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The last Romanovs, Nicholas II and Alexandra, were not happy people. The tsar had married the granddaughter of Britain's Queen Victoria, who never quite adjusted to Russian life or lost her accent (she communicated with Nicholas in English). Their four daughters were healthy, happy teenagers but Nicholas and Alexandra had to sustain vigilant watch over their only son Alexei, the haemophilic heir to the throne. If he fell over or bumped his limbs, Alexei might have quickly died. And the doctors prescribed the anti-coagulant aspirin, the exact opposite of what the young haemophiliac really required. During his many bleeding episodes Alexis would suffer miserably, and his mother could but sit by him wretchedly.
In 1905 Rasputin was recommended to the royal family by their confessor. And it appeared as if Rasputin was only person who could help young Alexei. During bleeding episodes, Rasputin would talk quietly to the boy, calming him and lowering the heir's blood pressure, easing the bleeding. Contemporaries claimed that Rasputin could also hypnotise Alexis with his eyes, further calming the lad.
How strange that a holy man with bad teeth, manky hair, smelly body and debauched sexual habits had this sort of charisma. Welch said he carefully cultivated these disgusting qualities to ingratiate himself with the royal family of Russia. Even more disgustingly, he seduced thousands of young women by day, and became fall-down drunk in the evenings.
For Tsarina Alexandra, Rasputin was a Man of God. He became a frequent visitor to the royal household and the tsarina offered him every gift under the sun, as long as he kept Alexei alive and well.
Photo credit: Meet the Slavs
In 1905, after a war with Japan ended in defeat and civil unrest arose in St Petersburg, Nicholas was reluctantly forced to grant a constitution and convene a parliament, the Duma. As soon as the Duma became too bold in its demands, Czar Nicholas dispersed it. Another Duma was called but it too was closed. This unrest had nothing to do with Rasputin, but the timing was important. Rasputin's relationship with the royal family was became public and scandalous knowledge. And no matter how many political or church delegations begged the royal couple to throw Rasputin out of court, Alexandra would not listen to a single word they said.
In fact the very opposite occurred. The worse things got, the more Alexandra came to rely on Rasputin's judgment. In the summer of 1915, with World War One killing millions of young Russian lads, Tsar Nicholas decided to leave the capital and assume command of the Russian army, leaving the government in Alexandra's hands. The German-born Tsarina loved Russia, but didn't know the first thing about government and was blinded by her belief in Rasputin. For a year toward the end of the Romanov dynasty, and with the Tsarina's active consent, Rasputin was said to be the de facto power behind the throne. And since the Tsarina herself was German-born, people were even more suspicious of her and of Rasputin's influence.
Welch noted many assassination attempts on Rasputin… yet as if by magic he did not die. Only in December 1916 did two young pro-monarchy aristocrats, both relatives of the Tsar, succeed in finally killing Rasputin (by poison, gunshots and drowning). Just two months later, crowds took to the streets of St Petersburg; following the February Revolution of 1917, Tsar Nicholas was forced to abdicate. Soon the Bolsheviks took over and nothing could save the oppressive Imperial Family or the corrupt aristocracy.
Welch's final task was to decide how much Rasputin was to blame for everything that was decadent, corrupt and remote about the royal family and its court. She believed Rasputin's role in the downfall of the tsarist regime was indisputable, especially when it was wrongly rumoured across the nation that the monk was both shaping Russian policy during WW1 and shagging the Empress. Without him, wrote Alexander Kerensky, the leader of the first of the two Russian revolutions of 1917, "there would have been no Lenin".
But it was The Revolution of 1905 that was the beginning of the end for the Romanovs, before Rasputin came to court. There was a unstoppable wave of mass political and social unrest that spread through the enormous Russian Empire - worker strikes, misery for the peasants, military mutinies, the establishment of the parliament and the Russian Constitution of 1906. Tsar Nicholas might not have understood what was happening, but most other people in Russia did.
A postscript. When the imperial family members were murdered in Yekaterinburg in 1918, the Tsarina and four young Grand Duchesses were found to be wearing amulets containing miniature portraits of "Our Friend", Rasputin.


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A collection of brief notes from a collection of former (and current) military professionals and how they came to know the Harpoon simulations.
Edited by Don Gilman.
"I was in the Navy for 22 years. When Harpoon came out it was like an extra tool for me to train my guys. In EW school we were taught all the basics about weapons, tactics and the platforms that utilized them but nothing really put it all together. Harpoon did that. It gave my guys a better understanding of war at sea and how engagements evolve. I just hope there are still sailors out there that recognize the value of Harpoon and somehow incorporate it into their training."
"I am a Surface Warfare Officer. Most of my assignments afloat have been tactical warfare billets afloat as a TAO (on CVN and CGs) and the Combat Systems, Weapons, and Operations billets that support the warfighting effort. Also spent time in training commands ashore. I first ran into Harpoon as a junior officer almost fifteen years ago [1990] when I was going through tactical training in the Navy School House preparing for my first afloat tour. Found a partial set of rules in the wardroom for the mini game that no one used. I got exposure to the computer games as an extension of the mini game a couple of years later. Both versions of the game get mentioned during training tracks but the Navy spends time on its on its own sim systems not giving the commercials stuff much of a chance to see action. I had to go out on my own to learn about Harpoon. A couple friends had the computer game at home but it mainly spent time on the shelf because it was considered taking work home."
"I have played Harpoon on computer and board since the early 80's. I even played with game books marked SECRET when I was in the Navy, serving on submarines. We edited/corrected the entries so that are games were consistent with war-game simulations. We played submarine engagements with the officers running the US forces and the Sonar Techs running the advisory/USSR subs. Thank for maintaining the Harpoon series, it has many fond memories."
"I played the original Harpoon years ago on MSDOS, I am a naval officer and wanted a realistic computer simulation to keep me tactically current and train my junior officers. Harpoon 3 seemed to fit the ticket." – US Cmdr/CO of a Frigate
"When I used Harpoon as a training tool it was in a shipboard setting. Nothing formal, just me and my junior EW's in the shop going through scenarios. Yes, it worked well in drawing together all of the knowledge about weapon systems, platforms and tactics that we had amassed in our schooling. Instead of seeing the single facet that our occupation contributed to the whole CIC picture we could see how all aspects of war at sea came together in an engagement and we could influence the outcome with our own knowledge. For some it made inherent sense, for others you could see the lights come on for the first time."
"I believe I first saw HARPOON during Officer's Training on board a ship. One of the other officers was demonstrating it, and the CO thought it was pretty good for provoking tactical thinking. I actually used my personal version of Harpoon while attending Naval Postgraduate School in (91-93) as a simulation model to test ASW tactics. It wasn't the tactics themselves I was testing, but the methodology of doing simulations."
"Northrop Grumman: Harpoon 3 Professional provides a low cost high value solution to familiarize operators with maritime simulation/stimulation requirements. Harpoon 3 Professional avoids the typical problem of being difficult to setup and requiring large amounts of manpower to run. It supports users with the ability to create effective demonstrations and or simulations in the maritime domain quickly, on a single desktop."
"Navy Commander: From a security perspective naval war gaming and analysis tools are analogous to fielded C2 systems such as GCCS – the underlying data, not the code base, is classified. COTS systems mature in a larger customer base which means frequent releases with other organizations requirements may benefit you. Many may also be surprised to learn that much of the code in COTS systems is often independently validated and verified and usually installed already in operational environments by another branch who took innovation into their own hands. As you read this article there are hundreds of in theater war-fighters using COTS based systems in their daily missions, some not even programs of record. Intelligent decisions to field capability are begin made as these COTS technologies are pulled into battle offering something much better, faster, cheaper and more capable."
And a nice summary of the bi-polar attitude towards gaming:
Jane's Fleet Command got distributed on my last ship in 2003 but you had to go ask for it. The interface was not serious enough to get JOs to grab onto it as a serious training tool. It got evaluated and then shelved. After playing around with the embedded training systems all day it is hard to ask JOs to take personal time to do a game. When they are on the computer they will be asking the wife how things are going at home via email before they go into game mode. The other issue is that it is considered unprofessional to be gaming on a PC even for training. That is official policy that is hard to defeat even if the game is a DOD training tool. It is a culture thing that a few beers are required to explain. "Why are you not working vice playing even if it is considered part the job" is the flak the JOs are trying to avoid. I have waved this in front of JOs and get "the what the hell are you talking about" look in response. I am sure you have seen this yourself but the new generation is a different breed of animal then my officer generation. Real smart and also extremely lazy. Weird.

subset: commoncrawl


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La Fortaleza
La Fortaleza, also known as the Palacio de Santa Catalina, is located in the Old San Juan portion of San Juan Puerto Rico. La Fortaleza overlooks San Juan Bay and serves as both the residence and the office of the governor of Puerto Rico. It is actually a complex of several connected buildings including a chapel and dungeon, surrounded by gardens. La Fortaleza was originally built in 1533 as a fort to protect San Juan from pirates, however El Morro Fort and San Cristobal Fort were subsequently built and provided better protection for the city.
Guided tours of La Fortaleza are available weekdays, however they are prone to cancellation due to official events. Therefore, it is recommended that you call and make a reservation. The tours are free of charge, but a small donation is requested, and are conducted in both Spanish and English.


