on Twitter shortly after quake, saying, "Much strength and encouragement to the compatriots affected by the tremor in Chile and other areas in the south. Emergency procedures are already in place."
¡Mucha fuerza y ánimo a los compatriotas afectados por el sismo en Chiloé y otras zonas del sur! Protocolos de emergencia ya están operando.— Michelle Bachelet (@mbachelet) December 25, 2016


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By Jessica Ude
Commissioner for Basic Education in Anambra State, Prof. Kate Omenugha advised education tutors and administrators to put up positivism in behaviors and attitudes towards their profession.
Prof. Kate made this appeal at her office in Jerome Udoji Secretariat, Awka, during a courtesy visit by the participants at a 5-day workshop on 'Teacher Management and Effective Placement', which was held in Dubai.
Kate enjoined the 45-man team to the conference to support government in re-positioning and advancing the education sector.
She said that the government wants them to have value-based education and that changing the angle at which the view things will be the only way to achieve it. She also pleaded with the stakeholders to assist in keeping sanity in the system their duty to drive government policy.
Nigeria Union of Teachers (NUT), Anambra State Chairman, Mrs Nonye Chibueze, thanked government on behalf of the team and indicated that they learnt a lot from all that was taught and said in the workshop.
According to All Nigeria Conference of Principals of Secondary Schools (ANCOPSS), Anambra State President, Mrs Augustina Atuchukwu, some teachers assume they have grown pass the age of Information Communication Technology (ICT) savvy, they tend to act less concerned at the mention of ICT and this issue is a major challenge to the profession.
She pleaded that a workshop on ICT should be organized on regular basis for teachers and students to enable them retain the knowledge they gained in previous training.
City Business Computers in collaboration with Anambra State Education Programme Investment Project (ANSEPIP) were the organizers of the workshop.