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17 Mei 2017
Rear Admiral Mercado, Chief of Navy, Philippines, is getting a presentation about the A26 submarine (photo : Saab)
Sweden's Saab is displaying a model of its A26 conventional submarine (SSK) fitted with vertical launch missile tubes at IMDEX Asia.
This version of the boat is designed to emphasise the modular capability of the submarine with the installation of a 10m section containing three launchers, each containing six missiles.
It is the first time that a conventional diesel-electric-powered submarine has been designed with the Tomahawk Land Attack Missile capability (TLAM). Existing boats that have TLAM – the US Navy and UK Royal Navy submarines – are all nuclear-powered (SSN).
Submarine launch of Tomahawk. (photo : General Dynamics)
The only other land attack capability that is fitted to conventional submarines has had to be through missiles fired through the torpedo tubes.
It is no small feat to install a vertical launch land attack capability onto an SSK, but the modular design means that a 10m section can be relatively easily installed. The modular section could also instead contain more batteries or AIP depending on the customer requirements.
Saab has received interest from customers that want a land attack capability in a smaller conventional submarine, but would not disclose what countries.
A26 submarine (photo : Navy Recognition)
Naturally, the country would have to be a close US ally due to the restrictions in the sale of cruise missiles. Most countries that could procure an A26 of this type either would not be allowed to buy TLAM or have already selected other submarine designs for their subsurface capability.
Poland, however, is one country that may fit the bill as it is still looking for a submarine capability has close relations with Sweden, and is also a close ally of the US being a part of NATO.
As a part of a wider naval expansion programme Poland wants to acquire three submarines from 2023 and Saab is bidding alongside European rivals, DCNS and TKMS.
(Imdex Asia 2017 Daily News)


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Richard Ayoade, filmmaker, is a little more reserved than the characters in the arsenal of Richard Ayoade, comedic actor. He's reserved like the The IT Crowd's Maurice Moss, but without any of the eccentricities. He's not as commanding as The Mighty Boosh's Saboo, nor as assertive as Garth Marenghi's Darkplace's Dean Learner, but as director fluent in film history, Ayoade brings deep technical knowledge and references to nearly everything. He finds the relationship between cinema vérité and The Hills. He relies on classic romantic comedies when watching movies with his wife. And he knows perfectly well which of his own movies isn't exactly Citizen Kane.
The Double marks Ayoade's second feature film as director, and a departure from the whimsical swirl of colors and emotion found in his debut, the 2010 coming-of-age romance, Submarine. Starring Jesse Eisenberg in dual roles, The Double charts the downward spiral of Simon James, a mild-mannered corporate cog who encounters, what appears to be, his identical twin. Except James Simon is a diabolical smooth operator—a force Simon can't reckon with. Soon James is stealing Simon's work, wooing his girl, Hannah (Mia Wasikowska), and pushing him out of existence. It's unsurprising to learn that The Double's psychological tragedy is based on a Fyodor Dostoevsky novella—or that its blank urban spaces are inspired by real cities like Atlanta. We spoke to Ayoade in New York City last week about his influences, his viewing habits, and his comedy roots.
VF Hollywood: The world of the film is vivid, but we don't see every corner of it. How much did you sketch in your notes?
Richard Ayoade: The idea was to feel a bit like [you're] in a dream . . . [and] a world where the buildings feel like they exist to serve themselves rather than the people in them. Have that functionalist or brutalist [feel]. Everything was built at once, but not maintained. There are bits of Atlanta like that. They built a lot in one go. Unless it's full and thriving, it looks like a failure.
The computers in the movie look like they're serving themselves.
They're economic. In the 50s, when they predicted how everyone would have computers, they were always enormous. Computers like that never existed and never will. So it was trying to create something that was ultimate rather than historically accurate.
Are you a technology guy? Have you succumbed to the iPhone?
I have an iPhone, but it's definitely not the most up-to-date one. I like mechanical things.
Were you a tinkerer?
My dad fixed televisions. That was his job. So I could fix a VCR when I was young. Most of the time, it was just alcohol on the drum. Often that became dirty from the tape. Simple as that. He had oscilloscopes and soldering irons. I liked that stuff. But he was not someone who could explain how he did things.
There are a number of instances in The Double where Jesse's character is watching a campy science-fiction TV series. Why that show? What's the relationship of entertainment to the plight of these characters and this world?
I like it in films when people read or watch things. I feel like a good proportion of time is spent doing that. And it's nice to make the shows so they don't have a specific cultural resonance, so you don't go, "Oh, they're watching Mad Men, that means this." Or it makes a comment on them. It's nice to create something that's unique to this film. In a way, [these films] represent a heightened masculinity. An over-the-top, proactive alpha man which he can't be. He can't be assertive. This is probably a place that doesn't have many channels and this is a long-running sci-fi serial.
Would you watch this show if it were real?
No. Especially not now.
Because of time?
Mainly time. And also, those things seem to fit a certain adolescent period that passed me, maybe.
Not for some people. You should go to Comic-Con.
My wife insists on watching [movies] set on planet Earth. That's part of the requirement. I don't think that's an illegitimate view.
If what we watch is a telling fact, what do you and your wife watch?
She loved Her, so that's kind of science fiction. We like screwball comedies. Preston Sturgess. Howard Hawks. [Ernst] Lubitsch.
So your wife couldn't handle The Watch, I take it.
I haven't watched The Watch. It's become Macbeth or something. I didn't see it at the premiere because I had to go back [to film The Double] before it started. I could go to a quarter of the red carpet. So I didn't watch it then. Then they didn't have one in London. And then I couldn't go to the cinema to see it—that would be weird and creepy. And then, what am I going to do, rent it and watch it? In my house? Over a Lubitsch film? Why would we do that? That's not a good evening. Spend a day with me and then say, "You want to watch my face?" Maybe in the future. I heard it's not regarded as Citizen Kane.


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LARGE Snakes
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Re: LARGE Snakes
Bill ,
all the experts can do are to go by the information
they have at hand.But perhaps occasionally they add something
from their intuition.Who knows?
all the experts can do are to go by the information
they have at hand.But perhaps occasionally they add something
from their intuition.Who knows?
- Guest
Re: LARGE Snakes
Arbel wrote:Deb did you know that in the days of ancient Egypt that the pharaohs crowns always carried the symbol of the cobra on those crowns to remind themselves that evil was always around
I've heard that somewhere. But then again evil is in the mind of those who ''fear"? One's thoughts are everything so they say. One is what they believe.
Could be or could be that they also thought highly of the snake.
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Conti introduces new radial tyre portfolio for port industry
Continental has introduced its new radial tyre portfolio, developed to meet the exacting demands of vehicles utilized in the port industry.
Day in and day out, containers are transported many kilometers from one location to another across the extensive grounds of international ports. For these demanding load & carry applications, radial tyres are the perfect solution. They offer low heat generation and a flat tread contour, ensuring a high level of endurance and mileage over long distances.
With the launch of three new radial tyres for port applications – the ContiRT20 in 24 inch sizes, the ContainerMaster Radial and the StraddleMaster Radial – Continental begins a new chapter in its port history. The tyres are perfectly suited to various vehicle types utilized in load & carry applications, including heavy forklift trucks, empty container handlers, reach stackers, straddle carriers and terminal tractors, amongst others.
Continental will debut its new radial port tyre portfolio at this year's TOC Europe in Rotterdam, Netherlands from June 18-20.