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Like a re-ride on your favourite rollercoaster, Hell Fest anticipated jolts and familiar fun are no less entertaining just because you see them coming.
Read my full review over at Review Avenue
Like a re-ride on your favourite rollercoaster, Hell Fest anticipated jolts and familiar fun are no less entertaining just because you see them coming.
Suspiria is this year's mother! The biggest difference is this reviewer loved mother! but can already feel this cluttered and hugely disappointing film disappearing from his memory. A huge waste of the plethora of talent on show, Supiria is a graceless but wildly ambitious misstep.
Indonesian rising filmmaker Timo Tjahjanto's supernatural horror is full of the main thing you want from this genre: genuine scares. Whilst there's nothing new or original about May The Devil Take You, we're treated (if you can call it that) to a host of nerve-shredding, arm-chair squeezing, eye squinting moments and hardly get time to breath. Move over studio horrors, here's how you really scare an audience whilst retreading old tropes.
Described as "This genereation's 'The Exorsist'", 'Hereditary' has arrived with a lot of attention. It was actually rather surprising to be in a pretty full showing of it (but even more surrpsing it was quiet almost the whole way through!) as it isn't your typical studio horror. And that's a very important fact to know going in, this is a really weird film at times. But, unlike a lot of people in my screening, if you give it a chance and go with it, 'Hereditary' eventually pays off, it's just a shame it takes a bit too long to get there.
Opening to wildly negative reviews, I didn't hold out much hope for this one. However, the strangest thing happened half way through 'Truth or Dare', I realised I was loving it. Yes, the film is wildly stupid. Yes, there are some unintentionally hilarious moments. And yes, the film is just plain dumb at times, but I was able to look past all of its flaws for how enjoyable the entire affair was.
Last year, my twitter went into meltdown when a film called 'Get Out' was released. Everyone was saying how badly I NEEDED to see this film. Fast forward to 2018, 'A Quiet Place' was emulating the same buzz. Touted as one of the tensest films of recent memory, as well as making more people annoyed about popcorn munching, this was probably the most excited I've been for film that's not a "nerd" one since 'Three Billboards…'. Thankfully, the film mostly lives up to the insanely high expectations it's received, and is easily one of the best cinematic experiences you'll see all year on the big screen.
A few years ago, a film called 'Tangerine' broke barriers within cinema by being entirely filmed on an iPhone. 'Unsane' follows the same technique and the tone of the film suits this filming style perfectly. The extreme close ups and the distant, creepy following shots are just a part of what makes this such an unnatural but uniquely enthralling cinematic experience.


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Hair Braiding Class
Hair Braiding Class - Sunday, June 9th
Have you been wanting to learn how to braid your child's hair but need a hands-on learning experience?
We have just the thing for you... a Hair Braiding Class where Moms and Dads can come and learn with their child how to do three different kinds of braids:
Join us on Sunday, June 9th from 3:30-5:30pm for this fun, learning experience. You will learn skills for a lifetime and your princess will have a fun time getting dolled up!
Price: $65
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Weight has always been an issue. But two years ago it all came to a head when I was thrown off a flight by Southwest Airlines in the United States for being "too fat". The airline suggested I was too big for one seat and needed two. Now, I am the first to admit that I am fat, but I am not that fat and never have been. Astonishingly, for three awful days, it became the world's biggest story. But more of that later.
The first time I became body-conscious was when I was nine and went to the water park with my cousin. We were having a blast going down the slide when this dude at the top said: "Sorry, man, pregnant ladies are not allowed on the slide." The first five people behind me were like "Hee-hee-hee". I went and put my shirt on — for the rest of my life.
I was brought up a Catholic. My mom used to say: "Kevin, we all have crosses to bear and being fat is yours." It shapes your attitude to life, defines your character. Fat made me what I am as a person and as a filmmaker. If I had been a thin kid, girls would have just landed in my lap. But fatties do not get picked first — in sport, as a boyfriend, anything.
So we have to work harder and try to give something else. Some dude will put on the right clothes, put his hair back, look picture-perfect and that is his move. He walks into a room and things just come to him. When people like me walk into a room, we have to start working to win people back, because we are not the physical paradigm and girls start looking for somebody else. But if they give you enough time and you are funny enough or clever enough or interesting enough, that is a different set of plumage you can show off.
Deciding to tell his story
I decided to make movies that reflect who I am and who my friends are, such as Clerks, Chasing Amy and Dogma. I did not want to tell stories about pretty people; other people could do that. Pretty is great to look at, but pretty ultimately loses to interesting. It is weird that I became a filmmaker, because film is such a visual medium and I am not a visual guy. I am best with words. That is why my movies, particularly the early ones, are so static. I am like: "Who gives a shit about the picture, who gives a shit what it looks like, it's what they're saying." That comes from being fat, too.
So what is my kind of movie? Basically, it is one in which guys do not take off their shirts when having sex. Whenever I see anyone make out in a movie, the first thing that happens is the dude takes off his shirt, or the chick does, and that seems so foreign to me. That does not look like anything I know in the real world. My wife, Jen, has been trying to get me to take off my shirt for the 14 years we have been together, but I will not. You could probably count on two hands the number of times she has seen me topless.
It is all to do with self-perception. Jen thinks I am crazy. She is thin as a rail and she is hot. If I could be as thin as her, I would never have had a problem in my life — or so I like to think. And still, every day at one point or another, she whines about being fat. Oh my God, I think. If you reckon you are fat, I am going to keep this shirt on until the grave, because I know what is under here.
When I met her, I was at my adult thinnest — 104kg. I do not know what I weigh these days, but if I did I would not tell anybody. I give out everything to the world, but that number I keep for myself, because it has power. The moment you put a number on it, all the small people in the world have it to throw back at you. I do not think I could live if I weighed myself regularly. The moment you get on the scale, the scale becomes your destination. I am a creative person, I do not want that.
Could I be a thin person? Possibly. I could certainly do more exercise. When I am at home I do a 1.6km-long walk near my house, and if you do it once a day it keeps you in a good place. But I could not run. The moment I started I would think: "What must I look like with my flab going like this? What do people see? Does that dude have a camera phone?"
But being fat in Hollywood, among the beautiful thin people, has never been a problem. You are just "big guy" to everybody. "Hey, big guy!" "Yo, big guy!" Nobody calls you "fat" any more. It helps if you are always out there calling yourself fat, too. For a long time I would do that and I lived in a wonderful little bubble where I was fat but it did not matter.
Reality check?
Then the Southwest thing happened and burst the bubble. It was February 2010 and I was travelling back from Oakland to Burbank. The rule for flying on Southwest is that passengers who are unable to lower both armrests when seated should book an extra seat. Southwest claims it is the result of complaints it has received from customers whose comfort has been ruined by the "encroachment of a large seat mate".
I have travelled all my adult life on planes and have had no problem lowering both armrests. But the Southwest staff chose to disagree. The captain said I was a safety risk and ordered me off the plane. I had been seated at this point for about 15 seconds and there was no way the pilot could see me. I said: "You've pulled the wrong guy off the plane." They said: "Here is a pamphlet. You can write to the airline." I said: "Don't worry. In about one hour, you guys will come looking for me." At the time I had 1.6-million Twitter followers (now more than two million). I started tweeting.
"Dear @SouthwestAir, I know I'm fat, but was Captain Leysath really justified in throwing me off a flight for which I was already seated?
"Wanna tell me I'm too wide for the sky? Totally cool, but fair warning, folks: if you look like me, you may be ejected from Southwest."
On and on it went. Southwest Airlines had embarrassed me. I was going to embarrass it right back. After almost an hour of tweeting, somebody got scared shitless because the manager came to find me at the airport. He sprinted over and breathlessly coughed: "Mr Smith, please stop tweeting!"
He told me I had been handled poorly and he wanted to make it up to me by ensuring I got out of Oakland as soon as possible on the next Southwest flight to Burbank. Mr Manager escorted me on to the flight as soon as the doors opened, which was embarrassing because everyone else in line stared.
Even though I had the whole plane to choose from, I immediately hurled my fat ass into the first available seat. The most important thing was getting my seat belt on without incident. Once safely buckled in, I started tweeting some more.
"Dear @SouthwestAir, I'm on another one of your planes, safely seated & buckled-in again, waiting to be dragged off in front of the normies.
"And, hey? @SouthwestAir? I didn't even need a seat-belt extender to buckle up. Somehow, that shit fit over my 'safety concern' creating gut."
I snapped a picture of myself with my phone's camera and tweeted what became a popular image accompanying every rendition of this story: me in one seat, puffing out my cheeks to look fatter. I included the message: "Hey @SouthwestAir! Look how fat I am on your plane! Quick! Throw me off!"
I continued tweeting until takeoff: "The @SouthwestAir diet. How it works: you're publicly shamed into a slimmer figure. Crying the weight right off has never been easier!"
It was tough making all those fat jokes at my own expense, but I figured it would be worth it. I thought the story was about how a corporation got caught screwing the little guy again, except this time, the little guy had a lot of mouth and even more Twitter followers.
But look how long that sentence is. Why on earth did I expect the media to understand all that when there was an easier, funnier story staring right at them? And that story was "Fat guy in a little chair".
Almost every news outlet spent the next three days stripping away my humanity as people discussed me more like a concept than an individual. My picture graced the Philadelphia Daily News with the slug: "Blimp landed." I learned first-hand that fat people were the recipients of the last remaining socially acceptable prejudice.
No mercy for overweight people
Racism and sexism will get you ostracised in more enlightened communities, but you can mock fat people all you want. When Southwest made me a national laughing stock, it was like a second coming of the nine-year-old me at the top of the slide. In that moment, I kind of died.
Those three days were the worst of my life. I know all things are relative, three of the worst days of your life could be when you are imprisoned in a basement wondering whether you are ever going to escape. But in the safe world of Kevin Smith, they were the three worst days of my life.
I would wake up, remember what had happened and feel depressed. My wife was looking at the stories online and every morning I would ask: "Where is it?" and she would reply: "Top of the Google page." I would go: "Entertainment?" And she would go: "No, news page." There were 5 000 articles on Google, all calling me fat. I asked my publicist what I should do and he said: "I don't know, dude, I've never seen anything like this."
It was Larry King's final series on television and he asked me to come on the show. I was like: "Fuck! Now I am going on Larry King, but it is not to talk about my work, but some bullshit that an airline put me through. I am like the octomom now; I am a freak show." And I did not want to be a freak show on their terms, so I did not do it.
It is only now I realise how irrational I was being. After all, I had always been fat and got along just fine. But all my life, whatever front I had put on it, in my head I had always told myself: "Don't be fat, don't be fat, don't be fat." And when they really shone a light on me, it was not for the movies, it was for my fatness. Then, after three days, Tiger Woods gave a press conference in which he talked about cheating on his wife and nobody cared about me any more. I do not even like golf, but now he is my favourite athlete.
Although it died away, a lot of rubbish was said about me and my weight. Newspapers reported that I lost 32kg after the Southwest incident. What actually happened was that I put on a bunch of weight after Southwest and then lost it all again.
Two years on it still seems like a nightmare, but I realise that, in some ways, it has changed my life for the better. I thought: "I'm not going to fly when I don't have to. I'm going to get a bus, I'm going to bring my friends and we're going to do a podcast tour." Then I thought: "Let's take all these podcasts and build a radio network." So we did that. I have taken that line of thinking further: Why depend on a distributor when we can distribute films? It has taught me that we do not have to rely on corporations.
As for my body image, that is still pretty much the same as it ever was. I know there are chubby chasers who think I am attractive (my wife is one of them), but I do not feel like that. If Jen does like my body the way she says she does, then I question her taste in everything. But I do know she likes what I am, and that counts, too. —


