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Benedict XVI loses the oremus | Society
What Francisco least expected was that his predecessor Benedict XVI would join so desperately to the powerful enemies of the Argentine pope, more and more vociferous. When he resigned in 2013 to the throne of the so-called State of the Holy See, who was named Joseph Ratzinger as a civilian promised to be confined within the walls of the Vatican, with discretion, to pray and to complete books in his hands. He kept his word many years. In Argentine correspondence, Francisco visited him frequently in the afternoons of long conversations and many silences.
It is believed that Francisco's order to break the secrecy that covered up countless sexual abuses of ecclesiastics about minors of both sexes, filled the patience of the pontiff emeritus, little accustomed to being contradicted since he exercised, for decades, as prefect of the Congregation for the Doctrine of Faith, which is what the sinister Inquisition is now called. Ending secrecy was precisely to repeal a circular signed by Ratzinger, which ordered all bishops to send cases of pedophilia to the Roman doctrinal congregation, without further consideration. Ratzinger's idea then, and for many years, was that the scandals of ecclesiastical abuse, which he minimized, were due to a campaign of the anti-Catholic press. He insisted on it at the Catholic University of Murcia, in November 2002.
The truth is that Benedict XVI, now 93 years old, recently gave interviews, published articles, gave his opinion on climate change to mute the Synod on the Amazon and, most strikingly, came to say last April that the origin of the abuses Sexual must be sought in May 68 and how he was interpreted for him disastrous Vatican Council II. The assumption that Francisco is preparing to authorize the priestly ordination of married men, as the first step towards optional celibacy, has had to fill his patience. The truth is that, despite a subsequent, unconvincing justification, Pope Emeritus wrote and sent to Cardinal Sarah the texts that he gathers in the book that is now published, an amendment to all the orders and wishes of the current Pope. It is a clamorous interference in which for decades he punished hundreds of theologians for not submitting to the teaching of the "Vicar of Christ on Earth." Already Pope, Ratzinger riveted that idea by publishing an "instruction" warning the theologians that they should also submit to the bishops (and not just the Pope).
Entering the merits of the matter, Ratzinger is poorly informed. Also err Sarah, born in Guinea Conakry in 1945 and forced to a greater discipline for being part of Francisco's government since 2014 as prefect of the Congregation for Divine Worship and the Discipline of the Sacraments. It is not true that Francisco is going to end the compulsory celibacy (he has said that for the moment not: a "for the moment" in the Roman Church can last a hundred years, see the obligation of women to attend Mass with their heads and shoulders covered , or the menacing belief that the Earth was neither round nor revolved around the Sun). What the Pope proposes is to remedy that tens of millions of his faithful do not have access to Sunday Mass or the Eucharist (not going to Mass every Sunday was a very deadly sin until recently). The alarm sounded with clamor last October when it was revealed that 70% of the indigenous communities in the Amazon suffer from this ecclesial abandonment.
That for this it is necessary to order married men it seems to Francisco pecata minuta. There are already, in hundreds, in Spain, called by the bishops to attend to immigrant Catholics in Eastern Europe. They also exercise many of the Spanish married priests (about 6000), discreetly in parishes without an official priest, almost always with the consent, also discreetly, of the prelates. Ratzinger himself authorized in 2005 the ordination of a married man in the diocese of Tenerife, celebrated by the bishop, then Felipe Fernández, with a large media apparatus. It was the Spanish Episcopal Conference who invited Evans D. Gliwitzki and his wife Patricia, parents of two girls, born in Zimbabwe and pastor there of the Anglican Church, to come to be ordained to Tenerife. It had been authorized by the Congregation for the Doctrine of the Faith, presided over by Benedict XVI today.


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Austro-Daimler Adr 6 Bergmeister
'Cooking' versions of Hans von Stuck's famed hillclimb special. Not quite an Alpine 8 with two fewer pots, as like all Rabe's sixes it has only three mains, and appears quite happy with them. Brakes again servo-assisted, but with cable actuation. Said to have a tricky gearbox, but lighter than the eight, and therefore probably faster. Elegance again a strong point, but rare anywhere.
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Welcome to visit us![email protected]
This overview of rotary dryer handbook looks at the many factors that play into the design of a high quality, custom rotary dryer, including bulk densityfeeco has been designing and building custom rotary dryers since 1951ur heavy-duty rotary dryers are built for longevity and designed to suit your exact processing needs.
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Matthew Chapter 12 Darby English Bible
At that time Jesus went on the sabbath through the cornfields; and his disciples were hungry, and began to pluck the ears and to eat.
But the Pharisees, seeing [it], said to him, Behold, thy disciples are doing what is not lawful to do on sabbath.
But he said to them, Have ye not read what David did when he was hungry, and they that were with him?
How he entered into the house of God, and ate the shewbread, which it was not lawful for him to eat, nor for those with him, but for the priests only?
Or have ye not read in the law that on the sabbaths the priests in the temple profane the sabbath, and are blameless?
But if ye had known what is: I will have mercy and not sacrifice, ye would not have condemned the guiltless.
And behold, there was a man having his hand withered. And they asked him, saying, Is it lawful to heal on the sabbath? that they might accuse him.
But he said to them, What man shall there be of you who has one sheep, and if this fall into a pit on the sabbath, will not lay hold of it and raise [it] up?
How much better then is a man than a sheep! So that it is lawful to do well on the sabbath.
Then he says to the man, Stretch out thy hand. And he stretched [it] out, and it was restored sound as the other.
But the Pharisees, having gone out, took counsel against him, how they might destroy him.
But Jesus knowing [it], withdrew thence, and great crowds followed him; and he healed them all:
Behold my servant, whom I have chosen, my beloved, in whom my soul has found its delight. I will put my Spirit upon him, and he shall shew forth judgment to the nations.
a bruised reed shall he not break, and smoking flax shall he not quench, until he bring forth judgment unto victory;
Then was brought to him one possessed by a demon, blind and dumb, and he healed him, so that the dumb [man] spake and saw.
But the Pharisees, having heard [it], said, This [man] does not cast out demons, but by Beelzebub, prince of demons.
But he, knowing their thoughts, said to them, Every kingdom divided against itself is brought to desolation, and every city or house divided against itself will not subsist.
And if Satan casts out Satan, he is divided against himself; how then shall his kingdom subsist?
And if *I* cast out demons by Beelzebub, your sons, by whom do they cast [them] out? For this reason *they* shall be your judges.
But if *I* by [the] Spirit of God cast out demons, then indeed the kingdom of God is come upon you.
Or how can any one enter into the house of the strong [man] and plunder his goods, unless first he bind the strong [man]? and then he will plunder his house.
For this reason I say unto you, Every sin and injurious speaking shall be forgiven to men, but speaking injuriously of the Spirit shall not be forgiven to men.
And whosoever shall have spoken a word against the Son of man, it shall be forgiven him; but whosoever shall speak against the Holy Spirit, it shall not be forgiven him, neither in this age nor in the coming [one].
Either make the tree good, and its fruit good; or make the tree corrupt, and its fruit corrupt. For from the fruit the tree is known.
Offspring of vipers! how can ye speak good things, being wicked? For of the abundance of the heart the mouth speaks.
The good man out of the good treasure brings forth good things; and the wicked man out of the wicked treasure brings forth wicked things.
But I say unto you, that every idle word which men shall say, they shall render an account of it in judgment-day:
Then answered him some of the scribes and Pharisees, saying, Teacher, we desire to see a sign from thee.
But he, answering, said to them, A wicked and adulterous generation seeks after a sign, and a sign shall not be given to it save the sign of Jonas the prophet.
For even as Jonas was in the belly of the great fish three days and three nights, thus shall the Son of man be in the heart of the earth three days and three nights.
Ninevites shall stand up in the judgment with this generation, and shall condemn it: for they repented at the preaching of Jonas; and behold, more than Jonas [is] here.
A queen of [the] south shall rise up in the judgment with this generation, and shall condemn it; for she came from the ends of the earth to hear the wisdom of Solomon; and behold, more than Solomon [is] here.
But when the unclean spirit has gone out of the man, he goes through dry places, seeking rest, and does not find [it].
Then he says, I will return to my house whence I came out; and having come, he finds [it] unoccupied, swept, and adorned.
Then he goes and takes with himself seven other spirits worse than himself, and entering in, they dwell there; and the last condition of that man becomes worse than the first. Thus shall it be to this wicked generation also.
But while he was yet speaking to the crowds, behold, his mother and his brethren stood without, seeking to speak to him.
Then one said unto him, Behold, thy mother and thy brethren are standing without, seeking to speak to thee.
But he answering said to him that spoke to him, Who is my mother, and who are my brethren?
And, stretching out his hand to his disciples, he said, Behold my mother and my brethren;
for whosoever shall do the will of my Father who is in [the] heavens, he is my brother, and sister, and mother.