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- 1 How long do homemade pickled eggs last?
- 2 Can you pickle soft boiled eggs?
- 3 How do you preserve boiled eggs?
- 4 Can you reuse pickle juice for eggs?
- 5 Do you have to boil vinegar for pickling?
- 6 Why are my pickled eggs rubbery?
- 7 How do you make pickled eggs from scratch?
- 8 How do you know if pickled eggs are bad?
- 9 Do pickled eggs need to be refrigerated?
- 10 What do you add to the water when boiling eggs to make them peel easier?
- 11 Can boiled egg be kept overnight?
- 12 Should you peel hard boiled eggs immediately?
- 13 How long do you soak eggs in pickle juice?
- 14 Does pickle juice go bad?
- 15 Are pickled eggs healthy?
How long do homemade pickled eggs last?
How Long Do Pickled Eggs Last in the Refrigerator? Once they're sealed in an airtight container, your pickled eggs will last for up to 4 months in the refrigerator!
Can you pickle soft boiled eggs?
in our house, eggs seem to be one of our favorite ingredients. i let them marinate for just a day or maybe two and the result was amazing! a perfectly salted egg that had absorbed the flavors from the fresh herbs in the brine.
How do you preserve boiled eggs?
The best way to store hard-boiled eggs is to keep them in a covered container, such as Glad Entrée Food Containers in the refrigerator. If the eggs have already been peeled, keep them moist by covering them on bottom and top with a damp paper towel before placing them in the container.
Can you reuse pickle juice for eggs?
Pickle enthusiasts buy the large jar of the tasty delights, eat them all, and feel just a little sad about pouring all of the leftover liquid goodness down the drain. Luckily, that pickle juice can be reused to create pickled eggs, good for snacks, appetizers, or on a salad.
Do you have to boil vinegar for pickling?
Vinegar-based pickling is a much faster process than fermentation pickling. In its quickest form, you'll just boil a vinegar solution, pour it over the the object of your pickling desire, let it all cool and stash it in the fridge.
Why are my pickled eggs rubbery?
If eggs stay in a strong brine too long, they can become rubbery and chewy. To prevent this from happening, remove and enjoy while they're still a nice texture or water down the solution for longer storage. For safety reasons, you should keep your pickled eggs refrigerated. It's just common sense.
How do you make pickled eggs from scratch?
- Combine vinegar, water, sugar, pickling spices and salt in small saucepan.
- Bring to boil, stirring frequently, until sugar dissolves. Reduce heat to low, cover and simmer for 10 minutes.
- Place eggs in 4-cup (1 L) jar with lid.
- Refrigerate for at least two days before using.
How do you know if pickled eggs are bad?
The older the Pickled Eggs get, the more rubbery they become. Some people are very attentive to the storage and life span of pickled eggs, racing the jar back into the fridge seconds after they have extracted the egg they want; other people just keep them in a cool but unrefrigerated place for up to a year.
Do pickled eggs need to be refrigerated?
Pickled eggs must be kept refrigerated and should not be left out at room temperature. Unless the recipe indicates otherwise, you will want to consume the pickled eggs with two to three months for best quality. More pickling tips and recipes are available at the National Center for Home Food Preservation website.
What do you add to the water when boiling eggs to make them peel easier?
Add a little baking soda (about 1/2 teaspoon or a little less) to the water while boiling. This will make it easier to peel the eggs later on. Once the eggs are done cooking, give them a little crack and plunge them in an ice water bath. Only do this if you're going to peel them right away.
Can boiled egg be kept overnight?
Hard-boiled eggs, if refrigerated, can sit for a week and stay safe to eat (peeled or unpeeled). Left unrefrigerated, though, the expiration deadline drops to about two hours. If hard-boiled eggs are left at room temperature for long periods of time, bacteria will grow at a rapid pace.
Should you peel hard boiled eggs immediately?
"Hard–boiled eggs should be refrigerated within two hours of cooking and discarded if left out for more than two hours at room temperature," said Rubin. Her recommendation is to leave them in the fridge in their shells for optimal taste and quality, and to only peel them when you're within minutes of eating them.
How long do you soak eggs in pickle juice?
It takes about two to three days for the pickle juice to flavor the eggs. However, they will have a stronger flavor if they are left to soak for six to eight weeks. So even though it is tempting, don't snack on them too soon. Eggs that are pickled with pickle juice are stored in the refrigerator to avoid spoilage.
Does pickle juice go bad?
Unopened unpasteurized pickle juices can last up to three months past their best before dates. Opened or used unpasteurized pickle juice can last for another three months in the fridge.
Are pickled eggs healthy?
Red beet pickled eggs provide high protein snacks for weight loss. But they are great to eat as a side dish with any meal. Or you may want to use them in egg recipes such as deviled eggs. So good for winter meals and even better with summer picnics!


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Testimonial Category: Patient Testimonials
"Being a patient model for this course was one of the best decisions I made! The medical staff that was teaching the course as well as those taking the course were professional, skilled, and respectful. They explained each step along the way, and always ensured my comfort and understanding. I felt I learned a lot as well. They took their time, and I felt very safe and knew I was in good hands. I would absolutely do this again. Wonderful experience. Thank you!"
"I have been getting botox for over 10 years and this by far has been my best experience. I was a little hesitant on my first appointment having students inject me. But rest assured you are in good hands. Dr. Dargie is an amazing instructor as well a the rest of the team. The students are well prepared for the treatments so no need to be nervous. Being a patient model allows me to have access to treatments that I would not be able to afford otherwise. As long as they are around I will continue my botox with the team."
"I was super anxious arriving to my appointment with The Filler Course. However, all feelings left as soon as I walked into the room with Dr. Dargie and his team. The whole experience was not only super unique but also super personable. Dr. Dargie does not only have an amazing bedside manner, but he also is an amazing instructor and it shows with his students. I recommend this program to everybody, and I will most definitely be returning!"
"Being a first-time patient for the Botox Course, I admit I was a little nervous at the start but it came highly recommended by a friend so I signed up for both treatments, the botox and the fillers. My tension went away when I got there and met Brynn, who was very kind and informative, and took pictures of my face, as well as Dr Brittany Macdonald and her 4 scholars. Everyone was incredibly considerate and seemed very well informed about the procedures, which themselves were done very quickly. The botox treatments were surprisingly painless. I felt a couple of stings with the fillers, even though my face was numbed but it was nothing unbearable, and I was offered a fruit juice which I believe actually helped. I also want to mention that because this is a course, the procedures are very affordable for patients. It's a win, win!
Thank you so much, everyone, I'll be seeing you again."
"At first, I did not know what to expect but I was pleasantly surprised and quite impressed. The session took place at a fabulous hotel sandwiched in the financial district of Montreal, close to a metro station making it easily accessible for career people. Courtney was lovely and kind as I filled out intake forms. The students were warm and all were doctors, nurses, or dentists etc. Dr. Dargie is extremely professional, allowing his students to truly learn on their own, providing sound reasoning for why he might disagree with their initial assessment but still providing encouragement for where they were going… he surveyed the students and guided them during the entire process, from assessment to dosage, and then injecting. I could tell Dr. Dargie had extensive experience injecting botox and felt like I was in the most excellent of hands. I felt like I bought a Ferrari with a Honda budget given the reduced cost of botox because there was some teaching involved (heck, I even enjoyed learning!) Overall I HIGHLY recommend this course to both students and 'patients' alike!"
"I can honestly say I had the absolute best treatment as a patient model at The Botox Course. It was better work than I've received in expensive salons and spas. Everyone was knowledgeable, confident and kind. It was a great first experience for me and I will definitely return!"