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With dozens of environment-related degrees, the University of Arizona can set you on a path of real-world, hands-on experience and one-of-a-kind courses that will prepare you to make a difference in the world!
Photo Credit:
Photo courtesy of Chad WestoverEndless Environmental Events Near You
From department colloquiums and film screenings, to symposiums, tours, and art exhibits, there's plenty to do on and around campus to get involved in environmental initiatives beyond the classroom context.Photo Credit:
Image courtesy of John NofsUA Faculty and Researchers that Problem Solve and Inspire
Nearly 300 IE-affiliated faculty and researchers bring their expertise to address the world's environmental challenges, while encouraging students to do the same.Supporters for Sustainability and Environmental Awareness
Harnessing the collaborative and interdisciplinary expertise at the University of Arizona and among our many partners, the Institute of the Environment links cutting-edge knowledge and know-how with real-world issues to help all societies better understand Earth's natural systems and chart the best course for a more vibrant, sustainable world.
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Tuesday, September 24, 2019


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600 Club Annual Banquet
Spring Has Sprung! – Get Ready to Bloom!
Date: Thursday, May 18, 2017
Place: The Maple Tree Restaurant
6010 US HWY 51, McFarland
Time: Cocktails 5:30 Dinner 6:30
Madison 600 Clubs Singles Tournament
600 Club Annual Banquet
"Badger Red" – Show your team spirit!
Date: October 20, 2016
Place: Rex's Innkeeper
301 Century Avenue
Time: Cocktails 5:30 Dinner 6:30
Have you had a 600 series count? Would you be interested in joining the various 600 Clubs? We sure would enjoy having you join!
The one time dues for the National 600 Club are $15.00. You will receive a 600 patch and a National 600 Club card. You also would be eligible to bowl in the National 600 tournament that is held at the same time as the Women's National tournament.
The one time dues for the State 600 Club is $3.00. You will receive a State 600 pin and a decal for the back of your National 600 Club card. You would also be eligible to bowl in the State 600 tournament that is held at various city locations in Wisconsin the last weekend of October and every weekend in November. You must join the National Club to join the State Club. More information can be found here.
The annual dues for the City 600 club is $4.00. We have a banquet and meeting the third Thursday night in October. We also have a 600 city tournament the third weekend in February at various locations in the Madison area.
Your officers in the City 600 Club are:
- Jenny Lynn Larson, President
- Melody Gulseth, Vice President
- Pat Lashore, Secy/Treas.
- Gayle Seltzner, Sgt of Arms
Click here for a form that can be filled out and mailed to:
Madison 600 Club
25 Swanton Rd.
Madison, WI 53714
Otherwise e-mail me at Madison 600 Club or call me at 608-438-1875 to get a form mailed to you.
We look forward to you joining our club.
Pat Lashore


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Google sites help, inspiration, how to and advice by a google sites help Top Contributor.
Thursday, 1 November 2012
Add The Spotify Play button to Your Google Site
Insert > More Gadgets > Featured > Embed Gadget > Paste in the code below:
<iframe src="https://embed.spotify.com/?uri=spotify:track:4bz7uB4edifWKJXSDxwHcs" width="300" height="380" frameborder="0" allowtransparency="true"></iframe>
Change the height of the gadget in both height fields to 380 > Change the width to 300 and make sure pixels is picked from the drop down menu > Untick display the title on your gadget field The just save!Let me know how you get on.
Here is the working result!
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Flowers & Style is a flower studio based in Kato Paphos, Cyprus. We provide all kind of flower services, specializing in weddings, christenings and events.
Our passionate and highly skilled designer strives to create unique and beautiful flower arrangements and stylish bouquets, reflecting the needs and personalities of our clients.
From the concept all the way to execution, we can take care of all the little details of the flower decorations, bringing the artistry to your day to make it a special one to remember.
Order fresh and high quality flowers online with same day delivery or book an appointment with our florist.
May Day or May 1st is according to tradition is the day for celebrating Spring.
One tradition on that day is wreath making. The making process is supposed to bring people closer to nature. The May Day wreath will hang on the door until it goes dry.
Come by our shop to see how we create our beautiful and colorful wreath or order online with Same-day Delivery !
Mother's Day is celebrated on various days in many parts of the world. This year is celebrated on the 31st of March in the U.K or May the 12th for most of the other countries in the world.
Show your mother how much you care by sending her our beautiful flowers. Spoil her with our stunning Mother's Day arrangements, bouquets or boxes.
Order online with Same-day Delivery ! Freshness guaranteed !!
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"Recently had flowers delivered to our hotel from flowers and style for a wedding we were attending and I must say they were stunning. We had many a compliment and were reasonably priced. Would definitely recommend."


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An important part of every business owner's journey is finding ways to sustain themselves and their business. Some entrepreneurs opt to use their personal savings, some go to friends and family, and some choose to raise funds from external investors. In this post, we will focus on the most popular option these days – raising external funding.
Getting investment is like a fairy tale come true for most startups. In the startup sphere, this is a high rated accomplishment. Even more telling is the media attention funded startups get and how success is usually measured by the funding amount raised. These are not the only advantages of external funding. It definitely helps that startups are able to do more and stay ahead of the competition when they receive significant investment. However, it is equally important to know the other side of the story; the reality of what it means to take venture capital funding.
Regardless of the stage of investment funding a startup receives, it is important to understand the implications of exchanging part of your business ownership for someone else's money. Sometimes, money that might seem like a godsend could also have adverse effects that you have not considered. Here are some things you should be aware of as you consider raising external funding:
Choosing Where to Spend Startup Resources: Product or Funding
If you ask funded startups how long it took to raise investment, they'll probably tell you no less than six months; and that's for the lucky ones. The fundraising process requires a lot of effort, time and resources that can take a toll on even the best of teams. All the resources spent preparing and delivering presentations, making phone calls, attending meetings with potential investors, and negotiating to close a funding round means not enough resources spent on actually running your business. To make sure your business does not suffer, it usually comes down to a deliberate choice: do you satisfy all your potential investor's requirements or do you focus on your customers' needs?
Aligning goals and setting milestones
There's this saying that "he who pays the piper calls the tune". It's a similar situation once you receive external funding, especially if the piper and the payer have differing goals. Sometimes, what your investor wants might not be what you want. While your investor might just want to cash out, you may be more interested in discovering something innovative and groundbreaking that takes more time to be profitable. When the typical investor gives you money, it's because he wants a significant return on investment...and soon. To ensure this happens, there would be an agreement on what to achieve and what milestones to meet – e.g. number of returning monthly customers, monthly revenue projects, and so on. As a business owner, you are ultimately responsible for meeting these goals so it's important to ensure that you and your investor(s) see eye-to-eye.
Constant Communication and Managing Expectations
The moment your startup gets funded, expectations go through the roof. Whereas, before all you had to do was have an informal conversation with your cofounders (if you have any), now, your investors want to know your every move. So, in addition to the money you receive, you also need to cultivate a good relationship where you provide updates to your investors. To manage expectations and maintain good relationships, it is important to agree on what information is most relevant to your investor and how often this information should be reported.
Beware the Resource Waste Temptation
Sometimes, the appeal of more money might make you prone to bad acquiring decisions. For example, a non-financial startup might hire a whole in-house accounting department to handle their accounts because they have the money. In reality though, it might be more economical and efficient to outsource to a professional or. Basically, there is a higher temptation to spend more when you get funded; try to avoid it.
Legal Landscape
Bringing investors on board often has legal implications such as share ownership and board membership. It's important to ensure that you understand these details and that you seek legal counsel (ideally different from those advising your investors) to guide you through the process.
So should you take external funding? The choice is yours to make. What's important is to understand that every situation is unique and you, as an entrepreneur, must determine what works best for your business. Be really sure you need the funding and have a carefully laid out plan for how you want to spend it. And keep at the back of your mind that although it is your startup, it is not your money. And the owner of the money is, in reality, the owner of your startup.
Have you had any experience with investors? Share your experiences with us in the comment.
Wondering whether to raise external funding? You don't have to think through it alone. Let's help you. Contact us for a consultation. Here's what some of our clients have to say. Our goal is to empower businesses like yours by providing them with the tools and knowledge necessary to drive high business performance.
Visit us on the web: www.startsmartgh.com Send us an email: firstname.lastname@example.com