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Distribution, Storage & Warehouse - Nvq Level 2
In Chester
Suitable for: People working in distribution environments.
Important information
Government funding available
Questions & Answers
Ask a question and other users will answer you
Course programme
Distribution, Storage & Warehouse - Nvq Level 2
Our Qualifications are very flexible, enabling the organisation and individual to choose through optional units which best suit their job role. The qualification is competence based. This means that the candidate has to show their ability to do their job according to performance criteria and under pinning knowledge. Candidates plan a programme of learning with their assessor and compile a portfolio of evidence to prove that they are competent and knowledgeable in their work role. You will also get full support and we will tender to your specific learning needs. All qualifications are done on your companies premises with little inconvenience but maximum effectiveness.
Those working in the distribution sector require a range of different skills to achieve quality standards. Our qualifications offer better career prospects more motivation and better understanding.
There are 8 units in total and they break up as 3 Mandatory Units. Include: Contribute to maintaining Health & safety workplace, Contribute to keeping the workplace secure, Work effectively in own organisation. There are 5 optional, here you choose from several units that are specific to your job role. Your assessor will assist you with this.
Staff will work more effectively and with confidence. - Raise the performance of employees in this sector. - Aids career progression and staff morale.


text:
Professional 8198 bearing ring manufacturer
|8198 002 121
|Place of Origin:
|Zhejiang,China (Mainland)
|Brand Name:
xinchang xunda machinery Co.,ltdProfessional 8198 bearing ring manufacturer, China Professional 8198 002 121bearing ring manufacturer Manufacturer
|8198 002 121
|Place of Origin:
|Zhejiang,China (Mainland)
|Brand Name:
|Payment & Shipping Terms
|Payment Terms:
Process1:Forging--> waste heat quenching --> high temperature tempering -->inspection-->packaging -->delivery
Process2:Forging--> waste heat quenching --> high temperature tempering -->rough turning--> finish turning-->inspectioninspection-->packaging -->delivery
We specialize in producing precision bearing rings. It has been regarded as a qualified supplier of world top 2 bearing company of SKF and FAG as well as some big bearing companies at home. As a strategic partner for first class bearing enterprises, we have two production center in Xinchang & Shengzhou. And we apply collectivize operation mode.
Location: Xinchang County and Shengzhou City
Area: 50000 square meter
Employees: 300
Processing range :ID >10mm, OD < 180mm
Product category: DGBB,CRB,HUB, NRB,TRB,clutch,non-standard rings
Capacity:80million sets per year
Heat treatment furnace: Two furnaces are mesh belt furnace with controlled atmosphere. In addition,both furnaces have been approved by SKF.
One Vertical automatic forging line: Capacity 8500T/year,Both of forging and hot rolling are automatic .
Worldwide Certification: TS16949 and ISO 14001
Category: Forging parts


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Bio Notorious for his deranged mashed up characters, Honkey Kong has left his permanent mark on people and galleries worldwide. Raised on skateboarding, comics, hardcore and hip-hop, King Kong's twisted approach to illustrating animals, monsters and wacked out creatures has redefined the limits of art. Skilled in multiple mediums, Honkeykong has tattooed and shown his work at spots across the globe, cracking jokes and his signature hilarious cynical quips along the way
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Gorgeous Grand Venetian 1Bed/1.5 Bath professionally designed condo, centrally located in Miami Beach. Close proximity to The Standard Hotel, Lincoln Road, Sunset Harbour Shops and Park and Fresh Market. Spacious living area with travertine floors throughout. Wrap around balcony, Mia Cucina, custom wall to wall bedroom closet, Ralph Lauren wall coverings and custom master bath. Floor-to-ceiling glass sliders allow incredible light throughout. Unit views overlook pool deck, tennis court and Belle Isle Park.
|Elementary School
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The data relating to real estate for sale on this web site comes in part from the participating Associations of the Miami Multiple Listing Service. The MLS data provided for the property above (A10330279) is provided courtesy of (Brown Harris Stevens). The information being provided is for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Information is deemed reliable but not guaranteed. Data last updated on 08-04-2020. IDX powered by Realty Net Media
Ashton Coleman, PA.
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This is a way of caring for injured tissues with laser light. If your muscles or joints hurt from conditions such as fibromyalgia or arthritis, high dosage laser therapy may help. It is done in our office at Nucci Medical by our Orthopedic specialists. Pain often improved after four treatments.Print Brochure
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Brighten up your garden with this frog stake. I made this by cutting, filing, and hammering recycled metal. Details were added with outdoor acrylic metal paint. The frog's eyes are made of glass pieces fired in our own kiln. The piece measures 24''x8'' and comes with a 24'' copper stake and a loop on the back. The item ships two days after your order has been processed.
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On the 3rd January 2020 the Open Transport Initiative launched the world's first open standards for the transport and mobility sector. Seeking to do for transport what open banking is doing for finance.
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An ex parte application has been filed against the former Governor of Cross River State, Donald Duke, by Asset Management Corporation of Nigeria (AMCON) and United Bank for Africa (UBA) over an alleged N537 million debt.
A Federal High Court sitting in Lagos on Wednesday gave permission to the Asset Management Corporation of Nigeria (AMCON) and United Bank for Africa (UBA) to take possession of the 57-year-old politician's Ikoyi, Lagos, property.
The ex-parte application presented to the court was for "An order of interim attachment, possession, and custody of the property being No. 3, Temple Road, Ikoyi, Lagos." According to claims from AMCON and UBA, the ex-governor mortgaged the property as collateral in securing the loan he acquired.
They urged the court to grant them possession of the property using "Section 49 of the Asset Management Corporation of Nigeria Act 2010 (as amended)" as reference to their plea. They also pleaded with the court for an interim "Mareva Injunction" which means freezing of all funds in the accounts of the former governor.
Justice Chuka Obiozor, who was overseeing the case, granted the prosecution counsel veto power over Duke's property in Ikoyi. He also warned that should Duke try to hamper the applicants' possession of the Ikoyi property, it would lead to court complications.
The defendant in the suit, Stonehedge Investment Limited, Mr. Donald Duke and Mrs. Owanari Bob-Manuel Duke, were ordered by Judge Obiozor to refrain from "transacting, transferring, changing or howsoever, dealing in any manner in regards to bank funds."
Last updated


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Hipster Decor :
This gold Plaza ceiling light hanging are overflowing with boho-enlivened style. The white roof in this lounge area makes the apparatuses champion. Note different wellsprings of improving style and combination are kept in grey and brown. All have a touch of gold, which brings together the room's shading plan.


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"KKW Trucking Inc. is committed to the premise that injuries and property damage resulting from accidents are preventable through the proper management of our human and physical resources.
Every employee of KKW Trucking Inc., regardless of his or her position, or length of service has the responsibility to follow safe work practices and to have a genuine concern for the safety and health of all fellow workers.
Our goal is for every employee to get home to their loved ones safely every day."
Weekly Safety Topic: DOT changes to Drug & Alcohol Regulations as of 1/1/20
- 1) All truck companies have to increase the percent of random tests from 25% of fleet to 50% of fleet.
- 2) All truck companies need to report positive drug or alcohol tests to an FMCSA clearing house.
Employers check this clearing house when drivers apply for jobs. I want to keep our drivers up on these industry changes and remind you of our KKW Policy. KKW is committed to providing a work environment that is free from drug and alcohol use. The use, sale, transfer or possession of alcohol, illegal drugs or controlled substances on company time or on company property, including company vehicles is prohibited. Any violation of this policy, including a positive test result will result in immediate termination. Call safety, if you have any questions.