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Frontier Agent (1948)
Original U.S. Insert
Movie Poster
14" x 36"
Condition: Fair, Folded
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This one begins after the Civil War when the Overland Telegraph Company is persuaded by rancher Jim Kerrigan to allow his own men to extend the line to Baxter Springs, guaranteeing to pay for the construction himself if it isn't finished at the end of two months. Land promoter Burton Wheelock will lose money if the line is completed and gets ex-rustler Larry Foster, fiancée of Sandra Kerrigan, to sabotage the work. Telegraph company trouble-shooter Johnny Mack, investigating the sabotage, saves Kerrigan's men Joe Farr and Cappy from masked outlaws. Henchman Mugsy is captured by Johnny, while Larry, Slim and the other henchmen escape after shooting telegraph patrolman Nevada. Larry kills Mugsy before he can identify the gang leader. Henchman Straker is captured by Johnny and jailed. Slim steals Johnny's identification card from his saddle bag, and it is found near the jail when Wheelock's men help Straker break jail and kill a deputy sheriff. Because of the card, the Marshal arrests Johnny, but Joe comes to his rescue. An attempt to fire the Kerrigan ranch is foiled, and Larry's hat is found, which proves to Sandra her fiancée's crookness. Larry is trailed to Wheelock's office, and both are killed in a shootout with Johnny, Cappy and Joe.


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Two bedroom apartment in Altos de La Quinta II, Benahavis
Light and bright south facing two-bedroom apartment with mountain and some sea views in the gated community of Altos de La Quinta II. The property is well distributed with an entrance hall leading on to the living/dining …
- 2 Bedrooms
- 122 m² build
455.000 € Ref. MPA4338


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Tonight will be my first time alone at last. I usually prefer to go to the movies alone. And I've been wishing since the beginning that my friends would understand and let me enjoy it on my own private little own.
But tonight will also be my fourth time. My youngest son (20 years old) is taking me tomorrow night for my fifth.
I love it. Wrote pages and pages about this movie. It was radiant from the first word, the first snowflake, the first view.


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At Kennedy Dental, our implant dentists in Bellevue, NE provide quality tooth replacements for our patients. Of course, we offer other tooth replacement options, but dental implants are the preferred choice for most dentists because there are many advantages.
Let's examine four things you need to know about dental implants in Bellevue, NE.
#1 Dental Implants Are Similar to Natural Teeth
Unlike other tooth replacement options, a dental implant replaces the entire tooth from root to dental crown.
Your dentist surgically implants your replacement root, and it bonds with your jawbone over a period of time. When integration is finished, you're ready for your new tooth.
#2 A Few Implants Can Support an Entire Arch of New Teeth
You may think that you need a dental implant for each lost tooth. This can be a daunting prospect if you have full tooth loss.
Four to six dental implants are often enough to fix an arch of restorative teeth to your jaw in our dental office.
#3 Implants Promote Better Oral Health
Because dental implants are tooth replacement roots, your jawbone receives needed stimulation. This prevents a prematurely aged appearance around your chin—as tooth loss usually means jawbone loss.
Dental implants also prevent tooth migration, a natural occurrence when teeth are missing, that finds teeth shifting toward smile gaps.
#4 Dental Implants Are Virtually Maintenance Free
Brushing, flossing, and visiting your dentist regularly are all that are required to enjoy healthy and functioning dental implants. The way you care for natural teeth is the same way you'll care for your implant. No adjustments or store-bought adhesives are needed!
Contact Our Dentist Office in Bellevue, NE to Get Started!
Giving you a beautiful smile while promoting better oral health is the best of both worlds. So if you're ready to schedule a consultation with one of our dentists, or have additional questions, reach out to Kennedy Dental today at (402) 291-3535.
Kennedy Dental is located at 1411 John F. Kennedy Drive, right by the Bellevue Police Department. Patients driving from Omaha should take S 13th Street and continue onto Fort Crook Road N. Turn left onto Harvell Drive, then turn right onto Galvin Road S. Turn right onto John F. Kennedy Drive and our office will be on the left!


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TN: ED raids 9 places in Rs. 90cr bank fraud
The Enforcement Directorate (ED) on Saturday conducted searches at nine locations in Tamil Nadu in connection with an alleged Rs. 90 crore bank loan fraud money laundering case, officials said. Searches are being conducted at Virudhunagar, Madurai, and Coimbatore in connection with its probe involving Indhumathi Refineries Pvt Ltd (IRPL). A criminal case under the Prevention of Money Laundering Act (PMLA) has been filed.
ED raids residential and business premises linked to R Shenbagan
The company, IRPL, is managed by R Shenbagan and others. Residential and business premises linked to him are being raided, officials said. "IRPL was enjoying cash credit facilities, Letter of Credit (LOC) facilities and term loan from State Bank of India's overseas branch in Chennai," they said. The ED has filed its PMLA case against the firm based on a CBI FIR.
Indhumathi Refineries caused a loss of Rs. 90cr to SBI
"It (IRPL) had availed a total of 46 LOCs from the SBI which were issued against bogus firms/fake invoices for a value of around Rs. 87.36 crore," ED said. "The amount was devolved on the bank later due to insufficient funds in their account and also diverted the business proceeds which resulted into pecuniary loss of around Rs. 90 crore to SBI," it added.


text: Balmy day dressing just got simpler with this easy-to-wear mini dress. Showing off a bardot neckline for sun-seeking shoulders, it also features a flowing fit for breezy everyday style. Elevated with a feminine floral print for added detail, style with strappy sandals to create the perfect summer look. Model wears a size 10.


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Franchise Growth Strategy
A Franchise Brand is a globally recognized company with many distributors and stores around the world.
The franchise agreements give the franchisor the right to use specific trademarks and logos and set standards for minimum performance by the franchisees.
A booming franchise is operated by people who are willing to pay the price, take the risk to become the best. They are driven by the hunger and passion to fulfill their objectives. But when you have no map to follow to achieve your said objective, then it becomes unrealistic. It is advised to set smart goals to help ensure that your business has a clear path and a focus.
Creating an effective franchise brand plan will not only help you know what to do but also show you the best path on how to achieve it. It will help you identify opportunities and solve a lot of challenges on your journey as a franchisor.
You will need to use your franchise growth marketing budget to get people to know about your business brand in all possible ways ranging from social media adverts, billboards, customer database, community word of mouth and many other strategies.
We can build a brand that the world recognize, but you will need a lot of patience. The franchise system needs time to organically grow. The more time you put into it, the bigger your reward to a nationals then global franchise brand.