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Experts think latex allergies could be common for up to 73 percent of those with spina bifida.
No one knows why people are allergic to latex. Some experts think it's because people have too much contact with it. People with spina bifida that have or have had shunts, other allergies and a lot of surgeries may be at more risk than others. Latex allergies are not specific to spina bifida and can be a problem for anyone else who has a lot of contact with it.
Latex allergy is not fully understood. Experts are still learning what proteins cause it.
Latex reaction
Check labels to ensure they do not have natural latex rubber in them.
Signs of an allergic reaction include:
watery and itchy eyes;
- sneezing and coughing;
- rash or hives;
- swelling of the windpipe;
- wheezing;
- a hard time breathing;
- life-threatening collapse of blood circulation
The only way to not have a latex reaction is to avoid things with latex or latex-contaminated powder. Contact occurs when latex touches the skin, mouth, eyes, genital areas or bladder. Severe reactions can take place if latex enters the bloodstream. Powder from latex balloons or gloves can get into the air. This is a problem when breathed or touched by a person who is allergic. Food touched by people wearing latex gloves might have this powder on it. (People allergic to latex may also be allergic to some fruits and vegetables.)
Steps to take
Avoid latex products right from birth. Things made of silicone, plastic, nitrile or vinyl can be used instead.
Those who had a reaction to latex should:
- wear a medic-alert bracelet or necklace;
- carry auto-injectable epinephrine;
- carry sterile non-latex gloves and other non-latex medical items for emergencies
Discuss latex allergy and avoidance with health care providers, schools, pre-schools, visitors and anyone else who is involved with the person who is allergic.
Talk to health care providers before hospitalisation or surgery to prevent accidents and for latex-safe care.
For more information please download the PDF version of this page


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The Junction Health Centre is now part of the Practice Plus network; a comprehensive NHS GP service, improved to give patients a better experience whenever they need medical advice or care.
We're committed to giving you the best possible healthcare in a way that suits today's busy lifestyles.
That's why we're open every day 8am to 8pm, including bank holidays. Our new service offers NHS patients speedier and more convenient appointments, improved access to their GP or nurse and eliminates the 8am telephone queue.
Practice Plus is designed to serve patients in the local community, welcoming all ages and medical conditions. You can find us next door to Clapham Junction station. We're just outside the Grant Road exit.
If you are not registered with Practice Plus yet, you can click here to register with the practice to manage your online account.
Learn more about the new accelerated Practice Plus NHS GP service here.
We're always trying to make our healthcare services even better, and our patients are the best people to help us to do this.
The Care Quality Commission has rated us 'Good'. Click here to read the report.


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|About this Recording
8.120800 - KITT, Eartha: C'est Si Bon (1952-1954)
EARTHA KITT C'est Si Bon
Original 1952-1954 Recordings
That highly overused epithet,'sex kitten' somehow seems fresh again when it's applied to Eartha Kitt, whose voice you're about to hear in twenty splendidly seductive selections.
Not only is there something decidedly feline in the image she's always presented (Hear that purr! Watch those claws!), but she's actually played cats at several points in her career, most notably Mehitabel in Shinbone Alley and Catwoman in the TV series of Batman.
As of this writing, she's 77 years old and still appearing in cabarets and clubs around the world. But this collection of songs was recorded over fifty years ago, when she was still near the start of what has proved to be a very durable career.
None of this seemed likely when she was born Eartha May Kitt into a life of extreme poverty on 26 January 1928 in the town of North, in the state of South Carolina. For many years, Kitt wasn't really sure of the place or date of her birth until the 1970s when some students at Benedict College finally found the relevant documents.
She was illegitimate and her family were poor sharecroppers who told her that her name was a tribute to the earth, because the harvest had been good in the months just before she was born.
Kitt's mother was black and her father was mixed white and Cherokee. This made her an almost total outcast in the America of the 1930s, with no race willing to claim her. When her parents broke up and her mother remarried, her stepfather refused to accept her and she went to live with her aunt in Harlem.
Despite poverty so severe that she often existed only on apples, Kitt made her way into the N.Y. School of Performing Arts. At the age of sixteen, she was discovered by the famous choreographer Katherine Dunham who took her under her wing and made her a part of her company.
Soon, Kitt was touring around the world with Dunham's troupe. When she arrived in Paris in the late 1940s, she decided to stay there and soon carved out a name for herself. In 1950, she became romantically involved with Orson Welles, who cast her as Helen of Troy in his reworking of the Faust legend, called Time Runs. He opened it in Paris, then toured it around Europe.
But Kitt was finally homesick for the U.S.A. She returned to Manhattan in 1951 and hit the cabaret scene, with record-breaking runs at the Blue Angel and the Village Vanguard.
It was while she was there that she was discovered by producer Leonard Sillman. He was casting the fourth in his series of seven legendary Broadway revues called New Faces of … With the date of the year they were performed finishing the title.
Eartha Kitt was to prove the star of New Faces of 1952 when it opened on 16 May. You can hear two of the numbers that made her famous: the charming Bal Petit Bal, which she shared with Robert Clary (later to star in Hogan's Heroes) and her showstopper,Monotonous, a slinky exercise in sensual ennui,written for her by the popular special-material team of Arthur Siegel and June Carroll (who was Sillman's sister).
RCA Victor instantly capitalized on her fame, by releasing a series of singles. All of them concentrated on her 'smoldering' image, but they cleverly played two angles.
Many of them featured foreign language numbers like African Lullaby (sung in Swahili), Angelitos Negros (sung in Spanish), Uska Dara (sung in Turkish) and Avril au Portugal (sung in French).
But they also included more exotic English language material like Mountain High, Valley Low and the haunting art song Lilac Wine, written by James Shelton.
RCA Victor obviously decided they were going to play up Kitt The Seductress in 1953, because they released more singles as well as her first album. These included such exercises in slinkiness as I Want To Be Evil, Annie Doesn't Live Here Anymore and – most infamously – the first 'R' rated Christmas carol, Santa Baby.
The strategy worked and Kitt enjoyed six singles that sold over 600,000 copies each in the years ahead.
She also returned to Broadway in a 'play with music' called Mrs Patterson, which enjoyed a 101-performance run starting 1 December 1954. Kitt played the fifteen-year-old Teddy Hicks, a poor black girl who longed to live the elegant life enjoyed by her mother's employer, the Mrs Patterson of the title.
Although not officially a musical the show featured a half dozen songs written by the distinctive James Shelton. Two of them are featured here: Tea In Chicago and My Daddy Is A Dandy.
Kitt's career was to continue in a variety of directions, with Broadway shows like Shinbone Alley and Timbuktu,movies like Anna Lucasta and St Louis Blues and appearances on TV shows like Mission Impossible and Batman.
But she never really surpassed the buzz she achieved in those early years of the 1950s. Her outspoken behaviour and strong political stance against the War In Vietnam resulted in her being virtually blacklisted by the entertainment industry until the late 1970s.
She has written three exceptionally candid biographies (Thursday's Child, Alone With Me and I'm Still Here: Confessions of a Sex Kitten and has appeared on Broadway as recently as 2000, when she earned a Tony nomination for her turn in The Wild Party and 2003 when she replaced Chita Rivera in the revival of Nine.
Still, it's on these first recordings that the essence of Kitt comes through most clearly. Her voice is a strange mixture of tremulous vibrato on the held notes and silky smooth phrasing during the more legato phrases.
Whether she's singing in English, French, Spanish,Swahili or Turkish, the message comes through loud and clear.
She sounds naughty, she sounds enticing, she sounds … well, like Eartha Kitt.
Richard Ouzounian
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Cardiothoracic Surgery is the field of medicine involved in surgical treatment of diseases affecting organs inside the thorax (the chest)—generally treatment of conditions of the heart (heart disease) and lungs (lung disease).
Our practice has over 100 experienced and highly trained physicians and other healthcare providers in 31 medical specialties. These experts, along with our skilled and caring nurses and other staff, will make your visit with us the finest possible.
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Your credit report could contain material errors. These are mistakes that other people make but you ultimately to pay for — and left uncorrected, you may end up paying for those errors for years and years.
According to a recent Federal Trade Commission report, one in five people have flawed credit reports. Not all of these mistakes hurt credit scores, but many do. According to the same study, one in eight people have lower credit scores because of these mistakes.
Since your credit score typically determines what interest rate you pay on your debt, an artificially low credit score means you might pay higher interest than you otherwise should.
Keep in mind that even a tiny point penalty could cost you big. If your score just misses the next highest bracket because of those errors, you'll be stuck in a lower-rated group and that means higher rates.
In other words, a "minor" mistake that "only" cost you a few points could cost you a lot of cabbage. All told, more than 10 million Americans pay higher interest, are denied credit or loans, or can't get a job because of these mistakes. Let's make sure this doesn't happen to you, too.
Looking for Errors
According to the FTC report on credit report mistakes, report errors include:
- Mistaken collections
- Duplicate entries
- Wrong personal data
- Inquiries that didn't happen
- Derogatory public records like bankruptcies, judgments, liens and convictions that also didn't happen
- Mistakes made by credit card companies about missed or late payments that were actually paid on time.
How Much Do Credit Report Errors Cost You?
Depending on the kind of credit or loan you are interested in, the cost could be huge. According to my research, over the life of a 30-year mortgage, you could end up paying $11,000 more interest or more if a credit report error knocks your average FICO score down from a 700 to a 699.
If you are trying to get a new car loan for three years, a similar one-point error will cost you about $700 more interest as of Feb. 15 of this year. That may not seem like much, but it's almost a 50% increase over what you would have paid had you not had the credit report errors. (You can calculate how much bad credit is costing you over your lifetime with this tool.)
What You Can Do About It
Once you understand how even the smallest mistake could be very expensive, it's time to get serious about your credit report.
The first step of course is to order your credit reports. You should order all three reports — you can get your credit reports for free once a year from each of the three major credit reporting agencies — at the same time and go through them with a fine-tooth comb.
Look for any items that are clearly reported in error, but don't stop there. By law, creditors and credit bureaus must correct or remove items if they are inaccurate, unverifiable or incomplete.
Getting Items Removed From Your Credit Report
Removing negative information from your credit report requires patience and persistence. It also requires you to stick to the process. Most sources suggest that you contact the credit bureau only, but you may need to cover your bases. Even though the credit bureau will ultimately be the one to remove the negative information, you will likely need to also contact your creditor to make it happen. If I needed to correct mistaken information on my credit report, I'd write to both the bureau and the creditor simultaneously.
Credit report errors are not unusual and they are not benign. They happen all the time and they can cost you serious bucks. Don't be complacent. Take the time to order your report and go through it. Identify those items that misrepresent your real credit story and fight to make it right. As you're working to resolve the problem, and even afterward, it can help to monitor your credit reports for changes that require your attention. You can get a free monthly credit summary from Credit.com to help you spot changes along the way.
More on Credit Reports & Credit Scores:
- How to Get Your Free Annual Credit Report
- How Do I Dispute an Error on My Credit Report?
- How Credit Impacts Your Day-to-Day Life
Image: iStock