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General information
6 months
About Us:
Erasmus Student Network Milano-Bicocca is a non-profit organization that belongs to the Erasmus Student Network (ESN), the biggest student organization in Europe, recognized and supported by the European Commission. ESN Milano-Bicocca is supported by ESN Italy and has more than 500 young volunteers who develop recreational, cultural, social and civic activities to facilitate the integration of Erasmus participants in Italy.
Terms and conditions:
- Internship for a duration of at least 4 months (to truly appreciate this opportunity we recommend a 6-months internship):
- The successful applicant should start ideally as soon as possible;
- Must have an Erasmus+ traineeship program;
- Some remote work is possible upon agreement;
- Financial compensation: no financial compensation is directly given by ESN Milano-Bicocca. However, the internship can be funded if developed under the Erasmus+ Program;
- Training and integration provided by the ESN Team: daily tasks, communication strategy, team building and ESN events.
Main tasks and responsibilities
- Report directly to the Communication Manager and Board members;
- Implementation of the communication strategy on different channels, including Website, Newsletter, social platforms (Facebook, Instagram, What's App);
- Aid in managing our website;
- Support with Public Relations, Media relationship and Events;
- Assist in various communication-related tasks;
- Organization of office work (front office, documents);
- Creating and implementing relationship with Erasmus students.
Required skills and experience
- Good knowledge of at least one of the following software: Photoshop or Canva;
- Proficient user of Google Tools (Gmail, Drive, Docs, Sheets);
- Capability of working independently as well as working in a team;
- Great time management skills and ability to complete and deliver the work within the given deadlines;
- Precise and organized way of working;
- Good understanding of English and Italian, and Spanish as a plus;
- Comfortable working in a multicultural environment.
What we offer you:
- A real friendly team;
- A great place to work;
- The possibility to improve your office management and IT skills
- The possibility to improve your language skills;
- Possibility to participate to our events, thanks to our partnerships you will receive lots of discounts for discos, pubs, restaurants and trips;
- Then you will have lot of fun in our university and in Milan which is an amazing city, full of surprises and opportunities.
How to apply: first of all apply to this link and then send us an e-mail to [email protected] with your CV and a motivational letter
No financial compensation
Years of Experience required:


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There are permanent and trial serial numbers of Acronis Recovery for Microsoft Exchange
If you add a machine with Acronis Agent by its IP Address, then Acronis Management Console will not be able to connect to it after the Acronis Agent's IP changes
Switch to the Expert mode and check expiration time on the dashboard
Since Acronis Backup and Security 2010 includes online backup subscription, you can register only one serial number under one account
This is a known product limitation. If you have several licenses, you can create a separate account at the Acronis website for each of them
You need to have both the upgrade serial number and the serial number from the product you are upgrading from
Man braucht die beiden Seriennummer: die Upgrade-Seriennummer und die Vorversionseriennummer
Delete the Acronis Managed Machine Service (MMS) logs and Acronis Agent backup policies to resolve the issue
The issue is caused by the corruption in Acronis License Server database
This has been fixed
This is due to the lack of permissions on the account specified when adding the machine
You have specified incorrect credentials
Adding a machine to the Acronis Management Server fails with "The machine has already been registered". However the machine is not in the Acronis Management Server
Registrierung auf der offiziellen Acronis Website
Vergewissern Sie sich, dass Sie auf der Acronis-Website ein Konto haben, und melden Sie sich über das Produkt in Ihrem Konto an
Dieser Artikel bezieht sich auf:
Summary: registration process at the official Acronis web site
You need to have Order ID and a serial number to retrieve the registration E-mail
How to change the registration e-mail on Acronis website
Make sure you have an account at the Acronis website, then log into your account through the product
Acronis renewals must be registered to complete the maintenance renewal transaction. You can update your support program information by clicking Register Renewal near the outdated support program information and submitting your Order/Invoice/License certificate number and billing e-mail.
There are two possible causes. Please read the article to fix the issue
You have successfully installed an Acronis Backup Agent, but registration failed and machine does not appear in Cyber Protection console.
Or you need to re-register a client machine to another Backup Account.
Use this method to manually register a Backup Agent.
Use quotation marks, if your password contains special characters or spaces.
To use Acronis True Image on a Windows computer or a Mac, you need to activate it via the Internet. Without activation the fully functional product works for 30 days. If you do not activate it during that period, all the program functions become unavailable except the recovery.
You can activate Acronis True Image either on your computer or from another computer, if your computer is not connected to the Internet.
- You attempt to register an agent machine in the Cloud
- Registration fails (if you attempt to unregister the agent, it fails as well). When you check MMS log, you see the following error:


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Daniel Padilla had a hilarious reaction to one of his old audition videos released by Star Magic.
Yesterday, May 8, Star Magic's social media accounts posted a teaser for its special online show titled The Journey to Star Circle.
The teaser featured old audition videos of Star Magic talents such as Bea Alonzo, Angelica Panganiban, Dimples Romana, Pia Wurtzbach, Bernard Palanca, Onemig Bondoc, Carlo Aquino, and Daniel when they were still starting out in showbiz.
On Twitter, Daniel quoted the video and tweeted three laughing emojis.
His followers were quick to respond to his reaction, with 932 replies, 3k retweets, and 27K likes.
Some of his followers reshared old photos and videos of Daniel during his early days in showbiz, especially during his Gimik 2010 and Growing Up days.
Star Magic is set to launch The Journey to Star Circle on May 15 on its Facebook and YouTube accounts.


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Horoscope of the today October 14, 2019, for each sign of the zodiac
Horoscope of Monday, October 14, 2019
Today, the Moon continues its transit in Sagittarius the adventurous and in search of truth, after which the Moon will transit in Capricorn, aligning itself on Saturn in this sign. A responsible theme emerges and is reinforced by a Sun-Saturn quintile.
It's a good day to sort, categorize and tidy up the chaos. We will be more detail-oriented and have a stronger sense than usual time and limits. We will be more aware of our image or our reputation, as well as our obligations.
We take love seriously. There may be a willingness to make sacrifices if this seems to be the best way to improve relationships and also with money issues.
Horoscope for Aries:
Aries, today there is good energy for your intuition and a positive attitude. People will notice you and appreciate your company. Pairing with someone to reach a decision or an agreement can be a success today. Aries Today Full Horoscope
A simple business approach also makes sense. You could be absorbed by your work or your goals, and this will be reflected in the final product! It may be time to go back to old methods and projects to find answers. The day becomes a little more serious or you feel more disciplined as the Moon advances to the top of your solar chart. Its alignment on Saturn in this house places your responsibilities and your performance at the forefront of your concerns. Although you may need to color the lines inside certain areas, the day is also conducive to innovative ideas and rest with the family.
Horoscope for the Taurus:
Taurus, you are in an excellent position to advance work projects and solve practical problems today, as well as get back on track in a relationship. Giving a little more structure to your activities with a partner can be excellent now.Taurus Today Full Horoscope
You may feel particularly engaged in research or with someone, and you may find creative ways to balance your responsibilities and your personal life. Stable and supportive relationships can help you achieve your goals. As the day progresses, the Moon will move into your ninth solar home, which will tend to stimulate the desire to get out of the routine. You could even make the decision to do or resume serious studies, or think about certain situations while the Moon meets Saturn in this area of your solar chart.
Horoscope for Gemini:
Gemini, it can be a great day to find solutions to current dilemmas. In fact, it may be particularly useful to turn now too old projects, not only for inspiration but also for understanding. Traditional methods with a touch of modernity can be exactly what you need right now.Gemini Today Full Horoscope
You are happy to put extra effort, and it's rewarding in itself. The Moon will move into your area of intimacy, which will make you take things more to heart than usual. Saturn is in this part of your chart, and the need to make sense of things or to settle something can be strong now. Today is particularly suitable for giving a project or a relationship a little more self than usual. You are prone to face challenges head-on.
Horoscope for Cancer:
Cancer, you will certainly address today's special people in your life, as well as solving problems and proven methods. Pleasantly productive energy is with you right now. It can be wonderful to bring more love and attention to a relationship, family or project, even to the land. Cancer Today Full Horoscope
Later in the day, the Moon will move into your area of partnerships, reinforcing your desire to balance and harmonize with others. It's logic! It's a great time to learn some things through your interactions with another meaningful person. You may find that a shared conversation with a loved one can help you better understand a situation, which is comforting.
Horoscope for Leo:
Leo, it can be a resourceful time if you make the most of what you have and love the meaning of your life. The Sun, your sovereign planet, forms a creative aspect with Saturn and you can feel particularly motivated to be productive. Leo Today Full Horoscope
The Moon is also moving into your area of work and health, meeting with Saturn, reinforcing your need to get back on track. You pay special attention to the proper functioning of the systems and programs of your life. Although you tend to use proven methods to do this, you are not against the possibility of making small changes that make things easier. You are also well placed to enjoy realistic and satisfying interactions with others. Familiarity certainly attracts you more than usual.
Horoscope for Virgo:
Virgo, it's a good day to get you back on track. You are particularly inspired at the moment and you can very effectively add more creativity to your work or the structure of your creative projects. You quickly understand what you expect from yourself, and you go to your internal needs in critical areas, and that balance is satisfactory. Self-discipline will be natural if your heart is in what you do. Virgo Today Full Horoscope
You can come back to the old business and the new knowledge you gain from this process will grow stronger. You can feel pleasantly committed to a person or a project. Later today, the Moon will move into your area of joy where it will meet Saturn, suggesting that being productive may well be synonymous with pleasure right now!
Horoscope for the Libra:
Libra, today will be particularly useful for building or strengthening links, which can serve to draw your attention to an activity that has worked well in the past. Family activities, purchases, and improvements can be targeted and satisfying. Libra Today Full Horoscope
Your realistic view of people and situations will allow you to make important decisions. You may find that you can now find the right balance of independence and support, and that is comforting. The Moon will move later in the day into your home and family area, reinforcing your need for emotional substance and your focus on personal matters. Organizing one's work at home or making sense of one's emotional and personal problems can be a positive element.
Horoscope for Scorpio:
Scorpio, you are likely to want to devote more love and attention to a familiar project today, and you may remember a past relationship or pursuit that is close to your heart. You will enjoy permanence and longevity more than usual. You are also in good shape for concentration if your heart is in what you are doing, which will probably be the case now. Helping and supporting others through your ideas is another asset today. Scorpio Today Full Horoscope
The Moon will move into your communications sector and align with Saturn later today, which may serve as an essential reminder of your responsibilities or the need to take care of your day-to-day business. A partner may be able to participate and help you. Traditional approaches will work better, although adding a touch of innovation can help.
Horoscope for Sagittarius:
Sagittarius, a relationship can motivate you or contribute to your determination to succeed or exchange. You are particularly well placed to look back on previous solutions to solve a current problem today, and business, in particular, can benefit. You can revive an idea or an old project, even if it is better to approach it in a different way. Sagittarius Today Full Horoscope
You might also like to look at some details, especially financial ones. Later in the day, the Moon will leave your sign and end up in the resource sector, where it will meet Saturn. This could mean that putting your practical stuff in order will become a priority. The day also contains tremendous energy to successfully combine the best elements of old and new.
Horoscope for Capricorn:
Capricorn, you may find yourself in an excellent position to connect or agree with someone today, or to revisit a past affair to solve a nagging problem. From now on, the feeling of being above your obligations, both personally and professionally or towards the outside world can be motivating. Capricorn Today Full Horoscope
The Moon will move in your sign later in the day, meeting Saturn in Capricorn as well, reinforcing the fact that the time has come to take on responsibilities. Personal affairs are in the spotlight with the moon in your sign for a few days, but the good news is that other areas of life seem to be cooperating right now. With the support of Uranus in your area of creativity, you can find creative solutions to problems.
Horoscope for Aquarius:
Aquarius, looking back can help you solve problems today, and dealing with a problem that has already caused you stress can be satisfying. It's a good time to devote more attention and love to work in progress. Later in the day, the Moon will be in the sign right behind yours, meeting Saturn. Aquarius Today Full Horoscope
This can result in a need to clean up the emotional or mental clutter. Obligations to others can also come to your attention. Family or home life can be alive and useful, and you now tend to focus more than usual on emotional and personal issues.
Horoscope for Pisces:
Pisces, you might end up reviewing old friendships or projects with nostalgia, but also with a meaningful glimpse. You will show your appreciation or your love for others through your help and actions. Pisces Today Full Horoscope
The Moon is moving towards your social sector and aligning with Saturn later today, thus fueling your need for productivity. You will be more likely to appreciate following a personal interest. Current energies are particularly good for organizing, solving problems with clear logic and addressing problems in a fair and reasonable way. People tend to cooperate and it can be very helpful to help someone.