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The Genius
About the BookTheodore Dreiser heavily invested himself in The Genius, an autobiographical novel first published in 1915. Thoroughly immersed in the turn-of-the-century art scene, The Genius explores the multiple conflicts between art and business, art and marriage, and between traditional and modern views of sexual morality. Despite heavy editing, The Genius was deemed so shocking that its sale was immediately prohibited by the New York Society for the Suppression of Vice. It was not released until 1923, and thereafter the episode confirmed Dreiser's status as a writer ahead of his time.
Clare Virginia Eby's new edition brings to print for the first time Dreiser's original version of the novel as he composed it in 1911. The protagonist Eugene Witla, as well as the women he loves, emerge as very different characters than they appear in the 1915 edition and the ending takes a markedly different turn. Witla is less the defiant rebel here and more a figure torn between conservatism and rebellion. Dreiser's attention to female characters' inner lives, their passions, sexual and otherwise, renders them more comprehensible and sympathetic. Long understood as the most autobiographical of Dreiser's novels, this new edition suggests a younger, less assertive Dreiser whose mature ideas of self, masculinity, artistic achievement, and worldly success were still in the process of formation.
About the AuthorClare Virginia Eby is a professor of English at the University of Connecticut. She is the author of Dreiser and Veblen, Saboteurs of the Status Quo, coeditor of The Cambridge Companion to Theodore Dreiser, and editor of the Norton Critical edition of Upton Sinclair's The Jungle.
Reviews"This edition provides an opportunity to follow in close compass Dreiser's process of revision. It captures his point of view at a transitional moment in his career, and it sheds light on his subsequent work."--Times Literary Supplement
"This is a superb edition: skillfully edited, fully annotated, usefully contextualized. We have been given a new and almost entirely unknown version of The Genius--the text as originally conceived by Dreiser. It now demands our attention and close study."--James L. W. West III, general editor of the Cambridge Fitzgerald Edition
"The Genius is one of the most overlooked and underrated of Dreiser's novels, yet it is arguably the key book for students of the writer, offering abundant materials for an understanding of the tensions between art and business and between romance and realism. It is also one of the finest portraits of marriage--and of the passions of marital frustration--in all of literature, as well as an exploration of the supposed sexual privileges of genius. Clare Eby's presentation of this earlier and previously unpublished Genius is a triumph of textual and interpretive scholarship, offering in its accompanying essays and apparatus a meticulous consideration of the similarities and differences between the two texts as well as copious explanatory notes. A great addition to Dreiser scholarship, this original version reminds us again of the fascinating evolution of Dreiser's powerful imagination."--Miles Orvell, author of The Real Thing: Imitation and Authenticity in American Culture, 1880-1940
"A first-rate piece of textual scholarship that provides a vital and valuable new perspective on an important novel."--Leonard Cassuto, Fordham University


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Asia > Japan > Hyougoken
Do you looking for the Zip Code for Kouro in Hyougoken?
Zip Code Kouro in Hyougoken: 679-2151
[table id=3 /]
Kouro is a city in the state of Kanzakigunkouderachou in japan. Japan is a country in asia. The official language is Japanese. There live about 126.045.000 (2017) people. Do you want to send a parcel or a map to Kouro in Kanzakigunkouderachou? For this you need the postal code. Here it is for you: 679-2151. the indication to postal code 679-2151 is from 02/16/2012. More information for Kouro you can find on wikipedia.
Latitude: 34.9144 – Longitude: 134.7351
Postal Code: 679-2151 – other spelling: 6792151


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Looking back at the decade-plus history of FilmAfrica at BAM, this series gathers recent work with hits from past festivals to celebrate the incredible cinema New York African Film Festival brings to BAM each year during DanceAfrica, the nation's largest festival dedicated to African dance and music. This year's film lineup includes TGV, Hot Irons, and Don't F*** With Me, I Have 51 Brothers and Sisters, along with other features and two short film programs.
Leadership support for BAM Access Programs provided by the Jerome L. Greene Foundation.
Leadership support for the BAM Hamm Archives and BAM Film, Community, and Education programs provided by The Thompson Family Foundation Leadership support for BAM Film provided by the Ford Foundation
Passengers traveling by bus between Senegal and Guinea face a revolt at the border.
A blind mystic guides Kapila—born during an eclipse, so feared and abandoned—back home.
Three mercenaries go into hiding in Dakar, where devastating secrets are revealed.
An international race offers Selam, a passionate runner, the chance to achieve her dreams.
Short films from Sudan, Senegal, England, South Africa, and more.
Patriarchy and religion complicate the staging of a play about gender inequality in Nigeria.
Innocent love and friendship between children in Senegal reveal cultural and class divides.
Stories of extravagant hair styling from Detroit and Rwanda.
Pure separation comedy: Traditional African man copes with his wife's extra-marital affair.
N'Diaye interviews Malian women who claim to be possessed by spirits known as jinn.
Kongo Congo, a writer living in Brussels, weaves Congolese history with Belgium's ghosts.
In this comedy of errors, a bus driver loses psych patients and tries to cover it up.
Dumisani Phakathi documents finding his 51 siblings and grieving his father in South Africa.
These shorts take us from a village in Ethiopia to the streets of Marseille, and beyond.
The son of a village imam must choose between a life of tradition or a life of free will.