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Official Name: The Republic of Peru
- Hourly Consultation (in person, online, phone)
- Per question consultation
- Application review
- Full package: Start to finish representation
- Immigration Plan to become qualified
- Post immigration and settlement
The nationalities from Andorra, Antigua & Barbuda, Argentina, Australia, Austria, Bahamas, Barbados, Belarus, Belgium, Belize, Bolivia, Brazil, Brunei, Bulgaria, Canada, Chile, Colombia, Cook Islands, Croatia, Cyprus, Czech Republic, Denmark, Dominica, Dominican Rep., Ecuador, Estonia, Fiji, Finland, France, Germany, Granada, Greece, Guyana, Haiti, Holy See, Hong Kong, Hungary, Iceland, Indonesia, Ireland, Israel, Italy, Jamaica, Japan, Kiribati, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Malaysia, Malta, Marshall Islands, Mexico, Micronesia, Moldova, Monaco, Nauru, Netherlands, New Zealand, Nicaragua, Niue, Norway, Palau, Panama, Papua New Guinea, Paraguay, Philippines, Poland, Portugal, Republic of Korea, Russian Federation, Solomon Islands, Samoa, San Marino, Serbia and Montenegro, Singapore, Slovak Republic, Slovenia, South Africa, Spain, St Christopher & Nevis, St Lucia, St Vincent and Grenadines, Suriname, Sweden, Switzerland, Taiwan, Thailand, Tonga, Trinidad & Tobago, Tuvalu, Ukraine, United Kingdom, Uruguay, USA, Vanuatu and Venezuela don't need visa up to 90 days.
Other nationalities should apply visa with below documents to obtain visa :
- Passport with 6 months validity
- Photograph
- Hotel and ticket reservation
- application forms
Peru is a country in South America that houses a section of the Amazon and Machu Picchu, an ancient Inca city in the Andes. The area around Machu Picchu, including the Sacred Valley, Inca Trail and the colonial city of Cusco, is rich in archaeological sites. In the arid Pacific coast of Peru is Lima, the capital, a preserved colonial center and important collections of pre-Columbian art.
If you would like to travel this country, it's better to search in internet and read some logbook that are written by another passengers and also see which travel agency they had received full services. Before you flight, you should find out which places are your favorite to visit. historical places, natural places, museums, zoo, temples, … .


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If you happened to be at Ozan Winery on May the 5th 2018, you would have witnessed Lori and Scott exchanging vows.
When Lori walked up behind Scott for their first look, you could see the anticipation of seeing each other for the first time that day on their faces and their love radiated off of them when Lori walked into Scott's line of sight.
After their intimate ceremony beside the vineyard, everyone went to the winery for the reception catered by Southern Sweets. Lori and Scott mingled and danced the night away until their guest sent them off under a shower of sparks.
We wish them much love, laughter, and happiness!


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The artwork on this note card was created by 5768 WRJ Art Calendar artist Césan d'Ornellas Levine.
Search URJ.org and the other Reform websites:
Search URJ.org and the other Reform websites:
Traditional Jewish sources tell us to linger over our meals (Berachot 55a) and, above all, to invite God in. The emergence of food and drink from the earth is a wonder and a mystery; therefore, we stand in awe before the work of God's hands, and recite blessings to give expression to our gratitude. We know that the Divine Presence lives in the texture of our everyday acts, and so, for us, eating can be a gateway to holiness.
We know – as all Jews know – that meals are profoundly important in creating and sustaining purposeful community. When we eat alone, we are sorely tempted to focus on ourselves; we distance ourselves from the world, from the needs of others, and – most often – from the presence of God. And eating in loneliness, we drift away from the Jewish people. Further, meals are profoundly important in creating and sustaining purposeful Jewish community. When we join together for a se'udah – a Jewish communal meal – we open our minds and our hearts to the concerns of others, and we draw God in, as a partner, to our sacred community.
In these difficult times, countless members of our congregations are overwhelmed by work, economic distress, and ever-deepening isolation. For our synagogues, communal meals need to be a fundamental value — an occasion to unite our congregations, rise above our self-absorption, and turn our members in the direction of mitzvah-doing and God.
Our society is more food-conscious than it has ever been. In 1969, when it became clear that most of the grapes served at our tables were produced by exploited workers, the 50th General Assembly of the Union for Reform Judaism passed a resolution urging Reform Jews and synagogues to stop eating grapes until collective bargaining rights were extended to farm workers. Our actions drew on the rabbinic teaching that one does not say a blessing over stolen food (Mishneh Torah, Hilchot Berakhot 1:19). Surely it follows that we do not bless or consume food produced by acts of injustice, by mistreating animals, or by despoiling the environment. Such decisions simple decisions can increase holiness in our lives.
As we make these decisions for our families, our congregations, and ourselves, we note that there are, specifically, urgent and compelling reasons to reduce significantly the amount of red meat that we eat. According to a report by the United Nations, animal agriculture is responsible for more greenhouse gas than all transportation sources combined, and the preparation of beef meals requires about 15 times the amount of fossil fuel energy than meat-free meals. We also have obligations to our own health and well-being. Created in God's image, we are obligated to maintain our physical vigor so that we may bring honor to the Divine Presence. This means reducing the red meat and the processed meat that will kill 1.5 million men and women in the next decade, most from cancer and heart disease.
Ours is an ethically-based tradition, and Reform leaders have long seen no connection between the intricate rules of kashrut and ethical behavior. Sadly, for too much of the kashrut industry, this disconnect still exists; in recent years, kashrut authorities have failed in their duty to treat workers, immigrants, and animals with compassion and justice. For that reason, we applaud the Conservative movement for creating a new system of kosher certification that takes ethical factors into account.
As Reform Jews, we need our own definition of what is proper and fit to eat, because our ethical commitments remain firm, and we understand that Jewish eating has a profoundly ethical dimension. We now see that when we eat with mindfulness, even the humblest meal can become a sacred act. As Reform Jews, we must find ways to eat that are right for farm workers, right for the planet, right for our bodies and right for our souls.
THEREFORE, the Union for Reform Judaism resolves to:
Search URJ.org and the other Reform websites:
The artwork on this note card was created by 5768 WRJ Art Calendar artist Césan d'Ornellas Levine.
Show your WRJ pride with this zippered canvas bag. Features the phrase "Well-behaved women rarely make history" and the WRJ logo.
$18 $15