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It is time to chant 'India' 'India' again as the season of biggest cricket tournament has arrived. ICC Men's Cricket World Cup is set to roll after six days with the explosive opener between the hosts England and South Africa on May 30 at the Oval Stadium, London. Before starting their 50-over maiden tournament all the teams will face each other in warm-up fixtures and on the day of the first official warm-up match, all the 10 captains of World Cup squads had an interactive session with media on Thursday.
Earlier on the eve of the first warm-up session between Australia and West Indies, Indian team had touched down the hosting city and practised at the Oval Cricket Ground to give a tough fight to their opponents.
The skipper of Indian National World Cup squad, Virat Kohli took to Twitter to share his feelings with cricket fans and tweeted, "we will see high scoring games initially but in later stages, you won't see too many teams going gung-ho from ball 1".
Check out the video of 'Men in Blues' practising in the Oval ground for upcoming World Cup 2019:
The day one drilling session showed the brilliant leg spinner Yuzvendra Chahal discussing about the warm-up fixtures. Blue Tigers will start their World Cup campaign against South Africa on June 5 at The Rose Bowl Stadium in Southampton. The India squad will play its first warm-up fixture against New Zealand, five days prior to the opening match of world Cup 2019 which will later be followed by another fixture against Bangladesh at Cardiff Stadium on May 28.
Moreover, the 12th edition of ICC Men's Cricket World Cup is going to be broadcasted all over the world through one of the best sports broadcasters and in India, Star Sports networks would be the official broadcaster for CWC 2019. Interestingly, this year Afghanistan will get a chance to watch the grand cricket tournament live via state broadcaster Radio Television Afghanistan (RTA). The global broadcaster of 2019 ICC World Cup edition, Star Sports is going to air the tournament live to more than 200 territories via 25 broadcast partners. Not only this, the tournament will also be broadcasted in a total of seven regional languages across India.


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Former president John Dramani Mahama, has reacted to plans to regulate the activities of churches in Ghana.
According to him, the activities of some false prophets are not enough grounds to regulate religious organisations.
In his opinion, the church has come a long way and has contributed in shaping society, and for that reason, the councils and leadership of churches should deal with their own when they err.
READ ALSO: Akufo-Addo reacts to Black Stars' qualification to round of 16
He therefore urged the Christian Council of Ghana, the Ghana Pentecostal and Charismatic Council and other groups to outline measures to deal with church leaders who went against the principles and teachings of the Christian faith.
Mahama passed these comments at the appreciation and retirement service in honour of Apostle Peter Okoe Mankralo, the immediate past president of the Apostolic Church, Ghana.
He took the opportunity to commend Apostle Mankralo for his 32 years of dedicated service to the ministry and for his selflessness and contributions to the Apostolic Church and the Christian family.
The former president also appealed to members of the Apostolic Church to continue to pray for Apostle Mankralo and his family as he moves into another chapter of life.
In other news, a group, Ghana Union Movement (GUM), has submitted its application to be considered as a political party in Ghana.
GUM has "Arise for Development" as its slogan and a fist of a man against two hands with the name and motto of the movement boldly written around it as its logo.
READ ALSO: Osofo Kyiri Abosom to form latest political party in Ghana
Ghana Nti: Who designed the Madina-Adenta footbridge? | #Yencomgh
Do you have a hot story or scandal you would like us to publish on YEN.com.gh? Please contact us on Facebook or Instagram now!


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WILLIAMSBURG, Va. (WAVY) — Those working at Bucktrout of Williamsburg funeral home do their best to make this space comfortable for families who lost a loved one.
There's classical music, soft lighting and Benjamin Doodle Bucktrout, the newest member of the team.
Benjamin is an emotional support dog for those who need a little extra relief from heartache.
The staff loves dogs and figured, why not?
"It kind of all started out as a joke and we were asking for a dog and we weren't told no, so I made a power point presentation on why we need a dog here in the funeral home and then, here he is!" said office manager Lindsay Lamb.
Benjamin started working with his trainer when he was about 11 weeks old. He works with her about three times a week.
"He's learning manners. He's learning to sit, to stay, not to jump on people, come when called , no licking," Lamb said.
He's slowly being worked in to funeral arrangements.
Funeral Director Diane Compagnone-Twist said, "Now though, he kind of just hangs out at the ceremony and kind of sits there, lets people pet him, give him love."
Benjamin isn't just making history for the funeral home, he also carries a piece of history in his name.
"His name is Benjamin Doodle Bucktrout after Bucktrout funeral home. And Benjamin Bucktrout was the founder of Bucktrout in 1759. We're the oldest continuously operating funeral home in the united states," Lamb said.
Benjamin's success here has also inspired their sister chapel in Virginia Beach to get an emotional support dog named Radar.
They believe the hard work to train the dogs will pay off.
"We all know dogs are intuitive with emotions and knowing when people are sad," Lamb said.
They believe these sweet dogs will help people through some of the worst times in their lives.
You can follow Benjamin's story at this link.


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By Karyn Indursky
A high price in life is maturity.
Yet, people strive for it like it's a gem.
It's not worth a lot, though.
People may be better off not being coerced into maturity.
The problem is to get maturity things have to be lost
at great expenses.
Some things would be better to clutch on to.
Whoever made up the invisible grid lines of immaturity to
maturity was being selfish.
Unfortunately, people won't discontinue this vicious cycle.
Freedom to be fantasizing, setting goals without "reality,"
laughing without concern, embracing new experiences and people,
etc. vanquish into thin air.
Restrictions confine the inner beings of people.
To be mature can be like selling a person's soul for
guaranteed safety.
Sometimes, being immature is worth being shunned instead
of having the problems of maturity's cost.