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COVID-19 and its mutants have significantly impacted the health care system, claiming numerous lives and adding to the morbidity. The data are scarce to describe the effect of disease severity on pregnancy outcomes, the possibility of mother-to-child transmission, and neonatal outcomes of COVID-positive babies. This study aimed to report the maternal and fetal characteristics of pregnant women with severe COVID disease as well as maternal and neonatal characteristics of neonates with early-onset SARS-CoV-2 infection.
Materials and methods
This is a prospective data analysis of pregnant women with severe COVID disease and neonates with early-onset SARS-CoV-2 infection. The disease parameters including demographic data, clinical presentation, investigations, management, and maternal and neonatal outcomes were recorded and analyzed.
India has faced three waves till now. At the study center, a total of 165 (60, 68, and 37 in the first, second, and third waves, respectively) COVID-positive pregnant women were admitted during all three waves. No severe COVID disease with pregnancy was noted in the first and third waves.
During the second wave (March to June 2021), 15 pregnant women were found to have severe COVID disease. All of them had COVID-related symptoms, with the majority requiring supplementary oxygen at presentation. Nine of these women had intrauterine fetal demise at admission. Nearly 73% were in their second trimester, and the rest were in the third trimester. There was raised total leukocyte count and alanine transaminase in 73% and raised aspartate transaminase in all cases. All of them were admitted to the intensive care unit. Two women in their third trimester had a termination of pregnancy by cesarean section, and one of the neonates had early neonatal death due to perinatal asphyxia. Both the neonates were COVID-19 positive. Eleven women with critical illness succumbed to the disease.
No neonate was found to have early-onset SAR-CoV-2 infection during the first and third waves. Only 11 neonates tested positive for SARS-CoV-2 at the time of birth during the second wave. None of them had any COVID-related symptoms. Preterm birth was reported in four cases. The average Apgar scores at 1 and 5 minutes were 6.9 and 8.09, respectively. The average birth weight was 2,551.81 grams. All neonates were initially kept in the neonatal intensive care unit. Out of 11, four neonates required treatment in the form of positive-pressure ventilation, chest compressions, high-flow nasal oxygen, and non-invasive and invasive ventilation. Neonatal mortality was documented in two cases. Six mothers had one or more positive results in either amniotic fluid, placental membrane, or vaginal or cervical swab, highlighting the possibility of antepartum or intrapartum transmission.
Severe COVID disease during pregnancy was associated with high rates of intrauterine fetal demise and maternal mortality. Raised liver enzymes might be taken as a predicting factor for severe disease. On the other hand, early-onset neonatal SARS-CoV-2 infection is mostly asymptomatic and has a good prognosis. Additionally, mother-to-child transmission of SARS-CoV-2 is possible in the antepartum and intrapartum periods.
COVID-19 pandemic with its multiple waves of infection is still nowhere close to an entity of the past. Another wave with a mutant variant is constantly lurking around and threatening the health care system. India has already witnessed three waves of this infection, and the disease has claimed numerous lives and not just added to the morbidity. Still, the guidelines on its diagnosis or management are not clear. Like always, vulnerable groups such as pregnant women lag behind the rest of the general population in vaccination efforts and management guidelines. Because of physiological alterations in immune and cardiopulmonary systems, pregnant women have been more susceptible to viral respiratory infections [1,2] like SARS-CoV-2. Among the three waves in India, the second had a much more significant burden on all forts. There was a peak of 4 lakh cases per day during this wave. There have been studies comparing the pregnancy cohort with the non-pregnancy cohort for susceptibility and severity of this infection, one of which was conducted at the same study institute wherein it was mostly observed that pregnancy as such though more susceptible does not add on to the risk of severity or outcome of the disease [3]. As observed in other countries [4,5], the second wave in India witnessed a much alarming rate of infection in pregnancy and associated mortality.
The occurrence of neonatal SARS-CoV-2 infection is rare and less studied [6,7]. The data are scarce to describe the effect of early-onset SARS-CoV-2 infection on neonatal outcomes and the possibility of mother-to-child transmission.
This study aimed to report the maternal and fetal characteristics of pregnant women with severe COVID disease as well as maternal and neonatal characteristics of neonates with early-onset SARS-CoV-2 infection.
Materials & Methods
This was a prospective cohort study conducted at a tertiary referral center in North India. All pregnant women with severe or critical COVID disease and neonates with early-onset SARS-CoV-2 infection were included in the study.
Per the institutional policy, COVID-19 testing was done in all pregnant women at admission by reverse transcriptase-polymerase chain reaction (RT-PCR) in an Indian Council of Medical Research (ICMR)-approved laboratory. All pregnant women with COVID-19 infection were screened for severe or critical disease as defined by the Chinese Center for Disease Control and Prevention [8]. Severe infection was defined as dyspnea, respiratory rate > 30 per minute, blood oxygen saturation ≤ 93% on room air, and partial pressure of arterial oxygen to fraction of inspired oxygen 50% within 24 to 48 hours on chest imaging. The critical disease was defined by respiratory failure, septic shock, and/or multiple organ dysfunction or failure. Prior permission for data collection and analysis was taken from the Institutional Ethical Board (AIIMS/IEC/20/559).
Study personnel collected data including demography, symptomatology, known co-morbidities, period of gestation, pregnancy-associated complications, details of investigations and management, duration of hospital stay, intensive care unit (ICU) stay, ventilatory requirement, and pregnancy outcomes including maternal and neonatal outcome from the time of admission to discharge or death while admitted. Vaccination was not recommended for antenatal patients during the time of the study. The management was as per the institutional protocol conforming to the latest guidelines at the time. Patients underwent radiological evaluation with X-ray, ultrasonography, or CT chest whenever required. The use of steroids and the dosage were guided by the latest guidelines (Royal College of Obstetrics and Gynecology guidelines). The choice of antibiotics was based on local drug sensitivity trends. The ventilatory support if needed was given as per the clinical condition and weaned off as per recovery. All patients on steroids were monitored for blood glucose. and insulin/oral hypoglycemic was added appropriately.
All neonates born to COVID-positive mothers were tested for SARS-CoV-2 in nasopharyngeal and throat samples at the time of birth as per the institutional policy. Maternal and neonatal characteristics including Apgar score, birth weight, neonatal ICU (NICU) admission, respiratory support, neonatal morbidities, and mortality were noted for neonates with early-onset SARS-CoV-2 infection. The presence of SARS-CoV-2 in different maternal samples, i.e., amniotic fluid, cord blood, placental swab, and vaginal and cervical swab collected at the time of birth, was also noted to determine the possibility of mother-to-child transmission.
Statistical analysis
The data analysis was conducted using Statistical Package for Social Sciences (SPSS) Version 21.0 (IBM Corp., Armonk, NY). The continuous data were expressed as mean±SD or median (range), and the categorical data were expressed as a percentage. The continuous data were compared by applying Student's t-test. The categorical data were compared using Fisher's exact test. A p-value of <0.05 was considered significant.
A total of 165 (60, 68, and 37 in the first, second, and third waves, respectively) COVID-positive pregnant women were admitted to the study center. No severe COVID disease during pregnancy was noted in the first and third waves. Likewise, no neonate was found to have early-onset SARS-CoV-2 infection during the first and third waves.
During the second wave (March to June 2021), 15 pregnant women were found to have severe COVID disease and 11 neonates had early-onset SARS-CoV-2 infection.
Pregnant women with severe COVID disease
Among the 68 women in the second wave of infection, maternal and fetal characteristics of 15 pregnant women with severe COVID disease are described in Table 1. The mean age was 29.13±4.01 years, and the mean gestational age at the time of admission was 25.57±4.69 weeks. The majority (73.33%) were in their second trimester of pregnancy, and the rest were in their third trimester.
All of these women were symptomatic; most of them (93.33%) had cough, breathlessness, and pneumonia. On admission, seven (46.67%) had tachycardia with an average mean arterial pressure of 83 mmHg. The majority had tachypnea (73.33%) and needed supplementary oxygen right away at the presentation time if not already on it. At presentation, nine (60%) of these women had intrauterine fetal death (IUFD) and all women with IUFD had a critical disease. There was gestational diabetes mellitus in 13.33%, intrahepatic cholestasis of pregnancy in 6.67%, pre-eclampsia/eclampsia in 13.33%, anemia in 80%, and oligohydramnios in 33.33% women.
Table 2 summarizes the management details of the study. All 15 women needed ICU admission; most required invasive ventilatory support. Upon blood investigations, it was observed that nearly three-fourths of the subjects had high total leucocyte count and alanine transaminase, and 100% of them had raised aspartate transaminase. Almost two-thirds of them had normal procalcitonin and increased D-dimer levels. All the patients in this study received anticoagulation prophylaxis, antibiotics, and steroids as part of their treatment.
Table 3 shows the maternal and fetal outcomes of pregnant women with severe COVID disease. It was observed that all 11 (73.33%) mothers requiring ventilatory support succumbed to death. Only four women during the study period recovered and had a continuation of pregnancy with live fetuses; the outcome after discharge is unknown. Two out of 11 women had a termination of pregnancy resulting in two live births. Both of these neonates were COVID positive in oropharyngeal and nasopharyngeal samples. One of the neonates died within the study duration due to perinatal asphyxia.
One of the study subjects, primigravida with severe COVID disease at 32 weeks gestation, had a live intrauterine fetus with no evidence of fetal hypoxia. The patient on presentation had respiratory distress needing supplementary oxygen with a face mask. Upon investigation, she had mild anemia, raised liver enzymes, and features of pneumonia. She underwent a cesarean section on day two of admission and was intubated preoperatively as her respiratory alkalosis worsened on the operating table. Upon birth, the neonate was only 1,500 grams with an Apgar score of 2 at 1 minute and 4 at 5 minutes. The neonate died 12 hours after delivery despite ventilatory support, and the cause of death was determined as perinatal asphyxia. The mother's cardiorespiratory status worsened post-surgery and she needed double inotropic support at high doses. She had an irreversible cardiopulmonary arrest within 36 hours of surgery.
Neonates with early-onset SARS-CoV-2 infection
Table 4 describes neonates' maternal and neonatal characteristics with early-onset SARS-CoV-2 infection. None of them had any COVID-related symptoms. The average maternal age was 29.18 years (range: 27-34 years). The mean parity was 1.54 (range: 1-3). Two mothers had severe COVID disease. The mode of delivery was lower segment cesarean section (LSCS) in nine women, whereas two women had a normal vaginal delivery. The LSCS was commonly performed for obstetric indications except in two cases with severe maternal COVID pneumonia. Preterm birth was reported in four patients. A history of premature rupture of membranes was present in two patients. The average Apgar scores at 1 and 5 minutes were 6.9 (range: 1-9) and 8.09 (range: 4-9), respectively. The average birth weight was 2,551.81 grams (range: 1,375-3,820 grams). All neonates were initially kept in the NICU. Out of 11, four neonates required treatment in the form of positive-pressure ventilation, chest compressions, high-flow nasal oxygen, and non-invasive and invasive ventilation. Neonatal mortality was documented in two cases. The requirement for neonatal interventions and mortality was attributed to prematurity, sepsis, and perinatal asphyxia, rather than SARS-CoV-2 infection.