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Sergio de la Rama Osmeña III, (born December 13, 1943) also known as Serge Osmeña, is a Senator of the Republic of the Philippines.
Osmeña was born in Georgetown University.
Osmeña held business positions including:
As a son of Marcos' political rival, Osmeña was imprisoned in 1972. In November 1974, he embarked on a hunger strike along with his cellmate -- ABS-CBN's Eugenio "Geny" Lopez, Jr. -- to protest the unjust detention of thousands of innocent Filipinos. This resulted in the release of 1,022 political prisoners in December 1974. Defiant to the very end, Osmeña and Lopez escaped from their maximum security prison cell in Fort Bonifacio in 1977. This exploit was enacted in the 1995 movie, Eskapo.
While in exile at the United States, Sergio Osmeña served as the Director for Movement for a Free Philippines. He was also the Founding Director of the Justice for Aquino Justice for All (JAJA) Movement.
After the removal of Marcos, Osmeña returned to the Philippines and held positions in business and government corporations in the 1990s. These include:
He served as Secretary General of the Progressive Party cluster NUCD-UMDP from 1991–1992. When it merged with Lakas Tao in 1992, he served as the member of the National Directorate.
In 1992, Osmena ran for Congressman in Cebu's Sixth District but lost.
In 1995, Osmeña was invited by President Fidel Ramos to join in the senatorial race under the Lakas-Laban ticket. He won in the elections and served his term as senator from 1995-2001. During that term he was asked to look for a new site of the Senate after the old Executive Building will be renovated for the National Museum. The Senate offices and session hall were transferred to the GSIS Building at the Financial Center in Pasay City.
In 1997, Osmeña bolted Lakas NUCD to be an independent senator. In 1998, he joined the Liberal Party. Osmeña succeeded Senator Edgardo J. Angara as Chair of the powerful Committee on Agriculture and Food and the Congressional Oversight Committee on Agricultural and Fisheries Modernization (COCAFM). As Chair, Osmeña tried to block the approval of the construction of the Casecnan and the San Roque dams having discovered gross discrepancies in the costs and benefits of the projects. It was Osmeña who pointed out that the government would be investing a ridiculous amount of more than P385,000 to irrigate an additional hectare of rice paddy. The expose led to the cancellation of the proposed Balog-Balog irrigation project.
In 2001, Osmeña was one of the senators who voted in favor of opening the second bank envelope for the impeachment case filed against Joseph Estrada. The motion was outnumbered, and it led to the second EDSA People Power Revolution. He ran as independent for the position of Senator under the People Power Coalition. He won in the elections and served his second term as senator from 2001-2007. Right after Senator Aquilino Pimentel Jr. was replaced by Senator Franklin Drilon as Senate President, he joined Pimentel's party PDP-Laban. His mandate as senator for the second term expired in 2007.
Running independent again in 2010 (although adopted by the Liberal Party[2] and the Partido ng Masang Pilipino), Osmeña refused to participate in the sorties of his adoptive parties and opted instead to campaign all by himself. He graced radio programs and television interviews. Running on a shoe-string budget, Osmeña did not have the volume of posters and billboards of his opponents. He had television advertisements that to him would be more effective and more prudent to reach the electorate. Osmeña placed tenth and became a senator again for the third time.
Osmeña campaigned for justice for victims of toxic wastes at the former U.S. bases in Clark Air Base and Subic Bay. He has extended assistance to victims in the form of hospitalization and financial support. He has earned the respect of many for his exposes on graft and corruption, among others the anomalous IMPSA-CBK, PIATCO, Tiwi-Makban, Marconi and Casecnan contracts, saving billions of pesos for the Filipino people. During his first year in the Philippine Senate in 1995, he was already recognized by the Free Press magazine as "Most Outstanding Freshman Senator" for these exposes.
Osmeña was criticized for being close to the Lopez group. He is less vocal when issues are involved to its line of business which includes MERALCO, Maynilad Water Services, SkyCable, Manila North Tollways, and ABS-CBN.
He was also criticized being a political turncoat. He was initially part of Lakas-NUCD-UMDP in the early 1990s then transferred to the Liberal Party. He then joined the People Power Coalition in early 2001 and transferred to PDP-Laban in late 2001. His grandfather, Sergio Osmeña belongs to the Nacionalista Party while his father Sergio Osmeña Jr. was once a member of the Nacionalista Party but transferred to Liberal Party when he challenged Ferdinand Marcos in the 1969 presidential election.
Aligning himself with Benigno "Noynoy" Aquino III, the leading presidential candidate in the 2010 election, he refused to stand beside Ralph Recto whose advocacy on the EVat runs counter to his own.
Serge, as many people call him, is a farmer and businessman by training and was educated at Harvard, Georgetown, and the University of the Philippines. He is married to Isabel "Bettina" Mejia Lopez. He has six children.
Serge came from a family of senators. His grandfather Sergio Sr. served during the American colonial period. His father Sergio Jr. served in the 1960s. His cousin, John Henry served in the Senate from 1971–1972, 1987–1992, 1992–1995 and 1998-2004. His maternal grandfather, Esteban de la Rama of Negros Occidental was also a senator.
His nephew John Gregory served as Provincial Vice Governor of Cebu and his younger brother Tomas III is the Congressman of Cebu City's south district. Tommy was a close ally of President Gloria Macapagal Arroyo.
He speaks languages and dialects which include English, Tagalog, Cebuano, and Hiligaynon. He was bestowed Doctor of Laws – Honoris Causa, by the Benguet State University in 2000.
He is the Chairman of the Aquaworld Corporation, which he held since 1992. While serving his initial term as senator he held a concurrent position as Director of San Miguel Brewery (HK), Ltd.
He was a member of the Philippine Jaycees, where he served as a senator in 1994. He founded Pundok Sugbuanon while he lived in Los Angeles from 1990 to 1992. He is one of the Directors of the ABS-CBN Bayan Microfinance Foundation, held since 1999, and the Lorenzo Tañada Foundation, held since 1998.
Manila, Metro Manila, Indonesia, Australia, Malaysia
Metro Manila, Quezon City, Intramuros, Philippines, Binondo
Philippines, Senate of the Philippines, University of the Philippines, Aquilino Pimentel, Jr., President of the Senate of the Philippines
Liberal Party (Philippines), Philippine presidential election, 2010, Nacionalista Party, Pwersa ng Masang Pilipino, Lakas-Kampi-CMD
Philippines, Senate of the Philippines, Manila, Franklin Drilon, Juan Ponce Enrile
Philippines, Senate of the Philippines, Manila, Gloria Macapagal-Arroyo, Juan Ponce Enrile
United Nationalist Alliance, Nancy Binay, Nacionalista Party, Jinggoy Estrada, JV Ejercito


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Their work in Juxtapoz had some deer in it, and it put me in mind of Davka Deer Girl. My first ACEO was a deer drawing for her but it's really quite awful so I'll rework it before posting or mailing. (The way I abstracted and en-swirly-fied* the deer made them look like twee little unicorns and if I showed you that much precious, I'd have to kill myself.)
Then I did one I like:
Then I doodled a face, and at first I thought it was Tim Curry but quickly realized it was Shiva:
Grace in Small Things Social Network and my wee, random posts. Please join and feel the love.
*Take note. The art movement of cute!no,sad...but-cute that my ACEOs are starting will soon be known as Enswirlification. I'll have a Wikipedia page maybe. I'm about flipping sick of cute ones and may have to make about thirteen black &/or red ones with Anger About the Patriarchy this weekend.


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Today we are doing an Easy Marble Nail art Tutorial that anyone can do on themselves or friends and family
Nail Art is a funny thing, it's not everyones 'Cup of Tea'. With that said, we're used to seeing dramatically long talons on Instagram and as a result, often shy away from nail art. However, nail art doesn't have to be that way, and we are taking the more subtle approach.
Take this Marble Nail, it's just one accent nail that can be made as bold or subtle as you want. We used a paler colour which is great for the start of autumn, where days are still sunny, but the cold mornings give away just is a hint, of the winter to come.
This full tutorial is something you could do yourself or do on a friend or family member.
A little more Dramatic
Ok, so it wouldn't be me without a little drama! 😉 And, if, like me, you want something a little more 'full on' then maybe these grey Marble Nails are a more for you!
This is done in exactly the same way, just the nails are a little longer!
Ballerina shape nails are always stylishly long and I love this grey for winter!
Thanks for reading and watching 😉
Best wishes,


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Finishing up the fifth volume so far of Mr. Karl Ove Knausgaard's series "My Struggle." My mind is a little blown, but his story stimulates me not to give up on my own journey. My pal is waiting for the final volume, coming out in September, but I will have to wait until she's finished […]
Archive for the 'Portraits' Category
KnausgaardingBy Jack Ruttan in black and white, Book Reviews, pencil, Portraits, sketches
Joni MitchellBy Jack Ruttan in black and white, digital, heads, Portraits
Mr. PecksmithBy Jack Ruttan in digital, heads, men, Portraits, sketches
Digital CharacterBy Jack Ruttan in digital, heads, paintings, Portraits, sketches
Comics PeopleBy Jack Ruttan in black and white, heads, men, pencil, Portraits
Drawing some guy faces.
Morning Faces, and off to the Races!By Jack Ruttan in brush pen, heads, pencil, Portraits
Eleanor Wachtel and Princess Di. What the hey! I don't know who the guys are.
Childhood Friends and a Cryptic MottoBy Jack Ruttan in color, digital, heads, Portraits, sketches
Sketchbook PeopleBy Jack Ruttan in heads, pencil, Portraits, sketches
People in the real world fly by, and it's hard to catch them. So one uses imagination, and skills gained by practice to capture them. Then there's drawing from a photograph, which is basically analyzing shapes, and not that creative for me. Still, it produces a convincing result, and I learn something in the […]
By Jack Ruttan in black and white, color, heads, horses, men, pen and ink, pencil, Portraits, sketches, watercolor, watercolour, women
This is sort of a test, in that I'm trying to post something via photos I took with the iPad. Sadly, there are a few things I haven't figured out, but this is good enough for the time being.
Star Wars-ian PortraitsBy Jack Ruttan in black and white, Gouache, heads, pen and ink, pencil, Portraits, sketches, women
Of characters whose names all begin with "L," apparently.
Eden RobinsonBy Jack Ruttan in black and white, pencil, Portraits, sketches, women
Pencil drawing from a photo in the Globe and Mail, done at a friend's place.
Pencil PortraitsBy Jack Ruttan in heads, pencil, Portraits, sketches
I'm actually not fond of drawing from photos, because to me it feels too limiting. However, it's a good way to improve the practice, and see some new aspects of anatomy, rather than simply drawing things which have worked for me before. Here, I've been looking at heads as shapes in space, made up of […]
Small FacesBy Jack Ruttan in ballpoint pen, black and white, digital, heads, pencil, Portraits
Digital guy based on a scanned-in pencil drawing, and a ballpoint pen Gollum.


text: If you're looking to escape Vegas' glitzy, dramatic theatrics, Atomic Liquors is just what you need. Opened in 1945 as a Rat Pack hangout, this restored Downtown dive is the oldest freestanding bar in the city. Let its massive (and original) neon signage guide you indoors to its unpretentiously vintage interior with brown leather seating and antique decorations adorning the bare brick walls. The fast and friendly staff can concoct any cocktail you can dream up, or pull a draft beer from their handful of local crafts.