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Tag: News
Academic Freedom Legislation: Understanding South Dakota's SB 55
South Dakota science teachers, and therefore the students and families they serve, will likely find this legislation heartening.
Compare Nature's Sublime Art to Man's
Which is superior? The answer isn't obvious, a fact that should stump honest Darwinists.
In Cabinet Confirmation Hearings, Science Is a Tool of Political Harassment
Intending to taint HHS pick Tom Price, a respected orthopedic surgeon, Senator Menendez threw out a series of oddball science claims.
As January 17 Cabinet Appointment Hearing Approaches: Advice for Betsy DeVos on Evolution
CNS News was kind enough to publish this from me.
European Parliament Committee Wants Robot Rights
Yes, it could "happen here."


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Shopping from United States? Please visit the correct site for your location.
A Very Large Expanse of Sea
by Tahereh Mafi (author)
- eur prices
- Price: €9.98
Buy this and your school gets €2.00 to spend on books Orders of €10 or more will earn 20% of your order value back in Scholastic Rewards for your school.
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Delivery information
- FREE ROI delivery for schools on orders containing at least one paid item.
- FREE ROI delivery on orders €30 or over
- €6 delivery charge on ROI orders
under €30
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- FREE delivery to schools
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Product description
'This is a gorgeous book. It's tender and fierce, beautiful even as it depicts some ugly truths. The prose is passionate and honest, unsentimental and big-hearted. The very best books move you to reconsider the world around you and this is one of those. I truly loved it' – Nicola Yoon, bestselling author of Everything, Everything
From the New York Times bestselling author of the Shatter Me series comes a powerful, heartrending contemporary YA novel about fear, first love, and the devastating impact of prejudice
It's 2002, a year after 9/11, and Shirin has just started at yet another new high school. It's an extremely turbulent time politically, but especially so for a sixteen-year-old Muslim girl who's tired of being stereotyped. Shirin is never surprised by how horrible people can be. She's tired of the rude stares, the degrading comments – even the physical violence she endures as a result of her race, her religion, and the hijab she wears every day.
Shirin drowns her frustrations in music and spends her afternoons break-dancing with her brother. But then she meets Ocean James. He's the first person in forever who really seems to want to get to know her. It terrifies her -they seem to come from two irreconcilable worlds – and Shirin has had her guard up against the world for so long that she's not sure she'll ever be able to let it down.
Perfect for fans of the Shatter Me series as well as Angie Thomas's The Hate U Give and Nicola Yoon's The Sun is Also A Star.
About the author:
Tahereh Mafi is the New York Times bestselling author of the Shatter Me series which has been published in over 30 languages around the world. She was born in a small city somewhere in Connecticut and currently resides in Santa Monica, California, with her husband, Ransom Riggs, fellow bestselling author of Miss Peregrine's Home For Peculiar Children, and their young daughter. She can usually be found overcaffeinated and stuck in a book. You can find her online just about anywhere at @TaherehMafi or on her website, www.taherehbooks.com.
Also by Tahereh Mafi:
Shatter Me Unravel Me Ignite Me Restore Me
Praise for A Very Large Expanse of Sea:
'This is a gorgeous book. It's tender and fierce, beautiful even as it depicts some ugly truths. The prose is passionate and honest, unsentimental and big-hearted. The very best books move you to reconsider the world around you and this is one of those. I truly loved it.' – Nicola Yoon, bestselling author of Everything, Everything
'I started reading A Very Large Expanse of Sea on a plane and couldn't put it down until I'd finished the entire thing. Tahereh Mafi's beautiful story touched my heart and taught me so much, I cannot wait for the world to read!!' – Tomi Adeyemi, bestselling author of Children of Blood and Bone
'A raw yet astoundingly elegant examination of identity, loneliness and family that is unflinching in its honesty and power. Tahereh Mafi holds nothing back – and the reader is better for it.' – Sabaa Tahir, New York Times bestselling author of Ember in the Ashes
'A Very Large Expanse of Sea reads like a beautiful heart – one that shines and aches and yearns, and above all else, one that loves fiercely against all odds. Years from now, you will remember exactly where you were and what you were doing when you experienced this. A transcendent story about truth, love and finding joy.' – Marie Lu, New York Times bestselling author of the Legend series.'
Praise for the Shatter Me series:
"Dangerous, sexy, romantic, and intense. I dare you to stop reading." – Kami Garcia, #1 New York Times bestselling co-author of the Beautiful Creatures series
"Addictive, intense, and oozing with romance. I'm envious. I couldn't put it down." – Lauren Kate, #1 New York Times bestselling author of the Fallen series
"Tahereh Mafi's bold, inventive prose crackles with raw emotion. A thrilling, high-stakes saga of self-discovery and forbidden love, the Shatter Me series is a must-read for fans of dystopian young adult literature – or any literature!" -Ransom Riggs, #1 New York Times bestselling author of Miss Peregrine's Home for Peculiar Children
"IGNITE ME really does ignite all five of your senses. It blows your mind and makes you hungry for more of its amazing characters. It will completely blow your expectations; Tahereh Mafi truly knows how to deliver!" – Teenreads.com
Product Details
Catalogue number
8425 in Setanta Secondary Schools Catalogue 2019/20
Date published
October 4th, 2018
Accelerated Reader
AR book level: 5.0; Upper years; 10.0 points
Other details
- 304 pages
Available in these packs
This product has not been reviewed yet.