Additionally, the early-onset SARS-CoV-2 infection in neonates was correlated with SARS-CoV-2 in different maternal samples collected at birth to determine the possibility of mother-to-child transmission. Six mothers had one or more positive results in either amniotic fluid, placental membrane, or vaginal or cervical swab, highlighting the possibility of antepartum or intrapartum transmission. The probability of contracting the infection through the environment was almost nil as neonatal samples were taken at the time of birth. SARS-CoV-2 infection can be explained in another five neonates by fetal contamination with maternal blood at the time of LSCS. Breastfeeding was not allowed in COVID-positive mothers; therefore, we cannot comment on postpartum transmission.
This study analyzed the data of 15 pregnant women with severe COVID disease and found them to have a 100% requirement for ICU admission and supplementary oxygen. All were symptomatic and were mostly in their second trimester (73%) and third trimester (27%). Around 60% of these patients had IUFD at presentation. All of these women were also found to have raised aspartate transaminase, and nearly three-fourths had raised alanine transaminase and total leucocyte count. All women requiring invasive ventilation succumbed to the disease with a recorded maternal mortality rate of around 73%. Four women had a continuation of pregnancy. Two women underwent cesarean section for termination of pregnancy. Both neonates tested positive for COVID, out of which only one neonate survived.
Out of 11 COVID-positive neonates, the evidence of mother-to-child transmission was found in only six mothers and had one or more positive results in either amniotic fluid, placental membrane, or vaginal or cervical swab, highlighting the possibility of antepartum or intrapartum transmission [9]. We did not have data on maternal blood and feces contamination with SARS-CoV-2. Therefore, SARS-CoV-2 infection can be explained by fetal contamination with maternal blood and feces at the delivery time in another five neonates. We could not comment on postpartum transmission as breastfeeding was not allowed in COVID-positive mothers.
The concentration of severe COVID disease at later gestations was also observed in a prospective cohort study from the UK with an OR of 3.39 for the second trimester [10]. Unlike the present study, Vousden et al. documented a higher proportion from the third trimester. Similar to the present study, they reported that women with severe diseases mainly required respiratory support and ICU admission. All the maternal deaths were in women having severe diseases. But, there was a higher incidence of pneumonia, intensive care, invasive ventilation, and stillbirths in women in the second trimester, which probably points toward more severity in the second trimester [10].
Raised alanine and aspartate transaminase was a significant finding in the present study. A similar result was noted in a retrospective study from Turkey that included 110 women [11]. They concluded the predictor value of LDH levels to be higher for severe infection. Unfortunately, the data on LDH levels were not available for analysis in the present study. The area under the curve (AUC) for AST and ALT in the Turkish study was 0.840 and 0.771, respectively, but not as high as LDH. Thus, high levels of AST, ALT, or both could strongly predict severe disease. The mean value of AST and ALT observed in the present study was much higher compared to the Turkish research (186.04±160.35, 116.23±104.31, and 50.5, 20, respectively). Different laboratory assays could explain this.
The observed maternal mortality rate of 73.33% is much higher than other studies [12,13]. This could be explained by the fact that the study center deals with high-risk and complicated cases as it is a tertiary referral center close to hilly areas of North India with difficult transportation facilities.
Another study from the same institution comparing the disease parameters in pregnant and non-pregnant cohorts reported that pregnancy per se did not add to morbidity and mortality [3]. Instead, the majority of patients in the pregnant cohort had milder and asymptomatic diseases. This finding was mostly owed to frequent tests and routine admissions. Of the 42 women in the obstetric cohort, 11 (26.19%) had severe disease. An essential finding in the present study was the concentration of severe disease in the second trimester. Even within the pregnancy cohort, when severe and non-severe cases were compared, earlier gestational age in severe cases was a significant finding. Also, all instances of IUFD belonged to the severe disease group [3].
The finding of severe or critical illness in the second trimester raises an important concern for pregnancy with COVID disease in regard to risks of continuation of pregnancy when infected in an early trimester, the timing of termination of pregnancy, mode of termination of pregnancy, or even risk of exacerbation of disease after the termination of pregnancy. The diluted effect of lesser mortality in pregnancy (mostly non-severe illness) compared to non-pregnant women, as observed in many studies [3,12,14], should not be construed as an assurance to the public concerning the effect of COVID disease in pregnancy.
There is a possibility that pregnant women with severe diseases behave much differently than the ones with non-severe diseases. The rate of progression is probably much faster and deadlier [15,16]. Another observation in the present study was the sudden deterioration of general condition soon after the termination of pregnancy, suggesting the possibility of exacerbation of disease postnatally. Similar reports of such incidents have been noted in the literature [17]. The need for termination or the timing of pregnancy termination either to improve the mother's cardiorespiratory status or to salvage the fetus is a burning question for any obstetrician with insufficient literature to support or negate either [18]. Also, what predicts the severity of this disease is an important research topic of demand. Thus, the pathophysiology of the severe disease in the second trimester needs further evaluation, and more focused studies are in demand to answer the above questions raised during this study.
Strengths and limitations
Detailed evaluation of two aspects of COVID disease, which are rarely studied, including pregnant women with severe COVID disease and neonates with early-onset SARS-CoV-2 infection, is the study's major strength, adding valuable information to the available literature. The detailed protocol will come in handy for the future waves of this deadly virus or its mutations.
There are certain limitations, including the nature of the study, i.e., non-randomized and lack of control group for comparison, and small sample size. As a tertiary care center, most patients were referred from the surrounding centers. Management of these patients was primarily done elsewhere; hence, the quality of care is not uniform across all patients. The data were only limited up until the discharge. Thus the outcome of all the recovered mothers was not available for analysis. At the time of the study, vaccination was not initiated for pregnant women in the country. Thus, the effect or benefit of vaccination cannot be commented upon. The study was only from a single center, and the sample size was too less to generalize the findings across the population. This calls for more focused and comparative studies to make any conclusions.
Severe COVID disease during pregnancy is present primarily in the second trimester and is associated with a high incidence of intrauterine fetal demise and maternal mortality. Elevated AST, ALT, or both could strongly predict severe disease. Early-onset neonatal SARS-CoV-2 infection is primarily asymptomatic and has a good prognosis. The poor neonatal outcomes can be attributed to prematurity, sepsis, and perinatal asphyxia, rather than SARS-CoV-2 infection. Additionally, mother-to-child transmission of SARS-CoV-2 is possible in the antepartum and intrapartum periods.
- Zhao X, Jiang Y, Zhao Y, Xi H, Liu C, Qu F, Feng X: Analysis of the susceptibility to COVID-19 in pregnancy and recommendations on potential drug screening. Eur J Clin Microbiol Infect Dis. 2020, 39:1209-20. 10.1007/s10096-020-03897-6
- Liu H, Wang LL, Zhao SJ, Kwak-Kim J, Mor G, Liao AH: Why are pregnant women susceptible to COVID-19? An immunological viewpoint. J Reprod Immunol. 2020, 139:103122. 10.1016/j.jri.2020.103122
- Khoiwal K, Ravi AK, Arora S, et al.: Impact of pregnancy on susceptibility and severity of COVID-19: a hospital-based prospective observational study. Cureus. 2022, 14:e24281. 10.7759/cureus.24281
- Kadiwar S, Smith JJ, Ledot S, et al.: Were pregnant women more affected by COVID-19 in the second wave of the pandemic?. Lancet. 2021, 397:1539-40. 10.1016/S0140-6736(21)00716-9
- Jassat W, Mudara C, Ozougwu L, et al.: Difference in mortality among individuals admitted to hospital with COVID-19 during the first and second waves in South Africa: a cohort study. Lancet Glob Health. 2021, 9:e1216-25. 10.1016/S2214-109X(21)00289-8
- Gale C, Quigley MA, Placzek A, et al.: Characteristics and outcomes of neonatal SARS-CoV-2 infection in the UK: a prospective national cohort study using active surveillance. Lancet Child Adolesc Health. 2021, 5:113-21. 10.1016/S2352-4642(20)30342-4
- Trevisanuto D, Cavallin F, Cavicchiolo ME, Borellini M, Calgaro S, Baraldi E: Coronavirus infection in neonates: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2021, 106:330-5. 10.1136/archdischild-2020-319837
- Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention: [The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China] [Article in Chinese]. Zhonghua Liu Xing Bing Xue Za Zhi. 2020, 41:145-51. 10.3760/cma.j.issn.0254-6450.2020.02.003
- Khoiwal K, Kalita D, Dhundi D, et al.: Detection of SARS-CoV-2 in biological samples of pregnant women infected with COVID-19: A prospective cross-sectional study. Int J Gynaecol Obstet. 2021, 155:542-6. 10.1002/ijgo.13928
- Vousden N, Ramakrishnan R, Bunch K, et al.: Management and implications of severe COVID-19 in pregnancy in the UK: data from the UK Obstetric Surveillance System national cohort. Acta Obstet Gynecol Scand. 2022, 101:461-70. 10.1111/aogs.14329
- Arslan B, Bicer IG, Sahin T, Vay M, Dilek O, Destegul E: Clinical characteristics and hematological parameters associated with disease severity in COVID-19 positive pregnant women undergoing cesarean section: A single-center experience. J Obstet Gynaecol Res. 2022, 48:402-10. 10.1111/jog.15108
- Vizheh M, Muhidin S, Aghajani F, et al.: Characteristics and outcomes of COVID-19 pneumonia in pregnancy compared with infected nonpregnant women. Int J Gynaecol Obstet. 2021, 153:462-8. 10.1002/ijgo.13697
- Karimi L, Makvandi S, Vahedian-Azimi A, Sathyapalan T, Sahebkar A: Effect of COVID-19 on mortality of pregnant and postpartum women: a systematic review and meta-analysis. J Pregnancy. 2021, 2021:8870129. 10.1155/2021/8870129
- Qiancheng X, Jian S, Lingling P, et al.: Coronavirus disease 2019 in pregnancy. Int J Infect Dis. 2020, 95:376-83. 10.1016/j.ijid.2020.04.065
- Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, et al.: Maternal death due to COVID-19. Am J Obstet Gynecol. 2020, 223:109.e1-109.e16. 10.1016/j.ajog.2020.04.030
- Schnettler WT, Al Ahwel Y, Suhag A: Severe acute respiratory distress syndrome in coronavirus disease 2019-infected pregnancy: obstetric and intensive care considerations. Am J Obstet Gynecol MFM. 2020, 2:100120. 10.1016/j.ajogmf.2020.100120
- Chen L, Li Q, Zheng D, et al.: Clinical characteristics of pregnant women with Covid-19 in Wuhan, China. N Engl J Med. 2020, 382:e100. 10.1056/NEJMc2009226
- Chen L, Jiang H, Zhao Y: Pregnancy with COVID-19: management considerations for care of severe and critically ill cases. Am J Reprod Immunol. 2020, 84:e13299. 10.1111/aji.13299
Maternal-Fetal Characteristics of Pregnant Women With Severe COVID Disease and Maternal-Neonatal Characteristics of Neonates With Early-Onset SARS-CoV-2 Infection: A Prospective Data Analysis
Ethics Statement and Conflict of Interest Disclosures
Human subjects: Consent was obtained or waived by all participants in this study. All India Institute of Medical Sciences Rishikesh Institutional Ethics Committee issued approval AIIMS/IEC/20/559. This project is ethically approved. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
Article Information
Cite this article as:
Khoiwal K, Ravi A K, Mittal A, et al. (August 14, 2022) Maternal-Fetal Characteristics of Pregnant Women With Severe COVID Disease and Maternal-Neonatal Characteristics of Neonates With Early-Onset SARS-CoV-2 Infection: A Prospective Data Analysis. Cureus 14(8): e27995. doi:10.7759/cureus.27995
Publication history
Peer review began: July 25, 2022
Peer review concluded: August 06, 2022
Published: August 14, 2022
© Copyright 2022
Khoiwal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Maternal-Fetal Characteristics of Pregnant Women With Severe COVID Disease and Maternal-Neonatal Characteristics of Neonates With Early-Onset SARS-CoV-2 Infection: A Prospective Data Analysis
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Lloyd's of London plans to allow its syndicate members to underwrite cannabis-related business in Canada provided they meet local and international laws, Reuters reported. Lloyd's said that it was satisfied that providing insurance for cannabis in Canada would not breach the U.K. Proceeds of Crime Act after taking legal advice. Cannabis' recreational sales are set to begin on Oct. 17 across Canada after the country legalized marijuana.