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Barbara Backstabber Backpedals
click here for my post yesterday about Barbara"s sh-tty act of friendship ) Barbara came out swinging on the show today, calling Trump a "Poor Pathetic Man", followed by a high five from Rosie and Girl Power Bra Burning all around. Now maybe it"s just me...maybe I"m a petty unforgiving bitch, but is it too little too late? Not that it"s up to anyone but Rosie but still...suddenly abiding by Girl Code only when public opinion turns is almost as bad as not rolling with your girl from the very beginning. I mean, when you think about it, is it really considered friendship when you"re only doing it to save your own ass? Please. The way I see it, Barbara Walters is a Backstabbing, Backpedalling, Bad Friend. And also a Sell-Out. That"s all. TMZ


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Amazon has recently changed some of its rules in their neverending pursuit to police bogus reviews. Of course, this is resulting in more reviews disappearing, including legitimate reviews, much to many authors' chagrin.
But what do the new rules really mean for authors and book reviewers alike? Author Anne R. Allen penned an in depth piece about the new Amazon rules on her blog and is really worth reading.
Among the many subjects Anne covers in her article, she discusses Amazon's attempt to stop unethical authors from purposely trying to bring down their competition with bad reviews.
This is something that apparently happened a lot in the early days of indie publishing, when a handful of authors played Amazon like a videogame.
They would put a novel into a tiny nonfiction category like "Historical Cat Costumes" where they could be in the top 10. Then they would try to knock off the books ahead of it in that category.
So in order to push their book to #1, they'd go to Crochet Richard III's Hat for Your Cat and leave a one-star saying, "I made this hat for my cat and Fluffy died of a brain aneurism the next day."
Anne also makes the following suggestion to keep the Review Police from seizing your reviews in the middle of the night and throwing them down the memory hole:
. . . [D]on't ask your Mom to review your book. Or your BFF. Especially if you gave her a Kindle Fire for Christmas.
This piece of advice reminded me of a 5-star review I saw recently that miraculously hasn't been yanked yet. (Some names have been redacted to keep the review anonymous.)
Authors and book reviewers would do well to check out Anne's blog post to learn more about how the new Amazon rules regarding reviews will affect you.


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Waldo, Wisconsin Process Servers
Below you will find a list of process servers in Waldo, WI. Click their name to learn more about these process serving firms.
Company Name
Phone Number
P.O. Box 1211, Sheboygan, WI 53082
Statewide Wisconsin Process Servers
Process serving companies that can assist you throughout the state of Wisconsin:
Company Name
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707 W. Moreland Blvd., Suite 2, Waukesha, WI 53188
Waldo Process Servers on ServeNow.com »
Waldo Private Investigators on PINow.com »


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Response. Custom Response Essay Writing Service || Response Essay samples, help
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You know that at HDA we like to share because we believe in sharing as a way to learn and design. After two month of work we are happy to officially announce DESIGN by DATA workshop, organized in partnership with IMMAGINOTECA studio and La Gâité Lyrique.READ MORE
"I call architecture frozen music."
Johann Wolfgang von Goethe
Jan Henrik Hansen is a Zurich-based architect/artist/designer who turns (time-based) music into (space-based) physical sculptures and architectural structures. Jan is an architect with background in music and he has been teaching and researching with well-known professors Gramazio & Kohler.READ MORE
In this video Stephen Owens (Swire Properties Inc), Bernardo Fort-Brescia (Arquitectonica) and Hugh Dutton (Hugh Dutton Associates) tell the story of the design of the Brickell City Centre in Miami and especially the vision behind the CLIMATE RIBBON™, an architectural feature combining precision engineering and environmental design with an elegant sculptural form.READ MORE
IMAGE ABOVE: average sun vectors reaching shops
If you have been recently following our activities on facebook or twitter, you may have heard about our design for the CLIMATE RIBBON™ in Miami, a project we develop for Swire Properties Ltd., with the main architects Arquitectonica and wind specialists RWDI.
The vision behind the project is now becoming reality and it's a pleasure to share the details of the design process via this blog.


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Here are 5 Facebook Ad Tools to improve your Facebook Advertising productivity and ROI. Save time & efforts in creating Facebook Ads.
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7 Instagram Metrics Every Business Must Monitor Regularly
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Here's the complete guide to Facebook Relevance Score, a new Facebook Advertising metrics to drive more clicks and reduce Facebook Advertising costs.
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Here are 10 Best Facebook Ads that you can use to get ideas for Facebook Advertising Campaigns for your business. Use these Facebook Ad Examples to optimize your Facebook Ad Campaigns
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Here are 5 Facebook Metrics you can use to measure Facebook marketing campaign performance and monitor social media marketing strategy to grow your business.


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This report is published every weekday, except County holidays. The information in each report covers significant criminal incidents generally from the day before; reports published on Monday cover the preceding Friday, Saturday and Sunday. Some incidents may appear a day or two after the occurrence.
This report is not a comprehensive list of every police event in Arlington County in the stated time frame. Addresses shown indicate blocks and not specific addresses. For more information on crime in your area, visit our online crime mapping tool.
Note: Information contained in the Daily Crime Report is generally based on initial reports made to the Police Department. Follow-up investigations may reveal different or additional information.
ASSAULT & BATTERY ON POLICE, 2017-03120191, 1000 block of N. Randolph Street. At approximately 8:58 p.m. on March 12, police were dispatched to the report of a fight in progress. The arriving officer located the subjects, later identified as Steven Goodwine Jr. and Marcus Reid, and provided verbal commands to cease the fight. The subjects allegedly ignored the commands and the officer physically separated them. As the officer was attempting to detain Mr. Goodwine, Mr. Reid advanced and struck the officer, pushing him to the ground. When Mr. Reid advanced towards the officer a second time, the officer deployed his taser. As officers were attempting to place handcuffs on Mr. Reid, he continued to forcefully resist while attempting to stand. An officer deployed their taser and the subject was taken into custody without further incident.
Additional officers responded to Mr. Goodwine's location who was attempting to flee the scene. Officers ordered the subject to stop and get on the ground. When he refused, officers went hands on in an attempt to detain the subject. Mr. Goodwine struggled with the officer and was able to place him in a stranglehold. The officer was able to free himself, deploy his taser and the subject was taken into custody without further incident. Both subjects were evaluated by medics and did not sustain serious injuries. The investigation revealed that the initial incident began after Mr. Goodwine was removed from a restaurant, became aggressive with the door staff and Mr. Reid attempted to intervene.
Marcus Reid, 31, of Arlington VA was arrested and charged with assault and battery on police, obstruction of justice and drunk in public. Steven Goodwine Jr., 27, or Arlington VA was arrested and charged with assault and battery on police, strangulation, disorderly conduct, obstruction of justice and drunk in public. Both were held in the Arlington County Detention Facility on No Bond.
CORRECTION: An earlier version of the crime report interchanged the subjects names in the first paragraph. The report has been corrected at approximately 3:00 P.M. on March 13, 2017.
BURGLARY, 2017-03120050, 2100 block of N. 24th Street. At approximately 4:30 a.m. on March 12, officers responded to the report of a suspicious person. Upon arrival, it was determined an unknown male subject forced entry into a residence and asked a female victim about an unknown individuals whereabouts. The subject appeared to be intoxicated and then fled the scene on foot when requested to leave. The suspect is described as a white male in his twenties, approximately 5'08" tall. He was wearing a white t-shirt and black pants.
BURGLARY, 2017-03120082, 400 block of N. Thomas Street. At approximately 11:00 a.m. on March 12, officers responded to the report of a breaking and entering. Upon arrival, it was determined that two unknown male subjects entered a building and stole items of value. The first suspect is described as a black male wearing a black baseball hat, black jacket with green sleeves, dark colored pants, and brown shoes. The second suspect is described as black male wearing a red baseball hat, black jacket, black pants, and brown shoes.
LARCENY FROM AUTO (series), 2017-03120078, 4400 block of S. 6th Street. At approximately 10:30 a.m. on March 12, officers responded to the report of a late larceny from auto. An unknown subject(s) entered at least two vehicles and stole items of value. There is no suspect(s) description.
03/11/17, VA VPM8419, 2016 Infiniti, Black
2900 block of Wilson Boulevard
03/12/17, VA 99796R, 2012 Nissan Versa, Gray
5000 block of S. 10th Street
ASSAULT & BATTERY, 2017-03100021, 2200 block of S. Clark Street
LARCENY, 2017-03100062, unit block of N. Glebe Road
LARCENY, 2017-03100073, 5200 block of Yorktown Boulevard
LARCENY, 2017-03100088, 1300 block of S. Dinwiddie Street
LARCENY, 2017-03100096, 1200 block of S. Hayes Street
DESTRUCTION OF PROPERTY, 2017-03100107, 5200 block of N. 36th Street
ASSAULT & BATTERY, 2017-03100108, 100 block of S. Old Glebe Road
DESTRUCTION OF PROPERTY, 2017-03100113, 500 block of S. 14th Road
LARCENY, 2017-03100130, 3100 block of Lee Highway
ASSAULT & BATTERY, 2017-03100166, 1200 block of N. Garfield Street
DESTRUCTION OF PROPERTY, 2017-03100187, 6000 block of N. 28th Street
DESTRUCTION OF PROPERTY, 2017-03100202, 4200 block of Columbia Pike
LARCENY, 2017-03100267, 1500 block of N. Quinn Street
IDENTITY THEFT, 2017-03104005, 1800 block of Crystal Drive
FRAUD, 2017-03104006, 4200 block of Fairfax Drive
FRAUD, 2017-03104008, 2800 block of S. 19th Street
IDENTITY THEFT, 2017-03104009, 3600 block of S. Glebe Road
FRAUD, 2017-03104010, 4300 block of S. 36th Street
LARCENY, 2017-03104011, 1200 block of N. Garfield Street
FRAUD, 2017-03104012, 4500 block of N. 25th Road
FRAUD, 2017-03104013, 1000 block of S. Quebec Street
FRAUD, 2017-03114001, 1700 block of N. Roosevelt Street
LARCENY, 2017-03110083, 1600 block of Crystal Square
DESTRUCTION OF PROPERTY, 2017-03110097, 300 block of Army Navy Drive
LARCENY, 2017-03110118, 2700 block of Clarendon Boulevard
LARCENY, 2017-03110178, unit block of N. Glebe Road
DESTRUCTION OF PROPERTY, 2017-03110211, block of N. 13th Street
LARCENY, 2017-03120034, 1400 block of N. Taft Street
ASSAULT & BATTERY, 2017-03120042, block of N. Glebe Road
LARCENY, 2017-03120065, 200 block of N. Piedmont Street
LARCENY, 2017-03120077, 3100 block of Clarendon Boulevard
LARCENY FROM AUTO, 2017-03120091, 4600 block of S. 3rd Street
LARCENY, 2017-03120102, 2900 block of S. Glebe Road
LARCENY, 2017-03134001, 4600 block of King Street
FRAUD, 2017-03134002, 5100 block of N. 30th Street