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HuGE Literature Finder
Records 1-30
Relationship between CYP1B1 polymorphisms (c.142C > G, c.355G > T, c.1294C > G) and lung cancer risk in Polish smokers.
Future oncology (London, England) 2018 Jun .
Sawrycki Piotr, Domagalski Krzysztof, Cechowska Magdalena, G?sior Marcin, Jarkiewicz-Tretyn Joanna, Tretyn Andrz
Xenobiotic/drug metabolizing enzyme and TP53 polymorphisms and clinical outcome in advanced nonsmall cell lung cancer patients.
Turkish journal of medical sciences 2017 Apr 47 (2): 554-562.
Karacao?lan Volkan, Ada Ahmet O?uz, Bilgen Serdar, Çetinkaya Guzide Tu?ba, Soyda? Emre, Kunak Celalettin Semih, Alpar Sibel Meryem, Gülhan Meral, I?can Mümt
CYP1B1 G199T Polymorphism Affects Prognosis of NSCLC Patients with the Potential to Be an Indicator and Target for Precise Drug Intervention.
BioMed research international 2017 2017 1529564.
Li Fengzhou, Zhang Shaofeng, Zhang Qi, Li Jinxiu, Zhao Shilei, Gu Chundo
Genetic polymorphisms and lung cancer risk: Evidence from meta-analyses and genome-wide association studies.
Lung cancer (Amsterdam, Netherlands) 2017 11 113 18-29.
Liu Caiyang, Cui Huijie, Gu Dongqing, Zhang Min, Fang Yanfei, Chen Siyu, Tang Mingshuang, Zhang Ben, Chen Huanw
Association Between the CYP1B1 Polymorphisms and Lung Cancer Risk: A Meta-Analysis.
Technology in cancer research & treatment 2015 Aug .
Chen Pei-Fen, He Xiao-Feng, Huang Guo-Hua, Wang Wei, Qiu Zhi-H
Cytochrome P450 1B1 (CYP1B1) polymorphisms are associated with clinical outcome of docetaxel in non-small cell lung cancer (NSCLC) patients.
Journal of cancer research and clinical oncology 2015 Jul 141 (7): 1189-94.
Vasile Enrico, Tibaldi Carmelo, Leon G Leticia, D'Incecco Armida, Giovannetti Eli
Analysis of the AHR gene proximal promoter GGGGC-repeat polymorphism in lung, breast, and colon cancer.
Toxicology and applied pharmacology 2015 Jan 282 (1): 30-41.
Spink Barbara C, Bloom Michael S, Wu Susan, Sell Stewart, Schneider Erasmus, Ding Xinxin, Spink David
Association between CYP1B1 gene polymorphisms and risk factors and susceptibility to laryngeal cancer.
Medical science monitor : international medical journal of experimental and clinical research 2015 21 239-45.
Yu Peng-Ju, Chen Wei-Guan, Feng Quan-Lin, Chen Wei, Jiang Man-Jie, Li Ze-Qi
Association of CYP1B1 Leu432Val polymorphism and lung cancer risk: an updated meta-analysis.
Lung 2014 Oct 192 (5): 739-48.
Lao Xianjun, Qin Xue, Peng Qiliu, Chen Zhiping, Lu Yu, Liu Yanqiong, Li Sh
Effects of SNPs (CYP1B1*2 G355T, CYP1B1*3 C4326G, and CYP2E1*5 G-1293C), smoking, and drinking on susceptibility to laryngeal cancer among Han Chinese.
PloS one 2014 9 (10): e106580.
Jin Jianhua, Lin Faming, Liao Shiyu, Bao Qiyu, Ni Liy
Current evidence on the relationship between CYP1B1 polymorphisms and lung cancer risk: a meta-analysis.
Molecular biology reports 2012 Mar 39 (3): 2821-9.
Xu Wenhuan, Zhou Yunhai, Hang Xiaosheng, Shen
[Polymorphic markers of the CYP1B1 (4326C > G), CYP2F1 (c.14_15insC), CYP2J2 (-76G > T), and CYP2S1 (13106C > T and 13255A > G) genes and genetic predisposition to chronic respiratory diseases induced by smoking and occupational factors].
Genetika 2011 Oct 47 (10): 1402-10.
Akhmadishina L A, Korytina G F, Victorova T
The CYP1B1 Leu432Val polymorphism contributes to lung cancer risk: evidence from 6501 subjects.
Lung cancer (Amsterdam, Netherlands) 2010 Dec 70 (3): 247-52.
Chen Bo, Qiu Li-Xin, Li Yan, Xu Wei, Wang Xue-Li, Zhao Wei-Hong, Wu Jian-Qi
Genetic polymorphisms in cytochrome P450 genes are associated with an increased risk of squamous cell carcinoma of the larynx and hypopharynx in a Chinese population.
Cancer genetics and cytogenetics 2010 Jan 196 (1): 76-82.
Tai Jun, Yang Ming, Ni Xin, Yu Dianke, Fang Jugao, Tan Wen, Huang Zhigang, Wu Chen, Chen Xiaohong, Wang Guanghai, Zhou Weiguo, Chen Xuejun, Zhang Wei, Ma Lijing, Lin Dongxin, Han Dem
Review of studies on metabolic genes and cancer in populations of African descent.
Genetics in medicine : official journal of the American College of Medical Genetics 2010 Jan 12 (1): 12-8.
Ragin Camille C, Langevin Scott, Rubin Scott, Taioli Emanue
CYP and GST polymorphisms and survival in advanced non-small cell lung cancer patients.
Neoplasma 2010 57 (6): 512-21.
Ada A O, C Kunak S, Hancer F, Bilgen S, Suzen S H, Alpar S, Gulhan M, Kurt B, Iscan
Lifestyle, environmental, and genetic predictors of bulky DNA adducts in a study population nested within a prospective Danish cohort.
Journal of toxicology and environmental health. Part A 2010 73 (9): 583-95.
Eriksen Kirsten Thorup, Sørensen Mette, Autrup Herman, Vogel Ulla, Overvad Kim, Tjønneland Anne, Loft Steffen, Raaschou-Nielsen O
PTEN identified as important risk factor of chronic obstructive pulmonary disease.
Respiratory medicine 2009 Dec 103 (12): 1866-70.
Hosgood H Dean, Menashe Idan, He Xingzhou, Chanock Stephen, Lan Qi
Risk of malignant pleural mesothelioma and polymorphisms in genes involved in the genome stability and xenobiotics metabolism.
Mutation research 2009 Dec 671 (1-2): 76-83.
Gemignani Federica, Neri Monica, Bottari Fabio, Barale Roberto, Canessa Pier Aldo, Canzian Federico, Ceppi Marcello, Spitaleri Irene, Cipollini Monica, Ivaldi Gian Paolo, Mencoboni Manlio, Scaruffi Paola, Tonini Gian Paolo, Ugolini Donatella, Mutti Luciano, Bonassi Stefano, Landi Stefa
A gene-based risk score for lung cancer susceptibility in smokers and ex-smokers.
Postgraduate medical journal 2009 Oct 85 (1008): 515-24.
Young R P, Hopkins R J, Hay B A, Epton M J, Mills G D, Black P N, Gardner H D, Sullivan R, Gamble G
CYP1B1 genotype and risk of cardiovascular disease, pulmonary disease, and cancer in 50,000 individuals.
Pharmacogenetics and genomics 2009 Sep 19 (9): 685-94.
Kaur-Knudsen Diljit, Nordestgaard Børge G, Tybjaerg-Hansen Anne, Bojesen Stig
Genetic variation of genes for xenobiotic-metabolizing enzymes and risk of bronchial asthma: the importance of gene-gene and gene-environment interactions for disease susceptibility.
Journal of human genetics 2009 Aug 54 (8): 440-9.
Polonikov Alexey V, Ivanov Vladimir P, Solodilova Maria
CYP450 polymorphisms as risk factors for early-onset lung cancer: gender-specific differences.
Carcinogenesis 2009 Jul 30 (7): 1161-9.
Timofeeva Maria N, Kropp Silke, Sauter Wiebke, Beckmann Lars, Rosenberger Albert, Illig Thomas, Jäger Birgit, Mittelstrass Kirstin, Dienemann Hendrik, , Bartsch Helmut, Bickeböller Heike, Chang-Claude Jenny C, Risch Angela, Wichmann Heinz-Eri
Polymorphisms in innate immunity genes and lung cancer risk in Xuanwei, China.
Environmental and molecular mutagenesis 2009 May 50 (4): 285-90.
Shen Min, Vermeulen Roel, Rajaraman Preetha, Menashe Idan, He Xingzhou, Chapman Robert S, Yeager Meredith, Thomas Gilles, Burdett Laurie, Hutchinson Amy, Yuenger Jeff, Chanock Stephen, Lan Qi
Tobacco and estrogen metabolic polymorphisms and risk of non-small cell lung cancer in women.
Carcinogenesis 2009 Apr 30 (4): 626-35.
Cote Michele L, Yoo Wonsuk, Wenzlaff Angela S, Prysak Geoffrey M, Santer Susan K, Claeys Gina B, Van Dyke Alison L, Land Susan J, Schwartz Ann
Phase I metabolic genes and risk of lung cancer: multiple polymorphisms and mRNA expression.
PloS one 2009 4 (5): e5652.
Rotunno Melissa, Yu Kai, Lubin Jay H, Consonni Dario, Pesatori Angela C, Goldstein Alisa M, Goldin Lynn R, Wacholder Sholom, Welch Robert, Burdette Laurie, Chanock Stephen J, Bertazzi Pier Alberto, Tucker Margaret A, Caporaso Neil E, Chatterjee Nilanjan, Bergen Andrew W, Landi Maria Tere
Pathway-based evaluation of 380 candidate genes and lung cancer susceptibility suggests the importance of the cell cycle pathway.
Carcinogenesis 2008 Oct 29 (10): 1938-43.
Hosgood H Dean, Menashe Idan, Shen Min, Yeager Meredith, Yuenger Jeff, Rajaraman Preetha, He Xingzhou, Chatterjee Nilanjan, Caporaso Neil E, Zhu Yong, Chanock Stephen J, Zheng Tongzhang, Lan Qi
Association of functionally important polymorphisms in cytochrome P4501B1 with lung cancer.
Mutation research 2008 Aug 643 (1-2): 4-10.
Shah Parag P, Singh Arvind P, Singh Madhu, Mathur Neeraj, Mishra Bhartendu N, Pant Mohan C, Parmar Devend
A comprehensive analysis of phase I and phase II metabolism gene polymorphisms and risk of non-small cell lung cancer in smokers.
Carcinogenesis 2008 Jun 29 (6): 1164-9.
Zienolddiny Shanbeh, Campa Daniele, Lind Helge, Ryberg David, Skaug Vidar, Stangeland Lodve B, Canzian Federico, Haugen Aa
CYP1B1, CYP1A1, MPO, and GSTP1 polymorphisms and lung cancer risk in never-smoking Korean women.
Lung cancer (Amsterdam, Netherlands) 2008 Apr 60 (1): 40-6.
Yoon Kyong-Ah, Kim Jin Hee, Gil Hyea-Jin, Hwang Hyukkee, Hwangbo Bin, Lee Jin S
Genetic susceptibility according to three metabolic pathways in cancers of the lung and bladder and in myeloid leukemias in nonsmokers.
Annals of oncology : official journal of the European Society for Medical Oncology / ESMO 2007 Jul 18 (7): 1230-42.
Vineis P, Veglia F, Garte S, Malaveille C, Matullo G, Dunning A, Peluso M, Airoldi L, Overvad K, Raaschou-Nielsen O, Clavel-Chapelon F, Linseisen J P, Kaaks R, Boeing H, Trichopoulou A, Palli D, Crosignani P, Tumino R, Panico S, Bueno-De-Mesquita H B, Peeters P H, Lund E, Gonzalez C A, Martinez C, Dorronsoro M, Barricarte A, Navarro C, Quiros J R, Berglund G, Jarvholm B, Day N E, Key T J, Saracci R, Riboli E, Autrup
Combinations of cytochrome P-450 genotypes and risk of early-onset lung cancer in Caucasians and African Americans: a population-based study.
Lung cancer (Amsterdam, Netherlands) 2007 Mar 55 (3): 255-62.
Cote M L, Wenzlaff A S, Bock C H, Land S J, Santer S K, Schwartz D R, Schwartz A