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Sicily used to have got some very old laws. One in particular was stating that in case of serious illness or after three days of intense sickness, the doctor was forced to call for the "Viatico", the Catholic Sacrament of the Confession, which was intended as a medicine for the patient's soul before the afterlife.
By law, the doctor was prohibited to perform a second examination on the patient with no confession or the punishment would have been the excommunication. The only exception to the rule was in case the patient had received the confession before getting sick.
The law was so strict that doctors were even forced to swear to observe the law during their graduation.
Sometimes it was not the doctor to call for the "Viatico" but relatives and associates. They used to follow "divine omens" to establish it was the time for the sick relative to depart for the afterlife. These "divine omens" were generally connected to the barking of the dogs, black cats nearby, owls perching on the roof, chickens squawking like roosters, dreams dealing with the sick relative, swiping the house at night, adding a new door to a room of the house and many other ones we yet keep on getting from elder's tales nowadays.
Around 1600 it was starting to become popular to think that the landlord whose chickens were squawking aloud in the yard would have died whether the chickens were not slaughtered immediately. And when it comes to adding a new door to a room of the house the following story have been preserved:
Today, on September the 23rd 1876, I was sent to pay Mrs D. a visit on San Francesco di Paola's square as she went into a deep depression (deep sadness) after moving to a new house three days ago and that is because her landlord added a new door in a room just close to the main gate. I sadly have to say the poor lady passed away shortly after and her relatives cannot forgive the landlord for that wicked decision.
To avoid the sick person realized that his demise was just around the corner, the need of the "Viatico" was usually explained as an act of grace, to receive the Holy Sacraments and thus letting the Lord to bless the house and its inhabitants.
Therefore the Viatico bell rings and everyone kneel and kiss the floor three times, while the most agile ones rush to the church to borrow some holy relics. When the Viatico is performed children are removed from the room for they are considered a bad omen.