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by Caitlin Saniga
Posts Tagged 'Ohio'
$6 Snack: Apple hand pie with rosemary caramel from O Pie O in Cincinnati, Ohio
Posted in $6 Snacks, Reviews, tagged $6 Snack, Caitlin Saniga, Cincinnati, dkscooks, food, Ohio, pie, review, SoHungryBlog on January 28, 2015| Leave a Comment »
$6 Snack: chicken paprikash with dumplings from Al's Corner Restaurant in Barberton, Ohio
Posted in $6 Snacks, Reviews, tagged $6 Snack, Al's Corner Restaurant, Barberton, Caitlin Saniga, chicken paprikash, dumplings, food, Hungarian, Ohio, restaurant, review on December 27, 2012| Leave a Comment »
by Caitlin Saniga
I visited: Al's Corner Restaurant, a lunch-only Hungarian restaurant open since 1932 in Barberton, Ohio, that serves stuffed cabbage rolls, pierogies, sausage, halushka, strudels, beer bread and, of course, chicken paprikash. Its sister business is Al's Quality Market, which cranks out Hungarian, Slovenian and other sausages, as well as hams, smoked bacon, headcheese and more. My mom's cousin Denny Gray and his wife, Beth, own and operate both businesses.
I tried: Chicken paprikash with dumplings. I had a choice of white, dark or mixed meat, so I chose white, which included a bone-in breast, wing and drumstick.
Why it stood out: Everything I've tried at Al's has been spot-on. But I love that you can make a meal out of this plate of chicken paprikash. Like I mentioned, each serving includes several pieces of your choice of chicken meat, plus a number of golf ball-size dumplings drenched in a creamy paprika sauce.
It cost: $6
Find out more:
Al's Corner Restaurant
545 West Tuscarawas Ave.
Barberton, OH 44203
Al's Quality Market
563 West Tuscarawas Ave.
Barberton, OH 44203
*$6 Snacks is a recurring feature that reviews an area eatery's snack — for $6 or less. Look at a map of the places we've tried. Help our map grow by submitting your own review. Find out how!
Dear Sarah: postcard from Wadsworth, Ohio
Posted in Dear Caitlin/Dear Sarah, tagged Caitlin Saniga, dkscooks, Ohio, postcard, SoHungryBlog, Wadsworth on September 14, 2012| 1 Comment »
I got a job at Caffessimo when I was a junior in high school. I'd go in after school and wait behind the counter, prepared to make mochas, milkshakes, Greek salads, reuben paninis and a ton of other menu items. All of the sandwiches on the menu came with a pickle and choice of slaw, potato salad or crunchy kettle chips, my favorite combination being a pickle and chips.
I credit this job with teaching me how to keep a clean kitchen workspace and for introducing me to lots of kitchen equipment, including an espresso machine, industrial dishwasher, panini press, milkshake maker and soup warmer.
And as this was my first time I had a consistent paycheck (I'd babysat before.), it was the first time I had real money to spend. My purchases? Five pairs of American Eagle jeans, my first cellphone and gas.
See a map of Caitlin's and Sarah's postcards to each other.
$6 Snack: hamburg with crispy buttered bun from Swenson's in Akron, Ohio
Posted in $6 Snacks, Reviews, tagged Akron, Caitlin Saniga, dkscooks, food, hamburger, Ohio, review, SoHungryBlog, Swensons on September 6, 2012| Leave a Comment »
by Caitlin Saniga
I visited: Swensons, a northeast Ohio chain of drive-ins that's been around since 1934 and specializes in burgers and milkshakes. Lots of people know Swensons for their signature Galley Boy sandwich, a double cheeseburger with homemade barbecue and tartar sauces. And the milkshakes are out of this world. Insider's tip: There are 18 milkshake flavors on the menu, and any of them can be combined in one drink. Some of my favorites: Mint, peanut butter and jelly, and blueberry-pomegranate.
I tried: The hamburg (That's what the menu calls 'em!) with mustard and pickles. It comes served on a buttered and toasted bun.
Why it stood out: The burgers at Swensons have a distinctly sweet taste to them. Over the years, I've heard rumors that the burgers have maple syrup, grape or raspberry jelly or brown sugar mixed into them. I've known more than five people who've worked as servers at Swensons, and none of them seem to know the secret ingredient. The mystery is half the fun.
It cost: $1.80
Find out more: Swensons has seven drive-ins scattered around Northeast Ohio. The one I most often visit is the Montrose location.
*$6 Snacks is a recurring feature that reviews an area eatery's snack — for $6 or less. Look at a map of the places we've tried. Help our map grow by submitting your own review. Find out how!


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I also thought the same as @bubbles, but now trying to "justify" this tricky NBME question: I think this revolves on the fact that the patient has a HIGH blood pressure meaning we should focus on an answer that explains both increased BP and Hypovolemia (i.e: increased ADH which vasoconstricts and also absorbs free-water, both of which increase BP and cause hypovolemia).
Maybe if this patient were decompensated with LOW BP, one could think more about ANP.
I still think this question is TOO tricky.
I think alot of people might have over emphasized how important ANP and BNP really are, yes it is important to know these peptides get secreted by the atrial/ventricular myocardium during heart failure. However their overall effectiveness in treating heart failure is zilch, a preceptor told me that if ANP and BNP were so useful in natriuresis then why do we give diuretics? It's because RAAS overpowers this system hence causing negative effects and the endless loop of heart failure. AKA why we give ACE inhibitors.
Knowing that ANP gets neutralized by the RAAS system, we can shift our focus back to heart failure in this patient, where cardiac output is decreased, leading to ADH secretion and finally dilutional hyponatremia.
From UpToDate: PATHOGENESIS
Like most other causes of hyponatremia, heart failure impairs the ability to excrete ingested water by increasing antidiuretic hormone levels. When cardiac output and systemic blood pressure are reduced, "hypovolemic" hormones, such as renin (with a subsequent increase in angiotensin II formation), antidiuretic hormone (ADH), and norepinephrine, respond [1-3]. Although edematous patients with heart failure have increased plasma and extracellular fluid volumes, the body perceives volume depletion (reduced effective arterial blood volume) since the low cardiac output decreases the pressure perfusing the baroreceptors in the carotid sinus and the renal afferent arteriole. The degree of neurohumoral activation is generally related to the severity of cardiac dysfunction, as assessed by left ventricular ejection fraction or functional class [2]. The neurohumoral changes limit both sodium and water excretion in an attempt to return perfusion pressure to normal. ADH release directly enhances water reabsorption in the collecting tubules, whereas angiotensin II and norepinephrine limit distal water delivery (and thereby water excretion) by lowering the glomerular filtration rate (due to a marked reduction in renal perfusion) and by increasing proximal sodium and water reabsorption [4]. In addition, both the low cardiac output and high angiotensin II levels are potent stimuli to thirst, leading to enhanced water intake.
"syndrome of "dilutional hypo-osmolality" in severe congestive heart failure may be caused by an inappropriately high ADH secretion in which the osmoreceptor system is dominated by nonosmolar stimuli"
CHF patients often display signs and symptoms of increased vasopressin secretion.
This question confused me a lot because so many questions have drilled me on the importance of the ANP escape mechanism in times of fluid overload (as in CHF).
I thought ANP was a huge player in the loss of Na in circumstances of volume overload as in this patient (which is why you see euvolemic hypOnatremia in patients with SIADH or overactivity of the RAAS as in CHF).
Why is ADH now being named as the responsible agent?
i kinda of feel "odd" asking this question : but the patient had an MI 6 months ago, so why would it be unlikely that he was told to "restrict salt, restrict fluids (water) " ??
Guess what i'm asking is : what makes choice E such an unlikely choice (JVD, bi-basilar crackles, peripheral edema) ?
& @meningitis : his bp is 135/82 mmHg ... why is that "HIGH" ??
Here we go:
Hyponatremia from Heartfailure pt.
It should be approached from Heart faiure.
HF-> RAAs -> excessive Aldosterone, ADH; ANP escape faiure, like secondary hyperaldosteronism; Hyponatremia
Decompensated HF. Lack of blood flow due to failing heart -> lower BP -> increased ADH to increase blood pressure back to stable level. In DHF, ADH outpaces homeostasis of counteracting ANP & BNP. Thus, the term "decompensated". Associated with shortness of breath, edema (often of lungs).
This vicious cycle continues as body prioritizes adequate BP for survival, but it comes at the expense of overworked heart that must work harder and harder, ultimately exacerbating the heart failure condition.
There has to be a better explanation for why ANP is wrong?
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