Comparison of polymorphisms in genes involved in polycyclic aromatic hydrocarbon metabolism with urinary phenanthrene metabolite ratios in smokers.
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 2006 Oct 15 (10): 1805-11.
Hecht Stephen S, Carmella Steven G, Yoder Andrea, Chen Menglan, Li Zhong-ze, Le Chap, Dayton Rachel, Jensen Joni, Hatsukami Dorothy
CYP1A1 and CYP1B1 polymorphisms and risk of lung cancer among never smokers: a population-based study.
Carcinogenesis 2005 Dec 26 (12): 2207-12.
Wenzlaff A S, Cote M L, Bock C H, Land S J, Santer S K, Schwartz D R, Schwartz A
Rapid detection of single nucleotide polymorphisms related with lung cancer susceptibility of Chinese population.
Cancer letters 2005 Jun 223 (2): 265-74.
Liang Geyu, Pu Yuepu, Yin Liho
Genetic polymorphisms in CYP1B1, GSTA1, NQO1 and NAT2 and the risk of lung cancer.
Cancer letters 2005 Apr 221 (2): 185-90.
Sørensen Mette, Autrup Herman, Tjønneland Anne, Overvad Kim, Raaschou-Nielsen O
[The CYP1B1 and CYP2F1 genes polymorphisms frequency in three ethnic groups of Bashkortostan and chronic obstructive pulmonary disease patients].
Molekuliarnaia biologiia 0 44 (1): 33-41.
Korytina G F, Akhmadishina L Z, Viktorova T
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1University of Pennsylvania, Perelman School of Medicine, USA
2SUNY Downstate / Kings County Hospital Center (KCHC), USA
3SUNY Downstate Medical Center, USA
Received Date: January 06, 2016; Accepted Date: February 29, 2016; Published Date: March 07, 2016
Citation: Chandra S, Galanter CA, Weiss KJ, et al. Problematic Sexual Behavior in a Patient of 48, XXYY Syndrome: A Case Report. J Child Dev Disord. 2016, 2:2.doi: 10.4172/2472-1786.100017
A 17 year-old-boy with a diagnosis of 48, XXYY syndrome, presented with suicidal ideation and auditory hallucinations. He has had history of problematic sexual behaviors since age six. We discuss his clinical presentation and highlight his behavioral issues, which may be due to low intelligence, sexual abuse, neglect or a behavior pattern of a person with 48, XXYY syndrome. Scientific literature suggests that children at high risk for problematic sexual behavior are those with intellectual disability, history of sexual abuse, neglect, or genetic syndromes. Little is known about the sexual behavior pattern in a case of XXYY syndrome. We discuss this case report to bring forward the sexual presentation of this rare syndrome and how a clinician's diagnosis-oriented approach fails to address the risky sexual behavior. An important aspect is the lack of training to screen, diagnose, and most importantly intervene optimally.
48,XXYY syndrome; Intellectual disability; Schizophrenia; Compulsive sexual behavior
48, XXYY is an aneuploidy affecting 1 in 18,000 to 50,000 male births [1]. Patients have delayed dentition and developmental milestones. Endocrine abnormalities include reduced testosterone level, increased follicle stimulating hormone (FSH) and luteinizing hormone (LH) and hypogonadism [2]. Physical characteristics include dysmorphic facial features, elbow abnormalities and poor muscle development. Common medical problems are asthma, peripheral vascular disease, diabetes and intention tremors [3]. The presence of an extra Y chromosome affects neurodevelopment, resulting in developmental delays, learning disabilities, intellectual disabilities, and a spectrum of psychological disorders which differentiates it from Klinefelter syndrome (47, XXY), in which the intellect usually falls in the average range (IQ = 80-120) [4,5]. While there are several reports of co-occurring psychiatric disorders [6] in people with XXYY syndrome, there is no conclusive evidence of increased risk of psychiatric pathology. There are few reports addressing risk taking behavior or sexual impulsivity in 48, XXYY syndrome [7]. We present this case report of a 17 year-old male, who was diagnosed with 48, XXYY syndrome by karyotyping and review the physical and psychological features of people with 48, XXYY. We discuss the problematic sexual behavior in this adolescent which may be due to several factors including his chromosomal abnormality, intellectual impairment, psychiatric disorder or environmental exposures.
A 17-year-old African American boy who lived with his maternal step-grandparents was referred by his special education school for psychiatric evaluation after he drew pictures of himself surrounded by fire and guns. His grandmother requested psychiatric admission as she was fearful for him. During evaluation he endorsed suicidal ideation but denied any intent or plan. Grandmother mentioned that he attempted suicide in the past; he stabbed himself with a pen and ran in to traffic once. He did not report any impairment in sleep, concentration and energy. On the Kutcher Adolescent Depression scale (KADS) [8], he scored 4 indicating that he was 'probably not depressed'. KADS is a self-reported scale specifically designed to diagnose and assess the severity of adolescent depression. We used an abbreviated 6-item scale. 0-5 on the scale is interpreted as probably not depressed; 6 and above is possible depression. He reported hearing voices telling him "to have sex". He had a delusion of being a "control tower," whereby he "can make anything happen," including "changing the world, controlling the water system." On the Positive and Negative Syndrome Scale (PANSS) [9], he scored 25 out of 49 on positive scale, 15 out of 49 on negative scale, and 28 out of 112 on general psychopathology scale. The PANSS is a 30-item rating scale that is specifically developed to assess individuals with schizophrenia. PANSS is based upon the premises that schizophrenia has two distinct syndromes, a positive and a negative syndrome. Of the 30 items included in the PANSS, 7 constitute a Positive Scale, 7 Negative Scale, and the remaining 16 a General Psychopathology Scale.
He scored high on Sexual Symptom Assessment Scale (S-SAS) [10]. The S-SAS is a 12-item, self-rated scale. It measures severity of symptoms of Compulsive Sexual Behavior (CSB) with each item scored 0–4; higher scores indicate more severe symptoms. He scored 3 on questions such as: 'How much you were able to control your thoughts of problematic sexual behavior? How much personal trouble or emotional distress the problematic sexual behavior has caused you?' He scored 4 (constant to near constant) on: 'How often did thoughts about engaging in problematic sexual behavior come up?' He reported severe difficulty controlling his urges and thoughts of engaging in problematic sexual behavior. He had severe anticipatory tension / excitement before engaging in such behavior and severe emotional distress and personal trouble caused by his problematic sexual behavior. During his stay in the hospital he never exhibited any impulsive or disruptive behavior. While there were no sexually inappropriate behaviors, he had poor boundaries and tended to stay too close to people. He scored 8 on pervasive developmental disorder rating scale (PDDRS). PDDRS is a behavior rating scale designed to identify individuals potentially meeting criteria for pervasive developmental disorder. It contains 51 items that measure three dimensions: arousal, affect, and cognition. Each item is rated on a five-point Likert scale according to the degree to which the child generally shows the behavior described. The total score is obtained by summing the separate scores for each subscale.
On physical exam, he was a tall boy with atypical facial features; widely set eyes, broad nasal bridge and overcrowding of teeth in both jaws. He had scoliosis and ulnar deviation of both his hands (Figure 1).
Secondary sexual characteristics were fully developed, he was Tanner stage V. He had reduced testicular volume but did not exhibit other hypo gonadal signs such as gynecomastia or scant pubic hair. His EKG showed sinus rhythm, atrial premature complex and left ventricular enlargement with ST elevation. Serum Testosterone level was low normal, 265.80 (241–8270 ng / dl). Levels of both FSH, 21.14 (1.4–18.1 mIU / mL) and LH, 17.02 (1.5–9.3 mIU / ml) were high. His X-ray of the extremities, CT scan of head and rest of the blood tests were unremarkable. He had asthma, asymptomatic for the last 6 years. He had no history of seizures, head trauma or cardiac abnormality.
Past psychiatric history
He received a full developmental evaluation at age 4 and was found to have intellectual disability, attention deficit hyperactive disorder (ADHD), delayed speech and fine motor skills. He received speech and occupational therapy and methylphenidate for ADHD. Methylphenidate was stopped after 2 months, when his grandmother rescinded her consent. Grandmother was of the belief that these medications have "not done any good to any kid. I don't want to keep my kid drugged." At age nine, his grandmother took him to a psychiatrist, for inappropriate sexual behavior and episodes of aggression. He was prescribed risperidone (we could not retrieve the treatment details for his treatment provider). He received it for five months with no change in his behavior. He was diagnosed with Asperger's disorder at age ten at a child development center. In the report available from the development center there is no mention of how and why this diagnosis was given. He did not receive additional psychiatric care until age 16, a year prior to this inpatient admission. He was brought to the emergency room (ER) for suicidal ideation and aggression towards his classmates. He was diagnosed with adjustment disorder with mixed disturbance of emotion and conduct. No psychotropic agents were given and he was discharged with an outpatient follow up appointment. Two days later he returned to the ER, brought by his grandmother because he was hearing voices telling him "to have sex." He was also having a grandiose delusion that he could make anything happen. He was admitted and diagnosed as having pervasive developmental disorder and brief reactive psychosis. The progress note does not mention the bases for these diagnoses. During the sexual behavior assessment he reported that he was sexually active with multiple partners and watched pornography with his peers. He was first treated with haloperidol, which was discontinued due to extrapyramidal symptoms. He was then started on olanzapine, and after a nineday stay, he was discharged on olanzapine 5 mg for aggression and inappropriate behavior. His grandmother did not want him to take any medication with the belief that "mental medication are no good". It was later discontinued due to weight gain.