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Blaker supports local steam and vintage show to raise money for Macmillan
Due to the Covid pandemic, the Balls Cross vintage and steam show, near Petworth, West Sussex, hasn't run since 2019. However, this year it returned and was bigger and better than ever with a record attendence.
Organised by Tony and Sylvia Haydon, the show donates all proceeds to Macmillan and has raised over £10,000 so far.
Set in beautiful countryside close to Petworth, West Sussex, the show had something for everyone. From vintage cars and motorcycles to military vehicles and steam engines. A range of vintage and classic exhibits were on show, together with local craft and sales stands
BlakerTech's Workshop Manager, Simon Rawlins, was exhibiting his half size Burrell road locomotive 'Molly' which he built himself. He also assisted the crew of 'General Scrumpy' a 6nhp Marshall traction engine which is local to the area and spent its working life at Carter Brothers (agricultural engineers) in Wisborough Green, near Billingshurst. Surprisingly, the engine still resides in Wisborough Green, in the ownership of Paul Stickland.


text: The first thing to know about Ditmas Park: there is no park. But if there's any recourse, a collection of lawns in Brooklyn seems an acceptable consolation prize. The toy filled yards, sweeping willow trees and cheerily painted early colonial houses under the manicured oak growth constructs a pointalist portrait of post war suburbia. Which only makes it more strange that this enclave is surrounded by Flatbush.


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When a team has a disappointingly stinky result, my Workhorse column here likewise suffers a dearth of voters stepping up. Thus, no one claimed a Workhorse nod last week, even though Paxton and Ryan were knocking on the door. It was a pretty miserable performance against Orlando though.
Season Saving Win
On Saturday night, FC Dallas knew what they were up against. Their playoff positioning was teetering on the edge. The team was playing pretty poorly, struggling to put shots on goal and suffering some defensive breakdowns. Question marks loomed over Frisco like those terrifying spring thunderstorms. Couple that with a fairly tepid summer transfer window, for good reasons and bad, fans were frustrated. They let Gina, Zenotta, and others know via any method available to them, including Facebook Live.
Minnesota United had just booked a ticket to an Open Cup final, so while squad rotation was expected, this is a team that is hungry and in form. They were not going to march into Frisco and give up a chance for points against a struggling Dallas side. Meanwhile, FC Dallas seemed to sound all the right notes and alarms, that it was time to figure this thing out, break the dam, and stake a claim for a playoff spot.
In return, with all of these precipitating forces at work, FC Dallas fans got a hell of a show in Frisco on Saturday.
Bonker goals. Scintillating passing. Late game heroics. Spitting players. Drama. A come from behind win.
You can't ask for a better game for neutrals, at least, with a total of eight goals, and FC Dallas now surges with a bit of renewed confidence (even if problems remain). Is this what they need to get over the hump and back in good form? Will fans respond with a little love for this hard-working team with young players itching to make a difference?
The Defense Is In Shambles
I have no idea what happened on Saturday, but the defense was an absolute mess. Maybe Matt Hedges wasn't 100%, coming off after halftime, but the four players on the back line looked like they had just met for the first time. No communication. Missed clearances. Lack of focus. No bite. Chaos and confusion. Jesse Gonzalez stepped up and did what he can, blocking several saves, but in the end, Minnesota scored 3 goals which varied from wonderful to circus-like in quality. The defense has got to do better.
This is a good argument that pushes back against calls to Play the Kids. If those were all youngsters, you'd laugh and chalk it up as a learning experience. Instead, the veterans looked like they were simply unprepared, out of step, and not up for the match. It's too late in the season for that stuff.
Go to the Back Post
Finally, something I hope Luchi preaches over and over again in practice, go to the back post.
Dominique Badji, want to score goals? Go to the back post.
Santiago Mosquera, want to score goals? GO TO THE BACK POST.
Anybody on this team, anyone at all, want to score? GO TO THE DAMN BACK POST.
Oh, Brandon Servania? Is that you at the back post? Here are two goals for your hard work.
Vote Below
Saturday night, I was not in a good mood. I was tired of the way this team came out, generating a bunch of somewhat juicy chances to only see them easily parried away by Minnesota's goalkeeper, skied into orbit, or just lead to nothing. When FCD gave up the opening goal, I was ready to check out. Thank God Ryan Hollingshead, Paxton Pomykal, Reggie Cannon, and Michael Barrios went the full 90 and kept fighting for their shirts and this season. This was a wild and fun game. You should vote for one of those guys, by the way.
And I'm ready for more.
Cast your vote for Workhorse of the Week.
This poll is closed
Jesse Gonzalez
Reggie Cannon
Reto Ziegler
Ryan Hollingshead
Bryan Acosta
Paxton Pomykal
Michael Barrios
Jesus Ferreira


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Views from around the world.
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"So goes Grissom, so goes Sara." Expressing that sentiment and more, CSI vet Jorja Fox has announced that she will not be back for Season 2 of CBS' CSI: Vegas.
"For me, CSI has always been a love story. The story that people can find love in the darkest of places and times," Fox explained in a Twitter thread (below). "I personally just can't split Sara and Grissom up again. So goes Grissom…..So goes Sara. Wherever they go, they belong together."
At the time that CSI: Vegas was renewed for Season 2, the word was that Fox could ostensibly return in some capacity, whereas co-star William Petersen had only signed on for the initial 10-episode series (but is staying on as an executive producer).
"There's no expectation on [Fox and Petersen]" to return for Season 2, showrunner jason Tracey told TVLine at the time of the Season 1 finale. "The door will always be open to a couple of legends, but we only asked them to come back to help us tell this finite number of episodes."
Hey all you #CSI fans! After much deliberating, I have decided not to 'Sidle up' for CSI Vegas. For me CSI has always been a love story. The story that people can find love in the darkest of places and times. (1)
— Le Fox (@JorjaFoxofficia) January 25, 2022
CSI: Vegas stars Paula Newsome, Matt Lauria, Mandeep Dhillon and Mel Rodriguez as the team now working the Las Vegas crime lab. But even without Sara and Gil sticking around, other blasts from CSI series of the past could resurface.
With the casts of four past CSI shows to draw from, Tracey said, "I'd be like a kid in a candy store if I got a Season 2, to kind of 'go shopping' and hopefully tap in some familiar faces."
Want scoop on CSI: Vegas, or for any other show? Email firstname.lastname@example.com and your question may be answered via Matt's Inside Line.