Sexual history
His grandmother first became concerned when he was six years of age and she found him touching his genitals while spying on his female cousin, sister and grandmother while they were changing clothes. She did not seek mental health care at that time. At age 9 he was found performing oral sex on his 2-year-old male cousin. The incident was not reported and there was no Administration of Child Services (ACS) involvement. Grandmother was not sure if it was just a childish behavior or a mental illness. She did not feel the need to report it. He was also touching peers inappropriately at school, and was suspended; since then he has had one-to-one supervision at school. At age 12 he was raped by his 14-year-old male cousin while visiting his mother's home. The penetration was confirmed by a rape kit. During the same year he was sexually abused on his way home from school by two boys, ages 18 and 15, who made him perform oral sex. At age 14 he was charged for forcing himself on a nine-year-old girl at his mother's house and performing cunnilingus. He was placed on probation.
Developmental history
While initially in his mother's custody, at age 4 his grandmother obtained custody due to neglect; she was not aware of any physical or sexual abuse from 0-4 years of age. During a workup for delayed development, genotyping revealed 48, XXYY with CGG repeat sequence unremarkable for Fragile X syndrome. At seven years old his full scale IQ was 70 with verbal IQ of 80 and performance IQ of 65 as measured by WISC-III. When he was ten years old, his Full Scale IQ was 64; verbal IQ was 72, and performance IQ 66 on the WISC III. His adaptive functioning was reported to be consistent with his cognitive functioning. He obtained an adaptive behavior composite of 67, with an age equivalent of seven years and one month. He was reported to be about three years behind his grade at the time of testing. Throughout his record he was described as immature, disruptive, impulsive and inappropriate.
Developmental adversity
His developmental history was significant for being born from a twin pregnancy. He was born full term via C-section. Twin A died of hydrocephalus and encephalitis within 36 hours of birth. His mother suffered from schizophrenia, cocaine dependence, genital herpes, hepatitis C and HIV. She was on psychotropic agent and antiviral medications throughout pregnancy. He was born with HIV antibodies and was on antiretroviral medications for 18 months leading to his seroconversion. He had delayed dentition and speech and started walking at 2 years of age. He developed a peculiar gait, always keeping both his elbows flexed and wrist extended and hands in pronation.
Assessment and plan
IQ testing was not done in the current admission, but results of his psychological tests from last hospitalization were available. He did not meet the criteria for major depressive disorder or schizophrenia. With sudden onset delusions and hallucinations he was given the diagnosis of brief psychotic disorder. To treat his psychotic symptoms, he was started on risperidone which was titrated to one mg each morning and two mg in the evening. He responded well to risperidone and his psychotic symptoms improved. The team discussed with grandmother the option of Juvenile Sex Offenders program. Grandmother did not approve with the idea that "other kids there will make him worse; however, he will gradually get better with time." Possibility of prescribing Gonadotropin Releasing Hormone agonist was discussed with the team, but because of his age he was not a good candidate. SSRI has shown effectiveness in decreasing the sexual drive, but there is no FDA-approved indication. Finally, with no viable option for treatment of his sexual behavior and not being an imminent danger to self or other, he was discharged to a local mental health clinic. The writer (SC) tried to follow up with the grandmother but she refused to entertain any questions. Rather, she was uncomfortable with the notion that we were trying to address his sexual issues which, according to her, were not very far from normal. She expected him to become normal with time without any need for intervention.
48, XXYY syndrome, initially considered a variant of Klinefelter syndrome (KS), is a separate chromosomal disorder. It leads to tall stature, long legs, clinodactyly, pes planus and dysmorphic facial feature such as hypertelorism. Patients have high FSH and low plasma testosterone level [6]. They have been diagnosed with tremor, allergies and asthma [11]. Unlike KS which is difficult to diagnose before puberty, XXYY syndrome is diagnosed earlier (on average at 7.7 years of age) due to early developmental delay that are noted from 2nd to 5th year [12]. Autism spectrum [4] disorder and ADHD have been reported in XXYY syndrome [1]. Males with XXYY syndrome often have speech-language disorders, social–emotional difficulties, cognitive impairments, poor visual– perceptual skills and are also more likely to have hyperactive/ impulsive symptoms [4]. The major indication for chromosomal analysis has been mental retardation and behavioral problems, like violent and impulsive reactions [6,13-15]. There have been case reports of children with XXYY presenting with suicidal ideation and aggressive behavior with presumable diagnosis of mixed bipolar episode [16]. In cases presenting with paranoid schizophrenia the psychotic symptoms have gotten worse with testosterone and have not responded to antipsychotics [17]. In XXYY syndrome there is one reported case of sexually abusive behavior, where a cognitive behavioral treatment program was not effective [7].
Research on the sexual development of people with intellectual disabilities (ID) is limited but seems to indicate that people with ID experience the same range of sexual needs and desires as other people [18]. There may be an increase of public masturbation which is thought to be due to their inability to meet their needs in a socially acceptable manner [19].
Patients with 48, XXYY have low intelligence with poor social and interpersonal skills [17]. They may have behavioral problems such as impulsivity, hyperactivity and bouts of agitation [6]. While there are case reports on medical and psychological problems in patients with XXYY syndrome [14], the literature is limited in regard to their problematic sexual behavior. Through this case report we present sexual behavior in a patient of XXYY syndrome, such as: exhibitionism, voyeurism, fellatio and cunnilingus. His low intellectual functioning also may have played a role in his inability to learn more acceptable ways of handling his sexual desires [20]. However, there is a possibility that there is a different quality to his sexual behavior mediated by his aneuploidy which goes beyond what is seen in mild intellectual disability. These behaviors may also be an outcome of neglect, sexual abuse, impulsivity or psychosis. We undertook to rule out contribution of psychiatric conditions by use of several screening tools. His unsupervised environment may have contributed to repeated sexual exposure and victimization, normalized inappropriate sexual behavior and his not learning societal rules regarding sexual activity.
Patients with XXYY syndrome should be watched closely for any abnormal behavior, especially those which are sexual in nature. Family member's education and involvement will play a crucial role in supervising these children. Early intervention could address issues of supervision, impulsivity, early trauma and neglect. A structured environment that safeguards children with genetic and intellectual vulnerability and addresses their behavior by teaching coping skills and social norms will be of paramount importance [20]. As with all children and adolescents with developmental or intellectual disabilities, sexual education adapted to their developmental and intellectual level is also thought to be helpful. Active inpatient treatment is warranted if the patient poses threat to self and others. Psychotropic agents can be used to address patient's aggression or agitation or comorbid conditions. Anecdotally, medications which are known to lower the sexual desire can be tried in adults, but there is no literature for their use in children and adolescents. Further research is needed to understand such behaviors in this patient population.
The permission for this publication and using the patient's photograph was obtained from the patient's grandmother.
Special thanks to Dr. Habibur Rahman, and Dr. Kanan Kasturi for their valuable contribution to this case report by giving feedback on the manuscript and collecting all childhood information respectively.


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